OMG! How Text Messaging Can Improve Access and Service Delivery

1. OMG! How Text Messaging Can Improve Access and Service Delivery HCET Region V Training Project Presenters: Shana Cash, HCETLeah Meidl, Wood County Health Department

2. Disclosures As stated in the No Conflict of Interest policy maintained by Health Care Education and Training, Shana Cash and Leah Meidl agree to present the following information fairly and without bias. Funding for this program was provided through the Region V Training Project of Health Care Education and Training. No commercial financial support was used.

3. Housekeeping • Please remember to complete the Pre-test, Post-test, Sign In form, Evaluation Form, and if interested, the Nursing and CHES contact hour request form. Fax to HCET at (317) 247-9055. • Register now for the June 7th webinar Innovative Strategies for Bringing Title X to Teens II!

4. Need Assistance? • For assistance with registration or presentation materials, call HCET at 317-247-9008. • For technical issues connecting to the Genesys Conferencing System, call the Genesys Help Desk:1-800-305-5208.

5. Questions? • We will answer questions at the end • Send questions anytime during the broadcast • Chat box on the bottom right corner of your screen • E-mail to ehearon@hcet.org • Fax to 317-247-9055.

6. Learning Objectives After this presentation, you will be able to: • Describe the trends around mobile device usage. • Identify opportunities to integrate text messaging as a strategy for outreach and service delivery.

7. mHealth:Going Mobile Shana Cash, MPH, CHES Project Director HCET

8. A Mobile Nation • 302.9 M wireless subscribers in the US • The # of monthly texts sent in the US has from 14.4 M in 2000 to 187.7 B in 2010 • 72% of adults texted in 2010, up from 65% in 2009 • Minorities tend to text more

9. A Mobile Nation • Teens leading the mobile revolution • 75% of teens now own a mobile phone • 45% of teens text daily with young women texting the most • 84% of teen sleep with their phone near their bed

11. Trending Now • TECHsex USA: Youth Sexuality and Reproductive Health in the Digital Age Optimize Search Push, Don’t Pull Talk to, Not at Keep Your Head in the Cloud

12. mHealth: Secrets to Success • Keep it simple • Design to scale • Research your target audience • Look for partnerships and network  • Build measurement and optimization into your strategy • Empower the end user to influence behavior change

13. Common Concerns • Confidentiality • Consent • Cost • Implementation • Marketing and Promotion • Maintenance

14. Opportunities for Family Planning • Appointment and Treatment Reminders • Outreach and Health Education • Text4Baby – Text “Baby” to 511411 for Weekly Pregnancy Info • iKnow – Text “iKnow” to 61827 for STD, Birth Control, and Pregnancy Info • Live Text Lines aka “Warm Lines” • The Birds & Bees Text Line • The Text IT Line

15. Using Texting to Promote Sexual Health: The Text IT line Leah Meidl, RN, BSNPublic Health Nurse at the Wood County Health DepartmentChair of the Healthy People Wood County Access To Healthcare Team

17. What Is It • Text messaging warm line • Text a question to 5 digit short code: 36263 • Include a keyword: it • Receive an automatic response • Receive a personalized response from a trained health professional

18. How It Began • Information brought to the HPWC Access to Healthcare Team in 2010 • Modeled after the Birds and the Bees program in North Carolina • Need for intervention: Teen pregnancy rates • HPWC Access team decided to implement • Permission from Health and Human Services Board and Health Officer

19. Implementation • Collaborate with North Carolina Birds and the Bees Staff • Secure funding • Develop a protocol • Teen focus groups • Subscribe to text message receiving and answering service

20. Implementation Continued • Organizational meeting with Health Officer • Create a staffing plan • Implementation Plan: Dates • Develop a marketing plan, products • Staff training • GO LIVE • Marketing to adolescents and teens

21. Problems Along the Way • Funding • Protocol revisions after meeting with County Board • Wireless carriers not accepting our short code • Marketing ideas • Marketing in schools

22. How It Works

23. Funding • Healthy People Wood County Access Team grant funding • Will need to seek additional grant funding

24. Marketing • Developed posters, ordered pens to giveaway • Primary promotion in schools • Place posters in other popular areas for students • Promote at 3-o day • Facebook page and Facebook ads • http://www.facebook.com/pages/Text-it-Line/182552795122352

25. How It’s Going • 10 staff members • 6 Public Health Nurses • 1 Community Care Nurse • 3 Health Educators • School Implementation Updates • Implementation Date • Delayed due to short code issues with wireless companies • Questions to date

26. Evaluation • Working on evaluation tools • Text poll sent to all users of text it line • Allow them to text their response back

27. Resources • Adolescent Pregnancy Prevention Campaign of North Carolina (Birds and the Bees text line) • http://appcnc.org/brdsnbz-text-message-warm-line • The Wood County Health Department Text It line • Leah Meidl Phone (715) 421-8923 E-mail lmeidl@co.wood.wi.us

28. Questions?

29. Thank you for your participation! • Visit www.hcet.org to view archived presentations and see a list of our upcoming events. • Remember to complete the Pre-test, Post-test, Sign In form and Evaluation Form. Fax to HCET at (317) 247-9055.