Text Message Quality Improvement Intervention Improves Influenza Vaccination Rate Among Pediatric Patients With Asthma

2.50
Hdl Handle:
http://hdl.handle.net/10755/621691
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Text Message Quality Improvement Intervention Improves Influenza Vaccination Rate Among Pediatric Patients With Asthma
Author(s):
Sloand, Elizabeth; MacQueen, Augusta; Polk, Sarah; Holm, Annie
Lead Author STTI Affiliation:
Nu Beta
Author Details:
Elizabeth Sloand, PhD, RN, PNP-BC, FAAN, Professional Experience: 2014- Chair, Department of Acute and Chronic Care, Johns Hopkins University, School of Nursing, Baltimore, MD 2013- Associate Professor and Coordinator of the Pediatric Nurse Practitioner Track, Johns Hopkins University, School of Nursing, Baltimore, MD 1995-2013 Assistant Professor and Coordinator of the Pediatric Nurse Practitioner Track, Johns Hopkins University, School of Nursing, Baltimore, MD 1994-1995 Clinical Instructor, University of Maryland School of Nursing, Baltimore, MD 1992-1994 Director, School-Based Health Center Program, Baltimore City Health Department 1987-1991 Pediatric Nurse Practitioner, School-Based Health Center Program, Baltimore City Health Dept. 1983-1984 Staff Nurse, Maryland General Hospital, Baltimore, Maryland 1977-1982 Staff Nurse, Easton Hospital, Easton, PA 1975-1977 Staff Nurse, Strong Memorial Hospital, Rochester, NY Author Summary: I am a pediatric nurse practitioner, nurse educator, and scholar with many years of professional experience. I have deep experience in clinical child health, caring for patients and their families in a variety of ambulatory settings. My interest extends to policy and programming that promotes optimum child health. My research includes work with children and families in vulnerable circumstances, both in the United States and globally.
Abstract:

Background: The Centers for Disease Control (CDC) and the World Health Organization (WHO) recognize that children with asthma are at an increased risk of severe complications due to influenza infection. The CDC highly recommends that all children with asthma, 6 months and older, receive an annual influenza vaccine. Clinicians are challenged to educate families about the recommendations and insure that these high risk children are vaccinated each year.

Methods: For the 2015-2016 influenza season (Year 1), a reminder text message campaign was implemented at an ambulatory pediatric clinic to improve influenza vaccination adherence rates among children with asthma. The majority of the clinic’s patients have public insurance and are Latino children with immigrant parents. Using the electronic medical record, a list of children with asthma and their family’s phone number was generated. A three-part text message in English or Spanish was sent with information about the vaccine, a link to an informational video for parents, and instructions for making an appointment to get the vaccine. The Year 1 campaign was evaluated and revised accordingly. The text-based campaign was relaunched for the 2016-2017 influenza season, Year 2, which will include October 2016 to April 2017. For Year 2, the text message was clarified and the text response options were simplified. Follow up phone calls were made as needed. Responses for each year were tallied. Results for both years were analyzed and compared.

Results: For Year 1, text messages were sent to 381 households, representing 399 clinic patients. The response rate was 11.5%. For Year 2, text messages were sent to 441 households. Preliminary results indicate an increase in both response rates and influenza vaccination rates. These early results from Year 2 will be further refined and analyzed in order to further improve the influenza vaccine program for next year.

Conclusions: The text message project showed that family responses and influenza vaccine rate improved from Year 1 to Year 2. This project sets the stage for future quality improvement research on text message reminder/recall systems to increase annual influenza vaccination rates in pediatric patients with asthma. Such text message interventions may increase population/family engagement and influenza vaccination rates, ultimately decreasing preventable, severe health complications in children with asthma. This is particularly important because of the inclusion of minority immigrant children, an under-represented population that is not routinely included in health outreach efforts.

Keywords:
ambulatory pediatrics; influenza vaccine; text messaging
Repository Posting Date:
6-Jul-2017
Date of Publication:
6-Jul-2017
Other Identifiers:
INRC17PST47
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleText Message Quality Improvement Intervention Improves Influenza Vaccination Rate Among Pediatric Patients With Asthmaen_US
dc.contributor.authorSloand, Elizabethen
dc.contributor.authorMacQueen, Augustaen
dc.contributor.authorPolk, Sarahen
dc.contributor.authorHolm, Annieen
dc.contributor.departmentNu Betaen
dc.author.detailsElizabeth Sloand, PhD, RN, PNP-BC, FAAN, Professional Experience: 2014- Chair, Department of Acute and Chronic Care, Johns Hopkins University, School of Nursing, Baltimore, MD 2013- Associate Professor and Coordinator of the Pediatric Nurse Practitioner Track, Johns Hopkins University, School of Nursing, Baltimore, MD 1995-2013 Assistant Professor and Coordinator of the Pediatric Nurse Practitioner Track, Johns Hopkins University, School of Nursing, Baltimore, MD 1994-1995 Clinical Instructor, University of Maryland School of Nursing, Baltimore, MD 1992-1994 Director, School-Based Health Center Program, Baltimore City Health Department 1987-1991 Pediatric Nurse Practitioner, School-Based Health Center Program, Baltimore City Health Dept. 1983-1984 Staff Nurse, Maryland General Hospital, Baltimore, Maryland 1977-1982 Staff Nurse, Easton Hospital, Easton, PA 1975-1977 Staff Nurse, Strong Memorial Hospital, Rochester, NY Author Summary: I am a pediatric nurse practitioner, nurse educator, and scholar with many years of professional experience. I have deep experience in clinical child health, caring for patients and their families in a variety of ambulatory settings. My interest extends to policy and programming that promotes optimum child health. My research includes work with children and families in vulnerable circumstances, both in the United States and globally.en
dc.identifier.urihttp://hdl.handle.net/10755/621691-
dc.description.abstract<p><span>Background: The Centers for Disease Control (CDC) and the World Health Organization (WHO) recognize that children with asthma are at an increased risk of severe complications due to influenza infection. The CDC highly recommends that all children with asthma, 6 months and older, receive an annual influenza vaccine. Clinicians are challenged to educate families about the recommendations and insure that these high risk children are vaccinated each year.</span></p> <p>Methods: For the 2015-2016 influenza season (Year 1), a reminder text message campaign was implemented at an ambulatory pediatric clinic to improve influenza vaccination adherence rates among children with asthma. The majority of the clinic’s patients have public insurance and are Latino children with immigrant parents. Using the electronic medical record, a list of children with asthma and their family’s phone number was generated. A three-part text message in English or Spanish was sent with information about the vaccine, a link to an informational video for parents, and instructions for making an appointment to get the vaccine. The Year 1 campaign was evaluated and revised accordingly. The text-based campaign was relaunched for the 2016-2017 influenza season, Year 2, which will include October 2016 to April 2017. For Year 2, the text message was clarified and the text response options were simplified. Follow up phone calls were made as needed. Responses for each year were tallied. Results for both years were analyzed and compared.</p> <p>Results: For Year 1, text messages were sent to 381 households, representing 399 clinic patients. The response rate was 11.5%. For Year 2, text messages were sent to 441 households. Preliminary results indicate an increase in both response rates and influenza vaccination rates. These early results from Year 2 will be further refined and analyzed in order to further improve the influenza vaccine program for next year.</p> <p>Conclusions: The text message project showed that family responses and influenza vaccine rate improved from Year 1 to Year 2. This project sets the stage for future quality improvement research on text message reminder/recall systems to increase annual influenza vaccination rates in pediatric patients with asthma. Such text message interventions may increase population/family engagement and influenza vaccination rates, ultimately decreasing preventable, severe health complications in children with asthma. This is particularly important because of the inclusion of minority immigrant children, an under-represented population that is not routinely included in health outreach efforts.</p>en
dc.subjectambulatory pediatricsen
dc.subjectinfluenza vaccineen
dc.subjecttext messagingen
dc.date.available2017-07-06T16:35:38Z-
dc.date.issued2017-07-06-
dc.date.accessioned2017-07-06T16:35:38Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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