Trial Outcomes & Findings for Patient Portal Flu Vaccine Reminders (5) (NCT NCT05525494)

NCT ID: NCT05525494

Last Updated: 2024-08-07

Results Overview

Percent of patients with annual influenza vaccination (between 9/1/22 - 4/1/23) among index patients. Outcomes will be assessed via vaccine data extraction from the electronic health record and external claims and pharmacy data. The index patients must also be an active UCLA Health MyChart user (\>= 1 login over the last 12 months from 8/1/22, excluding activity on the user's initial profile activation date). Individuals not affiliated with any primary care practice will be excluded from the primary analysis.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

262085 participants

Primary outcome timeframe

6 months

Results posted on

2024-08-07

Participant Flow

Participant milestones

Participant milestones
Measure
Text Fixed R/R Messages With Direct Appointment Schedule Link + Text Pre-Appointment Reminders
Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder via text when they schedule a visit during the study period. Text Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Text Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder via text when they schedule a visit during the study period.
Text Fixed R/R Messages With Direct Appointment Schedule Link
Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Text Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
Portal Pre-Commitment Prompt, Tailored R/R Messages w/ Direct Scheduling + Pre-Appointment Reminders
Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period. Portal Pre-Commitment Prompt with Tailored R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period.
Portal Pre-Commitment Prompt With Tailored R/R Messages With Direct Appointment Schedule Link
Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Commitment Prompt with Tailored R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
Portal Fixed R/R Messages With Direct Appointment Schedule Link + Portal Pre-Appointment Reminder
Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period. Portal Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period.
Portal Fixed R/R Messages With Direct Appointment Schedule Link
Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
No R/R Message or Pre-Appointment Reminder
Participants do not receive any flu vaccine R/R message or Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment during the specified flu season.
Overall Study
STARTED
43682
43668
21881
21876
21864
21857
87257
Overall Study
COMPLETED
43682
43668
21881
21876
21864
21857
87257
Overall Study
NOT COMPLETED
0
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Patient Portal Flu Vaccine Reminders (5)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Text Fixed R/R Messages With Direct Appointment Schedule Link + Text Pre-Appointment Reminders
n=43682 Participants
Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder via text when they schedule a visit during the study period. Text Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Text Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder via text when they schedule a visit during the study period.
Text Fixed R/R Messages With Direct Appointment Schedule Link
n=43668 Participants
Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Text Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
Portal Pre-Commitment Prompt, Tailored R/R Messages w/ Direct Scheduling + Pre-Appointment Reminders
n=21881 Participants
Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period. Portal Pre-Commitment Prompt with Tailored R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period.
Portal Pre-Commitment Prompt With Tailored R/R Messages With Direct Appointment Schedule Link
n=21876 Participants
Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Commitment Prompt with Tailored R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
Portal Fixed R/R Messages With Direct Appointment Schedule Link + Portal Pre-Appointment Reminder
n=21864 Participants
Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period. Portal Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period.
Portal Fixed R/R Messages With Direct Appointment Schedule Link
n=21857 Participants
Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
No R/R Message or Pre-Appointment Reminder
n=87257 Participants
Participants do not receive any flu vaccine R/R message or Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment during the specified flu season.
Total
n=262085 Participants
Total of all reporting groups
Age, Customized
<18 years
4096 Participants
n=99 Participants
4129 Participants
n=107 Participants
2065 Participants
n=206 Participants
2046 Participants
n=7 Participants
2028 Participants
n=31 Participants
2079 Participants
n=30 Participants
8238 Participants
n=3 Participants
24681 Participants
n=6 Participants
Age, Customized
18-64 years
31012 Participants
n=99 Participants
31106 Participants
n=107 Participants
15587 Participants
n=206 Participants
15481 Participants
n=7 Participants
15653 Participants
n=31 Participants
15514 Participants
n=30 Participants
62084 Participants
n=3 Participants
186437 Participants
n=6 Participants
Age, Customized
65+ years
8574 Participants
n=99 Participants
8433 Participants
n=107 Participants
4229 Participants
n=206 Participants
4349 Participants
n=7 Participants
4183 Participants
n=31 Participants
4264 Participants
n=30 Participants
16935 Participants
n=3 Participants
50967 Participants
n=6 Participants
Sex/Gender, Customized
Female
25015 Participants
n=99 Participants
24820 Participants
n=107 Participants
12491 Participants
n=206 Participants
12474 Participants
n=7 Participants
12317 Participants
n=31 Participants
12420 Participants
n=30 Participants
49812 Participants
n=3 Participants
149349 Participants
n=6 Participants
Sex/Gender, Customized
Male
18649 Participants
n=99 Participants
18827 Participants
n=107 Participants
9378 Participants
n=206 Participants
9390 Participants
n=7 Participants
9536 Participants
n=31 Participants
9430 Participants
n=30 Participants
37418 Participants
n=3 Participants
112628 Participants
n=6 Participants
Sex/Gender, Customized
Other
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
1 Participants
n=31 Participants
0 Participants
n=30 Participants
0 Participants
n=3 Participants
1 Participants
n=6 Participants
Sex/Gender, Customized
Unknown
18 Participants
n=99 Participants
21 Participants
n=107 Participants
12 Participants
n=206 Participants
12 Participants
n=7 Participants
10 Participants
n=31 Participants
7 Participants
n=30 Participants
27 Participants
n=3 Participants
107 Participants
n=6 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
60 Participants
n=99 Participants
67 Participants
n=107 Participants
42 Participants
n=206 Participants
42 Participants
n=7 Participants
42 Participants
n=31 Participants
26 Participants
n=30 Participants
160 Participants
n=3 Participants
439 Participants
n=6 Participants
Race/Ethnicity, Customized
Asian
2739 Participants
n=99 Participants
2853 Participants
n=107 Participants
1427 Participants
n=206 Participants
1390 Participants
n=7 Participants
1381 Participants
n=31 Participants
1443 Participants
n=30 Participants
5615 Participants
n=3 Participants
16848 Participants
n=6 Participants
Race/Ethnicity, Customized
Black
1334 Participants
n=99 Participants
1357 Participants
n=107 Participants
654 Participants
n=206 Participants
652 Participants
n=7 Participants
704 Participants
n=31 Participants
651 Participants
n=30 Participants
2728 Participants
n=3 Participants
8080 Participants
n=6 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
43 Participants
n=99 Participants
52 Participants
n=107 Participants
35 Participants
n=206 Participants
22 Participants
n=7 Participants
28 Participants
n=31 Participants
36 Participants
n=30 Participants
96 Participants
n=3 Participants
312 Participants
n=6 Participants
Race/Ethnicity, Customized
White or Caucasian
14425 Participants
n=99 Participants
14717 Participants
n=107 Participants
7286 Participants
n=206 Participants
7350 Participants
n=7 Participants
7268 Participants
n=31 Participants
7300 Participants
n=30 Participants
29118 Participants
n=3 Participants
87464 Participants
n=6 Participants
Race/Ethnicity, Customized
Other
4022 Participants
n=99 Participants
3857 Participants
n=107 Participants
1970 Participants
n=206 Participants
1887 Participants
n=7 Participants
1918 Participants
n=31 Participants
1894 Participants
n=30 Participants
7817 Participants
n=3 Participants
23365 Participants
n=6 Participants
Race/Ethnicity, Customized
Multiracial
1894 Participants
n=99 Participants
1981 Participants
n=107 Participants
978 Participants
n=206 Participants
972 Participants
n=7 Participants
1018 Participants
n=31 Participants
1006 Participants
n=30 Participants
3906 Participants
n=3 Participants
11755 Participants
n=6 Participants
Race/Ethnicity, Customized
Unknown
7238 Participants
n=99 Participants
7160 Participants
n=107 Participants
3613 Participants
n=206 Participants
3575 Participants
n=7 Participants
3605 Participants
n=31 Participants
3583 Participants
n=30 Participants
14316 Participants
n=3 Participants
43090 Participants
n=6 Participants
Race/Ethnicity, Customized
Hispanic or Latino
5316 Participants
n=99 Participants
5342 Participants
n=107 Participants
2671 Participants
n=206 Participants
2662 Participants
n=7 Participants
2680 Participants
n=31 Participants
2681 Participants
n=30 Participants
10695 Participants
n=3 Participants
32047 Participants
n=6 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
31128 Participants
n=99 Participants
31166 Participants
n=107 Participants
15597 Participants
n=206 Participants
15639 Participants
n=7 Participants
15579 Participants
n=31 Participants
15593 Participants
n=30 Participants
62246 Participants
n=3 Participants
186948 Participants
n=6 Participants
Primary Language
English
42617 Participants
n=99 Participants
42605 Participants
n=107 Participants
21334 Participants
n=206 Participants
21282 Participants
n=7 Participants
21330 Participants
n=31 Participants
21285 Participants
n=30 Participants
85147 Participants
n=3 Participants
255600 Participants
n=6 Participants
Primary Language
Spanish
457 Participants
n=99 Participants
456 Participants
n=107 Participants
219 Participants
n=206 Participants
234 Participants
n=7 Participants
255 Participants
n=31 Participants
239 Participants
n=30 Participants
890 Participants
n=3 Participants
2750 Participants
n=6 Participants
Primary Language
Other
549 Participants
n=99 Participants
543 Participants
n=107 Participants
306 Participants
n=206 Participants
329 Participants
n=7 Participants
261 Participants
n=31 Participants
300 Participants
n=30 Participants
1098 Participants
n=3 Participants
3386 Participants
n=6 Participants
Primary Language
Unknown
59 Participants
n=99 Participants
64 Participants
n=107 Participants
22 Participants
n=206 Participants
31 Participants
n=7 Participants
18 Participants
n=31 Participants
33 Participants
n=30 Participants
122 Participants
n=3 Participants
349 Participants
n=6 Participants
Primary Insurance Class
Commercial
30710 Participants
n=99 Participants
30719 Participants
n=107 Participants
15404 Participants
n=206 Participants
15291 Participants
n=7 Participants
15539 Participants
n=31 Participants
15391 Participants
n=30 Participants
61523 Participants
n=3 Participants
184577 Participants
n=6 Participants
Primary Insurance Class
Group Health Plan
80 Participants
n=99 Participants
80 Participants
n=107 Participants
38 Participants
n=206 Participants
40 Participants
n=7 Participants
47 Participants
n=31 Participants
45 Participants
n=30 Participants
174 Participants
n=3 Participants
504 Participants
n=6 Participants
Primary Insurance Class
International Payor
7 Participants
n=99 Participants
11 Participants
n=107 Participants
6 Participants
n=206 Participants
9 Participants
n=7 Participants
3 Participants
n=31 Participants
6 Participants
n=30 Participants
26 Participants
n=3 Participants
68 Participants
n=6 Participants
Primary Insurance Class
Medi-Cal
881 Participants
n=99 Participants
916 Participants
n=107 Participants
438 Participants
n=206 Participants
467 Participants
n=7 Participants
430 Participants
n=31 Participants
463 Participants
n=30 Participants
1869 Participants
n=3 Participants
5464 Participants
n=6 Participants
Primary Insurance Class
Medicare
5366 Participants
n=99 Participants
5376 Participants
n=107 Participants
2618 Participants
n=206 Participants
2690 Participants
n=7 Participants
2529 Participants
n=31 Participants
2686 Participants
n=30 Participants
10583 Participants
n=3 Participants
31848 Participants
n=6 Participants
Primary Insurance Class
Package Billing
0 Participants
n=99 Participants
2 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
2 Participants
n=31 Participants
0 Participants
n=30 Participants
3 Participants
n=3 Participants
8 Participants
n=6 Participants
Primary Insurance Class
Tricare
276 Participants
n=99 Participants
268 Participants
n=107 Participants
142 Participants
n=206 Participants
145 Participants
n=7 Participants
148 Participants
n=31 Participants
137 Participants
n=30 Participants
580 Participants
n=3 Participants
1696 Participants
n=6 Participants
Primary Insurance Class
UCLA Managed Care
5756 Participants
n=99 Participants
5661 Participants
n=107 Participants
2907 Participants
n=206 Participants
2919 Participants
n=7 Participants
2865 Participants
n=31 Participants
2800 Participants
n=30 Participants
11243 Participants
n=3 Participants
34151 Participants
n=6 Participants
Primary Insurance Class
Other
542 Participants
n=99 Participants
580 Participants
n=107 Participants
291 Participants
n=206 Participants
288 Participants
n=7 Participants
267 Participants
n=31 Participants
292 Participants
n=30 Participants
1120 Participants
n=3 Participants
3380 Participants
n=6 Participants
Primary Insurance Class
Unknown
64 Participants
n=99 Participants
55 Participants
n=107 Participants
37 Participants
n=206 Participants
26 Participants
n=7 Participants
34 Participants
n=31 Participants
37 Participants
n=30 Participants
136 Participants
n=3 Participants
389 Participants
n=6 Participants

PRIMARY outcome

Timeframe: 6 months

Percent of patients with annual influenza vaccination (between 9/1/22 - 4/1/23) among index patients. Outcomes will be assessed via vaccine data extraction from the electronic health record and external claims and pharmacy data. The index patients must also be an active UCLA Health MyChart user (\>= 1 login over the last 12 months from 8/1/22, excluding activity on the user's initial profile activation date). Individuals not affiliated with any primary care practice will be excluded from the primary analysis.

Outcome measures

Outcome measures
Measure
Text Fixed R/R Messages With Direct Appointment Schedule Link + Text Pre-Appointment Reminders
n=43682 Participants
Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder via text when they schedule a visit during the study period. Text Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Text Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder via text when they schedule a visit during the study period.
Text Fixed R/R Messages With Direct Appointment Schedule Link
n=43668 Participants
Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Text Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
Portal Pre-Commitment Prompt, Tailored R/R Messages w/ Direct Scheduling + Pre-Appointment Reminders
n=21881 Participants
Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period. Portal Pre-Commitment Prompt with Tailored R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period.
Portal Pre-Commitment Prompt With Tailored R/R Messages With Direct Appointment Schedule Link
n=21876 Participants
Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Commitment Prompt with Tailored R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
Portal Fixed R/R Messages With Direct Appointment Schedule Link + Portal Pre-Appointment Reminder
n=21864 Participants
Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period. Portal Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period.
Portal Fixed R/R Messages With Direct Appointment Schedule Link
n=21857 Participants
Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
No R/R Message or Pre-Appointment Reminder
n=87257 Participants
Participants do not receive any flu vaccine R/R message or Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment during the specified flu season.
Number of Participants With Annual Influenza Vaccine Among Index Patients
20689 Participants
20570 Participants
10374 Participants
10317 Participants
10369 Participants
10308 Participants
41166 Participants

PRIMARY outcome

Timeframe: 6 months

Percent of patients with annual influenza vaccination (between 9/1/22 - 4/1/23) among pediatric index patients. Outcomes will be assessed via vaccine data extraction from the electronic health record and external claims and pharmacy data. The index patients must also be an active UCLA Health MyChart user (\>= 1 login over the last 12 months from 8/1/22, excluding activity on the user's initial profile activation date). Individuals not affiliated with any primary care practice will be excluded from the primary analysis.

Outcome measures

Outcome measures
Measure
Text Fixed R/R Messages With Direct Appointment Schedule Link + Text Pre-Appointment Reminders
n=4096 Participants
Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder via text when they schedule a visit during the study period. Text Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Text Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder via text when they schedule a visit during the study period.
Text Fixed R/R Messages With Direct Appointment Schedule Link
n=4129 Participants
Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Text Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by text. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
Portal Pre-Commitment Prompt, Tailored R/R Messages w/ Direct Scheduling + Pre-Appointment Reminders
n=2065 Participants
Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period. Portal Pre-Commitment Prompt with Tailored R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period.
Portal Pre-Commitment Prompt With Tailored R/R Messages With Direct Appointment Schedule Link
n=2046 Participants
Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Commitment Prompt with Tailored R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive a pre-commitment prompt message by portal in September. Tailored R/R messages will be sent monthly by portal based on time and place selected by patients (up to 3). R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
Portal Fixed R/R Messages With Direct Appointment Schedule Link + Portal Pre-Appointment Reminder
n=2028 Participants
Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period. Portal Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Pre-Appointment Reminder: Participants will receive a Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment via portal when they schedule a visit during the study period.
Portal Fixed R/R Messages With Direct Appointment Schedule Link
n=2079 Participants
Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment. Portal Fixed R/R Messages with Direct Appointment Schedule Link: Participants in this arm will receive up to 3 R/R messages by portal. R/R message will be sent with a Direct Appointment Scheduling link and instructions to make a flu vaccine appointment.
No R/R Message or Pre-Appointment Reminder
n=8238 Participants
Participants do not receive any flu vaccine R/R message or Pre-Appointment Reminder advising them to ask their doctor for the flu vaccine at their upcoming appointment during the specified flu season.
Number of Participants With Annual Influenza Vaccine Among Pediatric Index Patients
2132 Participants
2114 Participants
1068 Participants
1082 Participants
1090 Participants
1063 Participants
4245 Participants

Adverse Events

Text Fixed R/R Messages With Direct Appointment Schedule Link + Text Pre-Appointment Reminders

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Text Fixed R/R Messages With Direct Appointment Schedule Link

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Portal Pre-Commitment Prompt, Tailored R/R Messages w/ Direct Scheduling + Pre-Appointment Reminders

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Portal Pre-Commitment Prompt With Tailored R/R Messages With Direct Appointment Schedule Link

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Portal Fixed R/R Messages With Direct Appointment Schedule Link + Portal Pre-Appointment Reminder

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Portal Fixed R/R Messages With Direct Appointment Schedule Link

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

No R/R Message or Pre-Appointment Reminder

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Principal Investigator

UCLA

Phone: 310-206-6328

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place