Chan et al., 2022 [36] |
Non-randomized uncontrolled before–after study |
Healthcare employees (n = 13,942) living in Oregon and Washington state, USA (August–October 2021) |
Complex intervention with multiple components (including town halls, meetings, optional vaccine counselling, etc.) |
Before–after comparison |
Rate of complete vaccination among participants (immunization records obtained via state CDC Immunization Information Systems and reconciled with EMR employee data) |
9.8% absolute increase in complete vaccination rate after intervention |
Moderate |
Crutcher & Seidler, 2021 [35] |
Non-randomized controlled cluster trial |
Adults and children >12 years (number of participants not reported) living in Los Angeles, California, USA (June–July 2021) |
Educational infographic |
Control group (county-wide) comparison and before–after comparison |
Completion of second vaccine dose for COVID-19 (determined from Lincoln Park vaccination site records) |
The Lincoln Park vaccination site served 15.8% more second-dose recipients when compared to all of Los Angeles County vaccine sites in the same timeframe |
Moderate |
Dai et al., 2021 [37] |
2 sequential randomized controlled trials |
Adult patients (n = 93,354 for first trial, n = 67,092 for second trial) from the UCLA Health patient list in Los Angeles, California, USA (January–May 2021) |
Text-based reminders with or without video |
Control group (for both trials) |
Vaccination rates (immunization records available through the UCLA healthcare system) |
The first reminder (first trial intervention) resulted in a 3.57% absolute increase in vaccine uptake, and the second reminder (second trial intervention) resulted in a 1.06% absolute increase. |
Low |
Lieu et al., 2022 [38] |
Randomized controlled trial |
Latino and Black adults (n = 8287) living in Northern California, USA (March–May 2021) |
Culturally tailored outreach via letters and secure electronic messaging |
Control group (usual care) |
Completion of at least 1 dose of a COVID-19 vaccine (according to state immunization records) |
Patients receiving both standard (adjusted HR: 1.17; 95% CI, 1.04–1.31) and culturally tailored (aHR: 1.22; 95% CI, 1.09–1.37) outreach demonstrated higher vaccination rates compared to usual care |
Some concerns |
Mehta et al., 2022 [39] |
Randomized controlled trial |
Adults (n = 16,045) living in Philadelphia, Pennsylvania, USA (April–July 2021) |
Text message, with standard, scarcity, clinical endorsement, and endowment message framing |
Control group (received standard telephone call) |
Proportion of patients who completed the first dose of the COVID-19 vaccine within 1 month of intervention (according to EMR) |
No detectable increase in vaccine uptake among patients receiving text messages or behaviourally informed message content compared to telephone calls only |
Low |
Tentori et al., 2022 [40] |
Randomized controlled trial |
Adults (n = 2000) living in Trento Province, Italy (July–August 2021) |
Vaccine appointment booking, with option to ‘opt-out’ |
Control group (received usual ‘opt-in’ option to schedule vaccination appointment) |
Vaccination rate (obtained from provincial records) |
32% relative increase in vaccination rate among those in ‘opt-out’ group when compared to the ‘opt-in’ (control) group |
Low |