实施行为科学通知的信函干预措施,以增加无法接触的伦敦居民的COVID-19疫苗接种率:英国伦敦的一项差异研究
Sarah W Huf1, Lena Woldmann2, Roberto Fernandez Crespo3
1Department of Surgery and Cancer, Imperial College London, London, UK; Institute of Global Health Innovation, Imperial College London, London, UK; Imperial College Healthcare NHS Trust, London, UK.
Lancet (London, England)
|March 17, 2023
概括
行为科学通知的信件在难以接触的居民中显著提高了31.9%的COVID-19疫苗接种率. 当其他方法失败时,这些可信的沟通有效地吸引了个人,改善了公共卫生结果.
科学领域:
- 公共卫生
- 关于健康的信息
- 行为科学
背景情况:
- 英国的COVID-19疫苗接种计划面临挑战,到2021年2月,八个伦敦西北临床委托组 (CCG) 在全国范围内出现了最低的疫苗接种率.
- 这项研究的重点是改善传统途径难以接触的居民接种疫苗.
研究的目的:
- 评估行为科学信息 (BI) 书信在提高COVID-19疫苗接种率方面的有效性.
- 评估BI信件对伦敦无法接触的人群接种疫苗的影响.
主要方法:
- 使用差异分析的准实验设计.
- 与三个对照CCG相比,伦敦中部CCG (干预) 的未接种疫苗,无法接触的居民收到了BI信件.
- 调整了疫苗接种率的变化,包括种族,年龄,性别和多重贫困指数 (IMD) 五分位数.
主要成果:
- 干预CCG的疫苗接种率相对增加了31. 9% (p< 0. 0001).
- 在最贫困的五分位数 (IMD五分位数) 观察到最显著的增加,变化为4. 1% (p< 0. 0001).
- 来自混合或多个种族背景的居民接受疫苗的可能性较低 (- 4.1%,p<0.0001).
结论:
- 以行为科学为基础的信件是提高接种疫苗的成本效益和可靠方法.
- 这些BI信件成功地吸引了对其他沟通策略无反应的居民.
- 这项研究强调需要考虑卫生干预措施的有效性.
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