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AUTOMATIC: Adaptive Trial of Messaging to Improve Immunisation Coverage

Randomised multi-arm Bayesian adaptive trial of SMS reminders to improve the timeliness of routine vaccination in children

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12618000789268
Acronym
AUTOMATIC
Enrollment
9993
Registered
2018-05-10
Start date
2021-01-14
Completion date
2024-02-26
Last updated
2026-06-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

We aim to conduct randomised multi-arm Bayesian adaptive trial of SMS reminders to determine whether personalised provider-initiated SMS reminders are effective for improving the timeliness of routine vaccination among Australian children. Parents will be enrolled across multiple SmartVax GP clinics and community-based providers in Western Australia.

Interventions

One of 12 active arms covering two domains: (i) SMS content (neutral, positive, negative or social norms) and (ii) timing (-14, 0 or +7 days relative to the vaccination due date); Neutral messages consist of :“[CLINIC NAME]: [Child’s name] is due for a X-month vaccination on XX/XX/XX. To book or opt-out of SMS, call XXXX XXXX. Replies are not monitored, pls ignore SMS if you have an appt” Positive messages consist of :“[CLINIC NAME]: [Child’s name] is due for a vaccination on XX/XX/XX. Vaccina

One of 12 active arms covering two domains: (i) SMS content (neutral, positive, negative or social norms) and (ii) timing (-14, 0 or +7 days relative to the vaccination due date); Neutral messages consist of :“[CLINIC NAME]: [Child’s name] is due for a X-month vaccination on XX/XX/XX. To book or opt-out of SMS, call XXXX XXXX. Replies are not monitored, pls ignore SMS if you have an appt” Positive messages consist of :“[CLINIC NAME]: [Child’s name] is due for a vaccination on XX/XX/XX. Vaccinating on time gives [Child’s name] the best defence against infectious diseases. To book or opt-out of SMS, call XXXX XXXX. Replies are not monitored, pls ignore SMS if you have an appt” Negative messages consist of :“[CLINIC NAME]: [Child’s name] is due for a vaccination on XX/XX/XX. Delaying a child’s vaccination can put them and other children at risk. To book or opt-out of SMS, call XXXX XXXX. Replies are not monitored, pls ignore SMS if you have an appt” Social norm messages consist of :“[CLINIC NAME]: [Child’s name] is due for a vaccination on XX/XX/XX. Vaccinating on time protects [Child’s name] and other children who are too young to be vaccinated. To book or opt-out of SMS, call XXXX XXXX. Replies are not monitored, pls ignore SMS if you have an appt” Neutral SMS sent 14 days before the due-date OR Positive SMS sent 14 days before the due-date OR Negative SMS sent 14 days before the due-date OR Social Norms SMS sent 14 days before the due-date OR Neutral SMS sent on the due-date OR Positive SMS sent on the due-date OR Negative SMS sent on the due-date OR Social Norms SMS sent on the due-date OR Neutral SMS sent 7 days after the due-date OR Positive SMS sent 7 days after the due-date OR Negative SMS sent 7 days after the due-date OR Social Norms SMS sent 7 days after the due-date

Sponsors

Telethon Kids Institute
Lead SponsorOther Collaborative groups

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Parents (18 years and older) of children aged 6 weeks – 4 years who are registered with a SmartVax registered GP clinic or community vaccination clinic Parents must have a mobile phone number registered with the vaccine provider The child must be due for an upcoming vaccine during the trial period The child at the clinic previously, excluding 6 week old children their first vaccine dose Eligible children must have their most recent details entered into their electronic medicalhealth record, including the parent mobile phone number and the child’s date of birth and name.

Exclusion criteria

The parent(s) of the child have previously requested not to be contacted by the clinic via SMS Parents who in the opinion of clinic staff would be unsuitable for inclusion in the study, for example because they are known to attend for routine vaccinations elsewhere, they have relocated outside of the clinic catchment area, the registered mobile phone number is known to be obsolete or wrong, or because they are registered as conscientious objectors to vaccination The critical information required to produce a unique identification number has not been entered properly into the practice’s electronic medical record (i.e. parent mobile phone number, child’s date of birth, child’s first and surname) Children known or suspected to be Ttwins and triplets will be excluded; producing a unique identification number will not be possible for siblings with the same birthdate

Outcome results

None listed

Source: ANZCTR · Data processed: Jun 9, 2026