{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T08:45:21Z","timestamp":1764665121785,"version":"3.46.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"National Health and Medical Research Council of Australia","award":["APP2014684"],"award-info":[{"award-number":["APP2014684"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Non-coercive \u2018nudge\u2019 interventions have shown the potential to promote health behaviours. This study aimed to evaluate the impact of nudge interventions on COVID-19\/influenza vaccine uptake among children with medically at-risk conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Randomized controlled trials (RCTs) were conducted, and participants were randomized (1:1) to standard care or intervention. The multicomponent nudge interventions included three text messages with video links, developed using the MINDSPACE framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the COVID-19 RCT, 554 were randomized to intervention and 552 to standard care, with 15.3% opting out of text messages. Over 3 months, eight children in the intervention group (1.4%) and nine in the standard care group (1.6%) received at least one dose of COVID-19 vaccine (odds ratio (OR): 0.89; 95% confidence interval (CI): 0.34\u20132.35). In the influenza RCT, 564 were randomized to intervention and 567 to standard care. There was no difference in the percentage vaccinated against influenza between the intervention (25.7%) and standard care (23.8%) groups (OR: 1.11; 95% CI: 0.85\u20131.45).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The nudge interventions were ineffective at increasing COVID-19\/influenza vaccine uptake. The study included mostly unvaccinated children, and low vaccination rates during the study likely impacted the evaluation results. Nudges may need to evolve with changes to public trust in technology and communications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pubmed\/fdaf097","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T18:06:47Z","timestamp":1755022007000},"page":"802-813","source":"Crossref","is-referenced-by-count":0,"title":["Nudging towards COVID-19 and influenza vaccination in children with medically at-risk conditions"],"prefix":"10.1093","volume":"47","author":[{"given":"Bing","family":"Wang","sequence":"first","affiliation":[{"name":"Vaccinology and Immunology Research Trials Unit, Women\u2019s and Children\u2019s Health Network, SA Health , 72 King William Rd, North Adelaide, South Australia 5006, \u00a0","place":["Australia"]},{"name":"Robinson Research Institute, The University of Adelaide , Norwich Centre, 55 King William St, North Adelaide, South Australia 5006 ,","place":["Australia"]},{"name":"Adelaide Medical School, The University of Adelaide , 4 North Terrace, Adelaide, South Australia 5000 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2434-8370","authenticated-orcid":false,"given":"Prabha","family":"Andraweera","sequence":"additional","affiliation":[{"name":"Vaccinology and Immunology Research Trials Unit, Women\u2019s and Children\u2019s Health Network, SA Health , 72 King William Rd, North Adelaide, South Australia 5006, \u00a0","place":["Australia"]},{"name":"Robinson Research Institute, The University of Adelaide , Norwich Centre, 55 King William St, North Adelaide, South Australia 5006 ,","place":["Australia"]},{"name":"Adelaide Medical School, The University of Adelaide , 4 North Terrace, Adelaide, South Australia 5000 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margie","family":"Danchin","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute , 50 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R","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Women and Kids Theme, South Australian Health and Medical Research Institute , 72 King William Rd, North Adelaide, South Australia 5006 ,","place":["Australia"]},{"name":"School of Public Health, The University of Adelaide , 50 Rundle Mall Adelaide, South Australia 5000 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alana R","family":"Cuthbert","sequence":"additional","affiliation":[{"name":"Adelaide Medical School, The University of Adelaide , 4 North Terrace, Adelaide, South Australia 5000 ,","place":["Australia"]},{"name":"Women and Kids Theme, South Australian Health and Medical Research Institute , 72 King William Rd, North Adelaide, South Australia 5006 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashleigh","family":"Rak","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute , 50 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