Cochrane · systematic review · CD011895
Improving vaccination uptake among adolescents
Abdullahi, LH, Kagina, BM, Ndze, VN, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 7.1%Low 4 · 28.6%Moderate 8 · 57.1%High 1 · 7.1%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Health education compared to usual practice
Population: adolescents and parents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uptake of HPV vaccinea Health education vs usual practice | no estimate extracted | 3 studies · 1054 participants | High |
Complex compared to simplified health education
Population: adolescents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uptake of hepatitis B vaccineb Complex vs simplified health education | no estimate extracted | 1 study · 17411 participants | Moderate Downgraded: risk of bias |
Financial incentives compared to usual practice
Population: adolescents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uptake of HPV vaccineb Financial incentives vs usual practice | no estimate extracted | 1 study · 500 participants | Low Downgraded: risk of bias, imprecision |
Health education plus financial incentives compared to usual practice
Population: adolescents and parents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uptake of hepatitis B vaccineb Health education plus financial incentives vs usual practice | no estimate extracted | 1 study · 104 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Mandatory vaccination versus usual practice
Population: adolescents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uptake of hepatitis B vaccinea Mandatory vaccination vs usual practice | no estimate extracted | 1 study · 2642 participants | Moderate |
Provider prompts compared to usual practice
Population: healthcare workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uptake of HPV vaccineb Provider prompts vs usual practice | no estimate extracted | 2 studies · 859 participants | Moderate Downgraded: imprecision |
Uptake of Tdap vaccineb Provider prompts vs usual practice | no estimate extracted | 2 studies · 3296 participants | Moderate Downgraded: imprecision |
Uptake of meningococcal conjugate vaccineb Provider prompts vs usual practice | no estimate extracted | 2 studies · 3219 participants | Moderate Downgraded: imprecision |
Uptake of seasonal influenza vaccineb Provider prompts vs usual practice | no estimate extracted | 2 studies · 1439 participants | Moderate Downgraded: imprecision |
Provider education with performance feedback compared to usual practice
Population: paediatricians and nurse practitioners
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Uptake of HPV vaccinationa Provider education with performance feedback vs usual practice | no estimate extracted | 2e+05 participants | Low |
Class‐based compared to age‐based HPV vaccination in schools
Population: adolescents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
HPV vaccine uptakea Class‐based vs age‐based HPV vaccination | no estimate extracted | 1 study · 5537 participants | Moderate Downgraded: imprecision, indirectness |
Multi‐component provider intervention compared to usual practice
Population: healthcare providers and their adolescent patients (boys and girls aged 11–21 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
HPV vaccine uptakeb Multi‐component provider intervention vs usual practice | no estimate extracted | 1 study · 15849 participants | Moderate Downgraded: imprecision, indirectness |
Multi‐component provider and parent intervention compared to usual practice
Population: healthcare workers and parents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
HPV vaccine uptake at 3 months Multi‐component provider and parent intervention vs usual practice | no estimate extracted | 1 study · 337 participants | Low Downgraded: risk of bias, imprecision |
HPV vaccine uptake at 6 months Multi‐component provider and parent intervention vs usual practice | no estimate extracted | 1 study · 25869 participants | Low Downgraded: risk of bias, imprecision |