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. 2023 Apr 20;11(4):872.
doi: 10.3390/vaccines11040872.

Using Electronic Reminders to Improve Human Papillomavirus (HPV) Vaccinations among Primary Care Patients

Kathleen Hanley  1 , Tong Han Chung  1 , Linh K Nguyen  1 , Tochi Amadi  1 , Sandra Stansberry  1 , Robert J Yetman  2 , Lewis E Foxhall  3 , Rosalind Bello  3   4 , Talhatou Diallo  1 , Yen-Chi L Le  1
Affiliations

Using Electronic Reminders to Improve Human Papillomavirus (HPV) Vaccinations among Primary Care Patients

Kathleen Hanley et al. Vaccines (Basel). .

Abstract

The COVID-19 pandemic led to delays in routine preventative primary care and declines in HPV immunization rates. Providers and healthcare organizations needed to explore new ways to engage individuals to resume preventive care behaviors. Thus, we evaluated the effectiveness of using customized electronic reminders with provider recommendations for HPV vaccination to increase HPV vaccinations among adolescents and young adults, ages 9-25. Using stratified randomization, participants were divided into two groups: usual care (control) (N = 3703) and intervention (N = 3705). The control group received usual care including in-person provider recommendations, visual reminders in exam waiting rooms, bundling of vaccinations, and phone call reminders. The intervention group received usual care and an electronic reminder (SMS, email or patient portal message) at least once, and up to three times (spaced at an interval of 1 reminder per month). The intervention group had a 17% statistically significantly higher odds of uptake of additional HPV vaccinations than the usual care group (Adjusted Odds Ratio: 1.17, 95% CI: 1.01-1.36). This work supports previous findings that electronic reminders are effective at increasing immunizations and potentially decreasing healthcare costs for the treatment of HPV-related cancers.

Keywords: electronic health record system; electronic reminders; human papillomavirus; immunization; patient; patient portal; provider recommendation; vaccine.

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Conflict of interest statement

The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

Figures

Figure 1
Figure 1
Consort flow diagram-participant randomization, intervention, and analysis.
See this image and copyright information in PMC

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