Evidence map›Paper›PMID 39496851›Full record

Trial reportJournal of general internal medicine2025

Behaviorally Informed Text Message Nudges to Schedule COVID-19 Vaccinations: A Randomized Controlled Trial.

Ashok Reddy, John Geyer, Chelle Wheat, Linnaea Schuttner, Anders Chen, Stephanie Deeds, Joshua M Liao, Nidhi Agrawal, Karin M Nelson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ashok ReddyDivision of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. Ashok.Reddy@va.gov.ORCID 0000-0001-5238-629X
John GeyerDivision of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Chelle WheatCenter for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA, USA.
Linnaea SchuttnerDivision of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Anders ChenDivision of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Stephanie DeedsDivision of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Joshua M LiaoDivision of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Nidhi AgrawalFoster School of Business, University of Washington, Seattle, WA, USA.
Karin M NelsonDivision of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVaccine hesitancy, especially related to COVID-19 vaccinations among Veterans, may limit uptake. Behaviorally informed text-based messages have the potential to improve uptake of COVID-19 vaccinations.

objectiveTo evaluate the impact of two different behaviorally informed text message nudges on COVID-19 vaccine scheduling and completion, compared to standard control message.

designProspective, three-arm patient-level randomized quality improvement trial.

participantsBetween March and May 2021, 20,523 Veterans were eligible for the initial series of COVID-19 vaccination, enrolled at two large Veterans Health Administration sites.

interventionArm 1 (Control): standard scheduling message; Arm 2 (Social Good): standard message plus behaviorally informed text message "When you get a vaccine now, you help protect yourself, your family, and your community"; and Arm 3 (Scarcity): standard plus behaviorally informed text message "Only a limited number of vaccine appointments are available." MAIN MEASURES: Outcomes were vaccine scheduling and/or completion rate within 7 days of receipt of text message (primary), and within 14 days and 30 days after receipt of text message (secondary). KEY

resultsVeterans had an overall rate of 19% of scheduling or receiving a vaccination in 7 days. In our adjusted intention-to-treat analysis, we found no difference between intervention social good or scarcity (aOR 0.98, 95% CI, 0.88-1.09, for both arms) compared to standard scheduling message. We found no statistical differences in our secondary outcomes.

conclusionsDuring the initial phases of vaccine roll-out, two behaviorally informed text messages did not increase COVID-19 vaccination rates among Veterans compared to a standard scheduling message.

Indexed as

COVID-19COVID-19 VaccinesImmunization ScheduleText MessagingVaccinationVaccination HesitancyVeteransAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesSARS-CoV-2United StatesCOVID-19 VaccinesCOVID-19 vaccinepopulation healthtext messaging

Identifiers

PMID39496851
PMCPMC11968596

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.