在慢性疾病患者中增加流感疫苗接种的电子点击:随机临床试验
Niklas Dyrby Johansen1,2,3, Muthiah Vaduganathan3,4, Ankeet S Bhatt5,6
1Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark.
JAMA
|October 11, 2024
概括
有关行为信息的电子信件显著提高了慢性疾病成年人的流感疫苗接种率. 这种可扩展的策略提供了一种具有成本效益的方法来改善公共卫生结果和疫苗接种覆盖率.
科学领域:
- 公共卫生
- 行为科学
- 预防医学
背景情况:
- 在患有慢性疾病的年轻人和中年人群中,流感疫苗接种率低于最佳,尽管有指导方针的建议.
- 需要有效和可扩展的策略来增加这一群体的流感疫苗接种率.
研究的目的:
- 评估以电子方式传递的,以行为为基础的信件推动在增加流感疫苗接种的有效性.
- 在患有慢性疾病的18至64岁患者中评估这些干预措施.
主要方法:
- 进行了基于国家实用的随机临床实施试验.
- 患有慢性疾病的18岁至64岁的参与者 (N=299,881) 接受了通常的护理或六个行为相关的电子信件之一.
- 2024 年 1 月 1 日之前接种流感疫苗是主要终点.
主要成果:
- 总体而言,与常规护理相比,干预信件增加了流感疫苗接种率 (39.6%与27.9%相比).
- 具体的干预措施,如重复的信件或强调心血管益处的信件,呈现出最大的增加 (分别为13.9和11.9个百分点).
- 在主要子组中观察到疫苗接种率的提高.
结论:
- 通过电子方式发送的,以行为为基础的信件提示显著增加了年轻和中年慢性病患者的流感疫苗接种率.
- 这些简单,可扩展和具有成本效益的电子信件策略对改善疫苗接种覆盖率具有重大影响.
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