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Reach and Engagement With Population Health Management Interventions to Address COVID-19 Among Safety-Net Health Care
Chelsey R Schlechter1, Tatyana V Kuzmenko1, Brian Orleans1
1Chelsey R. Schlechter, Cho Y. Lam, and David W. Wetter are with the Department of Population Health Sciences, Center for Health Outcomes and Population Equity, Huntsman Cancer Institute, University of Utah, Salt Lake City. Tatyana V. Kuzmenko, Kensaku Kawamoto, Joni H. Pierce, Emerson P. Borsato, Ryan C. Cornia, Leticia Stevens, Richard L. Bradshaw, and Guilherme Del Fiol are with the Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City. Brian Orleans, Jennifer Wirth, and Anna Martinez are with the Center for Health Outcomes and Population Equity, Huntsman Cancer Institute, University of Utah, Salt Lake City. Kimberly A. Kaphingst is with the Department of Communication, Huntsman Cancer Institute, University of Utah, Salt Lake City. Bryan Gibson is with the School of Medicine, University of Utah, Salt Lake City. Tracey Siaperas, Alan Pruhs, and Courtney Pariera Dinkins are with the Association for Utah Community Health, Salt Lake City. Tom Greene, Yue Zhang, and Jonathan J. Chipman are with the Department of Population Health Sciences, University of Utah, Salt Lake City. Michael Friedrichs is with the Utah Department of Health and Human Services, Salt Lake City. Rachel Hess is with the Departments of Population Health Sciences and Internal Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City.
The SCALE-UP Utah study used text messages to deliver COVID-19 testing and vaccination information to over 100,000 patients, improving health equity for marginalized communities.
Area of Science:
- Public Health
- Health Equity
- Digital Health Interventions
Background:
- COVID-19 interventions require rapid, population-level scaling.
- Health equity is crucial, necessitating outreach to marginalized groups (racial/ethnic minorities, rural, low socioeconomic status).
Purpose of the Study:
- To assess the effectiveness of text messaging interventions for COVID-19 testing and vaccination.
- To reach and engage historically marginalized populations within safety-net healthcare systems.
Main Methods:
- The SCALE-UP Utah project utilized text messaging from February 2021 to June 2022.
- Interventions targeted 107,846 patients across 28 clinics in seven safety-net healthcare systems.
- Messaging focused on COVID-19 testing and vaccination, incorporating community partner input.
Main Results:
- Text messaging successfully reached a large patient population, including those in marginalized communities.
- The intervention provided informational and motivational content for COVID-19 testing and vaccination.
Conclusions:
- Text messaging is a viable strategy for large-scale public health interventions.
- This approach can effectively promote health equity by reaching underserved populations.
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