Status:

COMPLETED

Behavioral Economics to Improve Flu Vaccination Using EHR Nudges

Lead Sponsor:

University of Pennsylvania

Collaborating Sponsors:

National Institute on Aging (NIA)

University of Washington

Conditions:

Behavior, Health

Flu

Eligibility:

All Genders

50+ years

Phase:

NA

Brief Summary

This study will be a multisite, cluster randomized, pragmatic trial to evaluate the effectiveness of personalized nudges to clinicians and patients, relative to a control, to increase flu vaccination ...

Detailed Description

Many older adults are at risk of illness, hospitalization, and death from vaccine-preventable diseases. More than half of older adults in the United States are not vaccinated for flu which has remaine...

Eligibility Criteria

Inclusion

  • Patient
  • All patients must meet the following criteria to be eligible:
  • Age \>50 years
  • A scheduled new or return (non-urgent/sick) primary care appointment at one of the study practices at the Penn Medicine, UW Medicine, or Lancaster General Hospital
  • Have not received their annual flu vaccine during the active intervention period (September- February)
  • Eligible to receive the flu vaccine
  • For the high risk intensification nudge, at least one of the following criteria must be met to be considered high risk and randomized to receive the intensification nudge:
  • Age ≥ 70 years
  • Living in a lower income community (lowest quartile, zip-code based)
  • Did not receive a flu vaccine in the previous calendar year
  • Self-identifies as Non-Hispanic Black
  • Patient

Exclusion

  • Have a documented allergy to flu vaccine
  • Have a flu vaccine exclusion modifier in Health Maintenance
  • Have opted out of research according to individual site guidelines and policies
  • Have no phone number (home or mobile) listed in their chart
  • Clinician Inclusion Criteria:
  • Clinicians must meet the following criteria to be eligible to receive peer comparison feedback:
  • Practicing physician (MD, DO) or advanced practice provider (NP, PA) with the exception of residents and fellows
  • Have a minimum patient panel of at least 50 patients, and
  • Practicing at a clinical site randomized to receive the clinic-level nudge interventions.

Key Trial Info

Start Date :

September 25 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 20 2024

Estimated Enrollment :

80039 Patients enrolled

Trial Details

Trial ID

NCT06057727

Start Date

September 25 2023

End Date

May 20 2024

Last Update

April 27 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

University of Pennsylvania Health System

Philadelphia, Pennsylvania, United States, 19104

2

University of Washington

Seattle, Washington, United States, 98195