All for Them
All for Them (AFT) is a multilevel, multicomponent approach to effectively increase HPV vaccine initiation and completion among youth living in medically underserved areas in Texas. The program includes three strategies to achieve this goal:
- A social marketing educational campaign: Our health education campaign focuses on parents and teens, empowering them to make the best choices for their families and their health. Messaging works to normalize HPV vaccination as part of recommended, routine adolescent health care, and includes positive, bilingual, and culturally appropriate messaging.
- Comprehensive school- and community-based vaccination clinics: Vaccination clinics offer, at minimum, Tdap, HPV, and meningococcal vaccines, but most often all childhood and adolescent immunizations. These immunizations are provided at low or no cost to all eligible middle and high school students, helping to remove common barriers to vaccination.
- School nurse education and training: For many students, school nurses are one of the most — if not the only — constant health professionals and advocates in their lives. That is why we developed School Nurse Champions for HPV Vaccination, an education course that supports school nurses’ advocacy for the HPV vaccine. Education will soon be expanded to community health workers.
The original AFT initiative was implemented from 2017-2020 in Houston ISD middle schools. The AFT team is currently implementing this program at middle and high schools and in multiple Texas communities throughout Houston, Baytown, Fort Worth, and San Antonio with opportunities for implementation in additional underserved school districts.
Project Details
All for Them is funded by the Cancer Prevention and Research Institute of Texas (CPRIT) – Prevention Services with ancillary support from The University of Texas MD Anderson Cancer Center’s Be Well™ Baytown and HPV Vaccination Initiatives:
- CPRIT PP250072: Implementation of a Multi-Component Community Intervention to Increase HPV Vaccination Among Adolescents in Bexar County (2025-2027)
- CPRIT PP240030: All for Them: A multilevel strategy for HPV-related cancer prevention (2024-2028)
- CPRIT PP200017: Expanding "All for Them": A Comprehensive School-Based Approach to Increase HPV vaccination through Public Schools (2020-2025)
- CPRIT PP170046: Using Social Marketing and Mobile School-Based Vaccination Clinics to Increase HPV Vaccination Uptake in High-Risk Geographic Areas (2017-2021)
- The University of Texas MD Anderson Cancer Center's Be Well™ Baytown: "All for Them Baytown" (2020-2024)
- The University of Texas MD Anderson: "All for Them Aldine," "All for Them Crowley" and "All for Them Spring" (2022-present)
This project is a collaboration among researchers, health care providers, and educators at UTHealth Houston School of Public Health and:
Aldine Independent School District, Baylor College of Medicine, Be Well™ Baytown, CHRISTUS Healthy Living Mobile Clinics, Cizik School of Nursing at UTHealth Houston, Fort Worth Independent School District, Goose Creek Consolidated Independent School District, Houston Independent School District, Immunization Collaboration of Tarrant County, McGovern Medical School at UTHealth Houston, Texas Children’s Mobile Clinic Program, Texas School Nurses Organization, The University of Texas MD Anderson Cancer Center, The University of North Texas Health Science Center at Fort Worth, The University of Texas School of Public Health San Antonio, UT Health San Antonio School of Nursing
We appreciate our past collaborators.
Faculty and Staff
- Paula Cuccaro, PhD – Program Director (PD)
- Elizabeth Baumler, PhD – Co-Investigator and Statistician
- Sanghamitra Misra, MD, MEd – Co-Investigator, Site Lead at BCM
- Daisy Mullassery, DrNP, RN, WHNP-BC – Co-Investigator
- Amy Raines, DrPH – Co-Investigator, Site Lead at HSC Ft. Worth
- Lara Savas, PhD – Co-Investigator
- Erika Thompson, PhD, MPH, CPH – PD at UT Health San Antonio
- Diane Santa Maria, DrPH, MSN, RN, PHNA-BC, FSAHM, FAAN – Co-Investigator
- Sally Vernon, PhD – Professor Emerita
- Efrat Gabay, MPH – Senior Project Manager
- Amy Casebier – Manager Communications
