PMID- 31290405 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1929-0748 (Print) IS - 1929-0748 (Electronic) IS - 1929-0748 (Linking) VI - 8 IP - 7 DP - 2019 Jul 9 TI - Text Message Reminders and Unconditional Monetary Incentives to Improve Measles Vaccination in Western Kenya: Study Protocol for the Mobile and Scalable Innovations for Measles Immunization Randomized Controlled Trial. PG - e13221 LID - 10.2196/13221 [doi] LID - e13221 AB - BACKGROUND: Globally, 21 million children do not receive the measles vaccine each year. With high levels of mobile phone access and ownership, opportunities exist to leverage mobile health technologies to generate demand for immunization. OBJECTIVE: The aim of the Mobile and Scalable Innovations for Measles Immunization trial is to determine if text message (short message service, SMS) reminders, either with or without mobile phone-based incentives, can improve measles immunization coverage and timeliness in rural western Kenya. METHODS: This is a 3-arm, parallel, randomized controlled trial (RCT). Using simple randomization, caregivers in Siaya County, Kenya, will be randomized and evenly allocated to 1 of 3 study arms: (1) control, (2) SMS reminders only, and (3) SMS reminders plus a 150 Kenyan Shilling (KES) incentive. Participants assigned to the SMS group will be sent SMS reminders 3 days before and on the day before the measles immunization visit scheduled for when the child is 9 months of age. Participants in the incentive arm will, in addition to SMS reminders as above, be sent an unconditional 150 KES mobile-money incentive to their mobile phone 3 days before the child becomes 9 months of age. Children will be followed up to the age of 12 months to assess the primary outcome, a measles vaccination by 10 months of age. Log-binomial regressions will be used to calculate relative risks. RESULTS: Enrollment was completed in March 2017. We enrolled 537 caregivers and their infants into the following groups: control (n=179), SMS reminders only (n=179), and SMS reminders plus 150 KES (n=179). Results will be made publicly available in 2020. CONCLUSIONS: Few RCTs have examined the effect of text message reminders to improve measles immunization coverage. This is the first study to assess the effect of SMS reminders with and without unconditionally provided mobile-money incentives to improve measles immunization coverage. TRIAL REGISTRATION: ClinicalTrials.gov NCT02904642; https://clinicaltrials.gov/ct2/show/NCT02904642 (Archived by WebCite(R) at http://www.webcitation.org/78r7AzD2X). INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/13221. CI - (c)Dustin G Gibson, E Wangeci Kagucia, Joyce Were, David Obor, Kyla Hayford, Benard Ochieng. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 09.07.2019. FAU - Gibson, Dustin G AU - Gibson DG AUID- ORCID: 0000-0002-9073-3376 AD - Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. FAU - Kagucia, E Wangeci AU - Kagucia EW AUID- ORCID: 0000-0002-4481-8889 AD - International Vaccine Access Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. FAU - Were, Joyce AU - Were J AUID- ORCID: 0000-0002-3344-7226 AD - Center for Global Health Research, Kenya Medical Research Institute, Kisian, Kenya. FAU - Obor, David AU - Obor D AUID- ORCID: 0000-0002-2852-6368 AD - Center for Global Health Research, Kenya Medical Research Institute, Kisian, Kenya. FAU - Hayford, Kyla AU - Hayford K AUID- ORCID: 0000-0002-9872-2313 AD - International Vaccine Access Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States. FAU - Ochieng, Benard AU - Ochieng B AUID- ORCID: 0000-0002-8591-5845 AD - Center for Global Health Research, Kenya Medical Research Institute, Kisian, Kenya. LA - eng SI - ClinicalTrials.gov/NCT02904642 PT - Journal Article DEP - 20190709 PL - Canada TA - JMIR Res Protoc JT - JMIR research protocols JID - 101599504 PMC - PMC6647752 OTO - NOTNLM OT - Kenya OT - measles vaccine OT - text messaging OT - vaccination coverage COIS- Conflicts of Interest: None declared. EDAT- 2019/07/11 06:00 MHDA- 2019/07/11 06:01 PMCR- 2019/07/09 CRDT- 2019/07/11 06:00 PHST- 2018/12/27 00:00 [received] PHST- 2019/04/28 00:00 [accepted] PHST- 2019/04/11 00:00 [revised] PHST- 2019/07/11 06:00 [entrez] PHST- 2019/07/11 06:00 [pubmed] PHST- 2019/07/11 06:01 [medline] PHST- 2019/07/09 00:00 [pmc-release] AID - v8i7e13221 [pii] AID - 10.2196/13221 [doi] PST - epublish SO - JMIR Res Protoc. 2019 Jul 9;8(7):e13221. doi: 10.2196/13221.