title: Communication technologies to improve HPV vaccination initiation and completion: A systematic review.
abstract: OBJECTIVE
  This systematic review examines the effectiveness of communication technology interventions on HPV vaccination initiation and completion.
  
  
  METHODS
  A comprehensive search strategy was used to identify existing randomized controlled trials testing the impact of computer-, mobile- or internet-based interventions on receipt of any dose of the HPV vaccine. Twelve relevant studies were identified with a total of 38,945 participants.
  
  
  RESULTS
  The interventions were delivered using several different methods, including electronic health record (i.e. recall/reminder) prompts, text messaging, automated phone calls, interactive computer videos, and email. Vaccine initiation and completion was greater for technology-based studies relative to their control conditions.
  
  
  CONCLUSIONS
  There is evidence that interventions utilizing communication technologies as their sole or primary mode for HPV vaccination intervention delivery may increase vaccination coverage.
  
  
  CONCLUSIONS
  Communication technologies hold much promise for the future of HPV vaccination efforts, especially initiatives in practice-based settings.
authors.affiliation: Manship School of Mass Communication, 249 Hodges Hall, Louisiana State University, Baton Rouge, LA, USA. Electronic address: dianefrancis@lsu.edu.
authors.forename: Diane B
authors.initials: DB
authors.lastname: Francis
authors.affiliation: School of Media and Journalism, University of North Carolina at Chapel Hill, Chapel Hill, USA.
authors.forename: Joan R
authors.initials: JR
authors.lastname: Cates
authors.affiliation: School of Media and Journalism, University of North Carolina at Chapel Hill, Chapel Hill, USA.
authors.forename: Kyla P Garrett
authors.initials: KPG
authors.lastname: Wagner
authors.affiliation: Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
authors.forename: Tracey
authors.initials: T
authors.lastname: Zola
authors.affiliation: Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
authors.forename: Jenny E
authors.initials: JE
authors.lastname: Fitter
authors.affiliation: School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, USA.
authors.forename: Tamera
authors.initials: T
authors.lastname: Coyne-Beasley
mesh_terms: D040421:Cell Phone; D006801:Humans; D008297:Male; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D011322:Primary Prevention / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D017010:Reminder Systems; D060145:Text Messaging; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D053918:Papillomavirus Vaccines
keywords: HPV; Internet; Interventions; Mobile; Systematic review; Vaccination