Characterization of Provider Perspectives on Text Message Reminders for Immunizations

Objective: The purpose of this study was to characterize immunization provider practices and perspectives on text message reminders. Methods: This is a descriptive study of Pediatricians, Family Practice physicians and Health Departments in Kansas. Semi-structured telephone interviews were conducted. Fifteen health departments and 19 physician offices participated. Results: Health departments were more likely than physicians to know their clinic immunization rate (80% vs. 37%), use reminder systems (93% vs. 32%) and utilize out-of-office reminders. In addition, health departments were more likely than physicians to consider text messaging an appropriate reminder method (100% vs. 63%) and be willing to try a text messaging system (93% vs. 79%). Perceived barriers to text messaging included low cell phone use among patients, need for consensus in group practices, and privacy concerns. Conclusions: While few immunization providers are currently using text message reminders, support for such programs has increased. Perceived barriers can be overcome with education regarding legal issues, more research into implementation and effectiveness of text message reminder systems and development of a financially solvent program. Theoretical frameworks, such as the diffusion of innovation model, should be considered to enhance uptake and widespread implementation of text message reminders for immunization compliance.