A research review of the Interventions to improve HPV vaccine uptake was reported in the July 2016 issue of Pediatrics. "We identified interventions designed to increase HPV vaccine uptake among adolescents and young adults aged 11 to 26 years. All study designs were acceptable. Results were reported according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. Fifty-one articles met eligibility criteria: 2 informational interventions, 18 behavioral interventions, and 31 environmental interventions. Factors associated with HPV vaccine uptake were increased vaccine availability, decreased financial barriers, and interventions targeting both providers and patients.Environmental interventions, particularly school-based VP, had 2 major advantages that contributed to their success: increased access to the HPVV and ability to reach a large, diverse population, regardless of individual access to health care. Important themes emerged from descriptions of international school-based VP, which were widely accepted and welcomed by key stakeholders, including school personnel and parents. Location of HPV vaccination varied by age group; younger adolescents were more likely to receive vaccines at school, whereas older adolescents were more likely to go to their health care provider.47,68,72 Similarly, adolescents with poor school attendance had lower vaccination rates than those in school, underscoring the importance of convenience in modifying behavior.72 Finally, the success of environmental interventions in developing countries through school- and clinic-based vaccination programs illustrated that high vaccination coverage is not limited to high-income populations." Read More >>
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