“Multicomponent nudge” interventions were successful in prompting an increase in clinicians ordering, and patients obtaining influenza vaccination, in a trial of the interventions against usual care conducted in 47 primary care outpatient clinics in Philadelphia and Seattle.1
“In this trial, we show that a multicomponent nudge to patients and clinicians that includes previsit text messaging, peer comparison to clinicians, and an automatic pended order result in an increase in influenza vaccine completion of 5.1 percentage points (in risk difference for probability of completion) during the visit,” report lead author Shivan Mehta, MD, MBA, MSHP, Perelman School of Medicine, University of Pennsylvania, PA, and colleagues.