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American Academy of Pediatrics
Article

Text Message Reminders for Second Dose of Influenza Vaccine: A Randomized Controlled Trial

Melissa S. Stockwell, Annika M. Hofstetter, Nathalie DuRivage, Angela Barrett, Nadira Fernandez, Celibell Y. Vargas and Stewin Camargo
Pediatrics January 2015, 135 (1) e83-e91; DOI: https://doi.org/10.1542/peds.2014-2475
Melissa S. Stockwell
aDepartments of Pediatrics, and
bPopulation and Family Health, Columbia University Medical Center, New York, New York; and
cNew York-Presbyterian Hospital, New York, New York
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Annika M. Hofstetter
aDepartments of Pediatrics, and
cNew York-Presbyterian Hospital, New York, New York
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Nathalie DuRivage
aDepartments of Pediatrics, and
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Angela Barrett
aDepartments of Pediatrics, and
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Nadira Fernandez
aDepartments of Pediatrics, and
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Celibell Y. Vargas
aDepartments of Pediatrics, and
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Stewin Camargo
aDepartments of Pediatrics, and
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Abstract

OBJECTIVE: To determine whether provision of vaccine-health-literacy-promoting information in text message vaccine reminders improves receipt and timeliness of the second dose of influenza vaccine within a season for children in need of 2 doses.

METHODS: During the 2012–2013 season, families of eligible 6-month through 8-year-old children were recruited at the time of their first influenza vaccination from 3 community clinics in New York City. Children (n = 660) were randomly assigned to “educational” text message, “conventional” text message, and “written reminder-only” arms. At enrollment, all arms received a written reminder with next dose due date. Conventional messages included second dose due date and clinic walk-in hours. Educational messages added information regarding the need for a timely second dose. Receipt of second dose by April 30 was assessed by using χ2 tests. Timeliness was assessed by receipt of second dose by 2 weeks after due date (day 42) using χ2 and over time using a Kaplan-Meier analysis.

RESULTS: Most families were Latino and publicly insured with no significant between-arm differences between groups. Children in the educational arm were more likely to receive a second dose by April 30 (72.7%) versus conventional (66.7%) versus written reminder-only arm (57.1%; P = .003). They also had more timely receipt by day 42 (P < .001) and over time (P < .001).

CONCLUSIONS: In this low-income, urban, minority population, embedding health literacy information improved the effectiveness of text message reminders in promoting timely delivery of a second dose of influenza vaccine, compared with conventional text messages and written reminder only.

  • immunizations
  • influenza
  • reminder-recall
  • text message
  • mobile health
  • Accepted October 2, 2014.
  • Copyright © 2015 by the American Academy of Pediatrics

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Pediatrics
Vol. 135, Issue 1
1 Jan 2015
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Text Message Reminders for Second Dose of Influenza Vaccine: A Randomized Controlled Trial
Melissa S. Stockwell, Annika M. Hofstetter, Nathalie DuRivage, Angela Barrett, Nadira Fernandez, Celibell Y. Vargas, Stewin Camargo
Pediatrics Jan 2015, 135 (1) e83-e91; DOI: 10.1542/peds.2014-2475

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Text Message Reminders for Second Dose of Influenza Vaccine: A Randomized Controlled Trial
Melissa S. Stockwell, Annika M. Hofstetter, Nathalie DuRivage, Angela Barrett, Nadira Fernandez, Celibell Y. Vargas, Stewin Camargo
Pediatrics Jan 2015, 135 (1) e83-e91; DOI: 10.1542/peds.2014-2475
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