Skip to content

Text4Vax: Text Message Reminders for Pediatric COVID-19 and Influenza Vaccines 2024-25 Season

Text4Vax: Understanding the Effectiveness and Implementation of Text Message Reminders for Pediatric COVID-19 and Influenza Vaccines 2024-2025 Season

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06603090
Enrollment
66147
Registered
2024-09-19
Start date
2024-10-02
Completion date
2025-04-30
Last updated
2025-07-11

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

Conditions

COVID-19, Influenza, Vaccination Hesitancy

Keywords

text message, Short message service (SMS), mHealth

Brief summary

This multi-site study assesses the impact of text message reminders on the receipt of COVID-19 and influenza text message reminders takes place primarily in practices from the American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) network.

Detailed description

The study is to be conducted over the 1st season (September 2024-April 2025) as an effectiveness trial and the 2nd (September 2025-April 2026) as a replication study. This protocol covers the first season. Parents of eligible children who are 6 month-17 year-old who are due for both a COVID-19 and influenza vaccine will be sent text messages. Within each practice site, parents of eligible children will be randomized to receive either: 1) combined COVID-19 and influenza vaccine text message reminders, 2) COVID-19 reminders alone, 3) influenza reminders alone, or 4) no reminders (usual care). Randomization is to be stratified by practice site, age group and prior year's COVID-19/influenza vaccine history. Messages will be sent centrally and managed by the research team.

Interventions

Text message influenza vaccine reminders

BEHAVIORALText message COVID-19 vaccine reminders

Text message COVID-19 vaccine reminders

BEHAVIORALText message influenza and COVID-19 vaccine reminders

Text message influenza and COVID-19 vaccine reminders

Sponsors

Children's Hospital of Philadelphia
CollaboratorOTHER
American Academy of Pediatrics
CollaboratorOTHER
University of Pennsylvania
CollaboratorOTHER
National Institute of Allergy and Infectious Diseases (NIAID)
CollaboratorNIH
Columbia University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
6 Months to 17 Years
Healthy volunteers
No

Inclusion criteria

* Child that: * is 6 months-17 year-old children * due for both a COVID-19 and influenza vaccine * Receives care at study site * Language listed in electronic health record is English or Spanish * Has not opted out of text messages from practice

Exclusion criteria

* Has opted out of text messages from practice * Language listed in electronic health record is not English or Spanish

Design outcomes

Primary

MeasureTime frameDescription
Timeliness of influenza vaccinationUp to December 31 each year, up to ~90 daysDays from study start to influenza vaccine up to December 31 each year
Timeliness of COVID-19 vaccinationUp to December 31 each year, up to ~90 daysDays from study start to COVID-19 vaccine up to December 31 each year

Secondary

MeasureTime frameDescription
Percentage of Participants Who Received Influenza Vaccine by December 31 Each Year~3 monthsReceipt of influenza vaccine by December 31 each year
Percentage of Participants Who Received COVID-19 Vaccine by December 31 Each Year~3 monthsReceipt of COVID-19 vaccine by December 31 each year
Timeliness of influenza vaccinationUp to April 30 each year, up to ~210 daysDays from study start to influenza vaccine up to April 30 each year
Percentage of Participants Who Received COVID-19 Vaccine by April 30 Each Year~7 monthsReceipt of COVID-19 vaccine by April 30 each year
Percentage of Participants Who Received Influenza Vaccine by April 30 Each Year~7 monthsReceipt of influenza vaccine by April 30 each year
Timeliness of COVID-19 vaccinationUp to April 30 each year, up to ~210 daysDays from study start to COVID-19 vaccine up to April 30 each year

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026