Skip to main content
Top
Published in: Journal of General Internal Medicine 6/2022

01-05-2022 | Influenza Vaccination | Original Research

Impact of Patient Portal Messaging Reminders with Self-Scheduling Option on Influenza Vaccination Rates: a Prospective, Randomized Trial

Authors: Benjamin E. Ueberroth, M.D., Helene R. Labonte, D.O., Mark R. Wallace, M.D.

Published in: Journal of General Internal Medicine | Issue 6/2022

Login to get access

Abstract

Background

Patient portal messages have been used in a variety of ways to facilitate improved communication between provider and patient. These platforms have shown promise in many ways for improving various health outcomes and overall communication between patient and provider.

Objective

Assess the impact of automated portal reminder messages and self-scheduling options on increasing rates of annual influenza vaccination.

Design

This is a prospective, randomized, controlled study.

Participants

All patients who receive their primary care through an ambulatory primary care clinic at a large, multidisciplinary, academic health center.

Interventions

One group of patients received a portal message reminder to undergo influenza vaccination. A second group received the same message with instructions to self-schedule the vaccination appointment. A third group received no portal message (control).

Main Measures

Rates of influenza vaccination in each group for previously unvaccinated patients in the 2019−2020 influenza season.

Key Results

For the group receiving the message with self-scheduling option (n=5408), the in-study vaccination rate was significantly greater than the group receiving no message (n=5621) (15.7% vs. 13.5%; p=0.002). For the group receiving a message alone (without self-scheduling) (n=5699), the in-study vaccination rate was significantly greater than the group receiving no message (15.1% vs. 13.5%; p=0.01). There was no significant difference in vaccination rate between the two intervention groups receiving messages (15.7% vs. 15.1%; p=0.549).

Conclusions

Portal messaging reminders increase annual influenza vaccination rates, but the addition of a self-scheduling option did not further increase rates.

Key Words

vaccination patient portal messaging influenza
Literature
1.
go back to reference Thompson, W.W., et al., Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA, 2003. 289(2): p. 179-86.CrossRef Thompson, W.W., et al., Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA, 2003. 289(2): p. 179-86.CrossRef
2.
go back to reference Molinari, N.A., et al., The annual impact of seasonal influenza in the US: measuring disease burden and costs. Vaccine, 2007. 25(27): p. 5086-96.CrossRef Molinari, N.A., et al., The annual impact of seasonal influenza in the US: measuring disease burden and costs. Vaccine, 2007. 25(27): p. 5086-96.CrossRef
3.
go back to reference Grohskopf, L.A., et al., Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2019-20 Influenza Season. MMWR Recomm Rep, 2019. 68(3): p. 1-21.CrossRef Grohskopf, L.A., et al., Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2019-20 Influenza Season. MMWR Recomm Rep, 2019. 68(3): p. 1-21.CrossRef
4.
go back to reference Groenwold, R.H.H., A.W. Hoes, and E. Hak, Impact of influenza vaccination on mortality risk among the elderly. European Respiratory Journal, 2009. 34(1): p. 56-62.CrossRef Groenwold, R.H.H., A.W. Hoes, and E. Hak, Impact of influenza vaccination on mortality risk among the elderly. European Respiratory Journal, 2009. 34(1): p. 56-62.CrossRef
5.
go back to reference Simonsen, L., et al., Impact of influenza vaccination on seasonal mortality in the US elderly population. Arch Intern Med, 2005. 165(3): p. 265-72.CrossRef Simonsen, L., et al., Impact of influenza vaccination on seasonal mortality in the US elderly population. Arch Intern Med, 2005. 165(3): p. 265-72.CrossRef
6.
go back to reference Campbell, D.S. and M.H. Rumley, Cost-effectiveness of the influenza vaccine in a healthy, working-age population. Journal of Occupational and Environmental Medicine, 1997. 39(5): p. 408-414.CrossRef Campbell, D.S. and M.H. Rumley, Cost-effectiveness of the influenza vaccine in a healthy, working-age population. Journal of Occupational and Environmental Medicine, 1997. 39(5): p. 408-414.CrossRef
7.
go back to reference Cohen, G.M. and M.D. Nettleman, Economic impact of influenza vaccination in preschool children. Pediatrics, 2000. 106(5): p. 973-6.CrossRef Cohen, G.M. and M.D. Nettleman, Economic impact of influenza vaccination in preschool children. Pediatrics, 2000. 106(5): p. 973-6.CrossRef
8.
go back to reference Ryan, J., et al., Establishing the health and economic impact of influenza vaccination within the European Union 25 countries. Vaccine, 2006. 24(47-48): p. 6812-6822.CrossRef Ryan, J., et al., Establishing the health and economic impact of influenza vaccination within the European Union 25 countries. Vaccine, 2006. 24(47-48): p. 6812-6822.CrossRef
9.
go back to reference Marin-Hernandez, D., R.E. Schwartz, and D.F. Nixon, Epidemiological evidence for association between higher influenza vaccine uptake in the elderly and lower COVID-19 deaths in Italy. Journal of Medical Virology, 2021. 93(1): p. 64-65.CrossRef Marin-Hernandez, D., R.E. Schwartz, and D.F. Nixon, Epidemiological evidence for association between higher influenza vaccine uptake in the elderly and lower COVID-19 deaths in Italy. Journal of Medical Virology, 2021. 93(1): p. 64-65.CrossRef
10.
go back to reference Yang, M.J., et al., Influenza Vaccination and Hospitalizations Among COVID-19 Infected Adults. The Journal of the American Board of Family Medicine, 2021. 34: p. S179-S182.CrossRef Yang, M.J., et al., Influenza Vaccination and Hospitalizations Among COVID-19 Infected Adults. The Journal of the American Board of Family Medicine, 2021. 34: p. S179-S182.CrossRef
11.
go back to reference Chin, J., et al., Influenza Vaccination Quality Improvement as a Model for COVID-19 Prophylaxis. Cureus, 2021. 13(1): p. e12549.PubMedPubMedCentral Chin, J., et al., Influenza Vaccination Quality Improvement as a Model for COVID-19 Prophylaxis. Cureus, 2021. 13(1): p. e12549.PubMedPubMedCentral
12.
go back to reference Burgos, R.M., et al., The race to a COVID-19 vaccine: opportunities and challenges in development and distribution. Drugs Context, 2021. 10. Burgos, R.M., et al., The race to a COVID-19 vaccine: opportunities and challenges in development and distribution. Drugs Context, 2021. 10.
13.
go back to reference Mills, M.C. and D. Salisbury, The challenges of distributing COVID-19 vaccinations. EClinicalMedicine, 2021. 31: p. 100674.CrossRef Mills, M.C. and D. Salisbury, The challenges of distributing COVID-19 vaccinations. EClinicalMedicine, 2021. 31: p. 100674.CrossRef
14.
go back to reference COVID Vaccine Indiana: Can't Get an Appointment in Illinois? You Can Head Next Door. 2021. COVID Vaccine Indiana: Can't Get an Appointment in Illinois? You Can Head Next Door. 2021.
16.
go back to reference Crouse, B.J., et al., Hospital-based strategies for improving influenza vaccination rates. J Fam Pract, 1994. 38(3): p. 258-61.PubMed Crouse, B.J., et al., Hospital-based strategies for improving influenza vaccination rates. J Fam Pract, 1994. 38(3): p. 258-61.PubMed
17.
go back to reference Van Amburgh, J.A., et al., Improved influenza vaccination rates in a rural population as a result of a pharmacist-managed immunization campaign. Pharmacotherapy, 2001. 21(9): p. 1115-1122.CrossRef Van Amburgh, J.A., et al., Improved influenza vaccination rates in a rural population as a result of a pharmacist-managed immunization campaign. Pharmacotherapy, 2001. 21(9): p. 1115-1122.CrossRef
18.
go back to reference Arthur, A.J., et al., Improving uptake of influenza vaccination among older people: a randomised controlled trial. British Journal of General Practice, 2002 52(482) 717-+. Arthur, A.J., et al., Improving uptake of influenza vaccination among older people: a randomised controlled trial. British Journal of General Practice, 2002 52(482) 717-+.
19.
go back to reference Larson, E.B., et al., Do Postcard Reminders Improve Influenza Vaccination Compliance - a Prospective Trial of Different Postcard Cues. Medical Care, 1982. 20(6): p. 639-648.CrossRef Larson, E.B., et al., Do Postcard Reminders Improve Influenza Vaccination Compliance - a Prospective Trial of Different Postcard Cues. Medical Care, 1982. 20(6): p. 639-648.CrossRef
20.
go back to reference Nagykaldi, Z., et al., Impact of a Wellness Portal on the Delivery of Patient-Centered Preventive Care. Journal of the American Board of Family Medicine, 2012. 25(2): p. 158-167.CrossRef Nagykaldi, Z., et al., Impact of a Wellness Portal on the Delivery of Patient-Centered Preventive Care. Journal of the American Board of Family Medicine, 2012. 25(2): p. 158-167.CrossRef
21.
go back to reference Castano, P.M., M.S. Stockwell, and K.M. Malbon, Using Digital Technologies to Improve Treatment Adherence. Clinical Obstetrics and Gynecology, 2013. 56(3): p. 434-445.CrossRef Castano, P.M., M.S. Stockwell, and K.M. Malbon, Using Digital Technologies to Improve Treatment Adherence. Clinical Obstetrics and Gynecology, 2013. 56(3): p. 434-445.CrossRef
22.
go back to reference Cutrona, S.L., et al., Improving Rates of Outpatient Influenza Vaccination Through EHR Portal Messages and Interactive Automated Calls: A Randomized Controlled Trial. Journal of General Internal Medicine, 2018. 33(5): p. 659-667.CrossRef Cutrona, S.L., et al., Improving Rates of Outpatient Influenza Vaccination Through EHR Portal Messages and Interactive Automated Calls: A Randomized Controlled Trial. Journal of General Internal Medicine, 2018. 33(5): p. 659-667.CrossRef
23.
go back to reference Stockwell, M.S., et al., Effect of a Text Messaging Intervention on Influenza Vaccination in an Urban, Low-Income Pediatric and Adolescent Population A Randomized Controlled Trial. Jama-Journal of the American Medical Association, 2012. 307(16): p. 1702-1708.CrossRef Stockwell, M.S., et al., Effect of a Text Messaging Intervention on Influenza Vaccination in an Urban, Low-Income Pediatric and Adolescent Population A Randomized Controlled Trial. Jama-Journal of the American Medical Association, 2012. 307(16): p. 1702-1708.CrossRef
24.
go back to reference Szilagyi, P.G., et al., Effect of Patient Portal Reminders Sent by a Health Care System on Influenza Vaccination Rates: A Randomized Clinical Trial. JAMA Intern Med, 2020.CrossRef Szilagyi, P.G., et al., Effect of Patient Portal Reminders Sent by a Health Care System on Influenza Vaccination Rates: A Randomized Clinical Trial. JAMA Intern Med, 2020.CrossRef
25.
go back to reference Healthy People 2020: vaccination coverage objectives. 2020 [cited 2020 July 8]. Healthy People 2020: vaccination coverage objectives. 2020 [cited 2020 July 8].
26.
go back to reference Burson, R.C., et al., Community pharmacies as sites of adult vaccination: A systematic review. Human Vaccines & Immunotherapeutics, 2016. 12(12): p. 3146-3159.CrossRef Burson, R.C., et al., Community pharmacies as sites of adult vaccination: A systematic review. Human Vaccines & Immunotherapeutics, 2016. 12(12): p. 3146-3159.CrossRef
27.
go back to reference Schnock, K.O., et al., Acute Care Patient Portal Intervention: Portal Use and Patient Activation. Journal of Medical Internet Research, 2019. 21(7). Schnock, K.O., et al., Acute Care Patient Portal Intervention: Portal Use and Patient Activation. Journal of Medical Internet Research, 2019. 21(7).
28.
go back to reference Edwards, E.A., et al., Gamification for health promotion: systematic review of behaviour change techniques in smartphone apps. Bmj Open, 2016. 6(10). Edwards, E.A., et al., Gamification for health promotion: systematic review of behaviour change techniques in smartphone apps. Bmj Open, 2016. 6(10).
29.
go back to reference Ramsey, A., et al., Increasing Patient Portal Usage: Preliminary Outcomes From the MyChart Genius Project. Journal of Adolescent Health, 2018. 62(1): p. 29-35.CrossRef Ramsey, A., et al., Increasing Patient Portal Usage: Preliminary Outcomes From the MyChart Genius Project. Journal of Adolescent Health, 2018. 62(1): p. 29-35.CrossRef
30.
go back to reference Abbas, K.M., et al., Demographics, perceptions, and socioeconomic factors affecting influenza vaccination among adults in the United States. PeerJ, 2018. 6: p. e5171.CrossRef Abbas, K.M., et al., Demographics, perceptions, and socioeconomic factors affecting influenza vaccination among adults in the United States. PeerJ, 2018. 6: p. e5171.CrossRef
31.
go back to reference Armstrong, K., et al., Barriers to influenza immunization in a low-income urban population. Am J Prev Med, 2001. 20(1): p. 21-5.CrossRef Armstrong, K., et al., Barriers to influenza immunization in a low-income urban population. Am J Prev Med, 2001. 20(1): p. 21-5.CrossRef
32.
go back to reference Zucker, J., et al., Measuring and Assessing Preventive Medicine Services in a Student-Run Free Clinic. Journal of Health Care for the Poor and Underserved, 2013. 24(1): p. 344-358.CrossRef Zucker, J., et al., Measuring and Assessing Preventive Medicine Services in a Student-Run Free Clinic. Journal of Health Care for the Poor and Underserved, 2013. 24(1): p. 344-358.CrossRef
33.
go back to reference Ueberroth, B.E. and D.R. Siegel, The Utility of EMRs in Student Run Clinics. Clin Teach, 2020. 17(2): p. 159-162.CrossRef Ueberroth, B.E. and D.R. Siegel, The Utility of EMRs in Student Run Clinics. Clin Teach, 2020. 17(2): p. 159-162.CrossRef
Metadata
Title
Impact of Patient Portal Messaging Reminders with Self-Scheduling Option on Influenza Vaccination Rates: a Prospective, Randomized Trial
Authors
Benjamin E. Ueberroth, M.D.
Helene R. Labonte, D.O.
Mark R. Wallace, M.D.
Publication date
01-05-2022
Publisher
Springer International Publishing
Published in
Journal of General Internal Medicine / Issue 6/2022
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-021-06941-z

Other articles of this Issue 6/2022

Journal of General Internal Medicine 6/2022 Go to the issue