Article

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: 4.23). 12/2009; 99(12):2176-8. DOI: 10.2105/AJPH.2009.161364
Source: PubMed

ABSTRACT 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.

Download full-text

Full-text

Available from: Vaughn I Rickert, Dec 18, 2013
0 Followers
 · 
101 Views
  • Source
    [Show abstract] [Hide abstract]
    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 · 4.82 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    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 · 2.75 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: An important feature of the intelligent environments is that they monitor user activities and help them in making decisions based on their progress in activities. Many such environments have been designed previously for healthcare management. However, more than often users are reluctant to consider the feedback from the environment alone. So we consider expert's recommendations and social network of the user as additional entities that form part of the intelligent environment. However, unlike traditional approaches, they influence the user indirectly through various persuasion techniques. The main idea is to change the behavior of the user for improving healthcare management. In this article we identify salient features of our framework for healthcare self-management in intelligent environments that combines ubiquitous and social computing as persuasion media. The framework enables social interactions between the patients, doctors, and other users in their online social community through a web portal as well as through their smart phones. Both user's behavior and preferences are taken into account to help them in adopting healthy behavior. This is done by using different persuasion strategies created on the basis of the user's behavior model. As a case study we consider diabetes self-management in this article.
    Intelligent Environments (IE), 2012 8th International Conference on; 06/2012