A Secondary Mixed Methods Analysis of a Pay-it-Forward Gonorrhea/Chlamydia Testing Program Among Men Who Have Sex With Men in China

Li, Katherine T.; Huang, Wenting; Tang, Weiming; Wu, Fengshi; Zhao, Yang; Wu, Dan; Yang, Fan; Zhang, Tiange P; Forastiere, Laura; Alexander, Marcus; Kumar, Navin; Tucker, Joseph D.

doi:10.1097/olq.0000000000001161

Cited by 15 publications

(49 citation statements)

References 25 publications

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“…Engaging the community in vaccination services through cultivating kindness and reciprocity may also strengthen community solidarity, and increase con dence in vaccine services. 14,22 The study has several limitations. First, although our study was implemented after COVID-19 lockdowns were lifted, all sites were heavily focused on COVID-19 prevention, COVID-19 vaccination, and related COVID-19 activities.…”

Section: Discussionmentioning

confidence: 99%

“…12 13 In addition, over 90% of participants donated to the rolling nance pool, 12,13 and qualitative data showed that trust in health services improved among participants in the pay-it-forward arm. 14 In this quasi-experimental pragmatic trial, we assessed the effectiveness of a pay-it-forward intervention to increase in uenza vaccination uptake at three study sites among children (aged between 6 months and 8 years) and older adults (aged 60 or above) in comparison to free vaccination and the current standard of care (user-paid vaccination) in China.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pay-it-forward to improve influenza vaccine uptake and public engagement among children and older adults in China: A three-arm quasi-experimental study

Wu¹,

Jin²,

Bessame³

et al. 2021

Preprint

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China has low seasonal influenza vaccination rates among children and older adults. This quasi-experimental pragmatic trial examined the effectiveness of a pay-it-forward intervention on influenza vaccination compared to standard of care (user-paid vaccination) and free vaccination strategies among children and older people in China (ChiCTR2000040048). In pay-it-forward, people receive a free influenza vaccine from a local group and are offered an opportunity to donate financially to support vaccination among future individuals. The primary outcome was pre-specified as influenza vaccine uptake. Secondary outcomes included vaccine confidence and associated costs. Among 450 participants enrolled, 55/150 (36.7%) in the standard of care arm, 111/150 (74.0%) in the pay-it-forward arm, and 114/150 (76.0%) in the free vaccination arm received an influenza vaccine. The pay-it-forward arm had significantly higher vaccine confidence when compared to the standard of care arm. In the pay-it-forward arm, 107/111 (96.4%) of participants donated money for subsequent vaccinations and 19 of 60 invited (31.7%) created postcard messages.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pay-it-forward to improve influenza vaccine uptake and public engagement among children and older adults in China: A three-arm quasi-experimental study

Wu¹,

Jin²,

Bessame³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…12 13 In addition, over 90% of participants donated to the rolling finance pool, 12,13 and qualitative data showed that trust in health services improved among participants in the pay-it-forward arm. 14…”

Section: Introductionmentioning

confidence: 99%

“…13,14 Over 90% of participants donated to the rolling finance pool, and qualitative data showed that trust in health services improved among participants in the pay-it-forward arm. 15 But pay-it-forward has not been examined in increasing vaccination services uptake in community-based primary care facilities in the public sector.…”

Section: Introductionmentioning

confidence: 99%

“…[13] [14] In addition, over 90% of participants donated to the rolling finance pool, [13, 14] and qualitative data showed that trust in health services improved among participants in the pay-it-forward arm. [15] This quasi-experimental pragmatic trial assessed the effectiveness of a pay- it-forward intervention to increase influenza vaccination uptake at three study sites among children (aged between 6 months and 8 years) and older adults (aged 60 or above) in comparison to free vaccination and the current standard of care (user-paid vaccination) in China.…”

Section: Introductionmentioning

confidence: 99%

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Pay-it-forward to improve influenza vaccine uptake and public engagement among children and older adults in China: A quasi-experimental pragmatic trial

Jin

Bessame

et al. 2021

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BackgroundChina has low seasonal influenza vaccination rates among children and older adults. This quasi-experimental pragmatic trial examined the effectiveness of a pay-it-forward intervention on influenza vaccine uptake among children and older adults compared to standard of care (user-paid vaccination) and free vaccination strategies in China. Pay-it-forward is a community-engaged social innovation in which people receive a free influenza vaccination from a local group and are then asked if they would like to donate financially and/or create a postcard message to promote vaccination among future individuals.MethodsWe iteratively co-created the pay-it-forward intervention with the community through public engagement and a participatory hackathon. We implemented the three study arms in three clinics (rural, suburban, urban) in Guangdong Province, China. A total of 225 children aged between six months and eight years old and 225 older adults (60 years old or above) were recruited into the study. Regression methods were used to compare influenza vaccine uptake (administrative records) and vaccine confidence (self-report) between the three arms.ResultsAmong all participants, 55/150 (36.7%) in the standard of care arm received an influenza vaccine. 111/150 (74.0%) of people in the pay-it-forward arm received an influenza vaccine. 114/150 (76.0%) of people offered free vaccination received an influenza vaccination. Similar trends were observed among children and older adults. The pay-it-forward arm had significantly higher vaccine confidence when compared to the standard of care arm. In the pay-it-forward arm, 107/111 (96.4%) of participants donated money for subsequent vaccinations and 19 of 60 invited (31.7%) created postcard messages.ConclusionsPay-it-forward was effective in improving influenza vaccine uptake and engagement among children and older adults. Our data have implications for pro-social interventions to enhance influenza uptake in the many countries where influenza vaccines are available for a fee.Trial registrationChiCTR2000040048

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Prosocial Interventions and Health Outcomes

Byrne,

Tan,

et al. 2023

JAMA Netw Open

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ImportanceProsocial interventions encourage voluntary actions that benefit others. Community solidarity in response to the COVID-19 pandemic, expanding mutual aid programs, and health workforce issues have accelerated prosocial health interventions.ObjectiveTo investigate the association of prosocial interventions with health outcomes in clinical trials and observational studies.Data SourcesIn this systematic review and meta-analysis informed by the Cochrane Handbook for Systematic Reviews of Interventions, 5 databases (MEDLINE [via PubMed], Embase, CINAHL, PsycInfo, and Scopus) were searched from database inception through February 23, 2023. The search included terms for altruism and prosocial behaviors, health outcomes, and study type.Study SelectionIncluded studies, determined by multiple reviewers, compared health outcomes in a prosocial intervention group with a nonintervention group.Data Extraction and SynthesisFollowing the Preferred Reporting Items for Systematic Reviews and Meta-analyses guideline, data extraction and synthesis captured quantitative and qualitative data. To pool data from quantitative studies, random-effects meta-analyses were used to estimate the impact of prosocial interventions. To combine data from quantitative and qualitive studies, data were transformed into qualitative narratives using meta-aggregation.Main Outcomes and MeasuresThe main outcome was whether prosocial interventions were associated with improved health outcomes. Barriers to and facilitators of implementation of these interventions were assessed.ResultsThe search identified 5229 citations; 30 studies were included in the synthesis. Studies indicated that prosocial interventions were associated with positive health outcomes for givers (17 studies [56.7]) and recipients (8 [26.7%]). Prosocial interventions included acts of kindness (12 studies [40.0%]), cash gifts (7 [23.3%]), pay-it-forward approaches (6 [20.0%]), and expressions of kindness (5 [16.7%]). Improvements were reported in depression, testing for sexually transmitted diseases, vaccine uptake, physical activity, and individual biomarkers. Data from 6 studies (20.0%) demonstrated that pay-it-forward approaches were associated with increased uptake of diagnostic tests or vaccines among vulnerable groups (moderate certainty of evidence). Data from 14 studies (46.7%) suggested that community connectedness facilitated prosocial interventions. Shared vulnerabilities among groups (eg, sexual minority individuals, older adults) may provide a context for collective mobilization to improve health in local communities.Conclusions and RelevanceThis systematic review and meta-analysis found that prosocial interventions were associated with improved health outcomes among vulnerable groups and have been useful for addressing health disparities. Further research is needed to develop and evaluate prosocial interventions.

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A Secondary Mixed Methods Analysis of a Pay-it-Forward Gonorrhea/Chlamydia Testing Program Among Men Who Have Sex With Men in China

Cited by 15 publications

References 25 publications

Pay-it-forward to improve influenza vaccine uptake and public engagement among children and older adults in China: A three-arm quasi-experimental study

Pay-it-forward to improve influenza vaccine uptake and public engagement among children and older adults in China: A three-arm quasi-experimental study

Pay-it-forward to improve influenza vaccine uptake and public engagement among children and older adults in China: A quasi-experimental pragmatic trial

Prosocial Interventions and Health Outcomes

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