Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Elizabeth Tovar

Clinical Mentor

Diane Hornby

Committee Member

Dr. Nancy S. Kloha


PURPOSE: The purpose of this study is to evaluate the effectiveness of a patient reminder alert system implemented at a public health department in rural Indiana in an attempt to increase the facility’s human papillomavirus (HPV) vaccination rates.

METHODS: This study was a secondary data analysis utilizing the Children and Hoosiers Immunization Registry Program (CHIRP) database to compare HPV vaccination rates before and after the implementation of an HPV magnet reminder program. The sample consisted of 122 adolescents; 31 patients for the pre-implementation period, July 1, 2015- June 30, 2016 and 91patients for the post-implementation period, July 1, 2016- Jan 31, 2017.

RESULTS: There was a significant increase in the percent of patients receiving dose 2 of the three-part HPV vaccine series following the magnet program intervention (19% pre vs. 42% post; p=.025).

CONCLUSION: The facility’s HPV dose 2 vaccination rates significantly increased in all demographics after the implementation of a magnet program. This study demonstrates that the use of magnets as patient appointment reminders has been shown to be an effective strategy in increasing HPV vaccination return rates.