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JMIR Med Inform. 2020 Jan 22;8(1):e16487. doi: 10.2196/16487.

Feasibility and Accuracy of a Computer-Assisted Self-Interviewing Instrument to Ascertain Prior Immunization With Human Papillomavirus Vaccine by Self-Report: Cross-Sectional Analysis.

JMIR medical informatics

Carlos R Oliveira, Lital Avni-Singer, Geovanna Badaro, Erin L Sullivan, Sangini S Sheth, Eugene D Shapiro, Linda M Niccolai

Affiliations

  1. Section of Infectious Diseases and Global Health, Department of Pediatrics, Yale University School of Medicine, New Haven, CT, United States.
  2. Department of Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, CT, United States.
  3. Department of Obstetrics, Gynecology & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, United States.

PMID: 32012073 PMCID: PMC7003116 DOI: 10.2196/16487

Abstract

BACKGROUND: Ascertaining history of prior immunization with human papillomavirus (HPV) vaccine can be challenging and resource-intensive. Computer-assisted self-interviewing instruments have the potential to address some of the challenges of self-reporting, and may also reduce the time, costs, and efforts associated with ascertaining immunization status.

OBJECTIVE: This study assesses both the feasibility and the accuracy of a computer-assisted self-interviewing instrument to ascertain a patient's history of immunization with the HPV vaccine.

METHODS: We developed both a survey and a Web-based data collection system using computer-assisted self-interviewing to ascertain self-reported HPV vaccine immunization history. We implemented the instrument in a sample of adult women enrolled in an ongoing study of the HPV vaccine. Vaccine records from prior sources of care were reviewed to verify reported immunization history.

RESULTS: Among the 312 participants who provided HPV vaccine immunization history by self-report, almost all (99%) were able to do so using the computer-assisted self-interviewing instrument. The median survey completion time was 10 minutes (IQR 7-17). The accuracy of self-report was 84%, sensitivity was 89%, specificity was 80%, and the negative predictive value was 92%.

CONCLUSIONS: We found that it is feasible to collect a history of immunization with the HPV vaccine using a computer-assisted self-interviewing instrument. This approach is likely to be acceptable to adult women and is reasonably accurate in a clinical research setting.

©Carlos R Oliveira, Lital Avni-Singer, Geovanna Badaro, Erin L Sullivan, Sangini S Sheth, Eugene D Shapiro, Linda M Niccolai. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 22.01.2020.

Keywords: accuracy; computer-assisted self-interviewing; human papillomavirus vaccine; self-report

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