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Effectiveness of Digital Education on Human Papillomavirus Knowledge, Vaccination Intent and Completion Rates in Adolescents and Young Adults: A Meta‐Analysis
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-10-28 , DOI: 10.1111/jan.16575
Yudisa Diaz Lutfi Sandi, Li‐Yu Yang, Esti Andarini, Dewi Maryam, Li‐Min Wu

AimsTo examine the effects of digital educational intervention on HPV knowledge, vaccination intent and completion rates among adolescents and young adults.DesignA systematic review and meta‐analysis.MethodsThe study followed PRISMA guidelines. Studies included randomised controlled trials assessing digital HPV educational interventions on individuals aged 9–26 years. Odds ratios (ORs), confidence intervals (CIs) and standardised mean differences (SMDs) were calculated and analysed with fixed‐ and random‐effects models, depending on the degree of heterogeneity.Data SourcesSeven databases (Medline, PubMed, CINAHL, Cochrane Library, Web of Science, EMBASE and ASC) were searched from inception through April 9, 2024.ResultsTwelve studies enrolled 4925 participants were included. Six studies demonstrated that the intervention group significantly had higher HPV knowledge compared to the control group. Five studies reported a significant improvement on vaccination intent and vaccine completion rate. Subgroup analysis of the completion rates indicated that male participants demonstrated significantly greater vaccine competed rates. A tailored educational intervention was likely to effectively enhance HPV vaccine completion rates.ConclusionOur findings confirmed that digital education was beneficial in enhancing adolescents and young adults' HPV knowledge, vaccination intention and vaccine completion rates. The tailored education might be considered prioritised in the design of interventions, while also considering the impact of gender on digital education.ImpactsDigital interventions for HPV vaccinations require at least 7 months of follow‐up, highlighting the vital role of tailored education for high‐risk groups in designing effective interventions. The efficacy of digital interventions for HPV vaccination may differ across genders.Patient or Public ContributionThere was no direct patient or public contribution, as this is a review of previous research.Trial Registration: CRD‐42023406919

中文翻译:


数字教育对青少年和年轻人人瘤病毒知识、疫苗接种意向和完成率的有效性:一项荟萃分析



目的研究数字教育干预对青少年和年轻人 HPV 知识、疫苗接种意向和完成率的影响。设计系统评价和荟萃分析。方法该研究遵循 PRISMA 指南。研究包括评估 9-26 岁个体的数字 HPV 教育干预的随机对照试验。根据异质性程度,使用固定和随机效应模型计算比值比 (ORs)、置信区间 (CIs) 和标准化均数差 (SMD) 并进行分析。数据来源从建库到 2024 年 4 月 9 日检索了七个数据库(Medline、PubMed、CINAHL、Cochrane Library、Web of Science、EMBASE 和 ASC)结果共纳入 12 项研究,共招募了 4925 名参与者。六项研究表明,与对照组相比,干预组显着具有更高的 HPV 知识。5 项研究报告了疫苗接种意向和疫苗完成率的显著改善。完成率的亚组分析表明,男性参与者的疫苗参与率明显更高。量身定制的教育干预可能会有效提高 HPV 疫苗完成率。结论我们的研究结果证实,数字教育有利于增强青少年和年轻人的 HPV 知识、疫苗接种意愿和疫苗完成率。在设计干预措施时,可以考虑优先考虑量身定制的教育,同时还要考虑性别对数字教育的影响。影响 HPV 疫苗接种的数字干预措施需要至少 7 个月的随访,这凸显了针对高危人群的定制教育在设计有效干预措施方面的重要作用。 数字干预对 HPV 疫苗接种的有效性可能因性别而异。患者或公众贡献没有直接的患者或公众贡献,因为这是对先前研究的回顾。试验注册:CRD-42023406919
更新日期:2024-10-28
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