dc.contributor.author |
Dobson, Rosie |
|
dc.contributor.author |
Uri, Amanda |
|
dc.contributor.author |
Whittaker, Robyn |
|
dc.contributor.author |
Evison, Karen |
|
dc.contributor.author |
Umali, Elaine |
|
dc.contributor.author |
McRobbie, Hayden |
|
dc.contributor.editor |
Goodyear-Smith, Felicity |
|
dc.coverage.spatial |
Australia |
|
dc.date.accessioned |
2023-03-10T02:47:39Z |
|
dc.date.available |
2023-03-10T02:47:39Z |
|
dc.date.issued |
2022-12 |
|
dc.identifier.citation |
(2022). Journal of Primary Health Care, 14(4), 368-371. |
|
dc.identifier.issn |
1172-6164 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/63278 |
|
dc.description.abstract |
Introduction Digital health programmes not only complement existing services, but have the potential to reach populations that existing services are not reaching. Many of these services require people to opt-in to receive them, which presents significant barriers to access. An alternative is to make low-risk digital services opt-out, ensuring appropriate members of the target audience are signed up for a service unless they select to not receive it. Aim This study aimed to investigate how changing enrolment in a low-risk digital health programme from opt-in to opt-out would impact on enrolment and dropout rates. Methods This study involved the retrospective analysis of registration data from txtpēpi, a maternal and child health text-message programme. System-recorded data from enrolments during a 12-month period were obtained. In the first 6 months, users had to opt-in to the service (Period 1), but in the following 6 months, an opt-out process was implemented (Period 2). Results There was a 77% increase in enrolments in Period 2 (n = 113) compared to Period 1 (n = 64) and no significant change in the proportion of enrolments of Māori between time periods (P = 0.508). There was no significant difference in withdrawal rates between time periods at either 2 weeks (5% vs 6%, P = 0.676) or 1 month (9% vs 9%, P = 0.907). Discussion This study has shown switching from an opt-in to an opt-out option resulted in an increase in enrolments in an mHealth programme, but had no impact on withdrawals. This indicates that employing opt-out enrolment for low-risk evidence-based interventions is acceptable and a potential way to make these services more accessible. |
|
dc.format.medium |
Print |
|
dc.language |
eng |
|
dc.publisher |
CSIRO Publishing |
|
dc.relation.ispartofseries |
Journal of primary health care |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Retrospective Studies |
|
dc.subject |
Family |
|
dc.subject |
Telemedicine |
|
dc.subject |
Child |
|
dc.subject |
Health Promotion |
|
dc.subject |
Text Messaging |
|
dc.subject |
Health Services |
|
dc.subject |
Clinical Research |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
1110 Nursing |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.title |
Is opt-out enrolment acceptable for low-risk digital health services? |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1071/hc22088 |
|
pubs.issue |
4 |
|
pubs.begin-page |
368 |
|
pubs.volume |
14 |
|
dc.date.updated |
2023-02-16T22:44:08Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
36592779 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/36592779 |
|
pubs.end-page |
371 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
926118 |
|
dc.identifier.eissn |
1172-6156 |
|
dc.identifier.pii |
HC22088 |
|
pubs.record-created-at-source-date |
2023-02-17 |
|
pubs.online-publication-date |
2022-10-14 |
|