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Increasing influenza vaccination rates by implementing a text message reminder intervention
Descriptive
TitleInfo
Title
Increasing influenza vaccination rates by implementing a text message reminder intervention
Name
(type = personal)
NamePart
(type = family)
Doyle
NamePart
(type = given)
Jessie
NamePart
(type = date)
1989-
DisplayForm
Jessie Doyle
Role
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(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Gunkel
NamePart
(type = given)
Kathy
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Kathy Gunkel
Affiliation
Advisory Committee
Role
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(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Padovano
NamePart
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Cara
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Cara Padovano
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Advisory Committee
Role
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internal member
Name
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Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
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NamePart
School of Nursing - RBHS
Role
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school
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Text
Genre
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theses
OriginInfo
DateCreated
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2019
DateOther
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2019-05
Language
LanguageTerm
(authority = ISO 639-3:2007);
(type = text)
English
Abstract
(type = abstract)
PURPOSE
In the United States, influenza infection is estimated to hospitalize 200,000 people and cause 36,000 deaths each year. Healthy People 2020 has set a goal of 70% vaccination rate per season for adults; however seasonal influenza rates continually fall short of this goal, with 38.5% of adults over the age of 18 vaccinated for the 2017-2018 season ("Immunization and Infectious Diseases", n.d.). Text message reminder programs for vaccines have been successful in increasing vaccination rates by way of serving as a reminder and recommendation for vaccination (Jacobson Vann et al., 2018).
METHODOLOGY
An influenza text message reminder program was implemented at an adult primary care practice. Patients were enrolled in September and October 2018 and randomized into intervention and standard care groups based on month of enrollment. A single text message reminder was sent to each cohort, and vaccine receipt was evaluated for each group. Rationales for non-enrollment were collected to identify barriers to enrollment uptake, and a post-study satisfaction survey link was sent via text message.
RESULTS
While most patients did not receive the vaccine, more individuals in the intervention group (26.7%, n=4) received the flu vaccine than the standard care group (15.4%, n=2). A Fisher's Exact test was used to examine any correlations between the intervention groups, demographic factors, and vaccine receipt. No significant association was found between intervention group and text message receipt, but there was a significant association between female gender and vaccine uptake. Of the 42 non-enrollment rationales, 19% stated they did not want to be vaccinated, 40.4% were ineligible due to prior vaccination or planned vaccination at current appointment, and 23.8% declined to provide a reason for non-enrollment. The post-intervention survey data had minimal response, likely due to message failure.
IMPLICATIONS FOR PRACTICE
Future studies would also seek to expand on this project, perhaps with a larger sample size and incorporation of an educational intervention for vaccination. Increasing vaccination rates is vital to the health of the population, and further study on these types of reminder interventions would contribute greatly to primary care practice.
In the United States, influenza infection is estimated to hospitalize 200,000 people and cause 36,000 deaths each year. Healthy People 2020 has set a goal of 70% vaccination rate per season for adults; however seasonal influenza rates continually fall short of this goal, with 38.5% of adults over the age of 18 vaccinated for the 2017-2018 season ("Immunization and Infectious Diseases", n.d.). Text message reminder programs for vaccines have been successful in increasing vaccination rates by way of serving as a reminder and recommendation for vaccination (Jacobson Vann et al., 2018).
METHODOLOGY
An influenza text message reminder program was implemented at an adult primary care practice. Patients were enrolled in September and October 2018 and randomized into intervention and standard care groups based on month of enrollment. A single text message reminder was sent to each cohort, and vaccine receipt was evaluated for each group. Rationales for non-enrollment were collected to identify barriers to enrollment uptake, and a post-study satisfaction survey link was sent via text message.
RESULTS
While most patients did not receive the vaccine, more individuals in the intervention group (26.7%, n=4) received the flu vaccine than the standard care group (15.4%, n=2). A Fisher's Exact test was used to examine any correlations between the intervention groups, demographic factors, and vaccine receipt. No significant association was found between intervention group and text message receipt, but there was a significant association between female gender and vaccine uptake. Of the 42 non-enrollment rationales, 19% stated they did not want to be vaccinated, 40.4% were ineligible due to prior vaccination or planned vaccination at current appointment, and 23.8% declined to provide a reason for non-enrollment. The post-intervention survey data had minimal response, likely due to message failure.
IMPLICATIONS FOR PRACTICE
Future studies would also seek to expand on this project, perhaps with a larger sample size and incorporation of an educational intervention for vaccination. Increasing vaccination rates is vital to the health of the population, and further study on these types of reminder interventions would contribute greatly to primary care practice.
Subject
(authority = RUETD)
Topic
Family Nurse Practitioner
Subject
(authority = LCSH)
Topic
Influenza -- Vaccination
Subject
(authority = LCSH)
Topic
Text messages (Cell phone systems)
RelatedItem
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
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ETD_9611
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application/pdf
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text/xml
Extent
1 online resource (74 pages) : illustrations
Note
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DNP
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Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
Identifier
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doi:10.7282/t3-0d3s-tt95
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
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The author owns the copyright to this work.
RightsHolder
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Name
FamilyName
Doyle
GivenName
Jessie
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2019-03-26 18:33:55
AssociatedEntity
Name
Jessie Doyle
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
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2019-05-31
DateTime
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical
RULTechMD
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ETD
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windows xp
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2019-03-26T18:32:25
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2019-03-26T18:32:25
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