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  1. Email Reminder Increases HPV Vaccination Awareness Alice C. Benefield, RN, MSN Student, Kathy Jo Ellison, DSN, RN Auburn University/Auburn Montgomery What We Learned Human papillomavirus (HPV) infection, the cause of 70% of cervical cancers, can be prevented through early immunization. Despite this fact, HPV immunization rates are extremely low. An email reminder system was implemented in a family practice to increase HPV vaccine awareness and HPV vaccination rates. The email reminder system led to a 23% increase in awareness, however the vaccination rates did not rise. Background Results Limitations HPV is the most common STD in the U.S. and can cause the 3rd most common cancer among women, cervical cancer. The HPV vaccine was approved by the FDA in 1996 and despite its success in preventing HPV, administration rates are low. PICO Question: In adolescent girls, to prevent cervical cancer and other infections, what strategy will best promote the administration of the HPV vaccine in a primary care provider’s office? • Not conducted in ideal setting (family vs. pediatric practice) • Small sample size • Small time frame to collect data Conclusions Review of Evidence • • This small test for change demonstrates that the email reminder systems has an impact on increasing awareness of the HPV vaccine. It did not influence HPV vaccination rates, but this may be due to limitations in the study • • Further research should be conducted in a pediatric practice over a longer time frame to confirm this small test for change and to adequately assess HPV vaccination rates • The ACIP found that provider reminders have a positive response on vaccine rates (Kroger, Sumaya, Pickering, & Atkinson, 2011) • Muller, Logan, Dorr, & Mosen (2009) found that a provider reminder system (email or letter) increased colorectal cancer screening rates by 15% over patients that received no reminder (*no statistical difference was noted between the two different types of reminders) References • Kroger, A. T., Sumaya, C. V., Pickering, L. K., & Atkinson, W. L. (2011). • General Recommendations of the Advisory Committee on Immunization • Practices (ACIP). Morbidity & Mortality Weekly Report, 60(2), 1-64. • Muller, D., Logan, J., Dorr, D., & Mosen, D. (2009). The effectiveness of a • secure email reminder system for colorectal cancer. AMIA Symposium • Proceedings, 2009, 457-461. Sample Small Test For Change: • 34 females ages 11 through 18 • Guardian of participants Prevention is Key! Methods 12% • • Identified possible participants and obtained consent • • Email reminder was sent to guardians of participants • • Collected data on HPV vaccination awareness and vaccine administration on females that were seen in a family practice for 9 weeks pre implementation and 9 weeks post implementation