a Department of Pediatrics, Columbia University , New York , NY , USA.
b NewYork-Presbyterian Hospital , New York , NY , USA.
Hum Vaccin Immunother. 2019;15(7-8):1549-1561. doi: 10.1080/21645515.2019.1611158. Epub 2019 Jun 18.
The human papillomavirus virus (HPV) vaccine is effective at preventing various cancers, but coverage falls short of targets that are needed for community protection. Here, we use the RE-AIM implementation framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) to understand how text, email, and electronic health record (EHR) reminders and social media campaigns can be used as part of policy and practice interventions to increase HPV vaccination. These technology-based interventions could be used together and mainstreamed into clinical and system-based practice to have the greatest impact. Of the interventions explored, text-based, email-based, and EHR reminders have the most evidence behind them to support their effectiveness. While there are several studies of promotion of the HPV vaccine on social media, more studies are needed to demonstrate their effects and better methods are needed to be able to attribute results to these interventions.
人乳头瘤病毒（HPV）疫苗在预防各种癌症方面非常有效，但覆盖率仍未达到社区保护所需的目标。在这里，我们使用实施框架（Reach、Effectiveness、Adoption、Implementation、Maintenance）来了解文本、电子邮件和电子健康记录（EHR）提醒以及社交媒体活动如何作为增加 HPV 疫苗接种的政策和实践干预措施的一部分。这些基于技术的干预措施可以一起使用，并纳入临床和系统实践主流，以产生最大影响。在探索的干预措施中，基于文本的、基于电子邮件的和基于 EHR 的提醒最有证据支持其有效性。虽然有一些关于在社交媒体上推广 HPV 疫苗的研究，但需要更多的研究来证明它们的效果，并且需要更好的方法来将结果归因于这些干预措施。
