BEHAVIOR
Vaccination
Studies on changing Vaccination
STUDY
Behavioral Emails Increase Flu Vaccine Uptake among City Employees
TACTICS
Social Norms, Active Choice
STUDY
Did you get your shots? Experimental evidence on the role of reminders
AUTHORS
Humpage, Cristia, Busso
TACTICS
Reduce Friction or Barriers, Reminders, Cues, & Triggers
STUDY
Using Implementation Intentions Prompts to Enhance Influenza Vaccination Rates.
AUTHORS
Katy Milkman, David Laibson, James Choi, Brigitte Madrian, John Beshears
TACTICS
Implementation Intentions, Reminders, Cues, & Triggers
STUDY
Improving Immunisation Coverage in Rural India: Clustered Randomised Controlled Evaluation of Immunisation Campaigns With and Without Incentives.
AUTHORS
Dhruva Kothari, Rachel Glennerster, Abhijit Banerjee, Esther Duflo
TACTICS
Micro-Incentives
STUDY
Attention, intentions, and follow-through in preventive health behavior: Field experimental evidence on flu vaccination
AUTHORS
ET Bronchetti
TACTICS
Micro-Incentives
Tactics used to change Vaccination

TACTIC
Implementation Intentions
Implementation intentions are specific details for when and how a behavior should or will be performed. These are often formulated as ""if-then"" rules, such as:- "if I crave something sweet, I'll have fruit instead of candy"- "if I am in the mood for a cigarette, I'll wait 5 minutes—then, if I still want it, I can have one"Other examples include studies where flu vaccination uptake was higher in groups of people nudged to make more specific plans (i.e. picking a specific time and date, along with a mode of transport to a specific clinic). The same general effect was observed with voting behaviors. These are a generally low-cost tool to slightly improve the gap between intention and performance of a behavior.

TACTIC
Reduce Friction or Barriers
Reducing friction or barriers to performing a behavior is simply making it easier or removing things that may be preventing someone from doing something. This is a foundational technique in changing behavior, and part of the UK Behavioural Insights Team's 4-point approach ("Make it easy"). That said, knowing where the friction and barriers exist may not always be straightforward, and different groups of people may experience different barriers in different contexts. Note: It is possible to remove too much friction. In a well-popularized study, a travel booking site found that delays in loading the best deals or travel options actually increased conversions. Similarly, longer input forms in digital interactions sometimes outperform, as people may consider the results more personalized or experience greater cognitive dissonance after having invested so much time in exploring the service.

TACTIC
Social Norms
Social norms are shared expectations on how people within a certain group will or should behave. They are often considered as unwritten rules that govern behavior and tend to be very influential.Influencing behavior using social norms can take a variety of forms. For example, some studies aim to correct misunderstandings around descriptive norms (what people in a group actually do). One trial involving the UK Behavioural Insights Team increased tax compliance by emphasizing that the vast majority of people pay their taxes on time, which influenced non-compliers to become more like the majority. People generally do not like to deviate from the norm, which may explain the success of this tactic.Other approaches involve attempting to change social norms or create new social norms, which is substantially harder. One prominent example was the promotion of the ""designated driver"" (DDs) in the US during a period of high automobile fatalities. Public health officials influenced Hollywood producers to include the designated driver in film and television scenes, which caused viewers to: 1) likely believe the use of DDs was much more common than it actually was, and 2) likely consider using a DD was what they ""should"" do (i.e. the injunctive norm). Following the public health campaign, awareness and compliance with the DD protocol rose substantially, and auto fatalities dropped precipitously.

TACTIC
Micro-Incentives
Micro-incentives refers to small rewards, typically frequent and cash-based, given out on a per-behavior basis. A prominent example is Wellth, a program for people with chronic illness delivered via app. Some participants are given around $2 each time they take a medication or measure their blood pressure and submit a photo. In related studies, e.g. Petry et al. (2015), participants' compliance with these behaviors was significantly higher than those who did not receive the incentives, and the behaviors persisted several months after incentives were removed. Micro-incentives can be layered with other reward approaches such as lotteries and non-financial incentives.

TACTIC
Active Choice
Active choice, sometimes referred to as enhanced active choice or forced choice, refers to removing default options and often increasing the salience of potential decisions through emphasizing the consequences of one or more of the options. Coined by Punam Anand Keller and colleagues in 2011, it was originally intended to address concerns around paternalistic nudging for use in situations where forcing the default option may be considered unethical. In one of the original studies, CVS customers were given the choice to enroll in automatic refills of medications via delivery. The choices they were presented were ""Enroll in refills at home"" vs “I Prefer to Order my Own Refills.”