Investigating Barriers to the Use of Text Message Appointment Reminders in HPV Vaccine Delivery

2021 ◽  
Author(s):  
Samantha L. Wallace
PEDIATRICS ◽  
2019 ◽  
Vol 144 (4) ◽  
pp. e20191475 ◽  
Author(s):  
Allison Kempe ◽  
Sean T. O’Leary ◽  
Lauri E. Markowitz ◽  
Lori A. Crane ◽  
Laura P. Hurley ◽  
...  

10.2196/26356 ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. e26356
Author(s):  
Chelsea S Wynn ◽  
Marina Catallozzi ◽  
Chelsea A Kolff ◽  
Stephen Holleran ◽  
Dodi Meyer ◽  
...  

Background Completion rates among adolescents who initiate the human papillomavirus (HPV) vaccine 3-dose series are low. SMS text message vaccine reminders are effective, but less is known about the best types for HPV series completion or the ability to assess and target vaccine decision-making stage. Objective The aim of this study is to compare the effectiveness of HPV vaccine series completion in minority adolescents who received precision and educational versus conventional SMS text message reminders. Methods Enrolled parents of adolescents aged 9-17 years who received the first HPV vaccine dose at 1 of the 4 academic-affiliated community health clinics in New York City were randomized 1:1 to 1 of the 2 parallel, unblinded arms: precision SMS text messages (which included stage-targeted educational information, next dose due date, and site-specific walk-in hours) or conventional SMS text messages without educational information. Randomization was stratified according to gender, age, and language. The primary outcome was series completion within 12 months. In post hoc analysis, enrollees were compared with concurrent nonenrollees and historical controls. Results Overall, 956 parents were enrolled in the study. The precision (475 families) and conventional (481 families) SMS text message arms had similarly high series completion rates (344/475, 72.4% vs 364/481, 75.7%). A total of 42 days after the first dose, two-thirds of families, not initially in the preparation stage, moved to preparation or vaccinated stage. Those in either SMS text message arm had significantly higher completion rates than nonenrollees (708/1503, 47.1% vs 679/1503, 45.17%; P<.001). Even after removing those needing only 2 HPV doses, adolescents receiving any SMS text messages had higher completion rates than historical controls (337/2823, 11.93% vs 981/2823, 34.75%; P<.001). A population-wide effect was seen from 2014 to 2016, above historical trends. Conclusions SMS text message reminders led to timely HPV vaccine series completion in a low-income, urban, minority study population and also led to population-wide effects. Educational information did not provide an added benefit to this population. Trial Registration ClinicalTrials.gov NCT02236273; https://clinicaltrials.gov/ct2/show/NCT02236273


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Caroline Soi ◽  
Jessica Shearer ◽  
Baltazar Chilundo ◽  
Vasco Muchanga ◽  
Luisa Matsinhe ◽  
...  

PLoS ONE ◽  
2017 ◽  
Vol 12 (10) ◽  
pp. e0182663 ◽  
Author(s):  
Siobhan Botwright ◽  
Taylor Holroyd ◽  
Shreya Nanda ◽  
Paul Bloem ◽  
Ulla K. Griffiths ◽  
...  

2013 ◽  
Vol 9 (2) ◽  
pp. 306-313 ◽  
Author(s):  
Annie-Laurie McRee ◽  
Paul L. Reiter ◽  
Jessica K. Pepper ◽  
Noel T. Brewer

2019 ◽  
Vol 15 (7-8) ◽  
pp. 1870-1877 ◽  
Author(s):  
Kristin Oliver ◽  
Colleen McCorkell ◽  
Ilana Pister ◽  
Noora Majid ◽  
Denise H. Benkel ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephanie A. S. Staras ◽  
Eric Richardson ◽  
Lisa J. Merlo ◽  
Jiang Bian ◽  
Lindsay A. Thompson ◽  
...  

Abstract Background We assessed the feasibility and acceptability of a sequential approach of parent-targeted HPV vaccine reminders and phone-based Motivation Interviewing (MI). Methods In 2016, we selected all 11- to 12-year-old boys and girls seen in one clinic whose vaccine records did not include the HPV vaccine (n=286). By gender, we individually randomized parents of adolescents to an interactive text message (74 girls and 45 boys), postcard reminder (46 boys and no girls because of previously demonstrated efficacy), or standard care group (75 girls and 46 boys). Reminders were sent with medical director permission and a HIPAA waiver. Two months after reminders, among the adolescents whose vaccine records still did not include the HPV vaccine, we selected a gender-stratified random sample of 20 parents for phone-based MI. We assessed the percentage of deliverable messages, the percentage of parents’ responding to the interactive text message, parent acceptability of receiving a text message, and MI parent responsiveness and interviewer competence (MI Treatment Integrity Coding system). Results Nearly all messages were deliverable (98% of postcards and 74% of text messages). Six of the 88 parents (7%) receiving text messages scheduled an appointment through our interactive system. The acceptability survey response rate was 37% (38/102). Respondents were favorable toward vaccine reminders for all parents (82%). Among 20 sampled parents, 17 were reached by phone of whom 7 completed MI, 4 had or were getting the HPV vaccine for their child, and 5 expressed disinterest. Across the 7 MI calls, the interviewer was rated 100% MI adherent and scored an average 4.19 rating for Global Spirit. Conclusion Without providing explicit consent to receive vaccine-related messages, parents nonetheless found postcards and interactive text messages acceptable. Centralizing MI to phone calls with trained staff was acceptable to parents and resulted in highly MI-adherent interviews.


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