A megastudy of text-based nudges encouraging patients to get vaccinated at an upcoming doctor's appointment.

A megastudy of text-based nudges encouraging patients to get vaccinated at an upcoming doctor's appointment.
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DOI:
10.1073/pnas.2101165118
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发表时间:
2021-05-18
影响因子:
11.1
通讯作者:
Duckworth AL
Duckworth AL
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Milkman KL;Patel MS;Gandhi L;Graci HN;Gromet DM;Ho H;Kay JS;Lee TW;Akinola M;Beshears J;Bogard JE;Buttenheim A;Chabris CF;Chapman GB;Choi JJ;Dai H;Fox CR;Goren A;Hilchey MD;Hmurovic J;John LK;Karlan D;Kim M;Laibson D;Lamberton C;Madrian BC;Meyer MN;Modanu M;Nam J;Rogers T;Rondina R;Saccardo S;Shermohammed M;Soman D;Sparks J;Warren C;Weber M;Berman R;Evans CN;Snider CK;Tsukayama E;Van den Bulte C;Volpp KG;Duckworth AL

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每年都有许多美国人未能接种救命疫苗,而COVID-19疫苗的可用性使得鼓励接种疫苗的挑战比以往任何时候都更加紧迫。我们提出了一个大型现场实验(N = 47,306),测试19个通过短信发送给患者的轻推,旨在促进流感疫苗的采用。我们的研究结果表明,在初级保健访问之前发送的短信可以使疫苗接种率平均提高5%。总体而言,干预措施在以下情况下表现更好:1)提醒患者接种已经为患者预留的流感疫苗,2)与患者预期从医疗保健提供者那里收到的通信类型一致(即,不令人惊讶、随意或交互)。在我们的研究中,表现最好的干预措施是两次提醒患者在即将到来的医生预约中接种流感疫苗,并表示这是为他们保留的。这个成功的脚本可以作为一个模板,用于鼓励采用拯救生命的疫苗,包括针对COVID-19的疫苗。
Many Americans fail to get life-saving vaccines each year, and the availability of a vaccine for COVID-19 makes the challenge of encouraging vaccination more urgent than ever. We present a large field experiment (N = 47,306) testing 19 nudges delivered to patients via text message and designed to boost adoption of the influenza vaccine. Our findings suggest that text messages sent prior to a primary care visit can boost vaccination rates by an average of 5%. Overall, interventions performed better when they were 1) framed as reminders to get flu shots that were already reserved for the patient and 2) congruent with the sort of communications patients expected to receive from their healthcare provider (i.e., not surprising, casual, or interactive). The best-performing intervention in our study reminded patients twice to get their flu shot at their upcoming doctor’s appointment and indicated it was reserved for them. This successful script could be used as a template for campaigns to encourage the adoption of life-saving vaccines, including against COVID-19.
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