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

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Title:A megastudy of text-based nudges encouraging patients to get vaccinated at an upcoming doctor’s appointment
Authors:Milkman, Katherine L.
Patelb, Mitesh S.
Gandhi, Linnea
Graci, Heather N.
Gromet, Dena M.
show 39 moreHo, Hung
Kay, Joseph S.
Lee, Timothy W.
Akinola, Modupe
Beshears, John
Bogard, Jonathan E.
Buttenheim, Alison
Chabris, Christopher F.
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
Rogersu, Todd
Rondina, Renate
Saccardo, Silvia
Shermohammed, Maheen
Soman, Dilip
Sparks, Jehan
Warren, Caleb
Weber, Megan
Berman, Ron
Evans, Chalanda N.
Snider, Christopher K.
Tsukayama, Eli
Bulte, Christophe Van den
Volpp, Kevin G.
Duckworth, Angela L.
show less
field experiment
Date Issued:18 May 2021
Publisher:National Academy of Sciences
Citation:Milkman, K. L., Patel, M. S., Gandhi, L., Graci, H. N., Gromet, D. M., Ho, H., Kay, J. S., Lee, T. W., Akinola, M., Beshears, J., Bogard, J. E., Buttenheim, A., Chabris, C. F., Chapman, G. B., Choi, J. J., Dai, H., Fox, C. R., Goren, A., Hilchey, M. D., … Duckworth, A. L. (2021). A megastudy of text-based nudges encouraging patients to get vaccinated at an upcoming doctor’s appointment. Proceedings of the National Academy of Sciences, 118(20), e2101165118.
Abstract: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.
Pages/Duration:3 pages
Rights:Attribution-NonCommercial-NoDerivs 3.0 United States
Journal:Proceedings of the National Academy of Sciences
Appears in Collections: Tsukayama, Eli

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