Study Finds Text Messaging More Effective for Healthcare Surveys than Phone Calls

From collecting patient data to conducting clinical trials, a well-run survey can make a big difference in how efficient and effective your health organization is run. A new study published in PLos One suggests that health surveys conducted over text messages gather higher quality data than surveys conducted over phone calls.

Comparing survey responses from text messages and phone calls

The study, titled Precision and Disclosure in Text and Voice Interviews on Smartphones, was a joint collaboration with several researchers from the New School in New York, The University Of Maryland, the University of Michigan and other institutions. The researchers wanted to find whether people who participated in a survey over text message answered the questions with greater precision and fuller disclosure than they did over a phone call.

Over 600 randomized participants were asked to fill out a survey delivered in one of four ways: automated text messages, manually sent text messages, automated voice calls, and manually placed voice calls. After participants filled out the surveys, researchers gauged the quality of the data by measuring the extent to which responses were both careful and conscientious. For example, researchers measured the extent to which respondents might round up or round down their answers instead of carefully thinking through a question, or by responding with the same answer for multiple questions in a row instead of varying their responses. They also determined how willing people were to disclose sensitive information via text message as opposed to over the phone.

Study participants answered survey questions more conscientiously and honestly over SMS

The study found that not only did people who answered the survey via text messages answer more conscientiously, but that they also answered more honestly. Patients who took the survey over text messaging, for instance, had greater disclosure level of sensitive information – such as their number of sexual partners or the amount of alcohol they drank. Text message respondents also reported a preference for text message surveys, thereby suggesting that text messaging could quite possibly be the best way to collect data from patients.

Why text messaging works better than phone calls for collecting Client responses

Text messaging is the better option than phone calls for conducting health surveys for several reasons. First, since participants can answer survey questions while carrying out their daily routines, it gives participants more freedom to answer questions thoughtfully on their own schedule. Indeed, the ability to answer questions within one’s own time frame grants participants a more relaxed attitude towards the survey in general, meaning that they are less likely to rush through the questions than they would with a telephone conversation.

Second, text messaging lends better results to data collection is because it grants the participant more anonymity than a phone call. People are more likely to be honest when they don’t have hear their own words or address a person on the other end of the phone line. The phenomenon of "satisficing" or giving answers that are perceived to be desired by the person conducting the survey in order to end the call, irregardless of whether it's an honest answer) plagues phone surveys, whereas, clients tend not to do so during text surveys.

Lastly, a text messaging platform like PreventionPays has the ability to store all the data collected in text message surveys, which is an invaluable feature for researchers because it compiles all the answers into a single, organized database. No need to spend time transcribing the survey results from a voice recording or hardcopy survey into a database!

How text messaging surveys can contribute to the healthcare industry

Using text messaging to collect data can be useful in a variety of ways in the healthcare industry. For example, you can use text messaging to:

  • Find and organize participants for a clinical trial: Text messaging can be used to attract and retain potential participants, guide participants through the trial, as well as determine their eligibility based on a short survey.
  • Gather feedback on patient care after their discharge: Text messaging allows you to poll your patients using both multiple choice questions and open-ended questions about their quality of stay at your hospital or clinic.
  • Improve employee satisfaction: Text messaging can be used internally as well as externally, and it could greatly behoove your organization to conduct an SMS survey with your employees that guarantees anonymity and (as this study suggests) encourages full and honest disclosure.

Regardless of the data that you’re collecting, the ability to collect honest and carefully considered answers and compile all the information on a single platform makes it a lot easier to analyze your data and make improvements to your organization. Text messaging is a great way to make your organization run smoother and achieve better results – and it can start today.

Want to activate a survey? Easy! Already a client? Email or call us so we can pick a time to assess your unique needs and deploy a solution! Want more info on how PreventionPays Text can help you? Email "info@preventionpaystext.com" or text DEMO to 85511

Responding while on-the-go can be as simple as 1, 2, 3!

Responding while on-the-go can be as simple as 1, 2, 3!


citation: University of Michigan, New York New School, U of Maryland Co-Researchers Schober MF, Conrad FG, Antoun C, Ehlen P, Fail S, Hupp AL, et al. (2015) Precision and Disclosure in Text and Voice Interviews on Smartphones. PLoS ONE 10(6): e0128337. doi:10.1371/journal.pone.0128337

Santa Barbara County WIC Breastfeeding Peer Counseling Program Honored by USDA Award!

The Loving Support Award of Excellence was developed to recognize and celebrate WIC agencies that provide exemplary breastfeeding programs and support services.  The intent of the award is to provide models and motivate local agencies and clinics to strengthen their breastfeeding promotion and support activities and ultimately increase breastfeeding initiation and duration rates among WIC participants.

Local WIC agencies that have operated a peer counseling program for at least one year and met all of the required core components of the USDA Food and Nutrition Services (FNS) Loving Support© Model for a successful peer counseling program were eligible to apply.  Three levels of excellence were possible for award – Gold, Gold Premiere, and Gold Elite.  The applications went through two levels of review with both the WIC State agency and the FNS Regional Office.

Applicants were required to demonstrate that they had breastfeeding promotion and support policies and processes in place at their WIC local agencies that enable them to provide praiseworthy breastfeeding services to WIC participants.

The BFED Text Program is now in its 6th continuous year! The project protocols and the educational texts (aka Message Tracks) have been replicated by dozens of WIC agencies across the country with several statewide deployments.

This award is indicative of just how effective texting has become with GenY moms as a primary communication channel. In fact, Santa Barbara county WIC now uses text for all their daily communication, since the vast majority of their caseload prefer text over all other channels.

 

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Colorado WIC Shares about Texting and Peer Counseling at the National WIC Association Conference in Denver!

Colorado WIC was highlighted at the National WIC Association Conference, in Denver Colorado for their work in Peer Counseling, how they use a secure text service to manage communication with their participants. The project and text platform has helped them maintain consistent communication with moms that are in the most rural areas of their state.   

Background:

Peer Counseling is an important and now integral part of WIC services and how WICs engage with their priority population - GenY and Millennial moms. Peer Counselors (PCs) are young women (typically, women who have received WIC services in the past) to manage a caseload of expectant moms and provide them with education, tips, and resources about breastfeeding.  Depending largely on their population size, WICs will receive funding and then they will be required to hire and manage the workflow.  Each Peer Counselor will be responsible for working with several pregnant mothers which will make up their “caseload”.  Several years ago (when this work commenced) one of the earliest observations was, communication between PCs and their moms can be inconsistent.  Over the past several years, many WICs have experimented with alternative communication methods in an effort to improve program outcomes.

The Problem:

For the Peer Counselor, it’s often difficult to maintain frequent communication with all participants in their caseload. They will try to call them on the phone but most of the women that participate rarely use their mobile phones for voice calls. For everyday communication, most people use texting and this is particularly true among GenY women. The dependence on sms for most communication was initially observed over 5 years ago. In fact, that was the genesis of the Peer Counseling Text program, the hope that through safe and structured text messaging, WIC agencies would be able to improve/increase communication between Peer Counselors and the GenY moms in their caseloads.   

The Solution:

Colorado WIC Breastfeeding Peer Counselor Text Program

Colorado WIC Text Program uses a unique combination of automated educational texts with two-way dialogue. Clients are opted in to the program and assigned an educational track.  The track will send weekly messages that are timed according to the expectant mother’s delivery date. During this time, participants are encouraged to ask specific questions about the content or a general question about breastfeeding. Their Peer Counselor responds to their clients’ questions by using a PC or laptop, tablet or smart phone. Participants are using their mobile phones. The system helps the Peer Counselor with efficient and intuitive, user-friendly controls. PCs can communicate with single participants or as a group. All communication is stored in co-located data centers. The website uses HIPAA protocol for the storage and archiving of the data. 

Over the past several years, Colorado WIC has identified the following benefits/outcomes:

  • Increased breastfeeding support to rural areas
  • Cost-efficient
  • Preferred communication method for participants
  • 95% of local agency staff surveyed agreed this is a valuable addition to WIC breastfeeding education and support services
  • 95% of participants would re-enroll with a future pregnancy

  • 96% of participants would recommend to others.

Who to contact:

For questions about the program at the state level:  Erin Johnson, RD, CLC Colorado WIC Breastfeeding Peer Counseling Program Coordinator - erin.johnson@state.co.us

For questions about program details, how it works:  Sonja Lindsay-Crites, IBCLC Pueblo WIC Breastfeeding Peer Counselor Program Coordinator - lindsaycrites@co.pueblo.co.us

For info about the conference in Denver, contact:  National WIC Association

Colorado WIC Deploys WIC Text Program with Low Income Moms

Colorado WIC will test the effectiveness of the WIC text program with one of their regional WIC offices in Pueblo Colorado.  They plan to use the program to provide breastfeeding education and two-way Peer Support as many other WIC are now doing nationwide.  However, they have also stated that they plan to use the system in their outreach efforts as a way to attract more residents to their program. They feel young Gen-Y moms will feel more confident reaching out and asking questions about WIC through the sms channel.  It's a medium they already use on a daily basis with friends and family.  State officials are following the same logic behind recent research (that has shown texting to be a useful tool in eliminating barriers and eliciting more candid responses from participants); at year's end, they will determine whether this is a method they want to deploy statewide as a way to increase awareness and participation among all target groups. 

Moms and families in Pueblo CO will be able to text their local WIC office and engage in a secure texting conversation with the hopes that this will help shift their perception about WIC and make these terrific services more accessible to those who need them the most. 

In fact, this is precisely why we built the text platform. Projects like Pueblo are representative of how public health is pushing the limits of sms to make their texting more meaningful to their constituents.