A randomized controlled trial with 12,000 vaccine-hesitant individuals shows how differently framed SMS nudges (social norms, ego, salience, loss aversion) significantly increased vaccine appointment bookings.

During the COVID-19 pandemic, many individuals in Saudi Arabia hesitated to get vaccinated. This study aimed to understand how different messages could increase vaccination rates among hesitant populations.
We conducted a randomized controlled trial on 12,000 participants registered for COVID-19 vaccines but did not take it. They were divided into six groups: five intervention groups and one control group. Each group received a uniquely framed text message to encourage vaccination, while the control group did not receive any.
We demonstrated that framing messages in specific ways can effectively boost vaccination rates among hesitant individuals, which is critical for public health during a pandemic. Governments and public health organizations can use these insights to develop targeted communication strategies for promoting vaccination uptake and other public health initiatives.
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