Randomized controlled trial of text message reminders for increasing influenza vaccination

© 2017, Annals of Family Medicine, Inc. All rights reserved. PURPOSE Seasonal influenza vaccine is recommended and funded for groups at higher risk of serious infection, but uptake is suboptimal. We conducted a randomized controlled trial of short message service (SMS) reminders for influenza vaccin...

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Main Authors: Regan, Annette, Bloomfield, L., Peters, I., Effler, P.
Format: Journal Article
Published: 2017
Online Access:http://hdl.handle.net/20.500.11937/61861
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author Regan, Annette
Bloomfield, L.
Peters, I.
Effler, P.
author_facet Regan, Annette
Bloomfield, L.
Peters, I.
Effler, P.
author_sort Regan, Annette
building Curtin Institutional Repository
collection Online Access
description © 2017, Annals of Family Medicine, Inc. All rights reserved. PURPOSE Seasonal influenza vaccine is recommended and funded for groups at higher risk of serious infection, but uptake is suboptimal. We conducted a randomized controlled trial of short message service (SMS) reminders for influenza vaccination. METHODS Six weeks after seasonal influenza vaccinations began, we identified high-risk patients who had a mobile telephone number on record at 10 practices in Western Australia. Thirty-two percent of the selected patients had already been vaccinated in the current year and were ineligible. Of the remaining 12,354 eligible patients at each practice one-half were randomly assigned to receive a vaccination reminder by SMS (intervention) and the rest received no SMS (con-trol). Approximately 3 months after the SMS was sent (the study period), vaccination data were extracted from the patients’ electronic medical records. Log-bino-mial regression models were used to calculate the relative risk (RR) of vaccination between the intervention and control group. RESULTS Twelve-percent (769 of 6,177) of the intervention group and 9% (548 of 6,177) of the control group were vaccinated during the study period, a 39% relative increase attributable to the SMS (RR = 1.39; 95% CI, 1.26-1.54). For every 29 SMSs sent, costing $3.48, 1 additional high-risk patient was immunized. The greatest effect was observed for children younger than 5 years, whose parents were more than twice as likely to have their child vaccinated if they received a SMS reminder (RR = 2.43; 95% CI, 1.79-3.29). CONCLUSION We found S MS reminders to be a modestly effective, low-cost means to increase seasonal influenza vaccine coverage among high-risk patients.
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spelling curtin-20.500.11937-618612018-02-01T05:56:40Z Randomized controlled trial of text message reminders for increasing influenza vaccination Regan, Annette Bloomfield, L. Peters, I. Effler, P. © 2017, Annals of Family Medicine, Inc. All rights reserved. PURPOSE Seasonal influenza vaccine is recommended and funded for groups at higher risk of serious infection, but uptake is suboptimal. We conducted a randomized controlled trial of short message service (SMS) reminders for influenza vaccination. METHODS Six weeks after seasonal influenza vaccinations began, we identified high-risk patients who had a mobile telephone number on record at 10 practices in Western Australia. Thirty-two percent of the selected patients had already been vaccinated in the current year and were ineligible. Of the remaining 12,354 eligible patients at each practice one-half were randomly assigned to receive a vaccination reminder by SMS (intervention) and the rest received no SMS (con-trol). Approximately 3 months after the SMS was sent (the study period), vaccination data were extracted from the patients’ electronic medical records. Log-bino-mial regression models were used to calculate the relative risk (RR) of vaccination between the intervention and control group. RESULTS Twelve-percent (769 of 6,177) of the intervention group and 9% (548 of 6,177) of the control group were vaccinated during the study period, a 39% relative increase attributable to the SMS (RR = 1.39; 95% CI, 1.26-1.54). For every 29 SMSs sent, costing $3.48, 1 additional high-risk patient was immunized. The greatest effect was observed for children younger than 5 years, whose parents were more than twice as likely to have their child vaccinated if they received a SMS reminder (RR = 2.43; 95% CI, 1.79-3.29). CONCLUSION We found S MS reminders to be a modestly effective, low-cost means to increase seasonal influenza vaccine coverage among high-risk patients. 2017 Journal Article http://hdl.handle.net/20.500.11937/61861 10.1370/afm.2120 unknown
spellingShingle Regan, Annette
Bloomfield, L.
Peters, I.
Effler, P.
Randomized controlled trial of text message reminders for increasing influenza vaccination
title Randomized controlled trial of text message reminders for increasing influenza vaccination
title_full Randomized controlled trial of text message reminders for increasing influenza vaccination
title_fullStr Randomized controlled trial of text message reminders for increasing influenza vaccination
title_full_unstemmed Randomized controlled trial of text message reminders for increasing influenza vaccination
title_short Randomized controlled trial of text message reminders for increasing influenza vaccination
title_sort randomized controlled trial of text message reminders for increasing influenza vaccination
url http://hdl.handle.net/20.500.11937/61861