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Nationwide demonstration of improved COVID-19 vaccination uptake through behavioural reminders

Author

Listed:
  • Hannah Behrendt

    (The Behavioural Insights Team)

  • Giulia Tagliaferri

    (The Behavioural Insights Team)

  • Lev Tankelevitch

    (The Behavioural Insights Team)

  • Yihan Xu

    (The Behavioural Insights Team)

  • Hugo Harper

    (The Behavioural Insights Team)

  • Natalie Gold

    (London School of Economics and Political Science
    Verian)

  • Dale Weston

    (UK Health Security Agency)

  • Rachel Rosen

    (NHS England)

  • Robert Scott

    (NHS England)

Abstract

Here we report the results of two nationwide randomized controlled trials. By refining behavioural-science-informed text messages notifying patients of their vaccine eligibility, we observed improvements in vaccination rates. The randomized controlled trials involved adults aged 40–44 years (n = 1,825,937) and 24–29 years (n = 2,174,064) in England. Messages emphasizing ‘Top of queue’ status led to small, but policy-relevant, increases in vaccination rates in both the 40–44 age group (odds ratio 1.02, 95% confidence interval 1.01–1.03) and the 24–29 age group (odds ratio 1.02, 95% confidence interval 1.01–1.04). Consequently, the ‘Top of queue’ message was nationally rolled out to other age groups. These findings demonstrate the potential of ‘queue’ framing in relevant contexts and the value of rigorous testing of public health messaging.

Suggested Citation

  • Hannah Behrendt & Giulia Tagliaferri & Lev Tankelevitch & Yihan Xu & Hugo Harper & Natalie Gold & Dale Weston & Rachel Rosen & Robert Scott, 2025. "Nationwide demonstration of improved COVID-19 vaccination uptake through behavioural reminders," Nature Human Behaviour, Nature, vol. 9(6), pages 1237-1245, June.
  • Handle: RePEc:nat:nathum:v:9:y:2025:i:6:d:10.1038_s41562-025-02165-x
    DOI: 10.1038/s41562-025-02165-x
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