0
A few days after the presentation, we will send an evaluation and links to an
archive and resources.
We appreciate your fe...
To receive notifications of future webinars and other learning opportunities
from the Military Families Learning Network, ...
• Webinar participants who want to get 2.0 NASW CE Credits (or just
want proof of participation in this training) need to ...
Today’s Presenters:
Luisa Soaterna-Castañeda, MPH is the Multicultural Outreach Manager for the
Text4Baby program at the N...
Today’s Presenters:
Aaron T. Ebata, PhD is an Associate
Professor and Extension Specialist in the
Department of Human and ...
Text4baby: A
Tool for
Engaging
Families
Harnessing the Power of Mobile
for Maternal & Child Health in the
U.S.
text4baby
The Need
text4baby
Maternal & Child Health in the U.S.
8
• African-American babies die
at a rate more than twice that
of their Whit...
text4baby
Maternal & Child Health in the U.S.
• Many factors contribute to these
negative outcomes including:
– Lack of ac...
text4baby
Mobile Devices Help Make a Difference
10
0% 10% 20% 30% 40% 50% 60% 70% 80%
Medicare
Veteran's health
No insuran...
text4baby
Who We Are:
Text4baby at a
Glance
Text4baby
Text4baby Supports Your Patients
• Text4baby is the largest mobile health
initiative in the nation reaching over...
text4baby
Text4baby Founding Partners
Who We Are
13
Non-Profit
maternal and child
health expert
Leader in mobile
health te...
text4baby
Mobile Provider Partners
Participating mobile providers have agreed to deliver Text4baby to their
subscribers at...
text4baby
Engaging the Community: More than 1,100 National, State
and Local Partners
text4baby Enrollment by Zip Code
Virginia Feb-Aug 2010
Text4baby’s Research Director routinely monitors and analyzes a wid...
text4baby
Reach and
Receptiveness
text4baby
Text4baby is Reaching its
Target Audience
• Text4baby is reaching
individuals early in their
pregnancy
– 47% enr...
text4baby
Well Received by Participants
• 99% of WIC participants in an Emory University study (baseline
n=468) had no con...
Text4baby is Making an Impact
text4baby
Content Development
Text4baby
Delivery and
Exposure
Reactions/
Receptivity
Mediators
Behavior
Change
Health OutcomesSocial, cultural, & physic...
text4baby
Literature
Review
Priority
Topics
Audience
Testing
Content
Development
Expert
Review
Audience
Testing
Ongoing
Re...
text4baby 24
Content Development Council:
• American Academy of Pediatrics (AAP)
• American College of Nurse-Midwives (ACN...
• 267 Messages Total
• Breakdown of messages by broad topic area:
• 61 Safety
• 56 Development
• 45 Nutrition
• 44 Support...
• 58% contain additional health and resource info
• 46% (123 messages) link to text4baby mobile web pages
developed in par...
(1/2) text4baby: Every
week of pregnancy is
important for your
baby’s development. So
if you have a healthy
pregnancy, wai...
text4baby
Connecting to Health Coverage
Partnership with Centers for Medicare & Medicaid Services (CMS)
– In February 2012...
text4baby29
20%
Employer
Text4baby’s Medicaid / CHIP module
Text4baby | Medicaid / CHIP module
Results by Text4baby Participant:
Pregnant vs. Mother with infant < 1 year of age
text4baby31
20%
Employer
Text4baby | Medicaid / CHIP module
Results by Language Group
text4baby
KFF Findings
• Text4baby featured in February 2014 Issue Brief: Profiles of Medicaid
Outreach and Enrollment Str...
text4baby
Encouraging Flu Shots Through Interactive
Module: 2012 Flu Module
33
• Overall Goal of the Flu Module:
• Reduce ...
text4baby 34
2013-2014 Flu Module Goals
1. Send timely messages and reminders to all T4B users during flu season
• The initial message ...
text4baby
Text4baby: It's flu season. Everyone 6 months & older needs a flu shot. Babies under 6
months can't get the shot...
Immunization Module Pilot
Overview
Background/Goal
• Piloted with Immunize Nevada and California Department of Health
• En...
Immunization Module:
Immunization Key Findings
Well-baby Visit Attendance Higher Among Moms
Who Receive Education & Remind...
text4baby
Clinical Text4baby
Implementation
text4baby 40
text4baby | Quality Metrics |
Customer Satisfaction
Getting Care
Getting care easily
Getting care quickly
Sat...
text4baby 41
EPSDT Measures Text4baby
Early
Assessing and identifying problems early
• Communicating to mothers appropriat...
text4baby 42
CHIPRA Measures Text4baby
Immunizations
Childhood immunization status
(by 2nd birthday)
• Encourages immuniza...
text4baby
Enrollment and Appointment
Reminders
text4baby
Help Enroll Patients-Signing up is Easy!
44
1) Text BABY to 511411 (BEBE
for Spanish)
2) Follow prompt to enter ...
text4baby
Enroll Patients from Web Enrollment
Button
45
• In addition to SMS enrollment, patients can enroll online at
www...
Improve Appointment Attendance:
Use Text4baby Appointment Reminder Service
• Text4baby participants can set up reminders f...
Other Important Information for your Patients
47
• Text4baby messages do not include any advertising or spam
text4baby
Make it Easy to Promote Text4baby and
Enroll Women
• Train patient-facing staff (scheduler, application
assistan...
text4baby 49
Integrate Text4baby Enrollment in to your
process – SMS Enrollment
Text4baby poster or
tearpad displayed or
a...
text4baby
text4baby
FREE Promotional Materials and Resources
Available to Support your Efforts
• All promotional materials
(availabl...
text4baby
Q&A
52
Today’s Presenters:
Aaron T. Ebata, PhD is an Associate Professor and
Extension Specialist in the Department of Human
and ...
Engaging Parents
“Just in Time”
eXtension Just in Time Parenting
Community of Practice
Aaron Ebata, Ph.D & Pat Tanner Nels...
Today’s Overview
• What is JITP and how does it work?
• Why is JITP important?
• Just In Time Parenting (JITP) electronic ...
• Connecting and engaging the public with
university knowledge and research to
address youth, family and community
needs.
...
What is “Just in Time
Parenting”?
• Pulls together key messages from research
about how to help kids grow up healthy and
ready for success
• Provides small ...
Goals of JITP
•Catch parents at a time when they are open to
learning and need information
•Foster developmentally appropr...
When your
child is You get
2 month 2 month issue
12 month 12 month issue
1 month 1 month issue
How Does it Work?
JITP starts prenatally….
• Prenatal – age 5
– Prenatal (1 per trimester)
– Newborn (1)
– Months 1-12 (monthly)
– Years 2-5...
Early Innovations
• Print information mailed directly to parents
• Birth – age 3
• Multiple versions developed and maintai...
Current Innovations
• Automated electronic delivery (English) with print
version for traditional delivery (English, Spanis...
Who developed JITP?
• A team of faculty and educators from
over 20 land grant universities
nationwide –
• combining their ...
Parents Who Use JITP:
• Rate JITP as more useful than any other
source of information.
• Have age-appropriate expectations...
Greater impact among
first-time parents, as well
as the youngest, poorest
and least educated
Parent Voices
• “I think it's great you are reaching out to the community to
educate parents. It is very much needed.”
• “...
Early Experiences Matter
1) Early experiences affect brains and bodies
2) Physical and mental well-being are nourished by:...
Why Does JITP Matter?
 Parents want and need information
 Families play a key role in shaping health and
success through...
Why Electronic Delivery?
Poll
Today’s parents are….
• Less likely to attend
traditional programs
• Seeking information
online
• Using mobile devices to
...
Sources of Parenting Information
Parents w/ Children Under 10 Years (Florida)
0
10
20
30
40
50
60
70
80
90
100
Mothers
Fat...
Metzler, Sanders, Rusby, &
Crowley, 2011
Preferences for Parenting Information
Parents of 3-6 Year Olds (National)
Pew Internet and American Life Project, 2012, 2013
 46% of American adults
owned smartphones (33% of 14-
17 year olds)
 ...
Smaller Income Differences
Among the Young
Devices Used for Online Access
Rural Parents of 1 & 2-year Olds
0
5
10
15
20
25
30
35
40
45
50
Desktop Laptop Tablet Phone...
0 20 40 60 80 100
Online classes, webinars
Listen to podcasts
Discussion boards
Read blogs
Use Twitter
Emailed newsletters...
Digital Divide?
• Younger and unmarried
parents more likely to use
internet for parenting
information
(Radey & Randolph,
2...
Delivering JITP 2.0 Electronically
Mobile Ready, Ready for Sharing
JITP.extension.org
How Does JITP Work?
Subscribe
Monthly email
reminders
Monthly
eNewsletters
Invitation to
provide
feedback
Online survey
Email reminders
Web-based “eNewsletter”
Responsive Design
iPad
Samsung Galaxy iPhone 5
Download PDF for Printing
PDF versions
Social Sharing
Facebook Twitter
Monitoring Use and
Evaluating Impact
Poll
Website Statistics (2012)
• 111,057 visits from 75,969 individuals from 150
countries
• Top 5 were: US, India, UK, Philipp...
How Visitors Get to JITP
 15% from mobile devices
Search
engine
49%
Email
reminders
27%
Links from
websites
24%
Newsletter Views
by Age Groups
2,013
35,862
15,645
10,164
0
5000
10000
15000
20000
25000
30000
35000
40000
Expectant
Paren...
Email Subscribers
Status 2013
Since Initiation
(July 2008)
Registered 1,592 8,180
Current active subscriptions: 4,897
% Who Opened Emails
% Who Clicked on Link
Usefulness of Sources of Information
JITP Parents of 1 & 2 Year Olds
0 20 40 60 80 100
Texting programs
Online classes
Onl...
Implications
• Electronic delivery systems and
technological applications are an
important way for reaching a large part o...
• Our goal: Each family is getting the
messages they need – in the format that
is most convenient for them -- at the
most ...
How YOU Can Use JITP?
 Promote JITP directly to your clientele
 Link to the JITP website from your website
 Use social ...
Take These Points Home
 Colorful, attractive design
 Research-based, free from ads
 Time-frame (pre-natal – age 5) incl...
Contact Us!
• Information on how to deliver print version:
Pat Tanner Nelson
University of Delaware
ptnelson@udel.edu
• In...
• Webinar participants who want to get 2.0 NASW CE Credits (or just
want proof of participation in this training) need to ...
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agricultu...
Military Families Learning Network
This material is based upon work supported by the National Institute of Food and Agricu...
April 24 novel comm. tools
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April 24 novel comm. tools

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Novel Communication Tools: Using Text4Baby & Just In Time Parenting to Meet the Needs of Parents WEBINAR

Location: https://learn.extension.org/events/1459

Presenters of this 2 hour webinar will highlight how parents today are less likely to attend traditional parenting programs, provide research showing that parents are increasingly seeking information online, through social media and mobile devices and promote the use of two FREE, effective and innovative resources that can meet the needs of parents with young children.

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Transcript of "April 24 novel comm. tools"

  1. 1. A few days after the presentation, we will send an evaluation and links to an archive and resources. We appreciate your feedback. To receive these emails, please enter your email address in the chat box before we start the recording. All chat will be recorded and archived. Welcome to the Military Families Learning Network Webinar: Novel Communication Tools: Using Text4Baby & Just In Time Parenting to Meet the Needs of Parents This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
  2. 2. To receive notifications of future webinars and other learning opportunities from the Military Families Learning Network, sign up for the Military Families Learning Network Email Mailing list at: http://bit.ly/MFLNlist www.eXtension.org/militaryfamilies facebook.com/militaryfamilies bit.ly/MFLNwebinars blogs.eXtension.org/militaryfamilies twitter.com/MilFamLN Welcome to the Military Families Learning Network This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
  3. 3. • Webinar participants who want to get 2.0 NASW CE Credits (or just want proof of participation in this training) need to take the post-test provided at the end of the webinar » CE Certificates of completion will be automatically emailed to participants upon completion of the post-test. » Questions/concerns surrounding the National Association of Social Workers (NASW) CE credit certificates can be emailed to this address: MFLNmilitaryfamilyadvocate@gmail.com » Sometimes state/professional licensure boards for fields other than social work recognize NASW CE Credits, however, you would have to check with your state and/or professional boards if you need CE Credits for your field. • To learn more about obtaining CE Credits, please visit this website: http://blogs.extension.org/militaryfamilies/family-development/professional- development/nasw-ce-credits/ CE Credit Information
  4. 4. Today’s Presenters: Luisa Soaterna-Castañeda, MPH is the Multicultural Outreach Manager for the Text4Baby program at the National Healthy Mothers, Healthy Babies Coalition (HMHB). She coordinates outreach to multicultural communities and faith-based communities, as well as targeted outreach among designated partners whose work involves Spanish- speaking audiences. She also provides technical assistance for various states while also overseeing the development, translation and editing of bilingual materials, messages and resources. Luisa has extensive experience as a community advocate, interpreter and leader in public health. She has worked with the U.S. Department of Health and Human Services’ Office of Minority Health, the Virginia Department of Social Services and the Virginia Governor’s Office as the Latino Liaison. Luisa was recently appointed to serve on the Commonwealth of Virginia Health Commissioner’s Minority Health and Health Equity Advisory Committee (MHHEAC) and she currently serve as a board member to Colaborando Juntos, a non-profit based out of Richmond, Virginia whose primary purpose is to connect service providers who cater to the Latino community. INSERT PHOTO
  5. 5. Today’s Presenters: Aaron T. Ebata, PhD is an Associate Professor and Extension Specialist in the Department of Human and Community Development at the University of Illinois at Urbana-Champaign (UIUC). He received his B.S. degrees in Biology and Psychology from the University of Hawaii and completed his M.S. and Ph.D. degrees in Human Development and Family Studies from Penn State. Dr. Ebata's research and outreach interests focus on applying research to develop and evaluate programs that promote healthy parenting practices. He has collaborated on research on military families following reintegration and currently focuses on technological applications for outreach. Dr. Ebata serves as the director of the Autism Program at UIUC, which provides consultation, resources, and training for families with individuals on the autism spectrum, as well as for professionals who serve them. A former elementary and preschool teacher, Dr. Ebata is the father of two teen-aged sons. Pat Tanner Nelson, Ed.D. is an Extension Specialist and a Professor in the Departments of Human Development and Family Studies and Applied Economics and Statistics at the University of Delaware. Pat is a Certified Family Life Educator with the National Council on Family Relations. She received her doctorate in Family and Community Education from Teachers College, Columbia University, a graduate degree in Family Life Education (Michigan State University) and B.S. in Human Ecology (Kansas State University). Dr. Nelson focuses on parent education and support, family stress management, and work/family integration. She is a co-team leader for eXtension Just in Time Parenting, a national interactive resource that strives to bring high quality, research-based information to families at the time it can be most useful and make the biggest difference in their lives. INSERT PHOTO INSERT PHOTO
  6. 6. Text4baby: A Tool for Engaging Families Harnessing the Power of Mobile for Maternal & Child Health in the U.S.
  7. 7. text4baby The Need
  8. 8. text4baby Maternal & Child Health in the U.S. 8 • African-American babies die at a rate more than twice that of their White counterparts. • Puerto Ricans have a low birth weight rate that is 60 percent higher than the rate for non-Hispanic Caucasians. • Mexican American mothers were 1.9 times as likely as non-Hispanic white mothers to begin prenatal care in the 3rd trimester, or not receive prenatal care at all. Each day in America: • 11,686 babies are born • 1,487 babies are born preterm • 964 babies are born with low birth weight • 78 babies die before their first birthday Source: March of Dimes Infographic source: http://www.bestmasterofscienceinnursing.com/health/ Infant mortality rate in the U.S. is one of the highest among developed nations.
  9. 9. text4baby Maternal & Child Health in the U.S. • Many factors contribute to these negative outcomes including: – Lack of access to prenatal care – Negative health behaviors such as smoking or substance abuse – Poverty – Unsafe sleep for baby • Ensuring that pregnant women are well informed about their pregnancies, connected to available health resources and getting prenatal care can help. • Text4baby leverages moms’ cell phone to do just that. The Need 9
  10. 10. text4baby Mobile Devices Help Make a Difference 10 0% 10% 20% 30% 40% 50% 60% 70% 80% Medicare Veteran's health No insurance Individual policy Employer-sponsored Tricare Medicaid 43% 45% 63% 65% 68% 74% 79% Text message usage by insurance type Source: PricewaterhouseCoopers HRI Consumer Survey, 2010 • 99% of text messages are read. 90% are read within 3 minutes • People of color are more likely to text than their White counterparts • Low-income Americans text more than higher-income adults
  11. 11. text4baby Who We Are: Text4baby at a Glance
  12. 12. Text4baby Text4baby Supports Your Patients • Text4baby is the largest mobile health initiative in the nation reaching over 701,000 moms since launch in 2010 and is available in all 50 states and the U.S. territories. • Pregnant women and moms with babies under one sign up by texting BABY (or BEBE for Spanish) to 511411. • Receive FREE messages three times per week timed to due date or baby’s birthdate • Experts review messages routinely to ensure medical accuracy (CDC, ACOG, AAP, March of Dimes, etc.) • Reaches low-income and young women, particularly those who identify as Hispanic or African-American. Research shows that these women are at a higher risk of having disproportionately poor birth outcomes. 12 • Text4baby reinforces and supports ongoing patient education and assists with patient retention through critical messages and reminders: What to Expect for Labor Mom and Baby’s Appointment and Immunization Reminders Healthy Eating for Mom and Baby Safe Sleep Urgent News (e.g. pertussis outbreaks and product recalls) Health Insurance Information Resource Hotlines and Websites
  13. 13. text4baby Text4baby Founding Partners Who We Are 13 Non-Profit maternal and child health expert Leader in mobile health technology & strategy Founding Sponsor & World’s 6th largest consumer health company Association representing U.S. mobile phone companies Nation’s public health agency Federal leader in innovation Healthcare sector communications & marketing expert
  14. 14. text4baby Mobile Provider Partners Participating mobile providers have agreed to deliver Text4baby to their subscribers at no charge.
  15. 15. text4baby Engaging the Community: More than 1,100 National, State and Local Partners
  16. 16. text4baby Enrollment by Zip Code Virginia Feb-Aug 2010 Text4baby’s Research Director routinely monitors and analyzes a wide array of data collected by the program to inform and improve program promotional, outreach, and product strategies. Additionally, Text4baby provides partners with access to real-time enrollment data to support them in understanding the impact of outreach initiatives on enrollment. In Martinsville, Virginia six text4baby billboards in Martinsville resulted in enrollment increases Real-Time Data Portal Tracks Outreach Impact and Enrollment
  17. 17. text4baby Reach and Receptiveness
  18. 18. text4baby Text4baby is Reaching its Target Audience • Text4baby is reaching individuals early in their pregnancy – 47% enrolled during the first trimester. • Text4baby is reaching women in high-poverty areas – A higher percentage of Text4baby users live (or lived upon enrollment) in zip codes with the highest levels of poverty compared to the overall U.S. distribution. 18
  19. 19. text4baby Well Received by Participants • 99% of WIC participants in an Emory University study (baseline n=468) had no concerns about enrolling in Text4baby; 95% reported the enrollment process was easy; 92% regularly read Text4baby messages; and 88% planned to continue to use Text4baby.1 • 93% of participants who responded to a Text4baby survey said they would refer Text4baby to a friend (n=26,650) and rated the helpfulness of the service a 7.7 out of 10 (n=38,090).2 • The average satisfaction rating for participants who participated in the California State University San Marcos National Latino Research Center and University of California, San Diego (CSUSM/UCSD) evaluation was 8.5 out of 10, with Spanish- speaking participants reporting a higher level of satisfaction compared to English-speaking participants.3 Well Received 1. Gazmararian, J., Elon, L., Yang, B., Graham, M., Parker, R. (2013). Text4baby Program: An Opportunity to Reach Underserved Pregnant and Postpartum Women? Maternal Child Health Journal. Abstract available: http://www.ncbi.nlm.nih.gov/pubmed/23494485. 2. Kaleka, A., Olsen, R., & Sweet, M. (2012, April 28). Utilization of Text4baby to Improve Maternal and Infant Outcomes with an Interdisciplinary Team.Seattle, Washington. Available: http://www.fmdrl.org/index.cfm?event=c.accessResource&rid=3850. 3.California State University, San Marcos (2011). San Diego Researchers First to Report Positive Impact of Text4Baby Program [press release]. Retrieved from:https://www.text4baby.org/templates/beez_20/images/HMHB/SD_press_release.pdf. Total sample size for first survey = 122.
  20. 20. Text4baby is Making an Impact
  21. 21. text4baby Content Development
  22. 22. Text4baby Delivery and Exposure Reactions/ Receptivity Mediators Behavior Change Health OutcomesSocial, cultural, & physical environment moderate each pathway Text4baby’s Logic Model Adapted from Doug Evans, et al. (2012) mHealth conceptual model of behavior change for the Text4baby project. Social cognitive theory and the health belief model used to predict behavior change
  23. 23. text4baby Literature Review Priority Topics Audience Testing Content Development Expert Review Audience Testing Ongoing Revision Content Development & Review Text4baby’s Content Manager -- who developed the American Academy of Pediatrics Bright Futures guidelines — ensures accuracy, currency, and consistency with medical research and science.
  24. 24. text4baby 24 Content Development Council: • American Academy of Pediatrics (AAP) • American College of Nurse-Midwives (ACNM) • The American College of Obstetricians and Gynecologists (ACOG) • Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) • Centers for Disease Control and Prevention (CDC) • Health Resources & Services Administration (HRSA) • March of Dimes (MOD) • National Association of Pediatric Nurse Practitioners (NAPNAP) • Society for Maternal-Fetal Medicine (SMFM) Experts Develop and Review ALL Text4baby Content
  25. 25. • 267 Messages Total • Breakdown of messages by broad topic area: • 61 Safety • 56 Development • 45 Nutrition • 44 Support • 30 Infectious disease • 20 Health care access • 18 Well baby visit • 18 Symptoms • 11 Screening • 9 Prenatal care • 8 Oral health Text4baby Addresses Critical Maternal and Child Health Topics
  26. 26. • 58% contain additional health and resource info • 46% (123 messages) link to text4baby mobile web pages developed in partnership with major medical associations • 25% (68 messages) provide a resource phone number • 45 links to videos • 15 visit & appointment reminders • 6% of messages link to external websites • 9 messages prompt mothers to text back LIKE when they find a message helpful • 7 messages encourage mothers to text back MORE to get additional information • 4 interactive user feedback and engagement survey questions (e.g. “Did you ask your provider about a health topic covered in Text4baby?”) • 3 interactive modules that connect moms to healthcare, remind moms of well-baby visits & immunizations, and encourage flu shot vaccination • 2 Quizzes (Food safety in pregnancy and car seat safety in infancy) Interactivity in Text4baby Service
  27. 27. (1/2) text4baby: Every week of pregnancy is important for your baby’s development. So if you have a healthy pregnancy, wait for labor to begin on its own. (1/2) Go to text4b.org/088 to watch a fun video about waiting for at least 39 weeks. Message Layers of Additional Resources Mobile Web Pages Provide More Information Videos and more information
  28. 28. text4baby Connecting to Health Coverage Partnership with Centers for Medicare & Medicaid Services (CMS) – In February 2012, the Connecting Kids to Coverage initiative of CMS partnered with Text4baby to drive enrollment in CHIP, Medicaid, and Text4baby. – Text4baby launched a module of interactive messages in December, 2013 designed to encourage Medicaid/CHP application, enrollment and renewal Medicaid Module Design – 3 days after enrolling, participants are asked their insurance type. – Those who respond “no health insurance” are sent info. on Medicaid/CHIP eligibility and how to enroll. They receive a second message 7 days later asking if they applied for coverage. – Those who respond “Medicaid/CHIP” or indicate they have applied for coverage, receive information on how to renew Medicaid/CHIP coverage. Partnership with Kaiser Family Foundation (KFF) – KFF interviewed Text4baby participants to better understand the impact of the Medicaid Module. 28
  29. 29. text4baby29 20% Employer Text4baby’s Medicaid / CHIP module
  30. 30. Text4baby | Medicaid / CHIP module Results by Text4baby Participant: Pregnant vs. Mother with infant < 1 year of age
  31. 31. text4baby31 20% Employer Text4baby | Medicaid / CHIP module Results by Language Group
  32. 32. text4baby KFF Findings • Text4baby featured in February 2014 Issue Brief: Profiles of Medicaid Outreach and Enrollment Strategies: Using Text Messaging to Reach and Enroll Uninsured Individuals into Medicaid and CHIP • Findings from telephone interviews with 43 Text4baby participants exposed to Text4baby Medicaid Module. • Highlights include: – Respondents had limited knowledge of Medicaid/CHIP before Text4baby enrollment – Many sought additional info. on Medicaid/CHIP after receiving Text4baby messages – A number of respondents applied for Medicaid/CHIP after receiving Text4baby messages and most that applied had successfully enrolled – Most that applied said Text4baby health coverage messages were an important factor in their decision to apply – Nearly all said Text4baby is useful and would like to receive more messages about health insurance 32
  33. 33. text4baby Encouraging Flu Shots Through Interactive Module: 2012 Flu Module 33 • Overall Goal of the Flu Module: • Reduce barriers to influenza vaccination by providing tailored educational messages and offering appointment reminders to ALL text4baby users • Research Goals: – Can text4baby be a useful tool to increase: 1. Flu vaccination rates (for pregnant women & moms with infants)? 2. Intent to get vaccinated during this flu season? – To address barriers: 1. Forgetting/busy 2. Cost 3. Health concerns such as safety and efficacy
  34. 34. text4baby 34
  35. 35. 2013-2014 Flu Module Goals 1. Send timely messages and reminders to all T4B users during flu season • The initial message and general reminder will be implemented monthly (6 times) 2. Send coupon codes for free flu shots to users living in areas near a Rite Aid 3. Gain insight on the effectiveness of providing coupon codes for free flu shots via text message 4. Gain data on flu shot prevalence in November and April, to compare to CDC data
  36. 36. text4baby Text4baby: It's flu season. Everyone 6 months & older needs a flu shot. Babies under 6 months can't get the shot yet, but mom's shot helps protect baby too! Low-cost flu shots are available. Ask your Dr, health plan or local drug store. To find a location nearby call CDC at 800-232-4636 or visit text4b.org/125 2013 Flu Module Text4baby: Checking in! Since October 2013, did you get a flu shot? Reply 1 for Yes, I got it when I was pregnant; 2 - Yes, I got it after baby was born; 3 – No. Text4baby: T4B wants to know about baby's flu shot too! Since October 2013, did baby get a flu shot? Reply 1 for Yes or 2 for No Text4baby: This is a flu shot reminder. Protect baby & yourself by getting the flu shot! Call your Dr. or find a location at text4b.org/1 25 or call 800-232- 4636 YES Text4baby: Rite Aid is giving up to 10,000 FREE flu shots to T4B moms over 18 that haven't gotten a flu shot this season. Do you want a FREE flu shot? Reply YES and we will send you a coupon code to use at Rite Aid. More info at text4b.org/126 Text4baby: Here is your FREE flu shot code: CCCCCCCCCCC. Keep your code safe; we cannot resend it. The code can only be used once and only at Rite Aid. Code expires 1/31/2014 or after first 10,000 are claimed. Show code to pharmacist to redeem. For questions, call local Rite Aid: riteaid.com/store-locator 1 2 3 2weeks Text4baby: Mom, don’t forget to use your free flu shot code at your nearest Rite Aid. The code was sent in an earlier T4B text. Code expires 1/31/2014 November & April
  37. 37. Immunization Module Pilot Overview Background/Goal • Piloted with Immunize Nevada and California Department of Health • Encourage timely well-baby visits and immunization at birth, 2, 4, 6, and 12 months and gain insight around self-reported visit attendance and immunization Design • Hep B: Education before birth & follow-up after asking if baby received vaccine • Well-baby Visits & Immunization: (1) Education 2 weeks prior to baby’s 2, 4, 6, and 12 mo. birthdays, (2) Opportunity to set up reminders at two points, (3) Follow-up 2 weeks after baby’s 2, 4, 6, and 12 mo. birthdays asking if they went to their well-baby visit and got their baby vaccinated (for those who attended) • Evaluation: Follow-up 3 weeks after 6 or 12 month birthday asking if messages helped to get baby vaccinated Sample • A total of 11,117 participants provided one or more responses to questions asked from 3/5/13 – 5/23/13; over 40% responded to at least one question and 10% responded to every question 37
  38. 38. Immunization Module: Immunization Key Findings Well-baby Visit Attendance Higher Among Moms Who Receive Education & Reminders - Well-baby visit attendance is higher among participants who receive educational and reminder messages about their upcoming visits. - This relationship was stronger among respondents receiving messages in Spanish. High Self-Reported Hep B Vaccination - Respondents report high rates of hepatitis B vaccination (81% in CA; 90% in NV). Respondents Find Messages Helpful - 72% of respondents reported messages were helpful in remembering to get baby vaccinated. - 90% of Spanish-speaking respondents reported the messages were helpful. 38
  39. 39. text4baby Clinical Text4baby Implementation
  40. 40. text4baby 40 text4baby | Quality Metrics | Customer Satisfaction Getting Care Getting care easily Getting care quickly Satisfaction with physicians How well doctors communicate Rating of personal doctor Rating of specialists Rating of care received Satisfaction with health plan svcs Handling claims Rating of health plan Customer service Prevention Children and adolescents Well-child visits, infants Well-child visits, ages 3-6 Access for children ages 7-11 Adolescent well-care visits Early immunizations Adolescent immunizations BMI percentile assessment Nutrition counseling Physical activity counseling Women's reproductive health Timeliness of prenatal checkups Postpartum care Cancer screening Breast cancer screening Cervical cancer screening Colorectal cancer screening Other Preventative Services Adult BMI assessment Chlamydia screening Flu shots for older adults Treatment (1) Asthma Medicate asthma appropriately (5-11) Medicate asthma appropriately (12-18) Medicate asthma appropriately (19-50) Medicate asthma appropriately (51-64) Diabetes Blood pressure control (140/80) Blood pressure control (140/90) Retinal eye exams Glucose testing Glucose control LDL cholesterol screening LDL cholesterol control Monitoring kidney disease Heart Disease Beta blocker after heart attack Controlling high blood pressure LDL cholesterol screening LDL cholesterol control Treatment (2) Mental and behavioral health Depression--adhering to medication for 12 wk Depression--adhering to medication for 6 mo Follow-up after mental illness hospitalization Alcohol/ drug dependence treatment initiated Alcohol/ drug dependence treated for 30 days Follow-up after ADHD diagnosis Continued follow-up after ADHD diagnosis Other treatment measures Use of aspirin Appropriate antibiotics, adults acute bronchitis Appropriate testing/ care, children/pharyngitis Medication for rheumatoid arthritis Monitoring key long-term medications Steroid after hospitalization for acute COPD Bronchodilator after hospital/ acute COPD Testing for COPD Appropriate antibiotic use, children with URI Appropriate use of imaging for low back pain NCQA Scorecard (HEDIS/Star )
  41. 41. text4baby 41 EPSDT Measures Text4baby Early Assessing and identifying problems early • Communicating to mothers appropriate pregnancy and developmental outcomes by prenatal and age stage • Increasing awareness of early developmental milestones and outcomes and encouraging early intervention Periodic Checking children's health at periodic, age- appropriate intervals Text4baby messages follow current national guidelines and create visit prompts and reminders based on the periodicity of prenatal and preventive care visits for infants (ie, AAP/Bright Futures periodicity schedule) Screening Providing physical, mental, developmental, dental, hearing, vision, and other screening tests to detect potential problems Text4baby messages encourage the following:  Prompt preventive care visits for children including visit reminders  Encouragement and reminders for vaccinations based on ACIP recommendations including resources for low cost and free vaccinations  Reminders to ask about lead screening  Encouragement to seek vision screening  Resources and education regarding dental care  Infancy milestones and resource sharing for early intervention  Hearing screening and follow-up Diagnosis Performing diagnostic tests to follow up when a risk is identified, and • Follow up messaging on newborn screening and early intervention services Treatment Control, correct or reduce health problems found. • Encouragement of accessing health services and following up on health care issues
  42. 42. text4baby 42 CHIPRA Measures Text4baby Immunizations Childhood immunization status (by 2nd birthday) • Encourages immunization based on ACIP standards and includes messaging on how to access free and low cost vaccinations Screening Weight assessment for children/adolescents • Provides messaging on importance of weight for length measurements and discussions regarding appropriate weight for length with health care provider Well-child Care Visits (WCVs) WCVs in the first 15 months of life • Includes visit prompts reinforcing the AAP/Bright Futures periodicity of preventive care visits. Mothers can also use the service to create prompts to remind them of the scheduled visit. Dental Total eligible receiving preventive dental services • Encourages the establishment of the dental home and 1st dental visit
  43. 43. text4baby Enrollment and Appointment Reminders
  44. 44. text4baby Help Enroll Patients-Signing up is Easy! 44 1) Text BABY to 511411 (BEBE for Spanish) 2) Follow prompt to enter due date or baby’s DOB 4) Receive FREE tips each week throughout pregnancy & until baby’s 1st birthday! 3) Enter zip code
  45. 45. text4baby Enroll Patients from Web Enrollment Button 45 • In addition to SMS enrollment, patients can enroll online at www.text4baby.org • If you have access to a computer, consider enrolling patients online during appointment • You can add the web enrollment button to your website and track who signs- up
  46. 46. Improve Appointment Attendance: Use Text4baby Appointment Reminder Service • Text4baby participants can set up reminders for their appointments (e.g. prenatal, postpartum, well baby, WIC, dental) • Moms and parents enrolled in Text4baby with and without smartphones can receive FREE text appointment reminders • Moms receive a reminder three days before and morning of appointment. 46 Mom texts REMIND or CITA (Spanish) Prompts mom to text appointment date in mmddyy format (e.g., 100214) Prompts mom to text description (9 AM Vista DR office, bring lab results.)
  47. 47. Other Important Information for your Patients 47 • Text4baby messages do not include any advertising or spam
  48. 48. text4baby Make it Easy to Promote Text4baby and Enroll Women • Train patient-facing staff (scheduler, application assistant, nurses, etc.) to inform patients about text4baby and encourage enrollment • Train appointment schedulers about Text4baby’s “REMIND” function to provide additional appointment reminders. • Place web enrollment button on your website – Can track enrollments that come from the button on your site • Show Text4baby video in your waiting room • Order FREE materials – Include Text4baby materials in patient packets for pregnant women and families with infant under age 1. – Display Text4baby materials on walls in waiting area, offices, and in other venues where promotional flyers are displayed. – Include Text4baby material in educational classes, health fairs, and baby showers resource packets. – Incorporate Text4baby information in to your ongoing Social Media efforts (i.e. Facebook, Twitter, etc.) 48
  49. 49. text4baby 49 Integrate Text4baby Enrollment in to your process – SMS Enrollment Text4baby poster or tearpad displayed or available in waiting room During intake process, have staff ask if patient is interested in receiving FREE text messages from Text4baby If yes, show patient how to enroll by texting BABY (or BEBE) to 511411 on mobile phone Use Text4baby sticker or make a note on chart that mom is enrolled in Text4baby Appointment Scheduler/Receptionist ask if mom is enrolled in Text4baby, and if yes, set-up appointment reminder for next visit Is patient pregnant or a mom of a baby under 1?
  50. 50. text4baby
  51. 51. text4baby FREE Promotional Materials and Resources Available to Support your Efforts • All promotional materials (available in English and Spanish) are shipped free of charge. • Some items available for purchase: – “Ask me about Text4baby” pins – Lip balm – Bibs • Visit Text4baby.org to: – Order materials. You will need to create a username and password to login. – Download tip sheets, tool kits, videos, and other training materials 51
  52. 52. text4baby Q&A 52
  53. 53. Today’s Presenters: Aaron T. Ebata, PhD is an Associate Professor and Extension Specialist in the Department of Human and Community Development at the University of Illinois at Urbana-Champaign (UIUC). He received his B.S. degrees in Biology and Psychology from the University of Hawaii and completed his M.S. and Ph.D. degrees in Human Development and Family Studies from Penn State. Dr. Ebata's research and outreach interests focus on applying research to develop and evaluate programs that promote healthy parenting practices. He has collaborated on research on military families following reintegration and currently focuses on technological applications for outreach. Dr. Ebata serves as the director of the Autism Program at UIUC, which provides consultation, resources, and training for families with individuals on the autism spectrum, as well as for professionals who serve them. A former elementary and preschool teacher, Dr. Ebata is the father of two teen-aged sons. Pat Tanner Nelson, Ed.D. is an Extension Specialist and a Professor in the Departments of Human Development and Family Studies and Applied Economics and Statistics at the University of Delaware. Pat is a Certified Family Life Educator with the National Council on Family Relations. She received her doctorate in Family and Community Education from Teachers College, Columbia University, a graduate degree in Family Life Education (Michigan State University) and B.S. in Human Ecology (Kansas State University). Dr. Nelson focuses on parent education and support, family stress management, and work/family integration. She is a co-team leader for eXtension Just in Time Parenting, a national interactive resource that strives to bring high quality, research-based information to families at the time it can be most useful and make the biggest difference in their lives. INSERT PHOTO INSERT PHOTO
  54. 54. Engaging Parents “Just in Time” eXtension Just in Time Parenting Community of Practice Aaron Ebata, Ph.D & Pat Tanner Nelson, Ed.D.
  55. 55. Today’s Overview • What is JITP and how does it work? • Why is JITP important? • Just In Time Parenting (JITP) electronic version • Evaluating the use and impact of JITP • How YOU can use JITP 55
  56. 56. • Connecting and engaging the public with university knowledge and research to address youth, family and community needs. • Extending knowledge, changing lives Cooperative Extension 4/23/2014 56 • Educational partnership with 70+ land-grant universities
  57. 57. What is “Just in Time Parenting”?
  58. 58. • Pulls together key messages from research about how to help kids grow up healthy and ready for success • Provides small bits of information delivered at the most teachable moments – keyed to parents and child’s needs and development (“age- paced”) 58
  59. 59. Goals of JITP •Catch parents at a time when they are open to learning and need information •Foster developmentally appropriate expectations •Promote and reinforce practices that support the healthy development of children •Provide strategies for coping with the stresses of raising children and managing family life
  60. 60. When your child is You get 2 month 2 month issue 12 month 12 month issue 1 month 1 month issue How Does it Work?
  61. 61. JITP starts prenatally…. • Prenatal – age 5 – Prenatal (1 per trimester) – Newborn (1) – Months 1-12 (monthly) – Years 2-5 (bimonthly) • Provides information to support positive development – Basic information on child development & milestones – Guided activities and tips for promoting healthy development – Strategies for coping with stress – Support for seeking additional information
  62. 62. Early Innovations • Print information mailed directly to parents • Birth – age 3 • Multiple versions developed and maintained by Cooperative Extension in individual states • Consistent evidence of impact
  63. 63. Current Innovations • Automated electronic delivery (English) with print version for traditional delivery (English, Spanish) • Prenatal – age 5 • A single national version developed and maintained by a collaborative network • Early evidence of impact
  64. 64. Who developed JITP? • A team of faculty and educators from over 20 land grant universities nationwide – • combining their efforts to create one up-to-date, evidence-based national parenting engagement tool. 64
  65. 65. Parents Who Use JITP: • Rate JITP as more useful than any other source of information. • Have age-appropriate expectations and feel reassured about their child’s development • Report more positive parenting behaviors and provide more stimulating learning environments for their children. • Can identify emerging problems and find appropriate help.
  66. 66. Greater impact among first-time parents, as well as the youngest, poorest and least educated
  67. 67. Parent Voices • “I think it's great you are reaching out to the community to educate parents. It is very much needed.” • “JITP is helpful and easy to understand.” • “My only suggestion is to send JITP more often. I always look forward to receiving the issues.” • “I think this publication was very useful for myself as a single parent.” • “Make sure that young parents sign up for this newsletter before leaving the hospital after having a baby. They need help and advice and this newsletter is the right source of information.”
  68. 68. Early Experiences Matter 1) Early experiences affect brains and bodies 2) Physical and mental well-being are nourished by: i. a stable and responsive environment of relationships ii. safe and supportive physical, chemical, and built environments iii. sound and appropriate nutrition Center on the Developing Child, Harvard University
  69. 69. Why Does JITP Matter?  Parents want and need information  Families play a key role in shaping health and success throughout life  A parenting gap is contributing to a widening inequality and opportunity gap  U.S. educational standards are being raised to meet the needs for a highly literate, knowledgeable and skilled workforce  Equal opportunity for all?
  70. 70. Why Electronic Delivery?
  71. 71. Poll
  72. 72. Today’s parents are…. • Less likely to attend traditional programs • Seeking information online • Using mobile devices to access the internet • Increasingly using social media
  73. 73. Sources of Parenting Information Parents w/ Children Under 10 Years (Florida) 0 10 20 30 40 50 60 70 80 90 100 Mothers Fathers Radey, M., & Randolph, K.A. (2009). Parenting sources: How do parents differ in their efforts to learn about parenting? Family Relations, 58, 536-548. %reportinguse
  74. 74. Metzler, Sanders, Rusby, & Crowley, 2011 Preferences for Parenting Information Parents of 3-6 Year Olds (National)
  75. 75. Pew Internet and American Life Project, 2012, 2013  46% of American adults owned smartphones (33% of 14- 17 year olds)  Smartphone use highest for:  18-34 year olds  Blacks and Hispanics  74% of 12-17 year olds access the internet on mobile devices As of February 2012Mobile Access Growing
  76. 76. Smaller Income Differences Among the Young
  77. 77. Devices Used for Online Access Rural Parents of 1 & 2-year Olds 0 5 10 15 20 25 30 35 40 45 50 Desktop Laptop Tablet Phone Read Email Look on Web %reporting“mostoreverytime”
  78. 78. 0 20 40 60 80 100 Online classes, webinars Listen to podcasts Discussion boards Read blogs Use Twitter Emailed newsletters Watch or share videos Look up information News, weather, events Use Facebook etc Text by phone Daily Weekly Monthly Never Frequency of Online Activities Rural Parents of 1 & 2-year Olds
  79. 79. Digital Divide? • Younger and unmarried parents more likely to use internet for parenting information (Radey & Randolph, 2009) • Younger, poorer, less educated report getting more out of website for parents (Steimle & Duncan, 2004)
  80. 80. Delivering JITP 2.0 Electronically Mobile Ready, Ready for Sharing JITP.extension.org
  81. 81. How Does JITP Work? Subscribe Monthly email reminders Monthly eNewsletters Invitation to provide feedback Online survey
  82. 82. Email reminders
  83. 83. Web-based “eNewsletter”
  84. 84. Responsive Design iPad Samsung Galaxy iPhone 5
  85. 85. Download PDF for Printing
  86. 86. PDF versions
  87. 87. Social Sharing
  88. 88. Facebook Twitter
  89. 89. Monitoring Use and Evaluating Impact
  90. 90. Poll
  91. 91. Website Statistics (2012) • 111,057 visits from 75,969 individuals from 150 countries • Top 5 were: US, India, UK, Philippines, and Canada State Frequency % Visits that were new California 5135 68 Iowa 3932 37 New York 3729 70 Texas 3539 71 Illinois 3515 62
  92. 92. How Visitors Get to JITP  15% from mobile devices Search engine 49% Email reminders 27% Links from websites 24%
  93. 93. Newsletter Views by Age Groups 2,013 35,862 15,645 10,164 0 5000 10000 15000 20000 25000 30000 35000 40000 Expectant Parents Parents of Infants Parents of Toddlers Parents of Preschoolers
  94. 94. Email Subscribers Status 2013 Since Initiation (July 2008) Registered 1,592 8,180 Current active subscriptions: 4,897
  95. 95. % Who Opened Emails
  96. 96. % Who Clicked on Link
  97. 97. Usefulness of Sources of Information JITP Parents of 1 & 2 Year Olds 0 20 40 60 80 100 Texting programs Online classes Online videos Smartphone apps TV programs, DVD Social networks/media Classes or workshops Online parent community Printed brochures, newsletters Childcare providers Support or playgroups E-mailed newsletters Books, magazines Websites Just in Time Parenting Doctors, healthcare pros Extremely Slightly-Moderately Not useful Not Used
  98. 98. Implications • Electronic delivery systems and technological applications are an important way for reaching a large part of today’s parents • But print and mail or hand-delivery may still be important for those who have the most to gain from the program • JITP provides the “ready-to-go” content that allows educators to use BOTH methods
  99. 99. • Our goal: Each family is getting the messages they need – in the format that is most convenient for them -- at the most teachable moments. • JITP is purposefully linked to trusted professionals who regularly interact with families.
  100. 100. How YOU Can Use JITP?  Promote JITP directly to your clientele  Link to the JITP website from your website  Use social media as a tool  Work with partner agencies to promote print or electronic delivery  See more at: extension.org/parenting JITP.extension.org
  101. 101. Take These Points Home  Colorful, attractive design  Research-based, free from ads  Time-frame (pre-natal – age 5) includes critical growth periods  4th – 6th grade reading levels  Available in electronic (English) and print (English and Spanish) versions  A great way to engage parents and add value to your current programs
  102. 102. Contact Us! • Information on how to deliver print version: Pat Tanner Nelson University of Delaware ptnelson@udel.edu • Information on electronic delivery: Aaron Ebata University of Illinois at Urbana-Champaign ebata@illinois.edu
  103. 103. • Webinar participants who want to get 2.0 NASW CE Credits (or just want proof of participation in this training) need to take the post-test provided at the end of the webinar – CE Certificates of completion will be automatically emailed to participants upon completion of the post-test. – Questions/concerns surrounding the National Association of Social Workers (NASW) CE credit certificates can be emailed to this address: MFLNmilitaryfamilyadvocate@gmail.com – Sometimes state/professional licensure boards for fields other than social work recognize NASW CE Credits, however, you would have to check with your state and/or professional boards if you need CE Credits for your field. • To learn more about obtaining CE Credits, please visit this website: http://blogs.extension.org/militaryfamilies/family-development/professional- development/nasw-ce-credits/ CE Credit Information
  104. 104. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Next Webinar: May 29, 2014 @ 11:00 am Eastern Fathers, Work & Family Life https://learn.extension.org/events/1454
  105. 105. Military Families Learning Network This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306. Find all upcoming and recorded webinars covering: Family Development Military Caregiving Personal Finance Network Literacy http://www.extension.org/62581
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