Text-based survey on vaccine hesitancy was ‘highly acceptable’ for patients on dialysis
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Key takeaways:
- More than 80% of respondents and nonrespondents said the survey was highly acceptable.
- Patients aged 80 years and older were less likely to respond as their younger counterparts.
A text message-based survey was highly acceptable and had moderate reach for patients on dialysis, according to published data, though response rates were lower in certain groups.
“Mobile health technologies have numerous applications for patients with kidney failure receiving dialysis, including collecting patient-reported outcome measures, delivering patient education and administering interventions to improve self-management,” Sri Lekha Tummalapalli, MD, of Weill Cornell Medicine, wrote with colleagues. These “technologies may be particularly promising as a mode of survey administration to assess symptoms, quality of life and patient experience, particularly because these surveys have been plagued by low response rates.”
Researchers conducted a cross-sectional short message service-based survey to assess COVID-19-related vaccine hesitancy. Researchers included 1,008 patients in New York City who were on in-center hemodialysis, peritoneal dialysis or home hemodialysis. Main study outcomes were reach, acceptability and patient preference on survey administration.
Overall, 310 patients responded to the survey for a response rate of 31%. Patients aged 80 years and older were not as likely to respond as patients aged 18 to 44 years, according to the results. Researchers also found patients who were identified as being non-Hispanic Black, Hispanic and Asian or Pacific Islander were less likely to respond vs. non-Hispanic white patients.
Patients living in areas with greater neighborhood-level social vulnerability based on the social vulnerability index were also less likely to respond.
More than 80% of respondents and nonrespondents reported the text survey as highly acceptable for convenience, which included efficiency, multitasking, synchronicity, privacy, interpersonal interaction and accessibility.
“Text messaging is a promising strategy to collect patient-reported data in this medically complex population,” Tummalapalli and researchers wrote, “but further interventions are needed to engage older individuals, racial and ethnic minorities, and patients residing in socially vulnerable neighborhoods.”
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