デンマークでインフルエンザワクチン接種率を増加させるための電子的な誘導:全国的,実用的な,レジストリベースの,ランダム化実施試験
Niklas Dyrby Johansen1, Muthiah Vaduganathan2, Ankeet S Bhatt3
1Department of Cardiology, Copenhagen University Hospital-Herlev and Gentofte, Copenhagen, Denmark; Center for Translational Cardiology and Pragmatic Randomized Trials, Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark.
Lancet (London, England)
|March 8, 2023
まとめ
電子ドッジは デンマークの高齢者のインフルエンザワクチン接種率を高めました 心血管疾患の利点を強調したり 政府の手紙でリマインダーを使うことは この集団のワクチン接種率を高めるのに効果的であることが判明しました
科学分野:
- 公衆衛生
- 予防 医療
- 行動科学
背景:
- インフルエンザの予防接種は感染と合併症の予防に不可欠ですが,接種率は最適ではありません.
- 特に高齢者のワクチン接種率を向上させるための行動誘導策が検討されている.
- 電子通信チャネルは,公衆衛生の介入の提供のためのスケーラブルなプラットフォームを提供します.
研究 の 目的:
- インフルエンザワクチン接種率の増加における電子郵件による行動誘導の有効性を評価する.
- デンマークの高齢者のワクチン接種率に及ぼす影響を評価する.
- 高齢者集団におけるインフルエンザワクチンの接種を促進する特定の刺激を特定する.
主な方法:
- デンマークでは,2022~23年のインフルエンザシーズンに全国的な,実用的な,レジストリベースの,クラスターランダム化実施試験が行われました.
- 参加者は65歳以上のデンマーク人であり,介護施設にいる人,または電子郵件システムから免除されている人を除く.
- 家計は通常のケアや 9つの異なる電子手紙の介入の1つにランダムに分けられ, 行動的なニッチングの概念に基づいていました.
主要な成果:
- インフルエンザワクチン接種率は,心臓血管疾患の利点を強調した電子書 (81. 00% 対 80. 12%) または繰り返し警告 (80. 85% 対 80. 12%) を受けたグループで増加した.
- これらの戦略は,心血管疾患を患っている人,患っていない人など,様々なサブグループで有効性を示しました.
- 前回のインフルエンザシーズンにワクチンを接種しなかった個人に特に効果的だった.
結論:
- 電子的なスナップで 心血管の効果を強調したり 思い出させたりすることで デンマークの高齢者の インフルエンザワクチン接種率を大幅に向上させました
- 効果は控えめですが 低コストでスケーラブルな電子介入は 将来の公衆衛生キャンペーンに 価値をもたらします
- 心血管疾患の改善を強調する 標的型メッセージは 特定のサブグループに対して特に効果的で ワクチン接種の順守を高めます
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