Interventions to increase HPV vaccination coverage: A systematic review

Abstract

We reviewed intervention studies designed to increase human papillomavirus (HPV) vaccination coverage to further understand the impact interventions can have on HPV vaccination coverage. We searched 5 databases for intervention studies published from June 2006 to May 2015. Studies were included if they quantitatively measured HPV vaccination coverage as an outcome and were conducted in the United States. We abstracted outcomes, methods, and results from each study and classified by type of intervention conducted. Findings from 34 studies suggest many types of intervention strategies can increase HPV vaccination coverage in different settings, and with modest cost. Interventions were effective especially when implemented in combination at both provider and community levels. However, not all interventions showed significant effects on coverage. More research is needed to identify the best methods for widespread implementation of effective strategies.

Advancing Human Papillomavirus Vaccine Delivery: 12 Priority Research Gaps

“…A recent review identified numerous interventions for increasing HPV vaccination, 1 but effects were small and evidence was often insufficient to identify best practices. The National HPV Vaccination Roundtable sponsored a 1-day national meeting in 2016 on best and promising practices in HPV vaccine delivery, in part to identify important research gaps.…”

Human Papillomavirus Vaccine as an Anticancer Vaccine: Collaborative Efforts to Promote Human Papillomavirus Vaccine in the National Comprehensive Cancer Control Program

“…21 However, some recent studies have found patient education implemented alone in community settings to be effective at increasing coverage for HPV vaccine and series completion. 22–24 …”

“…2 Thus, sustained, multicomponent interventions utilizing immunization and cancer control partners may have the most impact over time. 20, 22 …”

Physicians’ current use and preferences for male HPV vaccine-related patient education materials

“…While this was the resource that was most preferred, recent systematic reviews examining ways to increase HPV vaccine uptake show studies that use factsheets alone do not facilitate an increase in HPV vaccination intent or uptake [12, 13] and therefore are not recommended to be used in isolation by the Community Preventive Services Task Force [14]. Therefore, vaccine uptake may increase if physicians are provided with other strategies or materials to use in conjunction with fact sheets, such as client and provider reminders [14].…”