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Published on: September 16, 2012
Promoting Influenza Vaccination Among an ACA Health Plan Subscriber Population: A Randomized Trial
Eileen K Nehme1,2, Michelle Delphia3, Eun Me Cha1,2
11 University of Texas Health Science Center at Tyler, Department of Community Health, Tyler, TX, USA.
Purpose:
To assess the effectiveness of an intervention to promote influenza vaccination among members of an Affordable Care Act (ACA) insurance plan.
Design:
Randomized controlled trial.
Setting:
Messages were delivered by a community-based, nonprofit health insurance provider to its members in Central Texas.
Participants:
Adult subscribers for whom either a phone number or an e-mail address was available (n = 25 649).
Intervention:
Participants were randomly assigned to be sent (1) no messages, (2) messages encouraging influenza vaccination via e-mails and texts, and (3) messages encouraging influenza vaccination through e-mails, texts, and postal mail. Messages were sent between September 12, 2017 and November 17, 2017.
Measures:
Influenza vaccination was determined using medical and pharmacy claims.
Analysis:
Rate differences and 95% confidence intervals between each exposure condition were calculated for the overall population and by subgroups.
Results:
The vaccination rate by December 31, 2017 was 16.9%. Those sent both electronic messages and postal mail were significantly more likely to be vaccinated than those who were not sent messages (rate difference: 2.5%; 95% confidence interval [CI]: 1.4-3.6) and those who were sent electronic messages only (rate difference: 1.6%; 95% CI: 0.5-2.8).
Conclusion:
A combination of messages delivered via text, e-mail, and postal mail generated a modest but significant positive effect on influenza vaccine rates in an ACA plan population. The postal mail component was essential for achieving this effect.
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