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Text Message Quality Improvement Project for Influenza Vaccine in a Low-Resource Largely Latino Pediatric Population

Elizabeth Sloand, Brigit VanGraafeiland, Annie Holm

    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
    |March 5, 2019
    PubMed

    Insights

    Text messaging effectively encouraged influenza vaccination among children with asthma, especially those from Spanish-speaking families. This mHealth strategy shows promise for improving child health in vulnerable populations.

    Area of Science:

    • Pediatric Public Health
    • Health Communication
    • mHealth Interventions

    Background:

    • Children with asthma are at higher risk for influenza complications.
    • Low-income and limited English proficiency families face barriers to vaccination.
    • Targeted interventions are needed to improve vaccine uptake in vulnerable pediatric populations.

    Purpose of the Study:

    • To evaluate the effectiveness of text message reminders for influenza vaccination in children with asthma.
    • To assess the impact of language preference on vaccination rates.
    • To identify quality improvement opportunities for mHealth strategies in pediatric care.

    Main Methods:

    • A text messaging intervention was implemented for caregivers of children with asthma (aged >6 months).
    • Messages were delivered in English or Spanish, providing vaccine information and appointment scheduling details.
    • The study involved two years of data collection, with message improvements implemented in Year 2.

    Main Results:

    • Text messaging reached 398 families in Year 1 and 485 in Year 2.
    • Children in Spanish-speaking families had significantly higher vaccination rates (66%) compared to English-speaking families (46%).
    • The intervention demonstrated potential for improving child vaccination rates.

    Conclusions:

    • Text messaging is a low-cost, effective health promotion strategy for increasing influenza vaccination in children with asthma.
    • mHealth interventions can help address the needs of vulnerable populations, including low-income and limited English proficient families.
    • Quality improvement efforts are crucial for optimizing outpatient mHealth strategies.

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