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

Department of Population and Family Health, Columbia University, New York, New York, United States
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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    • "health (m-health) technologies to promote adherence to healthcare appointments[12,13]. Several studies have highlighted that pre-appointment text-messages are not only an effective alternative for delivering reminders, but an acceptable and often preferred method of communi- cation141516. In the United States, a randomised trial examining the effectiveness of a multicomponent strategy to increase uptake of gFOBt-based CRC screening through community health centres found that text-message reminders, when used in conjunction with postal and automated telephone reminders, achieved uptake rates of 82 % (which compared favourably with the 37 % rates observed in the usual care group)[17]. "
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    ABSTRACT: Background Screening with the guaiac faecal occult blood test (gFOBt) is associated with improved colorectal cancer (CRC) survival, and is offered biennially to men and women aged 60–74 years in England’s national Bowel Cancer Screening Programme (BCSP). Uptake of the gFOBt is low, with only 54 % of the eligible population completing the test. Text-message reminders could improve uptake of gFOBt. Methods/design This paper describes the protocol for a randomised controlled trial, which will examine the effectiveness of a text-message reminder to promote uptake of gFOBt screening in the BCSP. Individual mobile telephone data from 180 general practices in London with existing mobile-health services will be linked to the national BCSP information system via a secure on-line network. All screening-eligible adults registered with a participating practice will be randomised, to receive either usual care (N = 1600) or usual care plus a text-message reminder to self-complete and return their kit eight weeks after their initial invitation (N = 1600). The primary outcome will be the proportion of individuals who return an adequately completed gFOBt kit within 18 weeks of the initial invitation. Differences in uptake between groups will be evaluated using a logistic regression analysis, adjusting for individual-level and area-level socio-demographic variables. Discussion This will be the first large-scale randomised trial of a text-message reminder in a national screening programme for CRC. If effective, this study provides a cost-effective means to promote uptake of CRC screening in an organised programme. Trial registration Current Controlled Trials ISRCTN70904476 (18/09/2015).
    Full-text · Article · Jan 2016 · BMC Public Health
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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.
    Full-text · Article · Feb 2015 · British Journal of Cancer
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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.
    Preview · Article · Nov 2014 · Health Promotion Practice
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