Pediatric Practices' Perceptions of Text Message Communication with Families: An American Academy of Pediatrics (AAP), Pediatric Research in Office Settings (PROS) Study.
Pediatric Practices' Perceptions of Text Message Communication with Families: An American Academy of Pediatrics (AAP), Pediatric Research in Office Settings (PROS) Study.
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儿科实践对与家人进行短信沟通的看法：美国儿科学会 (AAP)，办公室环境中的儿科研究 (PROS) 研究。
DOI：
10.1055/s-0043-1763270
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Stockwell,MelissaS
中科院分区：
文献类型：
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作者：
Nekrasova,Ekaterina;Fiks,AlexanderG;Wynn,Chelsea;Torres,Alessandra;Griffith,Miranda;Shone,LauraP;Localio,Russell;Shults,Justine;Unger,Rebecca;Ware,LeighAnn;Stockwell,MelissaS
背景短信可以成为一种有效且低成本的患者提醒机制；目的本研究的目的是探讨儿科初级保健临床医生和工作人员对儿科办公室短信与家人沟通的看法。方法作为美国国立卫生研究院资助的 Flu2Text 第二剂流感疫苗短信提醒随机对照试验的一部分，我们在 2019 年 7 月至 8 月对初级保健儿科临床医生和工作人员 (n= 39) 进行了 7 个焦点小组和 4 次个人访谈。总体而言，使用分层抽样方法选择了 10 个州的 10 个办公室环境儿科研究 (PROS) 儿科实践。半结构化讨论指南包括对文本消息的可能用途、感知有用性和易用性的观点；实践当前的短信基础设施；以及未来使用短信的感知障碍/促进因素。两名研究人员使用 NVIVO 12 Plus 基于技术接受模型独立编码和分析成绩单（编码器可靠性，K= 0.86）。结果总体而言，参与者支持第二剂流感疫苗、其他疫苗和预约的文字提醒，并认为短信是护理人员的首选沟通方式。健康信息隐私和患者保密是被提及的主要问题。只有来自在研究之前没有内部预约短信提醒系统的诊所的受访者表达了对技术实施物流、时间和成本的担忧。结论在参与流感疫苗短信提醒试验后，用于各种用途的短信提醒似乎在地理上广泛的儿科诊所中得到了很好的接受。需要解决隐私、保密和资源障碍，以促进成功实施。
BackgroundText messages can be an effective and low-cost mechanism for patient reminders; however, they are yet to be consistently integrated into pediatric primary care.ObjectiveThe aim of this study was to explore pediatric primary care clinician and staff perceptions of pediatric office text message communication with families.MethodsAs part of the National Institutes of Health–funded Flu2Text randomized controlled trial of second-dose influenza vaccine text message reminders, we conducted 7 focus groups and 4 individual interviews in July–August 2019 with primary care pediatric clinicians and staff (n= 39). Overall, 10 Pediatric Research in Office Settings (PROS) pediatric practices in 10 states were selected using stratified sampling. Semi-structured discussion guides included perspectives on possible uses, perceived usefulness, and ease of use of text messages; practices' current text messaging infrastructure; and perceived barriers/facilitators to future use of texting. Two investigators independently coded and analyzed transcripts based on the technology acceptance model using NVIVO 12 Plus (intercoder reliability,K= 0.86).ResultsOverall, participants were supportive of text reminders for the second-dose influenza vaccine, other vaccines, and appointments and perceived texting as a preferred method of communication for caregivers. Health information privacy and patient confidentiality were the main concerns cited. Only respondents from practices with no internal appointment text message reminder system prior to the study expressed concerns about technology implementation logistics, time, and cost.ConclusionText message reminders, for various uses, appear to be well accepted among a group of geographically widespread pediatric practices after participation in a trial of influenza vaccine text message reminders. Privacy, confidentiality, and resource barriers need to be addressed to facilitate successful implementation.