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Table 1 ENTREQ Checklist

From: HPV vaccine: uptake and understanding among global Indigenous communities – a qualitative systematic review

Item

Description

Reported on Page #

Aim

The objective of this systematic review was to explore the knowledge, beliefs and experiences of Indigenous populations all over the world regarding HPV vaccines.

2

Synthesis methodology

Content analysis guided initial data extraction for synthesis, and the conceptual model provided a theoretical framework to present the synthesised findings

5

Approach to searching

Pre-established search strategy which involved using terms describing the population of interest, the phenomenon we are researching as well as study designs to be included

3

Inclusion criteria

Inclusion: The study focused on the knowledge, views, experiences and barriers faced by women and/or health care workers of Indigenous identity regarding HPV vaccinations. Findings contained personal illustrations or first-person accounts of HPV vaccine knowledge and experiences. The study was qualitative or mixed methods (with clear qualitative examples) HPV vaccination was the phenomenon of interest. The study was available in English. The study was available in hardcopy or in downloadable form. The study was published prior to January, 2021

Exclusion: Based only on HPV infections and associated cancers. Quantitative only studies

4

Data sources

MEDLINE, PubMed, SCOPUS, and Web of Science databases; each search tailored per the design of individual database. In our search for published studies, we made use of facilities when given to run ‘related’ searches and the bibliography of each article was manually scanned for possible additions to the study

3

Electronic Search Strategy

Terms utilised for literature search included: ‘HPV’ ‘Vaccine’ ‘Indigenous’ ‘narrative’ ‘story’ ‘qualitative’ ‘mixed methods’

3

Study Screening methods

Two independent researchers screened studies for inclusion in the qualitative systematic review. Titles were first reviewed, then abstracts and those considered relevant by either investigator advanced to full text review.

2 and 3

Study characteristic

See Table 3

Table 3

Study selection results

179 records were returned from initial search, 116 were excluded due to duplication, 63 shortlisted, 5 studies fully satisfied inclusion criteria.

Figure 1

Rationale for appraisal

Utilizing JBI SUMARI software, articles were appraised according to the CASP (2013) method of quality appraisal.

S2 and S3

Appraisal Items

See S2 and S3

S2 and S3

Appraisal Process

Appraisal was conducted independently by both reviewers and then findings were discussed, and consensus was required before moving forward.

4

Appraisal Results

All 5 articles were included after the appraisal because they satisfied inclusion criteria of personal illustrations

Table 6

Data extraction

All text under headings “Results” and “Conclusions,” as well as all findings under the heading “Discussion” were analysed. Data was manually extracted with highlighters from printed versions of appraised articles and then imputed into the JBI SUMARI software.

Table 4, Table 3

Software

JBI SUMARI

2

Number of Reviewers

Two reviewers independently reviewed articles and extracted data. Findings were then compared, discussed and compiled.

4

Coding

Data was coded from selected articles, going line by line to search for concepts and considering the author-prescribed themes.

5

Study Comparison

All findings were individually highlighted and written on a white board and then connections were made between findings and categories were created based on similarities within and across extracted data.

5

Derivation of themes

The process of deriving themes was abductive.

5

Quotations

Table 4

Table 4

Synthesis output

Results section and Fig. 2

5–10 and Fig. 2