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Vaccines4Kids: Assessing the impact of text message reminders on immunization rates in infants
Victoria Niederhauser1, Melissa Johnson2, Abbas S Tavakoli3
1University of Tennessee, Knoxville College of Nursing, 1200 Volunteer Blvd, Knoxville, TN 37996, USA.
Insights
Text message immunization reminders did not significantly increase immunization rates in infants by 7 months. While barriers to immunization decreased, further research is needed to optimize text message interventions for health behaviors.
Area of Science:
- Pediatrics
- Public Health
- Health Communication
Background:
- Childhood immunizations are critical for disease prevention.
- Text message (TM) interventions are increasingly explored for health promotion.
- Understanding factors influencing immunization uptake is essential.
Purpose of the Study:
- To evaluate the impact of text message immunization reminders on infant immunization rates within the first 7 months of life.
- To assess changes in parental barriers to immunization following TM intervention.
Main Methods:
- A randomized controlled trial involving 57 parent/infant dyads.
- Intervention group received TM immunization reminders; control group received healthy baby messages.
- Data collected via demographics, Barriers to Immunization Survey (SHOTS), and immunization records.
Main Results:
- Significant decrease in parental barriers to immunization observed in all participants by 7 months.
- No statistically significant difference in immunization rates between the intervention and control groups at 7 months.
- High participant engagement and positive feedback on TM interventions.
Conclusions:
- Text message immunization reminders show promise but did not significantly improve immunization rates in this cohort.
- Further investigation is required to enhance TM strategies for behavior change and motivation in preventive health.
- Optimizing TM content and delivery is crucial for future public health interventions.
Abstract:
The purpose of this study was to examine the effect text messages (TM) immunization reminders have on immunization rates in the first 7 months of life. This randomized-control trial enrolled 57 parent/infant dyads and had a 74% completion rate (43) at the end of the study period. The study was approved by Committee on Human Subjects at the University of Hawaii Institutional Board Review. All participants completed a demographics form and a Barriers to Immunization Survey (SHOTS survey) at the start and end of the study. Parents received TM at 4, 7, 12, 15, 20, & 23 weeks of child's age. The intervention group received immunization reminders and the control group received healthy baby messages. In the overall mixed model, between enrollment and 7 months of age, the barriers to immunizations decreased for all parents significantly. There were no significant differences in immunization rates between groups at 7 months of age. Positive responses from regarding TM interventions show this is a promising intervention, but further research is required regarding how to address behavior change and motivation for health prevention behaviors with TM.
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