wic two-way texting: meeting the communication needs of gen "y" moms

7/30/2019 WIC Two-Way Texting: Meeting the Communication Needs of Gen "Y" Moms

1/13

Educational Message Services, Inc. 2300 Alessandro Drive. Suite 100, Ventura CA 93001 USA | Phone: 805 653 6000

PreventionPays Text: Utilizing Texting to IncreaseBreastfeeding and Nutrition Education Among

WIC Participants !Meeting the Communication Needs

of Gen Y!

*This project was highlighted March 20, 2013 at the National WIC Association webinar: Texting for WIC Peer Counselors


2/13


Trends in Texting !n Over 2.5 trillion text messages were sent in 2011, up from 1.5 trillion in 2009 and 363 billion in 2007,

according to the wireless trade association CTIA.!n Adult cell phone users are increasingly texting 72% text as of May 2010, up from 65% in September 2009.!n 302 million wireless subscribers1 in the U.S.!n Pew Internet data suggest that minorities tend to text message more than their white counterparts: 50% of

Hispanics and 47% of African Americans who own cell phones report texting on a typical day, comparedwith 40% of whites.!

n Mobile users sent and received more text messages in 2008 than phone calls averaging 357 text messagesa month versus 204 phone calls.!

n While early data suggested texting might be more preferred among younger groups, more recent dataclearly demonstrates texts appeal has spread across all ages and demographics. 6 Billion texts are beingsent every day in the U.S. Texting is available on every phone, by every wireless carrier, by every phonemanufacturer, running every operating system. Its everywhere.

!n Individuals who grew up texting are just now reaching adulthood. And its this group that will be seeking

healthcare services and products with the expectation that these services be accessible through smschannels. !

!!


3/13


Key Finding !!n WIC Santa Barbara Text Program has enjoyed a nearly 100% participation rate. To date,

only 4 subscribers have opted out (598 Users and 594 remain) !n Young moms are texting more than any other group, with particularly high rates among

low-income minorities. This project is scalable and would help support WIC with its aimsto reduce obesity and promote nutrition. Proven health IT solutions are criticalcomponents for current and future funding initiatives.!

*Information on texting in public health is available on the CDC website, go to: http://www.cdc.gov/mobile/!


4/13


Texting4Health !!!

Janice R. Nall, with the Centers for Disease Control and Preventions National Center for HealthMarketing in her presentation, Why CDC Cares About Mobile Health included ten attributesof text messaging for healthcare, which were:!n

Always on and with you!n Reaches across demographic linesunderserved populations!n Contextual!n Inexpensive to own!n Two-way communicationsengagement opportunities!n Emergency alerting tool!n

Surveillance toolnot just dissemination or engagement!

n Immediacy of action and response!n Measurable results!n Portability!!


5/13


SystemPreparations!Provision Database(staff profiles,

Education)!Setup Computer

Workstations!

Orientation!Training (Web-based)

!Peer to Peer!

Launch!Pilot Sites!Expansionstatewide after first

year!

Process !


6/13


System Security !!The PPTMS Website supports https secure socket layer (ssl)* and contains the text messageresponse interface. Text line responders log in for each session with a username and password. !!All data resides on an EMS server at a Co-lo to ensure availability, access, and security. !!Absolutely no software or information (e.g. unique identifiers, or text message content) isdownloaded onto staff computers. !!!*Secure Sockets Layer (SSL) 128-bit encryption is the process of encoding information !in such a way that the entity or computer with the key can decode it, or taking all the !data that one computer is sending to another and encoding the data into a form that only!the receiving computer will be able to decode. User privilege acceptance and consent !authentication process will rely on username, password and verified data sources. !


7/13


Training Strategies !!!Web-based Group Session (1 hour)!!Spot training, individual training with each responder, as needed (30 min)!!A Quick Start Guide will be provided with each log in!!Note: PPTMS was designed to be highly intuitive. Most staff are fully trainedand using the service competently after completing web-based group session!


8/13


Optin based means the end user has the right to request communication by texting akeyword to a short code, but they also have the right to opt out by texting STOP. Theend user is always in control of the communication. !!Opt in short code services are strictly governed by CTIA and MMA!!It is because of CTIA/MMA regulations that end user initiated texting is the onlystrategy recommended by HHS, CDC, and HRSA.!

!Opt-in Based Texting!


9/13


Text Message Education!

PreventionPays Text is working with Santa Barbara County WIC to provide a multilingualtexting solution for new moms and pregnant women.!!Breastfeeding and nutrition education provided as weekly, fully-automated messages,triggered at the point of optin !!Prenatal and postnatal tracks in English and Spanish !!Education is based on WIC approved content and can be customized to meet the needs ofmultiple priority groups with varying needs!


10/13


Two-Way Texting as #Education Contact

!Per National WIC guidelines the definition of an education contact requiresthat the recipient be able to reply to messages and receive live one-on-onefeedback in the form of either face-to-face, phone, IM or Text. Sending one-way

messages that do not enable bidirectional live feedback (at the end usersrequest) cannot be considered an education contact. See The WIC WorksResource System (USDA collaboration) !!PPTMS two-way capacity enables participants to ask specific questions about thecontent by simply replying to an alert. Staff will be alerted when a question isasked, and use the web-based system to engage in two-way dialogue with client

until their question or issue is resolved.!!

Peer Counselors can engage any participant for scheduling appointments,requesting information or obtaining feedback regarding perceived value ofeducation. !!PreventionPays is taking the place of a telephone voice call.!


11/13


Research Opportunities!PreventionPays Text has been the technology behind several pilot projects andevaluations conducted under IRB protocols with funding and researchguidelines from SAMHSA. PreventionPays Text is supporting SAMHSA funded

programs to support statewide youth suicide prevention efforts in three states,Alaska, Minnesota, Nevada.!!New opportunities for research and collaborations!! USDA funding initiatives to support innovative strategies for disseminating

nutrition education to address obesity and childhood diabetes.!

HRSA and HHS are seeking dissemination partners for their evidence-basedtxt4tots message library (an ideal fit for postnatal messaging with new moms)!Evaluations in efficacy across priority groups, literacy levels, languages,technology/usability quotients etc.!


12/13


Delayed Triage for Fully- #Automated Surveys (Polls & Quizzes)!

PPTMS enables WICs to develop fully automated surveys in order to obtainparticipant feedback on perceived value of service !!Surveys can be delayed or set to deploy at the end of an education track!


13/13


Contact Information!

www.preventionpaystext.com!

Phone: 805-653-6000Email: [email protected]: Text INFO to 898211

wic two-way texting: meeting the communication needs of gen "y" moms

Documents