School of Journalism and Communication, 12593Qingdao University, Qingdao, Shandong, China.
The Edward R. Murrow College of Communication, 6760Washington State University, Pullman, WA, USA.
Am J Health Promot. 2021 Sep;35(7):1002-1014. doi: 10.1177/08901171211012524. Epub 2021 May 5.
Numerous studies examined HPV vaccination promotional strategies. However, an overview of theory use, a synthesis of strategies' effectiveness and an examination of the moderating influence of theory are absent.
We retrieved studies from Academic Search Complete, Business Source Complete, PubMed, PsycINFO, Web of Science, CMMC, CINAHL, and MEDLINE.
70 and 30 studies were included for the systematic review and meta-analysis respectively.
Four major categories were coded: study information, theory use, type of theory, and outcomes. Two independent coders coded the sample (Cohen's Kappa ranged from .8 to 1).
Most of the studies were based in the U.S. (77%, k = 54) with convenient samples (80%, k = 56), targeted toward females (46%, k = 32), and around a quarter did not employ any theories (47%, k = 33). Among theory-driven studies, the most commonly used were Framing (22%, k = 19), Health Belief Model (HBM; 13%, k = 12), and Narrative (7%, k = 6). Among controlled studies, promotional strategies were significantly more effective compared to the control (r+ = .25, p < .001). Strategies guided by the information, motivation, behavioral skills model (IMB) were more effective (r+ = .75, p < .001) than studies guided by framing theory (r+ = -.23, p < .001), HBM (r+ = .01, p < .001), and other theories (r+ = .11, p < .001).
This review contributes to HPV vaccination promotion literature by offering a comprehensive overview of promotional strategies and practical suggestions for future research and practices.
许多研究都考察了 HPV 疫苗接种的推广策略。然而，目前缺乏对理论应用的概述、对策略效果的综合分析，以及对理论调节作用的检验。
我们从 Academic Search Complete、Business Source Complete、PubMed、PsycINFO、Web of Science、CMMC、CINAHL 和 MEDLINE 检索了研究。
1）同行评审的英文文章，2）实验或准实验研究，3）测量 HPV 疫苗接种相关结果，4）必须包含对照条件并报告元分析所需的统计数据。
分别有 70 项和 30 项研究纳入系统综述和元分析。
对研究信息、理论应用、理论类型和结果进行了四个主要类别的编码。两位独立编码员对样本进行了编码（Cohen's Kappa 范围为.8 至 1）。
大多数研究都在美国进行（77%，k=54），采用方便样本（80%，k=56），针对女性（46%，k=32），约四分之一的研究没有使用任何理论（47%，k=33）。在理论驱动的研究中，最常用的是框架理论（22%，k=19）、健康信念模型（HBM；13%，k=12）和叙事理论（7%，k=6）。在对照研究中，与对照相比，推广策略的效果显著更优（r+=.25，p<.001）。基于信息、动机、行为技能模型（IMB）的策略比基于框架理论（r+=-.23，p<.001）、HBM（r+=.01，p<.001）和其他理论（r+=.11，p<.001）的策略更有效。
本综述通过对 HPV 疫苗接种推广策略进行全面概述，并为未来的研究和实践提供了实用建议，为 HPV 疫苗接种推广文献做出了贡献。
