Text4Health: A Qualitative Evaluation of Parental Readiness for Text Message Immunization Reminders

Department of Pediatrics, College of Physicians and Surgeons, Columbia University, 622 West 168th St, VC402, New York, NY 10032, USA.
American Journal of Public Health (Impact Factor: 4.55). 12/2009; 99(12):2176-8. DOI: 10.2105/AJPH.2009.161364
Source: PubMed


We conducted focus groups and individual interviews in a diverse population of parents to qualitatively explore preferences and readiness for text message immunization reminders. We used content analysis to review and independently code transcripts. Text message reminders were well-accepted by parents; many thought they would be more effective than standard phone or mail reminders. Parents preferred text message reminders to be brief and personalized. Most parents were able to retrieve sample text messages but many had difficulty with interactive texting.

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Available from: Vaughn I Rickert, Dec 18, 2013
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    • "By comparison, text messaging (also referred to as short messaging service) offers a relatively inexpensive, instantaneous and ubiquitous modality for delivering reminders (Ofcom, 2012). In other areas of health care, text messages reminding the patient about the time, date and venue of their appointment have been shown not only to be an acceptable alternative for delivering reminders but also a preferable one (Cohen et al, 2007; Hanauer et al, 2009; Kharbanda et al, 2009). Thus, text messaging may offer an affordable and desirable solution for delivering reminders for routine breast screening appointments. "
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    ABSTRACT: Background: There is a need for interventions to promote uptake of breast screening throughout Europe. Methods: We performed a single-blind randomised controlled trial to test whether text-message reminders were effective. Two thousand two hundred and forty women receiving their first breast screening invitation were included in the study and randomly assigned in a 1 : 1 ratio to receive either a normal invitation only (n = 1118) or a normal invitation plus a text-message reminder 48 h before their appointment (n = 1122). Findings: In the intention-to-treat analysis, uptake of breast screening was 59.1% among women in the normal invitation group and 64.4% in the text-message reminder group (X2 = 6.47, odds ratio (OR): 1.26, 95% confidence intervals (CI): 1.05–1.48, P = 0.01). Of the 1122 women assigned to the text-message reminder group, only 456 (41%) had a mobile number recorded by their GP and were thereby sent a text. In the per-protocol analysis, uptake by those in the control group who had a mobile number recorded on the GP system was 59.77% and by those in the intervention group who were sent a reminder 71.7% (X2 = 14.12, OR = 1.71, 95% CI = 1.29–2.26, P=0.01). Interpretation: Sending women a text-message reminder before their first routine breast screening appointment significantly increased attendance. This information can be used to allocate resources efficiently to improve uptake without exacerbating social inequalities.
    British Journal of Cancer 02/2015; 112(6). DOI:10.1038/bjc.2015.36 · 4.84 Impact Factor
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    • "Additionally, most of the interventions were aimed at one level, had small sample sizes, or relied on selfreport of vaccination (Brawner et al., 2013; Cassidy et al., 2014; Kharbanda et al., 2009; Moss et al., 2012; Paiva et al., 2014;Vanderpool et al., 2013). Two studies describe HPV vaccine interventions aimed at multiple levels (Fiks et al., 2013; Reiter et al., 2011). "
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    ABSTRACT: We describe a community-engaged research process used to develop multilevel interventions (caregivers, providers, system) to improve the uptake of human papillomavirus vaccine among adolescents by partnering with members from two underserved populations in Ohio. We began by conducting focus groups to better understand the knowledge and attitudes of caregivers and providers about the human papillomavirus vaccine and to develop teams of community members to assist with development of the interventions. The process continued with conducting writing sessions to determine the content and format of the interventions, and initial feedback was obtained during review sessions to refine the interventions prior to implementation. Using this approach, we were able to consider contextual factors that made the interventions more acceptable and relevant to members of the priority populations. Challenges included development and maintenance of a team of community members to participate in the entire intervention development process, rejection of ideas presented by academic researchers, the need to balance community members' suggestions with what was known from evidence-based research, and the time, cost, and effort associated with partnering with community members. The benefits, however, outweigh the challenges associated with using a community-engaged research process to develop interventions aimed at reducing cancer disparities among underserved populations. © 2014 Society for Public Health Education.
    Health Promotion Practice 11/2014; 16(3). DOI:10.1177/1524839914559776 · 0.55 Impact Factor
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    • "Future directions also include expanding the intervention and testing its efficacy to prevent indoor tanning by the target population . In light of the importance of interpersonal ties and connections as a venue for public health interventions [33] [34], fruitful next steps for interventions (such as the one we describe here) could be to provide mothers with the information needed to discuss indoor tanning with their daughters (via pamphlets and postcards), offer mothers resources to enhance parenting skills and promote motheredaughter conversations (e.g., via an interactive website), prime daughters to be receptive to their mothers' conversations (via mailed postcards), and cue mothers to have a conversation with their daughters (e.g., via text messaging) [35] [36]. Whereas this approach addresses intrapersonal and interpersonal influences of the socioecological model [37], reducing indoor tanning by adolescents also lends itself to intervention at organizational and environmental levels. "
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    ABSTRACT: Indoor tanning usually begins during adolescence, but few strategies exist to discourage adolescent use. We developed and tested a parent-teenager intervention to decrease indoor tanning use. Through focus groups, we identified key messages to enhance parent-teenager communication about indoor tanning, and then developed a pamphlet for parents and postcards for adolescents to use in a direct mail experiment with randomly selected households. Two weeks after the mailing, we asked intervention parents (n = 87) and adolescents (n = 69) and nonintervention parents (n = 31) and adolescents (n = 28) about intervention receipt and content recall, parental concern, monitoring, parent-teenager conversations, and indoor tanning intention. In intervention households, 54% of mothers and 56% of girls recalled receipt and reported reading materials, but few boys and no fathers did. Among mothers, 57% in intervention households indicated concern about daughters' indoor tanning, and 25% would allow daughters to tan indoors, whereas 43% of nonintervention mothers had concerns and 46% would allow indoor tanning. Fewer girls in intervention households than in nonintervention households thought parents would allow indoor tanning (44% vs. 65%), and fewer intended to tan indoors (36% vs. 60%). Most mothers and daughters who read the intervention materials also reported discussions about indoor tanning. Moreover, the less likely girls were to think that their mothers would allow indoor tanning, the less likely it was that they intended to tan indoors, a relationship mediated by perceptions of maternal monitoring. A systematic qualitative and quantitative research approach yielded well-received indoor tanning prevention messages for mothers and female adolescents. Enhancing maternal monitoring has potential to decrease adolescent indoor tanning.
    Journal of Adolescent Health 05/2013; 52(5 Suppl):S76-82. DOI:10.1016/j.jadohealth.2012.08.009 · 3.61 Impact Factor
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