Behavioral Economics to Improve Flu Vaccination Using EHR Nudges Replication
Completed · Not applicable
Conditions studied: Behavior, Health, Flu, Flu Vaccination
In brief
This study will be a 6-month, cluster randomized, pragmatic replication trial to evaluate the effectiveness of personalized nudges to clinicians and patients, relative to a control, to increase flu vaccination rates among older adults in accordance with CDC guidelines. This will include clinician and patient level nudge interventions, with additional, intensified nudge interventions for patients identified as high risk for not receiving a flu vaccine. Among the intervention clinics, patients will receive pre-visit text message reminders about the flu vaccine, and clinicians will receive a default pended order in the visit encounter in the EHR, along with monthly peer comparison feedback about their flu vaccine completion rate. Patients identified as high risk for noncompletion will be individually randomized to receive an additional bidirectional text message nudge or the standard text messaging
Key facts
- Study ID
- NCT06626321
- Run by
- University of Pennsylvania
- People needed
- 26248
- Starts
- 2024-10-21
- Expected to finish
- 2025-05-28
- Last updated by the study team
- 2026-03-30
Who can join
Age: 50 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All patients must meet the following criteria to be eligible:
- Age ≥ 50 years
- A scheduled new or return (non-urgent/sick) primary care appointment at one of the study practices at Lancaster General Health
- Have not received their annual flu vaccine during the active intervention period (September- February)
- Eligible to receive the flu vaccine
- For the patient intensification nudge, at least one of the following criteria must be met to be considered high risk and randomized to receive the intensification nudge:
- Age ≥ 70 years
- Living in a lower income community (lowest quartile, zip-code based)
- Did not receive a flu vaccine in the previous calendar year
- Self-identifies as Non-Hispanic Black
- Clinicians must meet the following criteria to be eligible to receive peer comparison feedback:
- Practicing physician (MD, DO) or advanced practice provider (NP, PA) with the exception of residents and fellows
- Have a minimum patient panel of at least 50 patients, and
- Practicing at a clinical site randomized to receive the clinic-level nudge interventions.
You may not qualify if…
- Patients will be excluded from the study if they:
- Have a documented allergy to flu vaccine
- Have a flu vaccine exclusion modifier in Health Maintenance
- Have opted out of research according to individual site guidelines and policies
- Have no phone number (home or mobile) listed in their chart
Where it is running
- Lancaster General Health — Lancaster, Pennsylvania, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.