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Influenza vaccine text message reminders for urban, low-income pregnant women: A randomized controlled trial

Author

Listed:
  • Stockwell, M.S.
  • Westhoff, C.
  • Kharbanda, E.O.
  • Vargas, C.Y.
  • Camargo, S.
  • Vawdrey, D.K.
  • Castaño, P.M.

Abstract

Objectives. We evaluated the impact of influenza vaccine text message reminders in a low-income obstetric population. Methods. We conducted a randomized controlled trial that enrolled 1187 obstetric patients from 5 community-based clinics in New York City. The intervention group received 5 weekly text messages regarding influenza vaccination starting mid-September 2011 and 2 text message appointment reminders. Both groups received standard automated telephone appointment reminders. The prespecified endpoints were receipt of either pre- or postpartum influenza vaccination calculated cumulatively at the end of each month (September- December 2011). Results. After adjusting for gestational age and number of clinic visits, women who received the intervention were 30% more likely to be vaccinated as of December 2011 (adjusted odds ratio [AOR] = 1.30; 95% confidence interval [CI] = 1.003, 1.69 end of September: AOR = 1.34; 95% CI = 0.98, 1.85; October: AOR = 1.35; 95% CI = 1.05, 1.75; November: AOR = 1.27; 95% CI = 0.98, 1.65). The subgroup of women early in the third trimester at randomization showed the greatest intervention effect (December 31: 61.9% intervention vs 49.0% control; AOR = 1.88; 95% CI = 1.12, 3.15). Conclusions. In this low-income obstetric population, text messaging was associated with increased influenza vaccination, especially in those who received messages early in their third trimester.

Suggested Citation

  • Stockwell, M.S. & Westhoff, C. & Kharbanda, E.O. & Vargas, C.Y. & Camargo, S. & Vawdrey, D.K. & Castaño, P.M., 2014. "Influenza vaccine text message reminders for urban, low-income pregnant women: A randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 7-12.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301620_3
    DOI: 10.2105/AJPH.2013.301620
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