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Among children and adolescents in a low-income, urban population, supplementing usual care with text messaging was associated with an increased rate of influenza vaccination. However, the overall vaccination rate remained low. JAMA. 2012;307(16):1702-1708.    (retrieved May, 2012). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.