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Nudges for influenza vaccination

Influenza is a significant cause of morbidity and mortality around the world. Nudges are small changes to the environment or choice architecture that can be designed to significantly increase influenza vaccination rates.

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Fig. 1: Ladder of nudge interventions to increase vaccination rates.


  1. Influenza vaccination coverage. Centers for Disease Control and Prevention (accessed 1 August 2018).

  2. Lau, D. et al. Ann. Fam. Med. 10, 538–546 (2012).

    Article  Google Scholar 

  3. Thaler, R. H. & Sunstein, C. R. Nudge: Improving Decisions about Health, Wealth, and Happiness (Penguin Books, New York, 2009).

  4. Patel, M. S., Volpp, K. G. & Asch, D. A. N. Engl. J. Med. 378, 214–216 (2018).

    Article  Google Scholar 

  5. Yokum, D., Lauffenburger, J. C., Ghazinouri, R. & Choudhry, N. K. Nat. Hum. Behav. (2018).

    Article  Google Scholar 

  6. Thomas, R. E., Russell, M. L. & Lorenzetti, D. L. Vaccine 28, 1684–1701 (2010).

    Article  Google Scholar 

  7. Milkman, K. L., Beshears, J., Choi, J. J., Laibson, D. & Madrian, B. C. Proc. Natl Acad. Sci. USA 108, 10415–10420 (2011).

    Article  CAS  Google Scholar 

  8. Halpern, S. D., Ubel, P. A. & Asch, D. A. N. Engl. J. Med. 357, 1340–1344 (2007).

    Article  CAS  Google Scholar 

  9. Patel, M. S. et al. JAMA Intern. Med. 176, 847–848 (2016).

    Article  Google Scholar 

  10. Chapman, G. B., Li, M., Colby, H. & Yoon, H. JAMA 304, 43–44 (2010).

    Article  CAS  Google Scholar 

  11. Aysola, J. et al. Am. J. Health Promot. 32, 745–752 (2018).

    Article  Google Scholar 

  12. Public Health: Ethical Issues Ch. 3 (Nuffield Council on Bioethics, London, 2007);

Download references

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Correspondence to Mitesh S. Patel.

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Competing interests

M.S.P. is founder of Catalyst Health, a technology and behaviour change consulting firm, and is on the medical advisory board for Healthmine Services, and Holistic Industries.

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Patel, M.S. Nudges for influenza vaccination. Nat Hum Behav 2, 720–721 (2018).

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