Encouraging Influenza Vaccination Among Text4baby Pregnant Women and Mothers

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Jordan, Elizabeth T. ; Bushar, Jessica A. ; Kendrick, Juliette S. ; Johnson, Pamela ; Wang, Jiangxia
• Description:
  Introduction:
  
  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.
  
  Methods:
  
  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.
  
  Results:
  
  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.
  
  Conclusions:
  
  Text reminders and tailored education may encourage influenza vaccination among this vulnerable population; both have now been incorporated into Text4baby.
  
  
• Subjects:
  Female Humans Immunization Programs Influenza Vaccines Pregnancy Reminder Systems Text Messaging
• Source:
  Am J Prev Med. 49(4):563-572
• Pubmed ID:
  26232904
• Pubmed Central ID:
  PMC11268957
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  49
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:287dcd5ce35f2b60d7e01c3c0eb06e1273ff22502d8efbd735a35a52c85d0f32aac992aeeb1ae09594026ddc18fdd1c4d649b6b47e8f9ea34b8217dece9006d1
• Download URL:
  https://stacks.cdc.gov/view/cdc/159412/cdc_159412_DS1.pdf
• File Type:
  [PDF - 644.36 KB ]