tetano
Editor, Senior Moderator
Am J Health Promot. 2019 Jan 10:890117118823157. doi: 10.1177/0890117118823157. [Epub ahead of print]
[h=1]Promoting Influenza Vaccination Among an ACA Health Plan Subscriber Population: A Randomized Trial.[/h] Nehme EK[SUP]1,[/SUP][SUP]2[/SUP], Delphia M[SUP]3[/SUP], Cha EM[SUP]1,[/SUP][SUP]2[/SUP], Thomas M[SUP]3[/SUP], Lakey D[SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]PURPOSE::[/h] To assess the effectiveness of an intervention to promote influenza vaccination among members of an Affordable Care Act (ACA) insurance plan.
[h=4]DESIGN::[/h] Randomized controlled trial.
[h=4]SETTING::[/h] Messages were delivered by a community-based, nonprofit health insurance provider to its members in Central Texas.
[h=4]PARTICIPANTS::[/h] Adult subscribers for whom either a phone number or an e-mail address was available (n = 25 649).
[h=4]INTERVENTION::[/h] Participants were randomly assigned to be sent (1) no messages, (2) messages encouraging influenza vaccination via e-mails and texts, and (3) messages encouraging influenza vaccination through e-mails, texts, and postal mail. Messages were sent between September 12, 2017 and November 17, 2017.
[h=4]MEASURES::[/h] Influenza vaccination was determined using medical and pharmacy claims.
[h=4]ANALYSIS::[/h] Rate differences and 95% confidence intervals between each exposure condition were calculated for the overall population and by subgroups.
[h=4]RESULTS::[/h] The vaccination rate by December 31, 2017 was 16.9%. Those sent both electronic messages and postal mail were significantly more likely to be vaccinated than those who were not sent messages (rate difference: 2.5%; 95% confidence interval [CI]: 1.4-3.6) and those who were sent electronic messages only (rate difference: 1.6%; 95% CI: 0.5-2.8).
[h=4]CONCLUSION::[/h] A combination of messages delivered via text, e-mail, and postal mail generated a modest but significant positive effect on influenza vaccine rates in an ACA plan population. The postal mail component was essential for achieving this effect.
[h=4]KEYWORDS:[/h] Patient Protection and Affordable Care Act; health promotion; influenza vaccines; not-for-profit insurance plans; reminder systems
PMID: 30630342 DOI: 10.1177/0890117118823157
[h=1]Promoting Influenza Vaccination Among an ACA Health Plan Subscriber Population: A Randomized Trial.[/h] Nehme EK[SUP]1,[/SUP][SUP]2[/SUP], Delphia M[SUP]3[/SUP], Cha EM[SUP]1,[/SUP][SUP]2[/SUP], Thomas M[SUP]3[/SUP], Lakey D[SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]PURPOSE::[/h] To assess the effectiveness of an intervention to promote influenza vaccination among members of an Affordable Care Act (ACA) insurance plan.
[h=4]DESIGN::[/h] Randomized controlled trial.
[h=4]SETTING::[/h] Messages were delivered by a community-based, nonprofit health insurance provider to its members in Central Texas.
[h=4]PARTICIPANTS::[/h] Adult subscribers for whom either a phone number or an e-mail address was available (n = 25 649).
[h=4]INTERVENTION::[/h] Participants were randomly assigned to be sent (1) no messages, (2) messages encouraging influenza vaccination via e-mails and texts, and (3) messages encouraging influenza vaccination through e-mails, texts, and postal mail. Messages were sent between September 12, 2017 and November 17, 2017.
[h=4]MEASURES::[/h] Influenza vaccination was determined using medical and pharmacy claims.
[h=4]ANALYSIS::[/h] Rate differences and 95% confidence intervals between each exposure condition were calculated for the overall population and by subgroups.
[h=4]RESULTS::[/h] The vaccination rate by December 31, 2017 was 16.9%. Those sent both electronic messages and postal mail were significantly more likely to be vaccinated than those who were not sent messages (rate difference: 2.5%; 95% confidence interval [CI]: 1.4-3.6) and those who were sent electronic messages only (rate difference: 1.6%; 95% CI: 0.5-2.8).
[h=4]CONCLUSION::[/h] A combination of messages delivered via text, e-mail, and postal mail generated a modest but significant positive effect on influenza vaccine rates in an ACA plan population. The postal mail component was essential for achieving this effect.
[h=4]KEYWORDS:[/h] Patient Protection and Affordable Care Act; health promotion; influenza vaccines; not-for-profit insurance plans; reminder systems
PMID: 30630342 DOI: 10.1177/0890117118823157