Reminders, but not monetary incentives, increase COVID-19 booster uptake

Author:

Chang Tom Y.1,Jacobson Mireille23ORCID,Shah Manisha4ORCID,Kopetsky Matthew45,Pramanik Rajiv45ORCID,Shah Samir B.45

Affiliation:

1. Department of Finance and Business Economics, University of Southern California, Los Angeles, CA 90089

2. Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089

3. Schaeffer Center for Health Policy & Economic, University of Southern California, Los Angeles, CA 90089

4. Goldman School of Public Policy, University of California, Berkeley 94720

5. Contra Costa Regional Medical Center Health Centers, Contra Costa Health Services, Martinez, CA 94553

Abstract

Despite substantially decreasing the risk of hospitalization and death from COVID-19, COVID-19 booster vaccination rates remain low around the world. A key question for public health agencies is how to increase booster vaccination rates, particularly among high-risk groups. We conducted a large preregistered randomized controlled trial (with 57,893 study subjects) in a county health system in northern California to test the impact of personal reminder messages and small financial incentives of $25 on booster vaccination rates. We found that reminders increased booster vaccination rates within 2 wk by 0.86 percentage points ( P = 0.000) or nearly 33% off the control mean of 2.65%. Monetary incentives had no additional impact on vaccination rates. The results highlight the potential of low-cost targeted messages, but not small financial incentives, to increase booster vaccination rates.

Funder

J-PAL North America State and Local Innovation Initiative

Publisher

Proceedings of the National Academy of Sciences

Subject

Multidisciplinary

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1. Reminders, but not monetary incentives, increase COVID-19 booster uptake;Proceedings of the National Academy of Sciences;2023-07-24

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