Effect of Targeted Messages on COVID-19 Vaccination Among Employees of a Large Health System | Infectious Diseases | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Effect of Targeted Behavioral Science Messages on COVID-19 Vaccination Registration Among Employees of a Large Health SystemA Randomized Trial

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Sign in to take quiz and track your certificates

Buy This Activity

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: May 24, 2021.

Published: July 28, 2021. doi:10.1001/jamanetworkopen.2021.18702

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Santos HC et al. JAMA Network Open.

Corresponding Author: Michelle N. Meyer, JD, PhD, Center for Translational Bioethics and Health Care Policy, Geisinger Health System, 100 N Academy Ave, Danville, PA 17822 (michellenmeyer@gmail.com).

Author Contributions: Dr Santos had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs Chabris and Meyer contributed equally.

Concept and design: All authors.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Santos, Chabris, Meyer.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Santos, Goren.

Obtained funding: Meyer.

Administrative, technical, or material support: Chabris.

Supervision: Goren, Chabris, Meyer.

Conflict of Interest Disclosures: None reported.

Trial Registration: ClinicalTrials.gov Identifier: NCT04728594

Data Sharing Statement: See Supplement 3.

Additional Contributions: We thank Marguerite Macpherson, BS, Elizabeth S. Humphrey, BA, and Peter Rowe, BA, for administering the emails; Greg Strevig, AAS, for help in obtaining data for analysis; and Daniel Rosica, BA, Tamara Gjorgjieva, BS, and Maheen Shermohammed, PhD, for research assistance. All contributors are affiliated with Geisinger Health System, and none received compensation for this work other than their usual employment salary.

Additional Information: The data, materials, and reproducible code used in this study will be deposited to OSF: https://osf.io/qg5m6/.

References
1.
Milkman  KL , Patel  MS , Gandhi  L ,  et al.  A megastudy of text-based nudges encouraging patients to get vaccinated at an upcoming doctor’s appointment.   Proc Natl Acad Sci U S A. 2021;118(20):e2101165118. doi:10.1073/pnas.2101165118PubMedGoogle Scholar
2.
Moehring  A , Collis  A , Garimella  K ,  et al.  Surfacing norms to increase vaccine acceptance.   psyArXiv. Preprint updated March 19, 2021. doi:10.31234/osf.io/srv6tGoogle Scholar
3.
Tversky  A , Kahneman  D .  The framing of decisions and the psychology of choice.   Science. 1981;211(4481):453-458. doi:10.1126/science.7455683PubMedGoogle ScholarCrossref
4.
Patel  MS , Volpp  KG , Small  DS ,  et al.  Using active choice within the electronic health record to increase influenza vaccination rates.   J Gen Intern Med. 2017;32(7):790-795. doi:10.1007/s11606-017-4046-6PubMedGoogle ScholarCrossref
5.
Bakr  O , Afsar-Manesh  N , Raja  N ,  et al.  Application of behavioral economics principles improves participation in mailed outreach for colorectal cancer screening.   Clin Transl Gastroenterol. 2020;11(1):e00115. doi:10.14309/ctg.0000000000000115PubMedGoogle Scholar
6.
DellaVigna  S , Linos  E.   RCTs to scale: comprehensive evidence from two nudge units.  NBER Working Paper. July 28, 2020. Accessed June 22, 2021. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3661086
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close