Effect of Personalized Messages Sent by a Health System's Patient Portal on Influenza Vaccination Rates: a Randomized Clinical Trial.
Effect of Personalized Messages Sent by a Health System's Patient Portal on Influenza Vaccination Rates: a Randomized Clinical Trial.
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DOI：
10.1007/s11606-021-07023-w
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发表时间：
2022-03
影响因子：
5.7
通讯作者：
Lerner C
中科院分区：
文献类型：
--
作者：
Szilagyi PG;Albertin CS;Casillas A;Valderrama R;Duru OK;Ong MK;Vangala S;Tseng CH;Humiston SG;Evans S;Sloyan M;Bogard JE;Fox CR;Lerner C
成人流感疫苗接种率低。量身定制的病人提醒可能会提高利率。评估卫生系统的患者门户提醒对成人流感疫苗接种率的影响：（1）针对患者特征量身定制，（2）纳入行为科学策略。在2019-2020年流感疫苗接种季节期间，在卫生系统中进行的实用6组随机试验。背景是一个大型卫生系统-53个成人初级保健实践。12个月内使用患者门户网站的所有成人患者，按以下分层：年轻人（18-64岁，无糖尿病）、老年人（≥65岁，无糖尿病）和糖尿病患者（≥18岁）。患者在分层内随机分配至（1）单独的承诺前提醒（1条消息，10月中旬），（2）承诺前+丢失帧消息，（3）承诺前+获得帧消息，（4）单独的丢失帧消息，（5）单独的获得帧消息，或（6）标准治疗对照。承诺前组的患者在10月中旬收到一条信息，询问他们是否计划接种流感疫苗。丢失或增加帧组中的患者最多发送3次关于流感疫苗重要性和安全性的门户提醒（10月下旬、11月和12月，如果EHR中没有记录流感疫苗接种）。2019年10月1日至2020年3月31日接种1次流感疫苗。196，486例患者（145，166例年轻人，29，795例老年人，21，525例糖尿病成人）被随机分组。流感疫苗接种率如下：年轻人36.8%，老年人55.6%，糖尿病患者60.6%。在未校正和校正（年龄、性别、保险、人种、种族和既往流感疫苗接种史）分析中，任何研究组与对照组的流感疫苗接种率均无统计学差异。由卫生系统的患者门户网站发送的患者提醒是针对患者人口统计数据（年轻人，老年人，糖尿病患者），并结合了两种行为经济学消息传递策略（预先承诺和损失/收益框架），在提高流感疫苗接种率方面无效。本试验在ClinicalTrials.gov上注册（NCT 04110314）。在线版本包含补充材料，可通过10.1007/s11606-021-07023-w获得。
Adult influenza vaccination rates are low. Tailored patient reminders might raise rates. Evaluate impact of a health system’s patient portal reminders: (1) tailored to patient characteristics and (2) incorporating behavioral science strategies, on influenza vaccination rates among adults. Pragmatic 6-arm randomized trial across a health system during the 2019–2020 influenza vaccination season. The setting was one large health system—53 adult primary care practices. All adult patients who used the patient portal within 12 months, stratified by the following: young adults (18–64 years, without diabetes), older adults (≥65 years, without diabetes), and those with diabetes (≥18 years). Patients were randomized within strata to either (1) pre-commitment reminder alone (1 message, mid-October), (2) pre-commitment + loss frame messages, (3) pre-commitment + gain frame messages, (4) loss frame messages alone, (5) gain frame messages alone, or (6) standard of care control. Patients in the pre-commitment group were sent a message in mid-October, asking if they planned on getting an influenza vaccination. Patients in loss or gain frame groups were sent up to 3 portal reminders (late October, November, and December, if no documented influenza vaccination in the EHR) about importance and safety of influenza vaccine. Receipt of 1 influenza vaccine from 10/01/2019 to 03/31/2020. 196,486 patients (145,166 young adults, 29,795 older adults, 21,525 adults with diabetes) were randomized. Influenza vaccination rates were as follows: for young adults 36.8%, for older adults 55.6%, and for diabetics 60.6%. On unadjusted and adjusted (for age, gender, insurance, race, ethnicity, and prior influenza vaccine history) analyses, influenza vaccination rates were not statistically different for any study group versus control. Patient reminders sent by a health system’s patient portal that were tailored to patient demographics (young adults, older adults, diabetes) and that incorporated two behavioral economic messaging strategies (pre-commitment and loss/gain framing) were not effective in raising influenza vaccination rates. This trial was registered with ClinicalTrials.gov (NCT04110314). The online version contains supplementary material available at 10.1007/s11606-021-07023-w.
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影响因子：
9.7
作者：
Anthony, Denise L.;Campos-Castillo, Celeste;Lim, Paulina S.
通讯作者：
Lim, Paulina S.
影响因子：
5.5
作者：
Dombkowski, Kevin J.;Harrington, Laura B.;Clark, Sarah J.
通讯作者：
Clark, Sarah J.
影响因子：
5.4
作者：
MARTEAU, TM
通讯作者：
MARTEAU, TM
影响因子：
8
作者：
Edwards, Kathryn M.;Hackell, Jesse M.
通讯作者：
Hackell, Jesse M.
DOI：
10.1037/h0046408
发表时间：
1955-01-01
期刊：
JOUR ABNORMAL AND SOCIAL PSYCHOL
影响因子：
--
作者：
DEUTSCH, MORTON;GERARD, HAROLD B.
通讯作者：
GERARD, HAROLD B.