Introduction
death
INFLUENZA
Children and adolescents with special risk medical conditions (SRMCs) are a priority group for influenza immunization because of their increased risk of influenza-associated hospitalization, intensive care admission, mechanical ventilation, and death.Many reasons for low influenza immunization rates in children with SRMCs are modifiable,Several barriers to influenza vaccination exist at the clinician level. Some HCPs may not have the knowledge and/or confidence to determine at-risk conditions. Specialists may not feel responsible for recommending primary care interventions, such as vaccination.One promising approach to promote desirable behavioral choices, including obtaining the influenza vaccine, is to make subtle changes to the environment in which individuals make decisions; this approach is termed For children with SRMCs, interventions targeting practices and parents or children have been shown to increase influenza vaccine coverage.We developed a nudge intervention, Flutext-4U, which included a parent-level nudge. An SMS reminder was sent to the child’s primary carer, which is hereafter referred to as parent (on behalf of the hospital). It is a practical and needs-based approach, providing information and reminders concurrently. Clinician-level nudges were incorporated into standard practice. Prompt/reminder stickers and medical record bookmarks were placed at the relevant clinical notes page for notes entry by the clinician, which were meant to assist hospital specialists and to facilitate vaccine recommendation. All elements were centrally coordinated. This article reported on the evaluation of the SMS (parent nudge) intervention.