Text Reminders to Immunize in a Managed Care Organization
| Status: | Completed |
|---|---|
| Conditions: | Infectious Disease |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 11 - 18 |
| Updated: | 4/2/2016 |
| Start Date: | March 2013 |
| End Date: | December 2014 |
| Contact: | Cynthia M Rand, MD, MPH |
| Email: | cynthia_rand@urmc.rochester.edu |
| Phone: | 585 275-9316 |
The purpose of the study is to evaluate the effectiveness of a managed care-based HPV
vaccination reminder/recall system using a randomized controlled trial (RCT) across diverse
practices and patient populations. The trial will measure the effectiveness of text
messaging reminder/recall on (a) improving initiation and (b) completion rate of the HPV
vaccine series; (c) decreasing the time between vaccine doses; and (d) improving rates of
preventive visits for adolescents
The hypotheses are that text-messaged reminders to parents of adolescents will result in
improved rates of HPV vaccine series initiation, HPV vaccine series completion, will
decrease the intervals between vaccine doses and will improve rates of preventive care among
adolescents. Parents receiving specific text-messaged reminders about services (i.e. HPV
vaccination, well child care visits) for which their adolescent is due will be compared to a
control group of parents receiving general health tips through text messages.
vaccination reminder/recall system using a randomized controlled trial (RCT) across diverse
practices and patient populations. The trial will measure the effectiveness of text
messaging reminder/recall on (a) improving initiation and (b) completion rate of the HPV
vaccine series; (c) decreasing the time between vaccine doses; and (d) improving rates of
preventive visits for adolescents
The hypotheses are that text-messaged reminders to parents of adolescents will result in
improved rates of HPV vaccine series initiation, HPV vaccine series completion, will
decrease the intervals between vaccine doses and will improve rates of preventive care among
adolescents. Parents receiving specific text-messaged reminders about services (i.e. HPV
vaccination, well child care visits) for which their adolescent is due will be compared to a
control group of parents receiving general health tips through text messages.
The study setting is western New York State and the Southern Tier of New York State (15
counties total). Investigators will work with the Monroe Plan for Medical Care, an IPA-model
managed care organization (MCO) that serves Medicaid managed care and SCHIP enrollees. The
MCO will conduct regular reviews of insurance claims data and the New York State
Immunization Information System of adolescents ages 11-<18 years. Parents (all over 18 years
of age) of adolescents will receive the texted messages on their phones.
There are no enrollment restrictions based upon race or ethnic origin. The inclusion
criteria are that the adolescents are a) enrolled in Medicaid or SCHIP through the Monroe
Plan, b) have been enrolled greater than 6 months with the Monroe Plan (in order to have
sufficient claims data to determine whether they are due for a well child care visit or
recommended immunizations), c) the Monroe Plan has received their consent to send preventive
care text messages, d) their child attend a primary care practice that has agreed to
participate and d) they are between the ages of 11-<18 years at the start of the study.
The key independent measure is group allocation (intervention vs. control); an
intention-to-treat strategy will be used to assess the effectiveness of text messaging
reminders. Key outcome measures will be: 1) receipt of 0, 1, 2 or 3 doses of HPV vaccine 2)
interval (in days) between doses and 3) having a preventive visit in the 6 month period.
counties total). Investigators will work with the Monroe Plan for Medical Care, an IPA-model
managed care organization (MCO) that serves Medicaid managed care and SCHIP enrollees. The
MCO will conduct regular reviews of insurance claims data and the New York State
Immunization Information System of adolescents ages 11-<18 years. Parents (all over 18 years
of age) of adolescents will receive the texted messages on their phones.
There are no enrollment restrictions based upon race or ethnic origin. The inclusion
criteria are that the adolescents are a) enrolled in Medicaid or SCHIP through the Monroe
Plan, b) have been enrolled greater than 6 months with the Monroe Plan (in order to have
sufficient claims data to determine whether they are due for a well child care visit or
recommended immunizations), c) the Monroe Plan has received their consent to send preventive
care text messages, d) their child attend a primary care practice that has agreed to
participate and d) they are between the ages of 11-<18 years at the start of the study.
The key independent measure is group allocation (intervention vs. control); an
intention-to-treat strategy will be used to assess the effectiveness of text messaging
reminders. Key outcome measures will be: 1) receipt of 0, 1, 2 or 3 doses of HPV vaccine 2)
interval (in days) between doses and 3) having a preventive visit in the 6 month period.
Inclusion Criteria:
- 11-<18 years
- Member of MCO for >6 months
- Opted in to receive texted reminders from MCO
Exclusion Criteria:
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