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4.2.3. Cues to action
Recommendation from a provider serves as an effective cue to action to motivate PFI-1 acceptance among pregnant women [31]. The use of text messaging as a cue to action has also been explored in the literature. Text messaging is a culturally acceptable, fast, and confidential way to transmit vaccine information and reminders to pregnant women [35]. The authors of two different studies found that pregnant women liked the text messages, felt they were beneficial, and wanted to continue receiving text messages about how to stay healthy during pregnancy, but text messaging did not significantly increase influenza vaccine uptake during pregnancy [35] and [36]. These findings related to the use of text messaging in obstetrical practice suggest that while text messages might increase patient satisfaction with care and promote healthy pregnancies, they are likely not an effective stand-alone strategy to increase maternal vaccination rates.
4.2.4. Race and ethnicity

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