Oliver Kristin, Frawley Alean, Garland Elizabeth
a Department of Preventive Medicine , Icahn School of Medicine at Mount Sinai , New York , NY , USA.
Hum Vaccin Immunother. 2016 Jun 2;12(6):1589-93. doi: 10.1080/21645515.2016.1139253. Epub 2016 Feb 18.
To review the literature on interventions to increase HPV vaccinations and assess whether The Community Preventive Services Task Force recommendations are supported by current evidence.
We used a PubMed search to identify studies that assessed interventions that looked at provider assessment and feedback, provider reminders, client reminder and recall, and clinic based education programs.
Of the 13 studies identified, 8 included client reminder and recall interventions, 4 included provider assessment and feedback and/or provider reminders and 2 included clinic based education. 11 of the 13 studies demonstrated a positive effect on HPV vaccine initiation or completion. Provider assessment and feedback studies were more likely to report a positive effect on HPV vaccine initiation than on series completion, while client reminder recall interventions more frequently produced an effect on series completion than on initiation.
There is evidence to support the application of the Community Preventive Services Task Force recommendations specifically to HPV vaccination both for client reminder and recall programs and for provider assessment and feedback interventions. Multiple targeted approaches will be needed to substantially impact HPV vaccine rates.
回顾关于增加人乳头瘤病毒（HPV）疫苗接种干预措施的文献，并评估社区预防服务特别工作组的建议是否得到当前证据的支持。
我们通过PubMed检索，以识别评估了以下干预措施的研究：提供者评估与反馈、提供者提醒、客户提醒与召回，以及基于诊所的教育项目。
在识别出的13项研究中，8项包括客户提醒与召回干预措施，4项包括提供者评估与反馈和/或提供者提醒，2项包括基于诊所的教育。13项研究中的11项显示对HPV疫苗接种的开始或完成有积极影响。提供者评估与反馈研究更有可能报告对HPV疫苗接种开始有积极影响，而不是对系列接种完成有积极影响，而客户提醒召回干预措施对系列接种完成的影响比对开始的影响更频繁。
有证据支持社区预防服务特别工作组的建议具体应用于HPV疫苗接种，无论是客户提醒与召回项目还是提供者评估与反馈干预措施。需要多种有针对性的方法来大幅提高HPV疫苗接种率。
