STD Prevention Potential Uses Information Campaign Helping DIS locate partners Appointment Reminders Background httpwwwtatangocombloghistoryoftextmessagingtimelinewide Information Campaign ID: 129914
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Slide1
Using Texting for STD PreventionSlide2
Potential Uses
Information CampaignHelping DIS locate partnersAppointment RemindersSlide3
Background
http://www.tatango.com/blog/history-of-text-messaging-timeline-wide/Slide4
Information Campaign
Target audience signs up for information about topic using “short code”.A short code is a short telephone number, often used for short message service (SMS) or text messaging. Slide5
Short CodesShared
Shared short codes: use keywordsto identify their incomingmessages from each other. For example, pay to use short
code “55555”. For a minimal fee,assign a “keyword” to thisnumber (e.g., “Chlamydia”,“Safersex”, etc). Disadvantage: same number with
the keyword “Burgers” get youcoupon from local diner.Dedicated
Exclusive use of the short code Can assign
whatever key words you wantDisadvantage: more expensiveSlide6
Bulk Messaging/Alerts
Encourage people to sign up to receive regular text messages with news, healthy tips, etc.
When
a client texts "QUITNOW" to 22122, they receive a text message response stating that a quit coach will call them within one business day.
Example, New Hampshire Tobacco Helpline:Image: NCI’s Smokefree TXT Program Slide7
Example: New Hampshire Tobacco Helpline Text Messaging Initiative
Within this platform, messages are customized based on a client’s stage of change (e.g., thinking about quitting, want to set a quit date, already quit) and type of tobacco use.
Each client can potentially receive up to 90 text messages to assist him/her throughout the quitting process.
Image: Text2Stop Program MessageSlide8
Example Vendors
Mobile Commons http://www.mobilecommons.com
sumotext http://www.sumotext.com2ergo http
://www.2ergo.com/us/ We are not endorsing any vendors. Slide9
Using SMS for DIS
Multnomah County, Oregon wrote SMS Protocol for DIS in 2010:Already doing online partner notification (2006); easy transition to mimic the same system.
Had established track record of providing confidential services via email.
HIPAA officer wrote procedure.Procedures do not require opt-in when used for partner notification.
http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=5&ved=0CHMQFjAE&url=http%3A%2F%2Fsextech.org%2Fsites%2Fdefault%2Ffiles%2Fpresentations%2F2012%2FDiaz_Edwin_THE_CUTTING_EDGE_OF_STD_TESTING_TREATMENT_AND_PARTNER_NOTIFICATION.ppt&ei=BEC8T4buJu-e6wG84MRf&usg=AFQjCNHdg5R-W-m7Mf3CflTwr02IqEVwJgSlide10
5
TH
Annual
ISIS CONFERENCE ON NEW MEDIA, YOUTH & SEXUAL HEALTH
April 1st - 3
rd
, 2012 San Francisco, CA
The Procedures Slide11
5
TH
Annual
ISIS CONFERENCE ON NEW MEDIA, YOUTH & SEXUAL HEALTH
April 1
st - 3rd, 2012 San Francisco, CA
The
Procedures, Continued.
Text messaging are not secure
!
Subject to public records retention laws
!
Phone Call first
!
The purpose of sending a text message is to engage the individual in a voice call or face-to-face
conversation.
Protected health information (PHI) must never be sent via text messaging
.Slide12
5
TH
Annual
ISIS CONFERENCE ON NEW MEDIA, YOUTH & SEXUAL HEALTH
April 1st - 3
rd
, 2012 San Francisco, CA
Comparison: 01/01-3/26
Cases
Texted
248
11%
54%
2011
2012
279
29%
78%
RespondedSlide13
Appointment Reminders
Clients give permission to use cell phone numberAutomatic texts from EMR to remind clients of appointmentsSlide14
Do Text Messages for Appointment Reminders Work?
Acceptability of test message reminders has been specifically demonstrated in the sexual health context.2009 Study in Family Planning Clinics in Maine found that text messaging the least preferred and least efficacious method compared to phone and letters.
Kegg S,
Natha M, Lau R. Communication with patients: Are e-mail and text messaging the answer? Int J STD AIDS 2004;15(46).Slide15
Maine Study
For scheduling rescreening appointment, reminder methods offered were text messaging, phone, mail or no contact for confidential clients. Family planning staff explained that a generic message “To Your Health” would be sent and the client was instructed to call the clinic for an appointment.
Not possible for the client to text back to schedule an appointment.
HIPAA laws and confidentiality concerns prohibited offering an appointment via text messaging. Slide16
Results of Maine Study
188 Positive Test March
2009 – October 2009
Contact option
Option
Appointment scheduled
Appointment kept
Phone
44%
20%
94%
Mail
30%
10%
94%
Text
21%
15%
33%Slide17
STD Clinic in Peoria County, IL
Peoria City/County Health Department STD Clinic, 2010Text
messaging among the target population (male/female 25 and younger) is accepted communication practice. Majority preferred text messaging to phone calls
-confirmed by survey of clients. Among those clients proactively treated and who opted for text message, 40% of them called the clinic to confirm their result compared to 15% of clients who chose to call the
clinic.http://www.naccho.org/topics/modelpractices/database/practice.cfm?practiceID=731Slide18
Comparison of time to treatment before/after texting implemented
Treated for GC within 14 Days
2008
2009
76%
Treated for CT within 14 Days
74%
81%
87%
http://www.naccho.org/topics/modelpractices/database/practice.cfm?practiceID=731Slide19
Thank You.