Highlights
- •Human papillomavirus is the number one sexually transmitted infection.
- •Human papillomavirus vaccination rates are below 50% nationally.
- •Need to identify effective strategies to increase uptake rates
- •Provider recommendation most effective in initiating series
- •Multi method strategies most effective in sustaining change
Abstract
Problem
The updated Advisory Committee on Immunization Practices (ACIP) 2016 guidelines recommends
vaccination for the human papillomavirus (HPV) for all adolescents starting at ages
11–12 years. The United States continues to fall short of the benchmarks set by Healthy
People 2020. The national vaccination rates hover at 49.5%, creating much room for
improvement in health care systems. The purpose of this literature review was to identify
evidence-based interventions to implement for improved outcomes.
Eligibility Criteria
An integrative literature review was conducted using the CINAHL, EBSCO, Academic Search
Complete, ProQuest and Medline databases. The search was limited to studies published
in peer reviewed journals in the last 10 years.
Sample
Of the available studies, 201 met inclusion criteria with 46 studies meriting further
review.
Results
Barriers to vaccination included missed opportunities due to lack of provider recommendation
and awareness of current guidelines, and parental vaccination hesitancy. Effective
strategies included reminder systems and strong provider recommendations.
Conclusions
No one method has been effective in maintaining increases in vaccination rates. Multi-method
strategies demonstrate the highest rates of maintaining increases in HPV vaccination.
Strong provider recommendations are a cornerstone to any multi-method intervention.
Implications
Providers and nurses need to shift conversations to strong recommendations for the
HPV vaccination and include additional reminder systems, including protocols to meet
Healthy People 2020 goals for HPV vaccination.
Keywords
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Article Info
Publication History
Published online: October 24, 2018
Accepted:
October 10,
2018
Received in revised form:
October 8,
2018
Received:
June 4,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
