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Updated: Mar 26, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
A randomized intervention study to evaluate whether electronic messaging can increase human papillomavirus vaccine
Alice R Richman1, LaDonna Maddy1, Essie Torres1
1a Department of Health Education and Promotion , College of Health and Human Performance, East Carolina University , Greenville , North Carolina , USA.
Objective:
To evaluate an intervention aimed at increasing human papillomavirus (HPV) vaccine completion of the 3-dose series and knowledge.
Participants:
Two hundred sixty-four male and female US college students 18-26 years old who were receiving HPV vaccine dose 1.
Methods:
Students were randomly assigned to the intervention or control group. Intervention participants received the electronic intervention (text/e-mail appointment reminders and education messages) and controls received standard-of-care. Baseline/follow-up survey data were collected. Main outcome measures included vaccine completion and knowledge.
Results:
HPV vaccine completion across groups were not significantly different for HPV dose 2 (53% vs 52%) and dose 3 (34% vs 32%). Mean knowledge score at follow-up for intervention group was significantly higher (p = .01) than at baseline. No significant differences in knowledge were found for the control group. The biggest predictor of HPV vaccine completion was female gender.
Conclusions:
The intervention increased knowledge but not vaccine completion. More research with catch-up age populations is needed.
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