* . *
  • About
  • Advertise
  • Privacy & Policy
  • Contact
Thursday, May 29, 2025
Earth-News
  • Home
  • Business
  • Entertainment
    Aziz Ansari made Keanu Reeves Indian food so he wouldn’t feel ‘freaked out’ directing him in Good Fortune (exclusive) – Entertainment Weekly

    Aziz Ansari Whips Up Indian Cuisine for Keanu Reeves to Ease Directing Jitters in Good Fortune

    Cassie Ventura welcomes third child – crossroadstoday.com

    Cassie Ventura Joyfully Welcomes Her Third Child!

    Drew Brees opens Surge Entertainment Center in Metairie hot spot for new businesses – NOLA.com

    Drew Brees Unveils Exciting New Surge Entertainment Center in Metairie!

    Will Gio Stay Or Go On May 27 General Hospital? – Yahoo

    Will Gio Make a Shocking Exit on May 27th’s General Hospital

    First look: Disney shows star villains, Little Mermaid, tech – Yahoo

    Unveiling Disney’s Dark Side: A Sneak Peek at Iconic Villains, The Little Mermaid, and Cutting-Edge Technology!

    Fans Call Out Disney For Cutting Favorite ‘Lilo & Stitch’ Character: ‘It Makes Me Want to Cry’ – Yahoo

    Disney Fans Heartbroken Over the Cut of Beloved ‘Lilo & Stitch’ Character: ‘It Makes Me Want to Cry

  • General
  • Health
  • News

    Cracking the Code: Why China’s Economic Challenges Aren’t Shaking Markets, Unlike America’s” – Bloomberg

    Trump’s Narrow Window to Spread the Truth About Harris

    Trump’s Narrow Window to Spread the Truth About Harris

    Israel-Gaza war live updates: Hamas leader Ismail Haniyeh assassinated in Iran, group says

    Israel-Gaza war live updates: Hamas leader Ismail Haniyeh assassinated in Iran, group says

    PAP Boss to Niger Delta Youths, Stay Away from the Protest

    PAP Boss to Niger Delta Youths, Stay Away from the Protest

    Court Restricts Protests In Lagos To Freedom, Peace Park

    Court Restricts Protests In Lagos To Freedom, Peace Park

    Fans React to Jazz Jennings’ Inspiring Weight Loss Journey

    Fans React to Jazz Jennings’ Inspiring Weight Loss Journey

    Trending Tags

    • Trump Inauguration
    • United Stated
    • White House
    • Market Stories
    • Election Results
  • Science
  • Sports
  • Technology
    Q1 2025 Quantum Technology Investment: What’s Driving the Surge in Quantum Investment? – The Quantum Insider

    Unleashing the Future: Exploring the Surge in Quantum Technology Investments for Q1 2025

    MIT Team Releases Tempting Report on Electric Aircraft Technology – AVweb

    MIT Team Releases Tempting Report on Electric Aircraft Technology – AVweb

    MSE, DXC Technology expand tech partnership – Sports Business Journal

    MSE, DXC Technology expand tech partnership – Sports Business Journal

    Technology Driving Performance: How Elite MA Plans Leverage Data, Care Coordination, and Advanced Analytics to Thrive Amid CMS’s Rigorous 2025 Standards, Black Book – Newswire.com

    Unlocking Success: How Top MA Plans Harness Data and Analytics to Excel Under CMS’s 2025 Standards

    Arqit acquires Ampliphae’s technology IP, enhancing its global encryption portfolio – GlobeNewswire

    Arqit Boosts Global Encryption Portfolio with Strategic Acquisition of Ampliphae’s Technology IP

    Searenergy partners with Tethys Robotics on subsea inspection technology – Windtech International

    Searenergy partners with Tethys Robotics on subsea inspection technology – Windtech International

    Trending Tags

    • Nintendo Switch
    • CES 2017
    • Playstation 4 Pro
    • Mark Zuckerberg
No Result
View All Result
  • Home
  • Business
  • Entertainment
    Aziz Ansari made Keanu Reeves Indian food so he wouldn’t feel ‘freaked out’ directing him in Good Fortune (exclusive) – Entertainment Weekly

    Aziz Ansari Whips Up Indian Cuisine for Keanu Reeves to Ease Directing Jitters in Good Fortune

    Cassie Ventura welcomes third child – crossroadstoday.com

    Cassie Ventura Joyfully Welcomes Her Third Child!

    Drew Brees opens Surge Entertainment Center in Metairie hot spot for new businesses – NOLA.com

    Drew Brees Unveils Exciting New Surge Entertainment Center in Metairie!

    Will Gio Stay Or Go On May 27 General Hospital? – Yahoo

    Will Gio Make a Shocking Exit on May 27th’s General Hospital

    First look: Disney shows star villains, Little Mermaid, tech – Yahoo

    Unveiling Disney’s Dark Side: A Sneak Peek at Iconic Villains, The Little Mermaid, and Cutting-Edge Technology!

    Fans Call Out Disney For Cutting Favorite ‘Lilo & Stitch’ Character: ‘It Makes Me Want to Cry’ – Yahoo

    Disney Fans Heartbroken Over the Cut of Beloved ‘Lilo & Stitch’ Character: ‘It Makes Me Want to Cry

  • General
  • Health
  • News

    Cracking the Code: Why China’s Economic Challenges Aren’t Shaking Markets, Unlike America’s” – Bloomberg

    Trump’s Narrow Window to Spread the Truth About Harris

    Trump’s Narrow Window to Spread the Truth About Harris

    Israel-Gaza war live updates: Hamas leader Ismail Haniyeh assassinated in Iran, group says

    Israel-Gaza war live updates: Hamas leader Ismail Haniyeh assassinated in Iran, group says

    PAP Boss to Niger Delta Youths, Stay Away from the Protest

    PAP Boss to Niger Delta Youths, Stay Away from the Protest

    Court Restricts Protests In Lagos To Freedom, Peace Park

    Court Restricts Protests In Lagos To Freedom, Peace Park

    Fans React to Jazz Jennings’ Inspiring Weight Loss Journey

    Fans React to Jazz Jennings’ Inspiring Weight Loss Journey

    Trending Tags

    • Trump Inauguration
    • United Stated
    • White House
    • Market Stories
    • Election Results
  • Science
  • Sports
  • Technology
    Q1 2025 Quantum Technology Investment: What’s Driving the Surge in Quantum Investment? – The Quantum Insider

    Unleashing the Future: Exploring the Surge in Quantum Technology Investments for Q1 2025

    MIT Team Releases Tempting Report on Electric Aircraft Technology – AVweb

    MIT Team Releases Tempting Report on Electric Aircraft Technology – AVweb

    MSE, DXC Technology expand tech partnership – Sports Business Journal

    MSE, DXC Technology expand tech partnership – Sports Business Journal

    Technology Driving Performance: How Elite MA Plans Leverage Data, Care Coordination, and Advanced Analytics to Thrive Amid CMS’s Rigorous 2025 Standards, Black Book – Newswire.com

    Unlocking Success: How Top MA Plans Harness Data and Analytics to Excel Under CMS’s 2025 Standards

    Arqit acquires Ampliphae’s technology IP, enhancing its global encryption portfolio – GlobeNewswire

    Arqit Boosts Global Encryption Portfolio with Strategic Acquisition of Ampliphae’s Technology IP

    Searenergy partners with Tethys Robotics on subsea inspection technology – Windtech International

    Searenergy partners with Tethys Robotics on subsea inspection technology – Windtech International

    Trending Tags

    • Nintendo Switch
    • CES 2017
    • Playstation 4 Pro
    • Mark Zuckerberg
No Result
View All Result
Earth-News
No Result
View All Result
Home Health

Electronic Nudges to Get the Flu Shot Fall Short for Vax Rates, Outcomes

March 19, 2024
in Health
Electronic Nudges to Get the Flu Shot Fall Short for Vax Rates, Outcomes
Share on FacebookShare on Twitter

Electronic nudges sent to patients failed to increase influenza vaccine uptake in one randomized clinical trial, while another trial found that slight increases in vaccination rates from letters emailed to patients failed to impact clinical outcomes.

Neither portal nor text messages to remind patients to get an influenza vaccination were effective at a population level at improving vaccination uptake, Peter Szilagyi, MD, MPH, of the UCLA Mattel Children’s Hospital at the University of California in Los Angeles, and colleagues reported in JAMA Internal Medicine. Among patients who received care from 79 primary care practices in a large healthcare system, flu shot rates remained at approximately 47% whether patients received portal messages, text messages, or no reminders at all.

And in an analysis of the Danish NUDGE-FLU trial, an about 1% boost in influenza vaccination associated with email letters encouraging patients to get vaccinated did not translate into improvements in cardiovascular, respiratory, or other clinical endpoints, Niklas Johansen, MD, of the Copenhagen University Hospital-Harlev and Gentofte in Denmark, and colleagues wrote in the Annals of Internal Medicine.

Potential Advantage to Text Messages

Szilagyi and investigators found that patient portal messages sent monthly or before scheduled visits did not increase influenza vaccination rates.

However, preappointment reminders sent 24 to 48 hours before a scheduled primary care appointment, by either text or patient portal, had a small positive effect on vaccine uptake (adjusted risk ratio [aRR] 1.04, 95% CI 1.01-1.06, P=0.01) in a subgroup of patients who were unvaccinated but had at least one primary care appointment. This effect seemed to be driven by text preappointment reminders, which were associated with an absolute increase in vaccination rates of 1.6-1.8% (aRR 1.07, P=0.002), whereas the portal preappointment reminders had no significant impact.

“We suspect there are several reasons why text, but not portal, preappointment reminders were effective,” Szilagyi and colleagues wrote. “Portal messages require patients to open the portal and find and then read the message, whereas text messages appear instantly and might appear more urgent or important.”

Given the results of their study, the authors concluded that “text message preappointment reminders can be effective for patients with scheduled appointments,” but health systems might opt for more intensive interventions instead, “such as improving access to vaccinations (e.g., Saturday or after-hours clinics) or communication training for clinicians to address vaccine hesitancy.”

The trial included patients 6 months of age or older in the UCLA Health System with either one or two visits to a primary care provider within the past year or who were enrolled in managed care within the system. The trial included 262,085 patients, 9% of whom where children. Mean age was 45 years: females accounted for 57% of participants, 53% were white, 12% were Hispanic or Latino, and 10% were Asian. Most (83.5%) had private health insurance, and 14.9% received Medicare. About 65% had received an influenza vaccination within 2 years.

Patients were randomized equally to receive standard of care, influenza vaccine portal reminders, or vaccine text reminders. Those randomized to the portal reminder group were further randomized to receive fixed or responsive monthly portal reminders, with or without preappointment reminders. Those randomized to the text reminder group received fixed monthly reminders and were further randomized to receive preappointment reminders or no preappointment reminders.

The primary outcome was influenza vaccination, including vaccination at pharmacies and other sites.

NUDGE-FLU Analysis

Previously, the Danish NUDGE-FLU trial found that electronic letters that nudged recipients to get vaccinated for influenza and also provided information on its cardiovascular benefits (so-called “gain-framing”) were associated with a small increase of about 1% in flu vaccine uptake.

In this prespecified clinical outcome assessment of that trial, no statistically significant differences in clinical outcomes were found among those who received a letter that incorporated cardiovascular gain-framing or in those who received repeated letters, when compared with the usual care group who received no letters, reported Johansen and co-authors.

Hospitalization for pneumonia or influenza was 1% in the usual care group, 1% in the group that received the letters with cardiovascular gain-framing, and 1.1% in the repeated-letter group. Hospitalization for any cause was approximately 13% in all three groups. Mortality during the study occurred in 1.8% of the usual care group, 1.9% in the gain-framing group, and 1.7% in the repeated-letter group.

Given the modest results of the original NUDGE-FLU trial, the findings of the prespecified analysis came as no surprise to Mark Fendrick, MD, of the University of Michigan Medical School in Ann Arbor.

“It’s not that the flu shot doesn’t work, it’s that an intervention that got a very small [number] of additional people to get the flu shot did not produce a positive outcome effect across the entire population,” Fendrick told MedPage Today. “I would not expect an additional 1% of a population getting the flu shot to actually show meaningfully clinical outcome differences.”

“There’s pretty robust evidence to show that a lot of these [vaccine] reminders are not extraordinarily effective,” he added.

Johansen told MedPage Today via email that his group wasn’t surprised either. “We were well aware that our nudging letters only resulted in modest increases in influenza vaccination, and we therefore suspected that the difference in vaccination rates would not be enough to drive a difference in clinical outcomes.”

In the original NUDGE-FLU trial, approximately 965,000 Danish participants were randomized to usual care or to receive one of nine different electronically delivered behavioral nudging letters during the 2022-2023 flu season. The current analysis included 691,820 participants of that trial who were 65 years of age or older. Since the original NUDGE-FLU trial found that repeated standard letters and cardiovascular gain-framing letters resulted in modest but significantly higher rates of influenza vaccination, the current analysis focused on comparison of the groups that received no letters, letters sent at baseline and 14 days later, and cardiovascular gain-framed letters.

author['full_name']

Katherine Kahn is a staff writer at MedPage Today, covering the infectious diseases beat. She has been a medical writer for over 15 years.

Disclosures

The study by Szilagyi’s group was funded by the National Institute of Allergy and Infectious Diseases.

The study by Johansen’s group was funded by Sanofi.

Szilagyi reported no relevant conflicts of interest; other co-authors of the study reported ties to industry.

Johansen reported no relevant conflicts of interest; other co-authors of the study reported ties to industry.

Primary Source

JAMA Internal Medicine

Source Reference: Szilagyi PG, et al “Text vs patient portal messaging to improve influenza vaccination coverage” JAMA Intern Med 2024; DOI: 10.1001/jamainternmed.2024.0001.

Secondary Source

Annals of Internal Medicine

Source Reference: Johansen ND, et al “Clinical outcomes with electronic nudges to increase influenza vaccination” Ann Intern Med 2024; DOI: 10.7326/M23-2638.

>>> Read full article>>>
Copyright for syndicated content belongs to the linked Source : MedPageToday – https://www.medpagetoday.com/infectiousdisease/uritheflu/109228

Tags: Electronichealthnudges
Previous Post

How to Get Rid of a Canker Sore ASAP, According to Experts

Next Post

Biden Signs Executive Order to Boost Women’s Health Research

Aridity modulates grassland biomass responses to combined drought and nutrient addition – Nature

How Aridity Shapes Grassland Biomass: The Impact of Drought and Nutrient Boosts

May 29, 2025
The Last of Us Science Adviser Says COVID Changed How We View Zombie Stories – Scientific American

The Last of Us Science Adviser Says COVID Changed How We View Zombie Stories – Scientific American

May 29, 2025
States sue over Trump cuts to research funding, STEM diversity efforts – Reuters

States Take Action Against Trump’s Cuts to Research Funding and STEM Diversity Initiatives

May 29, 2025
Nearly 700 women celebrate power of healthy lifestyle with Heart & Sole Five Miler – WIS News 10

Empowered and Energized: Nearly 700 Women Unite for the Heart & Sole Five Miler!

May 29, 2025
Team USA Recap: Blevins Scores Another XCO World Cup Victory; Americans Cap Off Pro Road Nationals – USA Cycling

Team USA Shines: Blevins Dominates XCO World Cup and Americans Triumph at Pro Road Nationals!

May 29, 2025
Tariffs, and Trump’s entire economic agenda, were just thrown into chaos – CNN

Trump’s Economic Agenda in Turmoil: The Impact of New Tariffs

May 29, 2025
Aziz Ansari made Keanu Reeves Indian food so he wouldn’t feel ‘freaked out’ directing him in Good Fortune (exclusive) – Entertainment Weekly

Aziz Ansari Whips Up Indian Cuisine for Keanu Reeves to Ease Directing Jitters in Good Fortune

May 29, 2025
ChristianaCare to acquire former Crozer Health outpatient locations – WHYY

ChristianaCare Expands Its Reach with Acquisition of Former Crozer Health Outpatient Locations

May 29, 2025
Tesla’s European Sales Plummet Amid Politics and Competition – NBC Palm Springs

Tesla’s European Sales Dive: Navigating Political Challenges and Fierce Competition

May 29, 2025
Q1 2025 Quantum Technology Investment: What’s Driving the Surge in Quantum Investment? – The Quantum Insider

Unleashing the Future: Exploring the Surge in Quantum Technology Investments for Q1 2025

May 29, 2025

Categories

Archives

May 2025
MTWTFSS
 1234
567891011
12131415161718
19202122232425
262728293031 
« Apr    
Earth-News.info

The Earth News is an independent English-language daily published Website from all around the World News

Browse by Category

  • Business (20,132)
  • Ecology (649)
  • Economy (662)
  • Entertainment (21,569)
  • General (15,247)
  • Health (9,704)
  • Lifestyle (665)
  • News (22,149)
  • People (664)
  • Politics (670)
  • Science (15,884)
  • Sports (21,168)
  • Technology (15,650)
  • World (650)

Recent News

Aridity modulates grassland biomass responses to combined drought and nutrient addition – Nature

How Aridity Shapes Grassland Biomass: The Impact of Drought and Nutrient Boosts

May 29, 2025
The Last of Us Science Adviser Says COVID Changed How We View Zombie Stories – Scientific American

The Last of Us Science Adviser Says COVID Changed How We View Zombie Stories – Scientific American

May 29, 2025
  • About
  • Advertise
  • Privacy & Policy
  • Contact

© 2023 earth-news.info

No Result
View All Result

© 2023 earth-news.info

No Result
View All Result

© 2023 earth-news.info

Go to mobile version