在丹麦增加流感疫苗接种的电子推动:全国性的实用性,基于登记册的随机实施试验
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
概括
在丹麦的老年人中,电子推增加了流感疫苗接种率. 强调心血管疾病的益处或在政府信中使用提醒, 证明有效地提高了这一群体的疫苗接种率.
科学领域:
- 公共卫生
- 预防医学
- 行为科学
背景情况:
- 流感疫苗接种对于预防感染和并发症至关重要,但疫苗接种率仍然低于最佳水平.
- 正在探索行为推动措施以提高疫苗接种率,特别是在老年人中.
- 电子通讯道为提供公共卫生干预提供了一个可扩展的平台.
研究的目的:
- 通过电子信件传递的行为推动在增加流感疫苗接种的有效性.
- 评估不同推动策略对丹麦老年人疫苗接种率的影响.
- 在老年人群中确定增强流感疫苗接种的特定推动因素.
主要方法:
- 丹麦在2022-23年流感季进行了一项全国性的实用性,基于注册表的,随机集群的实施试验.
- 参与者包括65岁及以上的丹麦公民,不包括在养老院或免于电子邮件系统的公民.
- 家庭被随机分配到通常的护理或基于行为推动概念的九种不同的电子信件干预之一.
主要成果:
- 在收到强调心血管益处的电子信件 (81. 00% vs 80. 12%) 或重复提醒 (80. 85% vs 80. 12%) 的组中,流感疫苗接种率增加.
- 这些策略在各种子组中表现出有效性,包括那些有或没有先前存在心血管疾病的人.
- 这封以心血管健康为重点的信对在前一个流感季节未接种疫苗的人特别有效.
结论:
- 电子推送,强调心血管益处或使用提醒,显著改善了丹麦老年人接种流感疫苗的情况.
- 虽然这些电子干预措施的有效性很小,但由于成本低且可扩展性,
- 针对性信息,如强调心血管疾病的益处,对于特定的子组来说可能特别具有影响力,从而提高疫苗的坚持.
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