Development and release of a national immunization app for Canada (ImmunizeCA).

Digital technology has created an opportunity to reenvision the traditional immunization paper record. We describe our experience developing a government endorsed mobile immunization record in Canada. The smartphone app, ImmunizeCA is designed to assist individuals in managing their own health information. It allows individuals to store their and their family's immunization records on their smartphone. The app, which is populated by data provided by the user, contains all 13 provincial and territorial schedules, immunization information and outbreak alerts on vaccine preventable diseases. Our experience suggests mobile apps can serve as a mechanism to empower users, increase participation in the process of immunization, potentially improve immunization rates and address jurisdictional obstacles. Key measures of success will include long term uptake, acceptability as an official record, enabling data flow permitting integration with immunization information systems and the ability to rapidly iterate to address changes to both immunization practice and mobile technology.

[1]  P. Szilagyi,et al.  Patient reminder and recall systems to improve immunization rates , 2005 .

[2]  B. Nyhan,et al.  Effective Messages in Vaccine Promotion: A Randomized Trial , 2014, Pediatrics.

[3]  Peter Szilagyi,et al.  Patient reminder and patient recall systems to improve immunization rates. , 2005, The Cochrane database of systematic reviews.

[4]  E. Belongia,et al.  Evaluation of self-reported and registry-based influenza vaccination status in a Wisconsin cohort. , 2009, Vaccine.

[5]  V. Koppaka,et al.  anti* , 2002, Annals of Internal Medicine.

[6]  David K Vawdrey,et al.  Effect of a text messaging intervention on influenza vaccination in an urban, low-income pediatric and adolescent population: a randomized controlled trial. , 2012, JAMA.

[7]  K. Wilson,et al.  Systematic review of qualitative studies exploring parental beliefs and attitudes toward childhood vaccination identifies common barriers to vaccination. , 2005, Journal of clinical epidemiology.

[8]  T. R. Peters,et al.  Assessment of parental report for 2009-2010 seasonal and monovalent H1N1 influenza vaccines among children in the emergency department or hospital. , 2012, Academic pediatrics.

[9]  Steve Hasley,et al.  Improving Influenza Vaccination Rates in Pregnancy Through Text Messaging: A Randomized Controlled Trial , 2013, Obstetrics and gynecology.

[10]  Ananthanarayanan Parasuraman,et al.  An Updated and Streamlined Technology Readiness Index , 2015 .

[11]  L. Rudenko,et al.  H7N9: can H7N3 live-attenuated influenza vaccine be used at the early stage of the pandemic? , 2014, Expert review of vaccines.

[12]  Katherine M. Atkinson,et al.  Opportunities for utilizing new technologies to increase vaccine confidence , 2014, Expert review of vaccines.

[13]  A. Kata Anti-vaccine activists, Web 2.0, and the postmodern paradigm--an overview of tactics and tropes used online by the anti-vaccination movement. , 2012, Vaccine.