Enhancing COVID-19 booster vaccination among the elderly through text message reminders

The BOOST (Booster promotion for older outpatients using SMS text reminders) program at Taipei Veterans General Hospital assessed the effectiveness of text message reminders in enhancing COVID-19 booster vaccination rates among the elderly, guided by the Health Belief Model (HBM). Targeting patients...

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Main Authors: Yi-Cheng Lee, Bing-Hau Lee, Yi-Hsuan Lin, Bih-Ju Wu, Tzeng-Ji Chen, Wei-Ming Chen, Yu-Chun Chen
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2375665
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author Yi-Cheng Lee
Bing-Hau Lee
Yi-Hsuan Lin
Bih-Ju Wu
Tzeng-Ji Chen
Wei-Ming Chen
Yu-Chun Chen
author_facet Yi-Cheng Lee
Bing-Hau Lee
Yi-Hsuan Lin
Bih-Ju Wu
Tzeng-Ji Chen
Wei-Ming Chen
Yu-Chun Chen
author_sort Yi-Cheng Lee
collection DOAJ
description The BOOST (Booster promotion for older outpatients using SMS text reminders) program at Taipei Veterans General Hospital assessed the effectiveness of text message reminders in enhancing COVID-19 booster vaccination rates among the elderly, guided by the Health Belief Model (HBM). Targeting patients aged 65 and above, eligible yet unvaccinated for a COVID-19 booster, this cohort study sent personalized reminders a week prior to their scheduled appointments between April 18, 2022, and May 12, 2022, acting as cues to action to enhance vaccination uptake by overcoming perceived barriers and raising awareness of benefits. Over 5 weeks, the study observed a 38% increase in vaccination rate among 3,500 eligible patients, markedly surpassing the concurrent national rate increase of 4% for the same demographic. The majority of vaccinations occurred within two weeks after the reminder, illustrating the effectiveness of the strategy. Cox regression analysis identified age and time since last vaccination as significant predictors of responsiveness, with those aged 65–74 and 75–84 showing higher uptake, particularly when reminders were sent within 4 months after the last dose. A single reminder proved to be effective. The findings of this study demonstrate the potential of SMS reminders to promote COVID-19 vaccination among the elderly through the strategic use of HBM principles, suggesting a feasible and effective approach to public health communication.
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spelling doaj-art-a8ee0fa75f5b4efcb204f8231f3f68d72025-08-20T03:22:21ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2375665Enhancing COVID-19 booster vaccination among the elderly through text message remindersYi-Cheng Lee0Bing-Hau Lee1Yi-Hsuan Lin2Bih-Ju Wu3Tzeng-Ji Chen4Wei-Ming Chen5Yu-Chun Chen6Department of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Nursing, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanThe BOOST (Booster promotion for older outpatients using SMS text reminders) program at Taipei Veterans General Hospital assessed the effectiveness of text message reminders in enhancing COVID-19 booster vaccination rates among the elderly, guided by the Health Belief Model (HBM). Targeting patients aged 65 and above, eligible yet unvaccinated for a COVID-19 booster, this cohort study sent personalized reminders a week prior to their scheduled appointments between April 18, 2022, and May 12, 2022, acting as cues to action to enhance vaccination uptake by overcoming perceived barriers and raising awareness of benefits. Over 5 weeks, the study observed a 38% increase in vaccination rate among 3,500 eligible patients, markedly surpassing the concurrent national rate increase of 4% for the same demographic. The majority of vaccinations occurred within two weeks after the reminder, illustrating the effectiveness of the strategy. Cox regression analysis identified age and time since last vaccination as significant predictors of responsiveness, with those aged 65–74 and 75–84 showing higher uptake, particularly when reminders were sent within 4 months after the last dose. A single reminder proved to be effective. The findings of this study demonstrate the potential of SMS reminders to promote COVID-19 vaccination among the elderly through the strategic use of HBM principles, suggesting a feasible and effective approach to public health communication.https://www.tandfonline.com/doi/10.1080/21645515.2024.2375665Text message reminderSMSCOVID-19boostervaccinevaccination
spellingShingle Yi-Cheng Lee
Bing-Hau Lee
Yi-Hsuan Lin
Bih-Ju Wu
Tzeng-Ji Chen
Wei-Ming Chen
Yu-Chun Chen
Enhancing COVID-19 booster vaccination among the elderly through text message reminders
Human Vaccines & Immunotherapeutics
Text message reminder
SMS
COVID-19
booster
vaccine
vaccination
title Enhancing COVID-19 booster vaccination among the elderly through text message reminders
title_full Enhancing COVID-19 booster vaccination among the elderly through text message reminders
title_fullStr Enhancing COVID-19 booster vaccination among the elderly through text message reminders
title_full_unstemmed Enhancing COVID-19 booster vaccination among the elderly through text message reminders
title_short Enhancing COVID-19 booster vaccination among the elderly through text message reminders
title_sort enhancing covid 19 booster vaccination among the elderly through text message reminders
topic Text message reminder
SMS
COVID-19
booster
vaccine
vaccination
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2375665
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