Skip to Content
The Center for Health Promotion and Prevention Research

All for Them

All for Them (AFT) is a multilevel multicomponent program that comprises three synergistic evidence-based strategies to effectively increase HPV vaccine initiation and completion among youth living in medically underserved areas. The original AFT initiative was implemented from 2017-2020 in Houston ISD middle schools. The UTHealth team is currently implementing AFT via an expansion grant in diverse Texas communities in Houston, Baytown, and Fort Worth, TX with opportunities for implementation in additional underserved school districts. We designed the first strategy, the AFT parent-focused social marketing campaign, to normalize and help parents view the HPV vaccine as part of routine healthcare for their adolescents. The AFT campaign messaging begins by empathizing with parents and empowering them to make the best choices for their families, at the same time that it reframes HPV vaccination as cancer prevention. The campaign is delivered through community-based small and digital media for each participating school. The second strategy is continuing nursing education (CNE) to increase school nurses’ knowledge, positive attitudes, and effective communication with parents regarding HPV vaccine, HPV vaccine advocacy, and the importance of recording HPV vaccination in school health records. We will offer the CNE to school nurses statewide. Finally, the social marketing campaign is designed to help parents decide to have their children participate in the third strategy, which is free comprehensive adolescent school-based vaccination clinics held in public middle schools, at which youth will be offered all ACIP-recommended adolescent vaccinations.

This project is a collaboration between researchers, healthcare providers, and educators at:

UTHealth School of Public Health, UTHealth Cizik School of Nursing, Baylor College of Medicine, Texas Children’s Mobile Clinic Program, Harris County Public Health, Memorial Hermann Health Centers for Schools, University of North Texas Health Science Center Pediatric Mobile Clinic, Fort Worth Independent School District (FWISD), Goose Creek Consolidated Independent School District (GCCISD), and Houston Independent School District (HISD).

All for Them is funded by the Cancer Prevention and Research Institute of Texas (CPRIT) – Prevention Services:

  1. PP170046: Using Social Marketing and Mobile School-Based Vaccination Clinics to Increase HPV Vaccination Uptake in High-Risk Geographic Areas (2017-2021)
  2. PP200017: Expanding "All for Them": A Comprehensive School-Based Approach to Increase HPV vaccination through Public Schools (2020-2023)


Dr. Paula Cuccaro, Principal Investigator

Dr. Sally W. Vernon, Co-Principal Investigator

Efrat K. Gabay, MPH, Project Coordinator