背景:移动健康(mHealth)作为一种健康促进方法正在迅速扩展,但是一些干预措施可能对潜在用户不熟悉或不舒服。短信作为一种低成本的短信,提供疫苗提醒的可访问方式。大多数(97%)美国成年人拥有手机,其中大多数成年人使用SMS短信。然而,了解不同初级保健人群的短信计划类型和使用模式需要更多的调查。
目的:我们试图使用一项调查来检查愿意接受SMS短信疫苗提醒的家庭的基线SMS短信和数据计划模式。
方法:作为美国国立卫生研究院(NIH)资助的国家研究(Flu2Text)的一部分,在2017-2018和2018-2019流感季节进行,需要第二次季节性流感疫苗接种的儿童家庭在第一次接种时被招募到儿科初级保健办公室.实践来自美国儿科学会(AAP)办公室设置儿科研究(PROS)研究网络,费城儿童医院,和哥伦比亚大学。在注册时通过电话(第1季)或电子(第2季)进行了调查。使用逻辑回归计算SMS文本消息计划类型和发短信频率的标准化(调整)比例,并针对儿童和护理人员的人口统计进行了调整。
结果:收集了1439名参与者(69%的参与者)的回答。平均照顾者年龄为32(SD6)岁,大多数儿童(n=1355,94.2%)年龄为6-23个月。大多数(n=1357,94.3%)家庭说英语。大多数(n=1331,92.8%)但并非所有参与者都有无限的SMS短信计划,并且每天至少发送或接收一次短信(n=1313,91.5%)。SMS文本消息传递计划类型和基线使用在大多数但不是所有子组中是统一的。然而,研究人群的短信计划类型和使用情况存在一些差异。想要西班牙语短信的护理人员比那些选择英语的护理人员不太可能拥有无限短信短信计划(n=61,86.7%vsn=1270,94%;风险差异-7.2%,95%CI-27.1至-1.8)。与儿童种族相关的无限制计划没有显著差异,种族,年龄,健康状况,保险类型,或照顾者的教育水平。基线时SMS文本消息的使用在所有子组中并不统一。近四分之三(n=1030,71.9%)的参与者从医生办公室收到某种形式的短信;最常见的是预约提醒(n=1014,98.4%),处方(n=300,29.1%),和实验室通知(n=117,11.4%)。即使是大多数(n=64,61.5%)没有无限计划并且发短信少于每天(n=72,59%)的人报告收到了这些SMS短信。
结论:在这项研究中,大多数参与者可以使用无限制的SMS短信计划,并且每天至少发一次短信。然而,不经常发短信和无法使用无限制的SMS短信计划并不妨碍在儿科初级保健机构中登记接收SMS短信提醒.
BACKGROUND: Mobile health (mHealth) is quickly expanding as a method of health promotion, but some interventions may not be familiar or comfortable for potential users. SMS text messaging has been investigated as a low-cost, accessible way to provide vaccine reminders. Most (97%) US adults own a cellphone and of those adults most use SMS text messaging. However, understanding patterns of SMS text message plan type and use in diverse primary care populations needs more investigation.
OBJECTIVE: We sought to use a survey to examine baseline SMS text messaging and data plan patterns among families willing to accept SMS text message vaccine reminders.
METHODS: As part of a National Institutes of Health (NIH)-funded national
study (Flu2Text) conducted during the 2017-2018 and 2018-2019 influenza seasons, families of children needing a second seasonal influenza vaccine dose were recruited in pediatric primary care offices at the time of their first dose. Practices were from the American Academy of Pediatrics\' (AAP) Pediatric Research in Office Settings (
PROS) research network, the Children\'s Hospital of Philadelphia, and Columbia University. A survey was administered via telephone (Season 1) or electronically (Season 2) at enrollment. Standardized (adjusted) proportions for SMS text message plan type and texting frequency were calculated using logistic regression that was adjusted for child and caregiver demographics.
RESULTS: Responses were collected from 1439 participants (69% of enrolled). The mean caregiver age was 32 (SD 6) years, and most children (n=1355, 94.2%) were aged 6-23 months. Most (n=1357, 94.3%) families were English-speaking. Most (n=1331, 92.8%) but not all participants had an unlimited SMS text messaging plan and sent or received texts at least once daily (n=1313, 91.5%). SMS text messaging plan type and use at baseline was uniform across most but not all subgroups. However, there were some differences in the
study population\'s SMS text messaging plan type and usage. Caregivers who wanted Spanish SMS text messages were less likely than those who chose English to have an unlimited SMS text messaging plan (n=61, 86.7% vs n=1270, 94%; risk difference -7.2%, 95% CI -27.1 to -1.8). There were no significant differences in having an unlimited plan associated with child\'s race, ethnicity, age, health status, insurance type, or caregiver education level. SMS text messaging use at baseline was not uniform across all subgroups. Nearly three-quarters (n=1030, 71.9%) of participants had received some form of SMS text message from their doctor\'s office; most common were appointment reminders (n=1014, 98.4%), prescription (n=300, 29.1%), and laboratory notifications (n=117, 11.4%). Even the majority (n=64, 61.5%) of those who did not have unlimited plans and who texted less than daily (n=72, 59%) reported receipt of these SMS text messages.
CONCLUSIONS: In this
study, most participants had access to unlimited SMS text messaging plans and texted at least once daily. However, infrequent texting and lack of access to an unlimited SMS text messaging plan did not preclude enrolling to receive SMS text message reminders in pediatric primary care settings.