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Randomized Controlled Trial
. 2015 Nov;136(5):e1220-7.
doi: 10.1542/peds.2015-1089. Epub 2015 Oct 5.

Effectiveness and Cost of Bidirectional Text Messaging for Adolescent Vaccines and Well Care

Sean T O'Leary  1 , Michelle Lee  2 , Steven Lockhart  2 , Sheri Eisert  3 , Anna Furniss  2 , Juliana Barnard  2 , Darren Eblovi, Doron Shmueli  2 , Shannon Stokley  4 , L Miriam Dickinson  5 , Allison Kempe  1
Affiliations
Randomized Controlled Trial

Effectiveness and Cost of Bidirectional Text Messaging for Adolescent Vaccines and Well Care

Sean T O'Leary et al. Pediatrics. 2015 Nov.

Erratum in

Abstract

Objective: To evaluate the effectiveness and cost of bidirectional short messaging service in increasing rates of vaccination and well child care (WCC) among adolescents.

Methods: We included all adolescents needing a recommended adolescent vaccine (n = 4587) whose parents had a cell-phone number in 5 private and 2 safety-net pediatric practices. Adolescents were randomized to intervention (n = 2228) or control (n = 2359). Parents in the intervention group received up to 3 personalized short messaging services with response options 1 (clinic will call to schedule), 2 (parent will call clinic), or STOP (no further short messaging service). Primary outcomes included completion of all needed services, WCC only, all needed vaccinations, any vaccination, and missed opportunity for vaccination.

Results: Intervention patients were more likely to complete all needed services (risk ratio [RR] 1.31, 95% confidence interval [CI] 1.12-1.53), all needed vaccinations (RR 1.29, 95% CI 1.12-1.50), and any vaccination (RR 1.36, 95% CI 1.20-1.54). Seventy-five percent of control patients had a missed opportunity versus 69% of intervention (P = .002). There was not a significant difference for WCC visits. Responding that the clinic should call to schedule ("1") was associated with the highest effect size for completion of all needed services (RR 1.89, 95% CI 1.41-2.54). Net cost ranged from $855 to $3394 per practice.

Conclusions: Bidirectional short messaging service to parents was effective at improving rates for all adolescent vaccinations and for all needed services, especially among parents who responded they desired a call from the practice.

Trial registration: ClinicalTrials.gov NCT01577979.

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Conflict of interest statement

POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

Figures

FIGURE 1
FIGURE 1
Consolidated standards of reporting trials diagram of text messaging intervention.
See this image and copyright information in PMC

References

    1. Szilagyi P, Vann J, Bordley C, et al. Interventions aimed at improving immunization rates. Cochrane Database Syst Rev. 2002;(4):CD003941. - PubMed
    1. Jacobson Vann JC, Szilagyi P. Patient reminder and patient recall systems to improve immunization rates: Edited 2009. Cochrane Database Syst Rev. 2009;(1):CD003941. - PMC - PubMed
    1. Rand CM, Shone LP, Albertin C, Auinger P, Klein JD, Szilagyi PG. National health care visit patterns of adolescents: implications for delivery of new adolescent vaccines. Arch Pediatr Adolesc Med. 2007;161(3):252–259. - PubMed
    1. Akinsanya-Beysolow I, Jenkins R, Meissner HC ACIP Childhood/Adolescent Immunization Work Group; Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommended immunization schedule for persons aged 0 through 18 years—United States, 2013. MMWR Surveill Summ. 2013;62(suppl 1):2–8. - PubMed
    1. Elam-Evans LD, Yankey D, Jeyarajah J, et al. Immunization Services Division, National Center for Immunization and Respiratory Diseases; Centers for Disease Control and Prevention (CDC) National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years—United States, 2013. MMWR Morb Mortal Wkly Rep. 2014;63(29):625–633. - PMC - PubMed

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