IDEAS home Printed from https://ideas.repec.org/a/bpd/articl/v2y2019i2jbpa.22.55.html
   My bibliography  Save this article

Increasing immunization compliance among schools and day care centers: Evidence from a randomized controlled trial

Author

Listed:
  • Jessica Leight

    (American University & Office of Evaluation Services)

  • Elana Safran

    (Office of Evaluation Sciences)

Abstract

This paper reports on the results of a randomized controlled trial in which researchers collaborated with a department of health in a mid-size city to evaluate the effectiveness of targeted communications highlighting descriptive social norms to increase immunization compliance across 700 schools. Schools were randomly selected to receive a twice-annual immunization compliance report card reporting in detail their compliance rates compared to other schools of the same school type; the comparison rates reported included the school-type average, average compliance among the top 10% of performers, and the city target of 98% compliance. Shifts in immunization compliance are tracked in a city-wide administrative vaccine registry. The results suggest that there was no significant difference in compliance rates between treatment and control schools six months post-treatment. To our knowledge, it is the first randomized controlled trial evaluating the use of descriptive social norms in increasing immunization compliance rates in a school-based setting. In addition, it serves as an example of embedding a behaviorally-informed experiment in a government program utilizing high-quality administrative data.

Suggested Citation

  • Jessica Leight & Elana Safran, 2019. "Increasing immunization compliance among schools and day care centers: Evidence from a randomized controlled trial," Journal of Behavioral Public Administration, Center for Experimental and Behavioral Public Administration, vol. 2(2).
    • Handle: RePEc:bpd:articl:v:2:y:2019:i:2:jbpa.22.55
    DOI: 10.30636/jbpa.22.55
    as

    Download full text from publisher

    File URL: https://journal-bpa.org/index.php/jbpa/article/download/55/42
    Download Restriction: no
    File URL: https://libkey.io/10.30636/jbpa.22.55?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ian Ayres & Sophie Raseman & Alice Shih, 2013. "Evidence from Two Large Field Experiments that Peer Comparison Feedback Can Reduce Residential Energy Usage," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 29(5), pages 992-1022, October.
    2. David J. Deming & Sarah Cohodes & Jennifer Jennings & Christopher Jencks, 2016. "School Accountability, Postsecondary Attainment, and Earnings," The Review of Economics and Statistics, MIT Press, vol. 98(5), pages 848-862, December.
    3. Charles T. Clotfelter & Helen F. Ladd & Jacob L. Vigdor & Roger Aliaga Diaz, 2004. "Do school accountability systems make it more difficult for low-performing schools to attract and retain high-quality teachers?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 23(2), pages 251-271.
    4. Robert Cialdini, 2007. "Descriptive Social Norms as Underappreciated Sources of Social Control," Psychometrika, Springer;The Psychometric Society, vol. 72(2), pages 263-268, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Walker, Brigham, 2023. "Price and saliency in health care: When can targeted nudges change behaviors?," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 107(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Itzhak Rasooly & Roberto Rozzi, 2022. "Masks, Cameras, and Social Pressure," SciencePo Working papers hal-03892947, HAL.
    2. Czajkowski, Mikołaj & Zagórska, Katarzyna & Hanley, Nick, 2019. "Social norm nudging and preferences for household recycling," Resource and Energy Economics, Elsevier, vol. 58(C).
    3. Itzhak Rasooly & Roberto Rozzi, 2022. "Masks, Cameras, and Social Pressure," Working Papers hal-03892947, HAL.
    4. Mansfield, Jonathan & Slichter, David, 2021. "The Long-Run Effects of Consequential School Accountability," IZA Discussion Papers 14503, Institute of Labor Economics (IZA).
    5. Rasooly, Itzhak & Rozzi, Roberto, 2024. "Masks, cameras and social pressure," Journal of Economic Behavior & Organization, Elsevier, vol. 226(C).
    6. Itzhak Rasooly & Roberto Rozzi, 2022. "Masks, Cameras, and Social Pressure," SciencePo Working papers Main hal-03892947, HAL.
    7. Seth Gershenson, 2016. "Performance Standards and Employee Effort: Evidence From Teacher Absences," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 35(3), pages 615-638, June.
    8. Céline Nauges & Dale Whittington, 2019. "Social Norms Information Treatments in the Municipal Water Supply Sector: Some New Insights on Benefits and Costs," Water Economics and Policy (WEP), World Scientific Publishing Co. Pte. Ltd., vol. 5(03), pages 1-40, July.
    9. Bonan, Jacopo & Cattaneo, Cristina & D’Adda, Giovanna & Tavoni, Massimo, 2019. "Can We Make Social Information Programs More Effective? The Role of Identity and Values," RFF Working Paper Series 19-21, Resources for the Future.
    10. Brian Gill, 2022. "What Should The Future Of Educational Accountability Look Like?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 41(4), pages 1232-1239, September.
    11. Christoph Bühren & Maria Daskalakis, 2015. "Do not incentivize eco-friendly behavior - Go for a competition to go green!," MAGKS Papers on Economics 201534, Philipps-Universität Marburg, Faculty of Business Administration and Economics, Department of Economics (Volkswirtschaftliche Abteilung).
    12. Bonan, Jacopo & Battiston, Pietro & Bleck, Jaimie & LeMay-Boucher, Philippe & Pareglio, Stefano & Sarr, Bassirou & Tavoni, Massimo, 2021. "Social interaction and technology adoption: Experimental evidence from improved cookstoves in Mali," World Development, Elsevier, vol. 144(C).
    13. Sareh Vosooghi, "undated". "Information Design In Coalition Formation Games," ETA: Economic Theory and Applications 258010, Fondazione Eni Enrico Mattei (FEEM).
    14. Mekonnen, Alemu & Hassen, Sied & Jaime, Marcela & Toman, Michael & Zhang, Xiao-Bing, 2023. "The effect of information and subsidy on adoption of solar lanterns: An application of the BDM bidding mechanism in rural Ethiopia," Energy Economics, Elsevier, vol. 124(C).
    15. Andrew Dustan & Stanislao Maldonado & Juan Manuel Hernandez-Agramonte, 2018. "Motivating bureaucrats with non-monetary incentives when state capacity is weak: Evidence from large-scale field experiments in Peru," Working Papers 136, Peruvian Economic Association.
    16. Miklós Antal & Ardjan Gazheli & Jeroen C.J.M. van den Bergh, 2012. "Behavioural Foundations of Sustainability Transitions. WWWforEurope Working Paper No. 3," WIFO Studies, WIFO, number 46424.
    17. Bonan, J. & Cattaneo, C. & d’Adda, G. & Galliera, A. & Tavoni, M., 2024. "Widening the scope: The direct and spillover effects of nudging water efficiency in the presence of other behavioral interventions," Journal of Environmental Economics and Management, Elsevier, vol. 127(C).
    18. Sarah R. Cohodes & Daniel S. Grossman & Samuel A. Kleiner & Michael F. Lovenheim, 2016. "The Effect of Child Health Insurance Access on Schooling: Evidence from Public Insurance Expansions," Journal of Human Resources, University of Wisconsin Press, vol. 51(3), pages 727-759.
    19. Heutel, Garth, 2019. "Prospect theory and energy efficiency," Journal of Environmental Economics and Management, Elsevier, vol. 96(C), pages 236-254.
    20. Bhanot, Syon P., 2017. "Rank and response: A field experiment on peer information and water use behavior," Journal of Economic Psychology, Elsevier, vol. 62(C), pages 155-172.

    More about this item

    Keywords

    ;
    ;
    ;

    JEL classification:

    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • Z00 - Other Special Topics - - General - - - General
    • D90 - Microeconomics - - Micro-Based Behavioral Economics - - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bpd:articl:v:2:y:2019:i:2:jbpa.22.55. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sebastian Jilke The email address of this maintainer does not seem to be valid anymore. Please ask Sebastian Jilke to update the entry or send us the correct address (email available below). General contact details of provider: http://journal-bpa.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.