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Encouraging Influenza Vaccination Among Text4baby Pregnant Women and Mothers

tetano

Editor, Senior Moderator
Am J Prev Med. 2015 Jul 23. pii: S0749-3797(15)00213-5. doi: 10.1016/j.amepre.2015.04.029. [Epub ahead of print]
[h=1]Encouraging Influenza Vaccination Among Text4baby Pregnant Women and Mothers.[/h] Jordan ET[SUP]1[/SUP], Bushar JA[SUP]2[/SUP], Kendrick JS[SUP]3[/SUP], Johnson P[SUP]4[/SUP], Wang J[SUP]5[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]INTRODUCTION:[/h] Pregnant women, postpartum women, and infants are at high risk for complications from influenza. From October to November 2012, Text4baby, a free national text service for pregnant women and mothers of infants aged <1 year, implemented a module of interactive messages encouraging maternal influenza vaccination. A program evaluation examined whether a text-based reminder or tailored education improved self-reported influenza vaccination or intent to be vaccinated later in the influenza season among Text4baby participants.
[h=4]METHODS:[/h] Nearly one third (28,609/89,792) of enrollees responded to a text asking about their vaccination plans. Those planning to receive vaccination were randomly assigned to receive an encouragement message or an encouragement message plus the opportunity to schedule a reminder (n=3,021 at follow-up). Those not planning to be vaccinated were randomly assigned to receive general education or education tailored to their reason for non-vaccination (n=3,820 at follow-up). The effect of the enhanced messages was assessed using multinomial logistic regression in 2013-2014.
[h=4]RESULTS:[/h] A reminder increased the odds of vaccination at follow-up among mothers (AOR=2.0, 95% CI=1.4, 2.9) and of continued intent to be vaccinated later in the season (pregnant, AOR=2.1, 95% CI=1.4, 3.1; mother, AOR=1.7, 95% CI=1.1, 2.5). Among mothers not planning to be vaccinated because of cost, those who received a tailored message about low-cost vaccination had higher odds of vaccination at follow-up (AOR=1.9, 95% CI=1.1, 3.5). Other tailored messages were not effective.
[h=4]CONCLUSIONS:[/h] Text reminders and tailored education may encourage influenza vaccination among this vulnerable population; both have now been incorporated into Text4baby.
Copyright ? 2015 American Journal of Preventive Medicine. All rights reserved.


PMID: 26232904 [PubMed - as supplied by publisher]
 
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