[net-gold] MEDICAL VACCINATION AND IMMUNIZATION : MEDICAL: RESEARCH: NIH-Funded Study Uses Planning Prompts to Enhance Vaccination Rates
- From: "David P. Dillard" <jwne@xxxxxxxxxx>
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- Date: Sun, 21 Aug 2011 12:42:49 -0400 (EDT)
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MEDICAL VACCINATION AND IMMUNIZATION :
MEDICAL: RESEARCH:
NIH-Funded Study Uses Planning Prompts to Enhance Vaccination Rates
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Date: Mon, 13 Jun 2011 15:31:59 -0400
From: "NIH OLIB (NIH/OD)" <olib@xxxxxxxxxx>
To: NIHPRESS@xxxxxxxxxxxx
Subject: NIH-Funded Study Uses Planning Prompts
to Enhance Vaccination Rates
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U.S. Department of Health and Human Services
NATIONAL INSTITUTES OF HEALTH NIH News
National Institute on Aging (NIA)
http://www.nia.nih.gov/
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Embargoed for Release: Monday, June 13, 2011, 3 p.m. EDT
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CONTACT:
Barbara Cire
301-496-1752
e-mail:
nianews3@xxxxxxxxxxxx
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NIH-FUNDED STUDY USES PLANNING PROMPTS TO ENHANCE VACCINATION RATES
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A nudge can make all the difference
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We all have good intentions, but sometimes we need a nudge to turn those
intentions into actions. According to a new study, encouraging people to
write down the date and time when they plan to get their flu shot
increased the number of people who were vaccinated.
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The results of the randomized behavioral intervention appear in the June
13 online issue of the Proceedings of the National Academy of Sciences.
The research was supported by the National Institute on Aging (NIA), part
of the National Institutes of Health.
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The researchers analyzed the effects of different reminder mailings sent
to those employees of a large utility firm who were considered at risk for
the flu. All eligible employees received one of three possible reminder
mailings that listed the times and locations of free on-site flu
vaccination clinics. Past research has shown that reminder mailings are
among the most cost-effective ways to increase patient compliance. In this
case, those who were encouraged further to write down both the date and
time when they planned to receive the vaccination had a significantly
higher rate of vaccination than those who received the mailing listing
only the times and locations of the clinics.
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"These findings have the potential to strengthen efforts to improve public
health by increasing vaccination rates, as well as other constructive
health activities," said NIA Director Richard J. Hodes, M.D. "This study
shows that positive health effects can be achieved at a very low cost."
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Reminder mailings were sent to 3,272 employees who were age 50 or older or
had chronic health conditions that increase the risk of flu-related
complications. The control group received a mailing listing the times and
locations of vaccination clinics. The first treatment group received a
mailing that also prompted them to write down the date they planned to be
vaccinated; the second treatment group received a mailing that prompted
them to write down the date and time they planned to be vaccinated.
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The overall vaccination rate among study participants in the control group
was 33.1 percent. The rate in the date-plan group increased by 1.5
percentage points relative to the control group. The date-and-time-plan
group had a 4.2 percentage point increase relative to the control group.
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"Converting good intentions into real behavior has proven very difficult.
Most people know what they need to do to improve their health and have
excellent intentions, but there is a huge gap between their intentions and
what they then do," noted Richard Suzman, Ph.D., director of NIA's
Division of Behavioral and Social Research, which funded the study.
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Suzman noted that NIH has been focusing on several initiatives on the
science of behavior change that may lead to cost-effective approaches. "In
this study, the research expands the application of behavioral economics
to the health care setting, focusing on individual models of
decision-making and resulting in a meaningful improvement at zero cost. It
suggests that making a very concrete plan to take a particular action can
help turn the intention into action," he said.
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"Interestingly, the planning prompt was most effective among employees for
whom on-site flu shots were only offered on a single day," said lead
author Katherine L. Milkman, Ph.D., of the Wharton School at the
University of Pennsylvania in Philadelphia. "For this group, forgetting to
attend an on-site clinic once would mean forgoing the opportunity
altogether. Prompting these employees to write the date and time when they
intended to receive their shot increased compliance by 27 percent."
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The research was funded through grants from the NIA to investigators at
the Roybal Center for Behavior Change in Health and Savings at the
National Bureau of Economic Research (NBER) in Cambridge, Mass. NBER
provided support to investigators at participating institutions. The goal
of the 13 Edward R. Roybal Centers for Translation Research in the
Behavioral and Social Sciences of Aging is to move promising social and
behavioral research findings out of the laboratory and into programs and
practices that will improve the lives of older people and help society
adapt to an aging population.
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The NIA leads the federal government effort conducting and supporting
research on aging and the health and well-being of older people. The
Institute's broad scientific program seeks to understand the nature of
aging and to extend the healthy, active years of life. For more
information on research, aging, and health, go to
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http://www.nia.nih.gov
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About the National Institutes of Health (NIH): NIH, the nation's medical
research agency, includes 27 Institutes and Centers and is a component of
the U.S. Department of Health and Human Services. NIH is the primary
federal agency conducting and supporting basic, clinical, and
translational medical research, and is investigating the causes,
treatments, and cures for both common and rare diseases. For more
information about NIH and its programs, visit
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http://www.nih.gov
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REFERENCE:
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Using Implementation Intentions Prompts to Enhance Influenza Vaccination
Rates. Katherine L. Milkman, John Beshears, James J. Choi, David Laibson,
Brigitte C. Madrian
Proceedings of the National Academy of Sciences
Epub June 13, 2011
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##
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This NIH News Release is available online at:
http://www.nih.gov/news/health/jun2011/nia-13.htm
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
http://daviddillard.businesscard2.com
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