A Randomized Trial of Behavioral Nudges Delivered Through Text Messages to Increase Influenza Vaccination Among Patients With an Upcoming Primary Care Visit

被引：29

作者：

Patel, Mitesh S. ^{[1
]}

Milkman, Katherine L. ^{[2
]}

Gandhi, Linnea ^{[2
]}

Graci, Heather N. ^{[3
]}

Gromet, Dena ^{[3
]}

Ho, Hung ^{[4
]}

Kay, Joseph S. ^{[3
]}

Lee, Timothy W. ^{[5
]}

Rothschild, Jake ^{[3
]}

Akinola, Modupe ^{[6
]}

Beshears, John ^{[7
]}

Bogard, Jonathan E. ^{[8
]}

Buttenheim, Alison ^{[9
]}

Chabris, Christopher ^{[10
]}

Chapman, Gretchen B. ^{[11
]}

Choi, James J. ^{[12
]}

Dai, Hengchen ^{[13
]}

Fox, Craig R. ^{[13
]}

Goren, Amir ^{[14
]}

Hilchey, Matthew D. ^{[15
]}

Hmurovic, Jillian ^{[16
]}

John, Leslie K. ^{[7
]}

Karlan, Dean ^{[17
]}

Kim, Melanie ^{[15
]}

Laibson, David ^{[7
]}

Lamberton, Cait ^{[18
]}

Madrian, Brigitte C. ^{[19
]}

Meyer, Michelle N. ^{[10
]}

Modanu, Maria ^{[6
]}

Nam, Jimin ^{[7
]}

Rogers, Todd ^{[7
]}

Rondina, Renante ^{[15
]}

Saccardo, Silvia ^{[11
]}

Shermohammed, Maheen ^{[10
]}

Soman, Dilip ^{[15
]}

Sparks, Jehan ^{[8
]}

Warren, Caleb ^{[20
]}

Weber, Megan ^{[8
]}

Berman, Ron ^{[18
]}

Evans, Chalanda N. ^{[21
]}

Lee, Seung Hyeong ^{[7
]}

Snider, Christopher K. ^{[22
]}

Tsukayama, Eli ^{[23
]}

Van den Bulte, Christophe ^{[18
]}

Volpp, Kevin G. ^{[24
,25
]}

Duckworth, Angela L. ^{[2
]}

机构：

[1] Ascension, Dept Clin Transformat & Behav Insights, 4600 Edmundson Rd, St Louis, MO 63134 USA

[2] Univ Penn, Wharton Sch, Dept Operat Informat & Decis, Philadelphia, PA 19104 USA

[3] Univ Penn, Wharton Sch, Behav Change Good Initiat, Philadelphia, PA 19104 USA

[4] Univ Chicago, Booth Sch Business, Dept Mkt, Chicago, IL 60637 USA

[5] Northwestern Univ, Sch Profess Studies, Evanston, IL USA

[6] Columbia Univ, Columbia Business Sch, Dept Management, New York, NY USA

[7] Harvard Univ, Harvard Business Sch, Negotiat Org & Markets Unit, Boston, MA 02115 USA

[8] Univ Calif Los Angeles, Anderson Sch Management, Dept Behav Decis Making, Los Angeles, CA USA

[9] Univ Penn, Dept Family & Community Hlth, Sch Nursing, Philadelphia, PA 19104 USA

[10] Geisinger Hlth Syst, Behav & Decis Sci Program, Danville, PA USA

[11] Carnegie Mellon Univ, Dept Social & Decis Sci, Pittsburgh, PA 15213 USA

[12] Yale Univ, Yale Sch Management, Dept Finance, New Haven, CT USA

[13] Univ Calif Los Angeles, Anderson Sch Management, Dept Management & Org, Los Angeles, CA USA

[14] Geisinger Hlth Syst, Behav Insights Team, Danville, PA USA

[15] Univ Toronto, Dept Behav Sci & Econ, Toronto, ON, Canada

[16] Drexel Univ, Dept Mkt, Philadelphia, PA 19104 USA

[17] Northwestern Univ, Kellogg Sch Management, Dept Finance, Evanston, IL USA

[18] Univ Penn, Wharton Sch, Dept Mkt, Philadelphia, PA 19104 USA

[19] Brigham Young Univ, Dept Finance, Marriott Sch Business, Provo, UT 84602 USA

[20] Univ Arizona, Eller Coll Management, Dept Mkt, Tucson, AZ USA

[21] Univ Penn, Ctr Digital Hlth, Perelman Sch Med, Philadelphia, PA 19104 USA

[22] Univ Penn, Ctr Hlth Care Innovat, Perelman Sch Med, Philadelphia, PA 19104 USA

[23] Univ Hawaii West Oahu, Business Adm Div, Kapolei, HI 96707 USA

[24] Univ Penn, Penn Ctr Hlth Incent & Behav Econ, Perelman Sch Med, Dept Med Eth & Hlth Policy, Philadelphia, PA 19104 USA

[25] Univ Penn, Penn Ctr Hlth Incent & Behav Econ, Perelman Sch Med, Dept Med, Philadelphia, PA 19104 USA

来源：

AMERICAN JOURNAL OF HEALTH PROMOTION | 2023年 / 37卷 / 03期

基金：

美国国家卫生研究院;

关键词：

vaccination; influenza; COVID-19; behavioral nudge; text message; COVID-19;

D O I：

10.1177/08901171221131021

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Purpose To evaluate if nudges delivered by text message prior to an upcoming primary care visit can increase influenza vaccination rates. Design Randomized, controlled trial. Setting Two health systems in the Northeastern US between September 2020 and March 2021. Subjects 74,811 adults. Interventions Patients in the 19 intervention arms received 1-2 text messages in the 3 days preceding their appointment that varied in their format, interactivity, and content. Measures Influenza vaccination. Analysis Intention-to-treat. Results Participants had a mean (SD) age of 50.7 (16.2) years; 55.8% (41,771) were female, 70.6% (52,826) were White, and 19.0% (14,222) were Black. Among the interventions, 5 of 19 (26.3%) had a significantly greater vaccination rate than control. On average, the 19 interventions increased vaccination relative to control by 1.8 percentage points or 6.1% (P = .005). The top performing text message described the vaccine to the patient as "reserved for you" and led to a 3.1 percentage point increase (95% CI, 1.3 to 4.9; P < .001) in vaccination relative to control. Three of the top five performing messages described the vaccine as "reserved for you." None of the interventions performed worse than control. Conclusions Text messages encouraging vaccination and delivered prior to an upcoming appointment significantly increased influenza vaccination rates and could be a scalable approach to increase vaccination more broadly.

引用

页码：324 / 332

页数：9

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