Effectiveness of SMS (Short Message Service) Text Messaging in Increasing Adherence to Gardasil
Status: | Completed |
---|---|
Conditions: | Vaccines |
Therapuetic Areas: | Immunology / Infectious Diseases |
Healthy: | No |
Age Range: | 18 - 26 |
Updated: | 4/2/2016 |
Start Date: | January 2011 |
End Date: | January 2013 |
Contact: | Julie Medalie |
Email: | jmedalie@epi.umaryland.edu |
Phone: | 410-706-2060 |
A Randomized, Controlled Trial to Compare the Effectiveness of SMS Text Message Reminders Compared to Usual Care to Increase Adherence to the Gardasil Vaccine Dosing Schedule (GCC 1063GCC).
Human papillomavirus (HPV) is the most common sexually transmitted disease among adolescent
females in the United States. Our primary objective is to determine if Short Message Service
(SMS) text message reminders increase adherence to the recommended 3 dose schedule for
Gardasil compared to usual care in an outpatient clinic setting. Secondary objectives of
this study are: 1) to demonstrate the feasibility of using SMS text message reminders to
increase adherence with Gardasil vaccination; and 2) to assess satisfaction and
acceptability of text message reminders compared to telephone reminders among women who
receive the text message arm of the intervention. The investigators hypothesize that
receiving SMS text message reminders will increase adherence to the recommended 3 dose
schedule for Gardasil compared to usual care.
females in the United States. Our primary objective is to determine if Short Message Service
(SMS) text message reminders increase adherence to the recommended 3 dose schedule for
Gardasil compared to usual care in an outpatient clinic setting. Secondary objectives of
this study are: 1) to demonstrate the feasibility of using SMS text message reminders to
increase adherence with Gardasil vaccination; and 2) to assess satisfaction and
acceptability of text message reminders compared to telephone reminders among women who
receive the text message arm of the intervention. The investigators hypothesize that
receiving SMS text message reminders will increase adherence to the recommended 3 dose
schedule for Gardasil compared to usual care.
Technological innovations such as Short Message Service (SMS) text messages reminders are
one strategy that may be used to increase adherence to the Gardasil dosing schedule.
Although the literature in this area is in its infancy, several studies have demonstrated
that SMS text reminders are an effective strategy for reducing nonattendance with medical
appointments. Further, SMS text message reminders have been shown to be popular with
patients and more cost-effective than paper or telephone-based reminder strategies. The
investigators believe SMS text message reminders can be used as a feasible and
cost-effective strategy to increase adherence to the Gardasil vaccine schedule, thus
reducing risk of cervical cancer.
Women who are enrolled will be randomly assigned to one of 2 study groups (Usual Care v. SMS
Text Message group). For women in the SMS Text Message group, text message reminders will be
sent once per day for each of the seven days prior to the scheduled date for each of their
follow up vaccinations. Participants follow the usual practices for scheduling their follow
up visit(s) for vaccination at the clinic. Participants in both the Usual Care group and the
SMS Text Message group will receive the standard reminder from the clinic for their
scheduled appointment(s) (phone call, letter, etc, as appropriate). At enrollment, the
participant will answer questions regarding social and demographic history, cell phone use
patterns, attitudes and acceptance of HPV vaccine, gynecologic and sexual history.
All participants will be sent a packet of self-report measures to complete regarding
attitudes toward HPV vaccination at the completion of the study. Participants in the SMS
Text Message group will also receive rating scales to assess acceptability of text message
reminders and preference for text message reminders over telephone reminders.
one strategy that may be used to increase adherence to the Gardasil dosing schedule.
Although the literature in this area is in its infancy, several studies have demonstrated
that SMS text reminders are an effective strategy for reducing nonattendance with medical
appointments. Further, SMS text message reminders have been shown to be popular with
patients and more cost-effective than paper or telephone-based reminder strategies. The
investigators believe SMS text message reminders can be used as a feasible and
cost-effective strategy to increase adherence to the Gardasil vaccine schedule, thus
reducing risk of cervical cancer.
Women who are enrolled will be randomly assigned to one of 2 study groups (Usual Care v. SMS
Text Message group). For women in the SMS Text Message group, text message reminders will be
sent once per day for each of the seven days prior to the scheduled date for each of their
follow up vaccinations. Participants follow the usual practices for scheduling their follow
up visit(s) for vaccination at the clinic. Participants in both the Usual Care group and the
SMS Text Message group will receive the standard reminder from the clinic for their
scheduled appointment(s) (phone call, letter, etc, as appropriate). At enrollment, the
participant will answer questions regarding social and demographic history, cell phone use
patterns, attitudes and acceptance of HPV vaccine, gynecologic and sexual history.
All participants will be sent a packet of self-report measures to complete regarding
attitudes toward HPV vaccination at the completion of the study. Participants in the SMS
Text Message group will also receive rating scales to assess acceptability of text message
reminders and preference for text message reminders over telephone reminders.
Inclusion Criteria:
- Have a mobile phone with text message capability
- Patient of University of Maryland Medical Center outpatient gynecology clinics
- Able to speak and read English
- Capable of understanding, consenting, and complying with the entire study protocol
Exclusion Criteria:
- Pregnant
- Previously completed the Gardasil vaccine
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