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A 680,000-person megastudy of nudges to encourage vaccination in pharmacies

by Ladhania, Rahul , Patel, Mitesh S. , Ungar, Lyle , Chang, Edward , Duckworth, Angela L. , Goren, Amir , Milkman, Katherine L. , Lamberton, Cait , Oakes, Allison H. , Whillans, Ashley , Schweitzer, Maurice E. , Shermohammed, Maheen , Warren, Caleb , Dannals, Jennifer E. , Goldstein, Noah J. , Spiess, Jann , Ludwig, Jens , Tsukayama, Eli , Van den Bulteq, Christophe , Zlatev, Julian J. , Rothschild, Jake , Hmurovic, Jillian , Bogard, Jonathan E. , Snider, Christopher K. , Evans, Chalanda N. , Horn, Samantha , Kristal, Ariella S. , Ho, Hung , Brody, Ilana , Berman, Ron , Mullainathan, Sendhil , Mazar, Nina , Talloen, Joachim , Kay, Joseph S. , Karlano, Dean S. , Hirsch, Alex , Volpp, Kevin G. , Graci, Heather N. , Gromet, Dena M. , Chapman, Gretchen B. , Chabris, Christopher F. , Meyer, Michelle N. , Yadav, Kuldeep N. , Hershfield, Hal , Gandhi, Linnea , Lee, Timothy W.

in Aged / Biological Sciences / COVID-19 / Economic Sciences / Female / Humans / Immunization / Immunization Programs / Influenza Vaccines - administration & dosage / Influenza, Human - prevention & control / Male / Medical Sciences / Messages / Middle Aged / Patients / Pharmacies - statistics & numerical data / Pharmacy / Reminder Systems / Social Sciences / Text Messaging / Texts / Vaccination / Vaccination - methods / Vaccination - statistics & numerical data

2022

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A 680,000-person megastudy of nudges to encourage vaccination in pharmacies

2022

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A 680,000-person megastudy of nudges to encourage vaccination in pharmacies

2022

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Journal Article

A 680,000-person megastudy of nudges to encourage vaccination in pharmacies

Ladhania, Rahul,

Patel, Mitesh S.,

Ungar, Lyle,

Chang, Edward,

Duckworth, Angela L.,

Goren, Amir,

Milkman, Katherine L.,

Lamberton, Cait,

Oakes, Allison H.,

Whillans, Ashley,

Schweitzer, Maurice E.,

Shermohammed, Maheen,

Warren, Caleb,

Dannals, Jennifer E.,

Goldstein, Noah J.,

Spiess, Jann,

Ludwig, Jens,

Tsukayama, Eli,

Van den Bulteq, Christophe,

Zlatev, Julian J.,

Rothschild, Jake,

Hmurovic, Jillian,

Bogard, Jonathan E.,

Snider, Christopher K.,

Evans, Chalanda N.,

Horn, Samantha,

Kristal, Ariella S.,

Ho, Hung,

Brody, Ilana,

Berman, Ron,

Mullainathan, Sendhil,

Mazar, Nina,

Talloen, Joachim,

Kay, Joseph S.,

Karlano, Dean S.,

Hirsch, Alex,

Volpp, Kevin G.,

Graci, Heather N.,

Gromet, Dena M.,

Chapman, Gretchen B.,

Chabris, Christopher F.,

Meyer, Michelle N.,

Yadav, Kuldeep N.,

Hershfield, Hal,

Gandhi, Linnea,

Lee, Timothy W.

2022

Overview

Encouraging vaccination is a pressing policy problem. To assess whether text-based reminders can encourage pharmacy vaccination and what kinds of messages work best, we conducted a megastudy. We randomly assigned 689,693 Walmart pharmacy patients to receive one of 22 different text reminders using a variety of different behavioral science principles to nudge flu vaccination or to a business-as-usual control condition that received no messages. We found that the reminder texts that we tested increased pharmacy vaccination rates by an average of 2.0 percentage points, or 6.8%, over a 3-mo follow-up period. The most-effective messages reminded patients that a flu shot was waiting for them and delivered reminders on multiple days. The top-performing intervention included two texts delivered 3 d apart and communicated to patients that a vaccine was “waiting for you.” Neither experts nor lay people anticipated that this would be the best-performing treatment, underscoring the value of simultaneously testing many different nudges in a highly powered megastudy

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Publisher

National Academy of Sciences

Subject

Aged

/ Biological Sciences

/ COVID-19

/ Economic Sciences

/ Female

/ Humans

/ Immunization