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社交媒体和移动技术驱动的人乳头瘤病毒疫苗接种干预措施的内部和外部有效性:使用覆盖范围、有效性、采用率、实施情况、维持情况(RE-AIM)框架进行的系统评价

Internal and External Validity of Social Media and Mobile Technology-Driven HPV Vaccination Interventions: Systematic Review Using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) Framework.

作者信息

Asare Matthew, Popelsky Braden, Akowuah Emmanuel, Lanning Beth A, Montealegre Jane R

机构信息

Department of Public Health, Baylor University, Waco, TX 76708, USA.

Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, TX 77030, USA.

出版信息

Vaccines (Basel). 2021 Feb 26;9(3):197. doi: 10.3390/vaccines9030197.

Abstract

Social media human papillomavirus (HPV) vaccination interventions show promise for increasing HPV vaccination rates. An important consideration for the implementation of effective interventions into real-world practice is the translation potential, or external validity, of the intervention. To this end, we conducted a systematic literature review to describe the current body of evidence regarding the external validity of social media HPV vaccination-related interventions. Constructs related to external validity were based on the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework. Seventeen articles published between 2006 and 2020 met the inclusion criteria. Three researchers independently coded each article using a validated RE-AIM framework. Discrepant codes were discussed with a fourth reviewer to gain consensus. Of these 17 studies, 3 were pilot efficacy studies, 10 were randomized controlled trials (RCTs) to evaluate effectiveness, 1 was a population-based study, and 3 did not explicitly state which type of study was conducted. Reflecting this distribution of study types, across all studies the mean level of reporting RE-AIM dimensions varied with reach recording 90.8%, effectiveness (72.1%), adoption (40.3%), implementation (45.6%), and maintenance (26.5%). This review suggests that while the current HPV vaccination social media-driven interventions provide sufficient information on internal validity (reach and effectiveness), few have aimed to gather data on external validity needed to translate the interventions into real world implementation. Our data suggest that implementation research is needed to move HPV vaccination-related interventions into practice. Included in this review are recommendations for enhancing the design and reporting of these HPV vaccination social media-related interventions.

摘要

社交媒体人乳头瘤病毒(HPV)疫苗接种干预措施在提高HPV疫苗接种率方面显示出前景。将有效干预措施应用于实际临床实践的一个重要考量因素是干预措施的可转化性,即外部效度。为此,我们进行了一项系统的文献综述,以描述当前关于社交媒体HPV疫苗接种相关干预措施外部效度的证据。与外部效度相关的结构基于覆盖范围、有效性、采用率、实施情况、维持情况(RE-AIM)框架。2006年至2020年间发表的17篇文章符合纳入标准。三位研究人员使用经过验证的RE-AIM框架对每篇文章进行独立编码。有分歧的编码与第四位评审员进行讨论以达成共识。在这17项研究中,3项是试点疗效研究,10项是评估有效性的随机对照试验(RCT),1项是基于人群的研究,3项未明确说明进行的是哪种类型的研究。反映出这种研究类型的分布情况,在所有研究中,报告RE-AIM维度的平均水平各不相同,覆盖范围记录为90.8%,有效性为72.1%,采用率为40.3%,实施情况为45.6%,维持情况为26.5%。本综述表明,虽然当前由社交媒体驱动的HPV疫苗接种干预措施提供了关于内部效度(覆盖范围和有效性)的充分信息,但很少有旨在收集将干预措施转化为实际应用所需的外部效度数据的研究。我们的数据表明,需要开展实施研究,以便将HPV疫苗接种相关干预措施应用于实践。本综述还包括了有关加强这些与社交媒体相关的HPV疫苗接种干预措施的设计和报告的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8629/7996801/094e4f51ec11/vaccines-09-00197-g001.jpg

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