The Impact of Theory in HPV Vaccination Promotion Research: A Systematic Review and Meta-Analysis

Xiao, Xizhu; Lee, Danielle Ka Lai; Wong, Rachel M.; Borah, Porismita

doi:10.1177/08901171211012524

Cited by 19 publications

(10 citation statements)

References 77 publications

(144 reference statements)

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“…Previous systematic reviews have identified the breadth of intervention designs and contributed to our understanding of relative effectiveness of different intervention types [ 12 , 14 , 101 ]; however, given the advances in HPV vaccination research over the last several years, an update to these reviews was warranted. Moreover, previous systematic reviews have had a limited scope in terms of study settings, study designs, or topics and our goal here was to conduct a global and comprehensive review of interventions [ 14 , 15 , 102 , 103 ]. We reported on the level of socio-ecological that each intervention targets, barriers and facilitators to the implementation of these interventions, and intervention with outcomes such as initiation and completion rates from the U.S. and other countries.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of interventions to promote HPV vaccination globally

et al. 2023

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Background Despite the human papillomavirus (HPV) vaccine being a safe, effective cancer prevention method, its uptake is suboptimal in the United States (U.S.). Previous research has found a variety of intervention strategies (environmental and behavioral) to increase its uptake. The purpose of the study is to systematically review the literature on interventions that promote HPV vaccination from 2015 to 2020. Methods We updated a systematic review of interventions to promote HPV vaccine uptake globally. We ran keyword searches in six bibliographic databases. Target audience, design, level of intervention, components and outcomes were abstracted from the full-text articles in Excel databases. Results Of the 79 articles, most were conducted in the U.S. (72.2%) and in clinical (40.5%) or school settings (32.9%), and were directed at a single level (76.3%) of the socio-ecological model. Related to the intervention type, most were informational (n = 25, 31.6%) or patient-targeted decision support (n = 23, 29.1%). About 24% were multi-level interventions, with 16 (88.9%) combining two levels. Twenty-seven (33.8%) reported using theory in intervention development. Of those reporting HPV vaccine outcomes, post-intervention vaccine initiation ranged from 5% to 99.2%, while series completion ranged from 6.8% to 93.0%. Facilitators to implementation were the use of patient navigators and user-friendly resources, while barriers included costs, time to implement and difficulties of integrating interventions into the organizational workflow. Conclusions There is a strong need to expand the implementation of HPV-vaccine promotion interventions beyond education alone and at a single level of intervention. Development and evaluation of effective strategies and multi-level interventions may increase the uptake of the HPV vaccine among adolescents and young adults.

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Section: Discussionmentioning

confidence: 99%

A systematic review of interventions to promote HPV vaccination globally

et al. 2023

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“…There are also practical implications of this study. First, online information can be part of effective communication campaigns by government agencies and health institutions to disseminate reliable and accurate vaccine-related information in the public (Benjamin-Chung & Reingold, 2021; Xiao et al, 2021). Such a statement is a platitude but it warrants messaging because there is a bright side of online vaccine information.…”

Section: Discussionmentioning

confidence: 99%

Linking Online Vaccine Information Seeking to Vaccination Intention in the Context of the COVID-19 Pandemic

Zheng

Jiang

Rosenthal

2022

Science Communication

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This study examines how online vaccine information seeking is related to vaccination intention in the United States and China during the initial stage of their coronavirus disease 2019 vaccination programs. Analysis of the pooled sample showed a positive relationship between online vaccine information seeking and vaccination intention. There was also a negative indirect effect via perceived information overload, vaccine risk perception, and negative affective response. Multigroup analysis revealed differences between the United States and China. This study highlights the bright and dark sides of online health information during a global pandemic and has practical implications for communication campaigns to promote health-related behaviors.

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“…Strategies guided by the information, motivation, and behavioural skills model (IMB) were more effective than those guided by the framing theory (r + = .75, p.001), the HBM (r + = .01, p.001), and other theories (r + = .11, p.001) [15].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Knowledge, Attitude, and Intention to Obtain HPV Vaccination Among Undergraduate Students in Saint Lucia

Daniel

Nelson-George

Ramdeen-Mootoo

et al. 2023

Preprint

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Objective In the Caribbean, cancer ranks as the second leading cause of mortality. Without interventions, the incidence is predicted to increase by 66% within the next decade, with over 56,000 women being diagnosed with cervical cancer annually and more than 28,000 succumbing to the disease. However, life-saving prevention and treatment measures are available. This research sought to explore potential differences in knowledge, attitudes, and willingness to receive HPV vaccinations among male and female undergraduate students at a chosen Community College in St. Lucia.Methods This investigation utilized a descriptive, quantitative, and cross-sectional approach, with participants (n = 100) chosen through random sampling and completing 59-item self-administered questionnaires addressing the targeted variables. Multivariable statistical techniques were employed to determine independent predictors for HPV-vaccine acceptance among participants.Results Despite recognizing the associated risks, the findings highlighted a substantial deficit in public health promotion efforts. Firstly, although HPV is widespread in St. Lucia and causes cancer in both genders, there is insufficient awareness-raising about HPV. Secondly, the vaccine is not accessible in St. Lucia. Thirdly, the high expenses associated with the vaccine ($500 US) and HPV test ($275 EC) serve as barriers to obtaining them. Lastly, HPV vaccine uptake was minimal among participants; only 7 out of 100 had been vaccinated and received it in the US. Despite low vaccine uptake, 53% acknowledged the urgent need for vaccination.Conclusions Integrating HPV vaccination within healthcare and HPV awareness initiatives can yield positive outcomes in mitigating cancer's long-term impact on St. Lucia's male and female populations. Educational programs could prove advantageous in enhancing knowledge about HPV and vaccinations.

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The Impact of Theory in HPV Vaccination Promotion Research: A Systematic Review and Meta-Analysis

Cited by 19 publications

References 77 publications

A systematic review of interventions to promote HPV vaccination globally

A systematic review of interventions to promote HPV vaccination globally

Linking Online Vaccine Information Seeking to Vaccination Intention in the Context of the COVID-19 Pandemic

Knowledge, Attitude, and Intention to Obtain HPV Vaccination Among Undergraduate Students in Saint Lucia

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