手机短信提醒提高疫苗接种率:一个系统审查和元分析
Gail Erika Louw1, Ameer Steven-Jorg Hohlfeld2, Robyn Kalan1
1Cape Heart Institute, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town 7925, South Africa.
Vaccines
|October 26, 2024
概括
手机短信提醒 (MPTMR) 显著提高了接种疫苗的机会. 这一低风险的系统审查证实MPTMRs有效提高全球免疫率.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗信息学 医疗信息学
背景情况:
- 移动电话短信提醒 (MPTMR) 在全球范围内被广泛使用,以提高疫苗接种和召回率.
- 系统审查对于评估卫生干预措施的有效性至关重要.
研究的目的:
- 系统地审查和评估MPTMRs对疫苗召回率的有效性.
- 综合来自对MPTMRs对免疫覆盖率影响的随机对照试验的证据.
主要方法:
- 对所有年龄组的护理人员进行MPTMR的系统审查,包括随机对照试验 (RCT).
- 在CENTRAL,PubMed和Scopus上进行全面的文献搜索,直到2024年1月.
- 使用随机效应模型进行元分析,报告95%置信区间 (CI) 的风险比率 (RR),并评估偏差风险.
主要成果:
- 包括25项低偏差风险的研究.
- 与常规护理相比,MPTMRs在接种疫苗上表现出了统计学上显著的积极影响 (RR = 1.09 [95%CI: 1.06,1.13]).
- 干预特征,国家设置,经济地位和疫苗类型都没有影响MPTMR的有效性.
结论:
- 在改善疫苗接种方面,MPTMRs提供了小但显著的好处.
- 调查结果支持使用MPTMR进行基于证据的决策,以提高疫苗接种覆盖率.
- 公共卫生从业者和政策制定者可以利用这些证据来优化免疫策略.
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