Text Message Reminders for the Second Dose of Influenza Vaccine for Children: An RCT.
Text Message Reminders for the Second Dose of Influenza Vaccine for Children: An RCT.
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DOI：
10.1542/peds.2022-056967
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发表时间：
2022-09-01
期刊：
影响因子：
8
通讯作者：
Fiks, Alexander G.
中科院分区：
文献类型：
--
作者：
Stockwell, Melissa S.;Shone, Laura P.;Nekrasova, Ekaterina;Wynn, Chelsea;Torres, Alessandra;Griffith, Miranda;Shults, Justine;Unger, Rebecca;Ware, Leigh Ann;Kolff, Chelsea;Harris, Donna;Berrigan, Lindsay;Montague, Heather;Localio, A. Russell;Fiks, Alexander G.
在一个特定季节需要2剂流感疫苗的儿童中，第二剂疫苗的接种几乎使流感的几率减半。在全国范围内，许多儿童没有接受这两种所需的剂量。本研究旨在比较带有嵌入式互动教育信息的短信提醒与常规护理在收到第二剂流感疫苗和及时接种方面的有效性。这项试验在2017-18和2018-19流感季节在24个州的50个儿科初级保健办公室进行，主要来自美国儿科学会的儿科研究办公室设置基于实践的研究网络。将该季节需要第二次流感疫苗接种的6个月至8岁儿童的护理人员-儿童配对按1：1的比例单独随机分配到干预组和常规护理组，并按每个实践中的年龄和语言分层。干预护理人员收到自动化，个性化的短信，包括教育信息。使用Mantel Haenszel方法，通过实践和语言评估4月30日（季节结束）和第42天（第二次给药到期日后2周）的第二次给药。在2，086对登记的儿童中，大多数儿童为6-23个月，一半为公共保险。干预儿童更有可能在季节结束时（83.8% vs. 80.9%;校正风险差异（ARD）3.8%; 95% CI [0.1-7.5]）和第42天（62.4% vs. 55.7%; ARD 8.3% [3.6-13.0]）接受第二次剂量。在这个大规模的美国初级保健儿科实践试验中，短信提醒可有效促进增加和及时接种第二剂流感疫苗。
Among children requiring 2 influenza doses in a given season, 2nd dose receipt nearly halves the odds of influenza. Nationally, many children do not receive both needed doses. This study sought to compare the effectiveness of text message reminders with embedded interactive educational information vs. usual care on receipt and timeliness of the second dose of influenza vaccine. This trial took place over the 2017–18 and 2018–19 influenza seasons among 50 pediatric primary care offices across 24 states primarily from the American Academy of Pediatrics’ Pediatric Research in Office Settings practice-based research network. Caregiver-child dyads of children 6 months to 8 years in need of a second influenza vaccination that season were individually randomized 1:1 into intervention vs. usual care, stratified by age and language within each practice. Intervention caregivers received automated, personalized text messages, including educational information. Second dose receipt by April 30 (season end) and by day 42 (2 weeks after second dose due date) were assessed using Mantel Haenszel methods by practice and language. Analyses were intention to treat. Among 2,086 dyads enrolled, most children were 6–23 months and half publicly insured. Intervention children were more likely to receive a second dose by season end (83.8% vs. 80.9%; adjusted risk difference (ARD) 3.8%; 95% CI [0.1–7.5]) and day 42 (62.4% vs. 55.7%; ARD 8.3% [3.6–13.0]). In this large-scale trial of primary care pediatric practices across the U.S., text message reminders were effective in promoting increased and timelier second dose influenza vaccine receipt.
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