Pregnancy
Conditions
Keywords
Pregnancy, Influenza Vaccination
Brief summary
A randomized, controlled clinical trial to assess whether text messaging to an outpatient obstetric population can improve maternal influenza vaccine uptake.
Detailed description
History and the 2009 H1N1 influenza pandemic suggest that both seasonal and pandemic influenza infections impart disproportionate morbidity and mortality among gravidas. The influenza vaccine represents a viable, preventive health intervention to mitigate disease burden for gravidas and their neonates. Despite the safety and efficacy of influenza vaccines, suboptimal maternal vaccination rates (13-24%) persist nationwide. Barriers to influenza vaccination during pregnancy include patient concerns about vaccine safety and unappreciated risk of influenza infection. Cellular phone text messaging has emerged as an innovative technology with advantages of ubiquity, rapid, confidential information transmission, and low cost. Text messaging may represent an effective way to educate pregnant women about their particular vulnerability to influenza infection and enhance influenza vaccine uptake. We propose a randomized, controlled clinical trial to assess whether text messaging to an outpatient obstetric population can improve maternal influenza vaccine uptake.
Interventions
OTHERinfluenza and general health information
Subjects assigned to the influenza information group will receive health text messages from the time they enroll until they deliver. These messages will contain general health information as well as information regarding influenza and the importance of vaccination during pregnancy.
Subjects assigned to the influenza information group will receive health text messages from the time they enroll until they deliver.
Sponsors
University of Pittsburgh
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
14 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
1. Pregnant women less than 28 weeks estimated gestation age 2. Between 14-50 years of age 3. Willing to provide informed consent and undergo necessary study procedures
Exclusion criteria
1. Unwillingness or inability to receive text messages 2. Receipt of the current season's influenza vaccine or plan to receive the influenza vaccine on the day of the enrollment visit 3. Reported history of adverse reaction precluding receipt of the vaccine 4. Unwillingness or inability to provide informed consent and comply with study criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the ability of direct communication and education to patients using modern technology (cellular text messaging) to enhance vaccine uptake. | at participant post-partum visit | To assess the ability of direct communication and education to patients using modern technology (cellular text messaging) to enhance vaccine uptake. We hypothesize that text messaging will improve the timing (earlier in flu season) and rate of receipt of influenza vaccination in pregnancy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To assess the ability of direct education via text messaging to enhance knowledge about influenza infection and vaccination in pregnancy. | at participant post-partum visit | To assess the ability of direct education via text messaging to enhance knowledge about influenza infection and vaccination in pregnancy. We hypothesize that women receiving text messages will be more likely than controls to have accurate knowledge about pregnant women's increased susceptibility to influenza and about the vaccine's safety and efficacy in pregnancy. |
Countries
United States
Outcome results
None listed