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A Randomized Trial of Behavioral Nudges Delivered Through Text Messages to Increase Influenza Vaccination Among Patients With an Upcoming Primary Care Visit.
Patel, Mitesh S; Milkman, Katherine L; Gandhi, Linnea; Graci, Heather N; Gromet, Dena; Ho, Hung; Kay, Joseph S; Lee, Timothy W; Rothschild, Jake; Akinola, Modupe; Beshears, John; Bogard, Jonathan E; Buttenheim, Alison; Chabris, Christopher; Chapman, Gretchen B; Choi, James J; Dai, Hengchen; Fox, Craig R; Goren, Amir; Hilchey, Matthew D; Hmurovic, Jillian; John, Leslie K; Karlan, Dean; Kim, Melanie; Laibson, David; Lamberton, Cait; Madrian, Brigitte C; Meyer, Michelle N; Modanu, Maria; Nam, Jimin; Rogers, Todd; Rondina, Renante; Saccardo, Silvia; Shermohammed, Maheen; Soman, Dilip; Sparks, Jehan; Warren, Caleb; Weber, Megan; Berman, Ron; Evans, Chalanda N; Lee, Seung Hyeong; Snider, Christopher K; Tsukayama, Eli; Van den Bulte, Christophe; Volpp, Kevin G; Duckworth, Angela L.
Afiliação
  • Patel MS; 2974Department of Clinical Transformation and Behavioral Insights, Ascension, St. Louis, MO, USA.
  • Milkman KL; 6569Department of Operations, Information and Decisions, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA.
  • Gandhi L; 6569Department of Operations, Information and Decisions, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA.
  • Graci HN; 6569Behavior Change for Good Initiative, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA.
  • Gromet D; 6569Behavior Change for Good Initiative, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA.
  • Ho H; 3270Department of Marketing, The University of Chicago Booth School of Business, Chicago, IL, USA.
  • Kay JS; 6569Behavior Change for Good Initiative, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA.
  • Lee TW; 5798School of Professional Studies, Northwestern University, Evanston, IL, USA.
  • Rothschild J; 6569Behavior Change for Good Initiative, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA.
  • Akinola M; 1812Department of Management, Columbia Business School, Columbia University, New York, NY, USA.
  • Beshears J; Negotiation, Organizations & Markets Unit, Harvard Business School, Harvard University, Boston, MA, USA.
  • Bogard JE; Department of Behavioral Decision Making, Anderson School of Management, University of California, Los Angeles, CA, USA.
  • Buttenheim A; 6612Department of Family and Community Health, The University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
  • Chabris C; 2780Behavioral and Decision Sciences Program, Geisinger Health System, Danville, PA, USA.
  • Chapman GB; 7938Department of Social and Decision Sciences, Carnegie Mellon University, Pittsburgh, PA, USA.
  • Choi JJ; 6756Department of Finance, Yale School of Management, Yale University, New Haven, CT, USA.
  • Dai H; 8783Department of Management and Organization, Anderson School of Management, University of California Los Angeles, Los Angeles, CA, USA.
  • Fox CR; 8783Department of Management and Organization, Anderson School of Management, University of California Los Angeles, Los Angeles, CA, USA.
  • Goren A; 2780Behavioral Insights Team, Geisinger Health System, Danville, PA, USA.
  • Hilchey MD; Department of Behavioural Science and Economics, University of Toronto, Toronto, ON, Canada.
  • Hmurovic J; Department of Marketing, Drexel University, Philadelphia, PA, USA.
  • John LK; Negotiation, Organizations & Markets Unit, Harvard Business School, Harvard University, Boston, MA, USA.
  • Karlan D; Department of Finance, Kellogg School of Management, Northwestern University, Evanston, IL, USA.
  • Kim M; Department of Behavioural Science and Economics, University of Toronto, Toronto, ON, Canada.
  • Laibson D; Negotiation, Organizations & Markets Unit, Harvard Business School, Harvard University, Boston, MA, USA.
  • Lamberton C; Department of Marketing, The Wharton School, 6569University of Pennsylvania, Philadelphia, PA, USA.
  • Madrian BC; Department of Finance, Marriott School of Business, 33865Brigham Young University, Provo, UT, USA.
  • Meyer MN; 2780Behavioral and Decision Sciences Program, Geisinger Health System, Danville, PA, USA.
  • Modanu M; 1812Department of Management, Columbia Business School, Columbia University, New York, NY, USA.
  • Nam J; Negotiation, Organizations & Markets Unit, Harvard Business School, Harvard University, Boston, MA, USA.
  • Rogers T; Negotiation, Organizations & Markets Unit, Harvard Business School, Harvard University, Boston, MA, USA.
  • Rondina R; Department of Behavioural Science and Economics, University of Toronto, Toronto, ON, Canada.
  • Saccardo S; 7938Department of Social and Decision Sciences, Carnegie Mellon University, Pittsburgh, PA, USA.
  • Shermohammed M; 2780Behavioral and Decision Sciences Program, Geisinger Health System, Danville, PA, USA.
  • Soman D; Department of Behavioural Science and Economics, University of Toronto, Toronto, ON, Canada.
  • Sparks J; Department of Behavioral Decision Making, Anderson School of Management, University of California, Los Angeles, CA, USA.
  • Warren C; Department of Marketing, Eller College of Management, University of Arizona, Tucson, AZ, USA.
  • Weber M; Department of Behavioral Decision Making, Anderson School of Management, University of California, Los Angeles, CA, USA.
  • Berman R; Department of Marketing, The Wharton School, 6569University of Pennsylvania, Philadelphia, PA, USA.
  • Evans CN; Center for Digital Health, Perelman School of Medicine, 6569University of Pennsylvania, Philadelphia, PA, USA.
  • Lee SH; Negotiation, Organizations & Markets Unit, Harvard Business School, Harvard University, Boston, MA, USA.
  • Snider CK; Center for Health Care Innovation, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Tsukayama E; Business Administration Division, University of Hawai`i-West O`ahu, Kapolei, HI, USA.
  • Van den Bulte C; Department of Marketing, The Wharton School, 6569University of Pennsylvania, Philadelphia, PA, USA.
  • Volpp KG; Penn Center for Health Incentives and Behavioral Economics, Departments of Medical Ethics and Health Policy and Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Duckworth AL; 6569Department of Operations, Information and Decisions, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA.
Am J Health Promot ; 37(3): 324-332, 2023 03.
Article em En | MEDLINE | ID: mdl-36195982
ABSTRACT

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.
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Texto completo: 1 Coleções: 01-internacional Temas: Acesso_medicamentos_insumos_estrategicos Contexto em Saúde: 1_ASSA2030 / 2_ODS3 Base de dados: MEDLINE Assunto principal: Vacinas contra Influenza / Influenza Humana / Envio de Mensagens de Texto Tipo de estudo: Clinical_trials Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Health Promot Ano de publicação: 2023 Tipo de documento: Article
Texto completo
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Texto completo: 1 Coleções: 01-internacional Temas: Acesso_medicamentos_insumos_estrategicos Contexto em Saúde: 1_ASSA2030 / 2_ODS3 Base de dados: MEDLINE Assunto principal: Vacinas contra Influenza / Influenza Humana / Envio de Mensagens de Texto Tipo de estudo: Clinical_trials Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Health Promot Ano de publicação: 2023 Tipo de documento: Article