University of Haifa, Haifa, IL, Israel.
Tel Aviv University and Sarid Research Services, Tel Aviv, IL, Israel.
Med Decis Making. 2020 Aug;40(6):774-784. doi: 10.1177/0272989X20944190. Epub 2020 Aug 8.
We suggest and examine a behavioral approach to increasing seasonal influenza vaccine uptake. Our idea combines behavioral effects generated by a dominated option, together with more traditional tools, such as providing information and recommendations. Making use of the seasonal nature of the flu, our treatments present participants with 2 options to receive the shot: early in the season, which is recommended and hence "attractive," or later. Three additional layers are examined: 1) mentioning that the vaccine is more likely to run out of stock late in the season, 2) the early shot is free while the late one costs a fee, and 3) the early shot carries a monetary benefit. We compare vaccination intentions in these treatments to those of a control group who were invited to receive the shot regardless of timing. Using a sample of the Israeli adult population ( = 3271), we found positive effects of all treatments on vaccination intentions, and these effects were significant for 3 of the 4 treatments. In addition, the vast majority of those who are willing to vaccinate intend to get the early shot. Introducing 2 options to get vaccinated against influenza (early or late) positively affects intentions to receive the flu shot. In addition, this approach nudges participants to take the shot in early winter, a timing that has been shown to be more cost-effective.
我们提出并检验了一种提高季节性流感疫苗接种率的行为方法。我们的想法结合了被主导选项产生的行为效应,以及更传统的工具,如提供信息和建议。利用流感的季节性,我们的治疗方案为参与者提供了 2 种接种疫苗的选择:在季节早期,这是推荐的,因此是“有吸引力的”,或者在后期。我们还研究了另外 3 个层面:1)提到疫苗在季节后期更有可能缺货,2)早期接种免费,而晚期接种需要付费,3)早期接种有货币收益。我们将这些治疗方案中的接种意愿与对照组进行了比较,对照组无论时间如何都被邀请接种疫苗。使用以色列成年人样本(n=3271),我们发现所有治疗方案都对接种意愿产生了积极影响,其中 4 种治疗方案中有 3 种的影响显著。此外,绝大多数愿意接种疫苗的人都打算接种早期疫苗。引入接种流感疫苗的 2 种选择(早期或晚期)会积极影响接种疫苗的意愿。此外,这种方法促使参与者在初冬接种疫苗,这种时间已被证明更具成本效益。