Interventions to Improve HPV Vaccine Uptake: A Systematic Review
Emily B. Walling, Nicole Benzoni, Jarrod Dornfeld, Rusha Bhandari, Bryan A. Sisk, Jane Garbutt, Graham Colditz

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- TABLE 1
Eligibility Criteria
Inclusion Study design: any Participants: men and/or women 11–26 y old Intervention: to increase HPVV uptake Outcome: postintervention HPV vaccination rate reported Exclusion Postintervention HPV vaccination rates not reported No original data (exception made for articles describing government interventions) Abstract or research communication report only Population <11 or >26 y old Study not available in English - TABLE 2
CGDA Intervention Categories
Category Intervention Definition Informational To increase knowledge of HPV, HPV-related disease, or the HPVV Behavioral To change behavior by providing necessary skills to make a decision regarding the HPVV. Subcategories by strategy: patient-targeted decision support (eg, message framing, health theory–based interventions), patient-targeted reminders, provider-targeted reminders, patient and provider interventions Environmental To change the social environment to facilitate vaccination, ie, decreased financial barriers, novel vaccination locations. Subcategory by policy level: small policy (organizational guidelines, no government involvement), large policy (formal laws, rules or regulations, national or local government involvement) The authors determined the main category for interventions employing multiple strategies.
- TABLE 3
CGDA Intensity Level
Intensity Level Example Active engagement by stakeholders targeted toward the individual Patient or physician reminders Active engagement by stakeholders targeted to population School-based VP, educational classes Passive engagement with significant effort Educational media campaigns Passive engagement with minimal effort Notice on Web site Interventions using multiple methods were classified according to the method of the highest intensity.
- TABLE 4
RE-AIM Evaluation Dimensions
Reach: proportion of the target population that participated in the intervention. Setting, population density, HPVV population, number of participants Efficacy: success rate if implemented as in guidelines Postintervention HPVV rates Adoption: proportion of settings, practices, and plans that will adopt this intervention If applicable, described with implementation Implementation: extent to which the intervention is implemented as intended Study design, barriers encountered Maintenance: extent to which a program is sustained over time Sustainability and acceptability of the intervention
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Interventions to Improve HPV Vaccine Uptake: A Systematic Review
Emily B. Walling, Nicole Benzoni, Jarrod Dornfeld, Rusha Bhandari, Bryan A. Sisk, Jane Garbutt, Graham Colditz
Pediatrics Jul 2016, 138 (1) e20153863; DOI: 10.1542/peds.2015-3863