Communication technologies to improve HPV vaccination initiation and completion: A systematic review

Patient Educ Couns. 2017 Jul;100(7):1280-1286. doi: 10.1016/j.pec.2017.02.004. Epub 2017 Feb 6.


Objectives: 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.

Conclusion: There is evidence that interventions utilizing communication technologies as their sole or primary mode for HPV vaccination intervention delivery may increase vaccination coverage.

Practice implications: Communication technologies hold much promise for the future of HPV vaccination efforts, especially initiatives in practice-based settings.

Keywords: HPV; Internet; Interventions; Mobile; Systematic review; Vaccination.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Cell Phone
  • Humans
  • Male
  • Papillomavirus Infections / prevention & control*
  • Papillomavirus Vaccines / administration & dosage*
  • Primary Prevention / methods*
  • Randomized Controlled Trials as Topic
  • Reminder Systems*
  • Text Messaging*
  • Vaccination / statistics & numerical data*


  • Papillomavirus Vaccines