One small change increased flu jabs by 13% | Nudge Newsletter


Commitment Devices

Read online


Often we plan to do something and don't.

Donating blood, going on a run, watching that webinar. We want to, but forget.

This drives marketers insane. People sign up for their events—but no one comes.

Katy Milkman, a brilliant professor at the Wharton School at the University of Pennsylvania, found a solution¹.

She used a commitment device.

Milkman and her colleagues teamed up with a large American utility firm to see if they could prompt more of the company's 3,300 employees most at risk of
influenza-related complications to go and get the flu jab.

50% of eligible employees received a reminder letter about the upcoming times for vaccination clinics. It looked like this.

The remaining 50% received a very similar letter but were prompted to make a very simple plan. Here's how this letter looked:

In addition to the dates and times of the clinics, this group were encouraged to fill in the date and time they would go to the clinic.

This small change led to a 13% increase in the number of people who showed up.

Getting someone to commit makes them more likely to act.

  • Gyms ask members to write the day and time of their first workout.
  • Dentists add a “I’ll attend on: ___ at ___” box to confirmations.
  • SaaS trials prompt users to book their first setup session.
  • Retailers let customers pick when they’ll use a gift card.

Which reminds me, when will you subscribe to the Nudge Vaults?


Inside the Nudge Vaults you'll find 11 more insights specifically about this bias.

You can preview your first 50 insights for free

So, why don't you make a plan to sign up to the free trial before lunch today?

Phill

¹Milkman, K. L., Beshears, J., Choi, J. J., Laibson, D., & Madrian, B. C. (2011). Using implementation intentions prompts to enhance influenza vaccination rates. Proceedings of the National Academy of Sciences, 108(26), 10415–10420.

As a behavioural science practitioner, I believe in the peak-end rule.

Tune into Nudge | Advertise with Nudge | Unsubscribe

Nudge Newsletter

I spend 18 hours each week turning marketing psychology into readable newsletters.

Read more from Nudge Newsletter

Framing Your Food Read online Which of these would you rather eat: One Shepherd's Pie is described as: Beef shepherd's pie, tomato and pesto sauce The other is described as: Beef subtly seasoned with Espelette pepper under a rich velvety potato puree, topped with crisp parmesan cheese crumbs Two researchers ran a small study at a French cafeteria to test if these descriptions changed the perception of the food.¹ Diners were invited to eat a prix fixe lunch. A real photo of the cafeteria from...

Concrete Phrases Read online Could writing "𝐀𝐂𝐓𝐔𝐀𝐋 𝐒𝐈𝐙𝐄" on a Whopper ad make it sell for 𝒎𝒐𝒓𝒆? In 2022, 465 participants saw ads for a fictional Lay's multipack.¹ Both groups knew the multipack was 392g in size, but each saw a different headline. One saw: 𝘓𝘢𝘺'𝘴 𝘊𝘩𝘪𝘱𝘴, 14 𝘴𝘯𝘢𝘤𝘬 𝘣𝘢𝘨𝘴The other saw:𝘓𝘢𝘺'𝘴 𝘊𝘩𝘪𝘱𝘴, 392𝘨. Those who saw "14 snack bags" were willing to pay 10% 𝐦𝐨𝐫𝐞 than the other group.This is due to the concrete phrases effect. We can picture 14 snack bags in our mind. 392g doesn't...

Variable Rewards Read online This video of a smart gas station owner went viral a couple of months back. Here's the original. The video shows dozens of customers failing to balance 25 cents on a lemon. A chance to win $100 is a carrot large enough to make customers bet. It shows something that many marketers have known for decades. We love a gamble. People prefer a gamble In 2025, researchers Gaertig and Simmons offered either a gamble or a certain reward to hundreds of participants¹. Some...