A cluster randomized controlled trial of a modified vaccination clinical reminder for primary care providers.

OBJECTIVE: Adult vaccination rates in the United States fall short of national goals, and rates are particularly low for Black Americans. We tested a provider-focused vaccination uptake intervention: a modified electronic health record clinical reminder that bundled together three adult vaccination reminders, presented patient vaccination history, and included talking points for providers to address vaccine hesitancy. METHOD: Primary care teams at the Atlanta Veterans Affairs Medical Center, who saw 28,941 patients during this period, were randomly assigned to receive either the modified clinical reminder (N = 44 teams) or the status quo (N = 40 teams). RESULTS: Uptake of influenza and other adult vaccinations was 1.6 percentage points higher in the intervention group, which was not statistically significant (confidence interval, CI [-1.3, 4.4], p = .28). The intervention had similar effects on Black and White patients and did not reduce the disparity in vaccination rates between these groups. CONCLUSION: Provider-focused interventions are a promising way to address vaccine hesitancy, but they may need to be more intensive than a modified clinical reminder to have appreciable effects on vaccination uptake. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The Role of Comparisons in Judgments of Loneliness.

Loneliness-perceived social isolation-is defined as a discrepancy between existing social relationships and desired quality of relationships. Whereas most research has focused on existing relationships, we consider the standards against which people compare them. Participants who made downward social or temporal comparisons that depicted their contact with others as better (compared to other people's contact or compared to the past) reported less loneliness than participants who made upward comparisons that depicted their contact with others as worse (Study 1-3). Extending these causal results, in a survey of British adults, upward social comparisons predicted current loneliness, even when controlling for loneliness at a previous point in time (Study 4). Finally, content analyses of interviews with American adults who lived alone showed that social and temporal comparisons about contact with others were both prevalent and linked to expressed loneliness (Study 5). These findings contribute to understanding the social cognition of loneliness, extend the effects of comparisons about social connection to the important public health problem of loneliness, and provide a novel tool for acutely manipulating loneliness.

Motivated reasoning during recruitment.

This research shows how job postings can lead job candidates to see themselves as particularly deserving of hiring and high salary. We propose that these entitlement beliefs entail both personal motivations to see oneself as deserving and the ability to justify those motivated judgments. Accordingly, we predict that people feel more deserving when qualifications for a job are vague and thus amenable to motivated reasoning, whereby people use information selectively to reach a desired conclusion. We tested this hypothesis with a 2-phase experiment (N = 892) using materials drawn from real online job postings. In the first phase of the experiment, participants believed themselves to be more deserving of hiring and deserving of higher pay after reading postings composed of vaguer types of qualifications. In the second phase, yoked observers believed that participants were less entitled overall, but did not selectively discount endorsement of vaguer qualifications, suggesting they were unaware of this effect. A follow-up preregistered experiment (N = 905) using postings with mixed qualification types replicated the effect of including more vague qualifications on participants' entitlement beliefs. Entitlement beliefs are widely seen as problematic for recruitment and retention, and these results suggest that reducing the inclusion of vague qualifications in job postings would dampen the emergence of these beliefs in applicants, albeit at the cost of decreasing application rates and lowering applicants' confidence. (PsycINFO Database Record

Wishful information preference: positive fantasies mimic the effects of intentions.

When pursuing set goals or intentions, people prefer to acquire information about the pros rather than the cons of their goal pursuit. Little is known about information preferences at earlier stages, when people are not yet serious about pursuing a given future. In the present three studies, positive fantasies that depicted an idealized desired future--compared with fantasies that questioned whether the future would be so ideal--created a preference for pros over cons, just like set goals or intentions have been shown to do. Positive fantasies created a stronger preference for pros versus cons when people were not serious about pursuing an imagined future or had just foregone an opportunity to do so. Results suggest that before people are engaged in serious pursuits, positive fantasies spur the selective acquisition of pro information, which may lead to poor decisions even if the acquired information is carefully deliberated on later.

Sad mood promotes self-initiated mental contrasting of future and reality.

Self-regulation by mentally contrasting a positive future with negative reality leads people to differentiate in their goal commitments: They commit to goals when expectations of success are high and let go when expectations of success are low. On the contrary, when indulging in the positive future or dwelling on negative reality, people fail to consider expectations of success and do not form selective goal commitments (Oettingen, Pak, & Schnetter, 2001). Whereas prior research has examined the effects of experimentally induced mental contrasting, we address sad mood as a contextual influence promoting self-initiated mental contrasting. Across various mood inductions, sad moods--which are associated with problem solving strategies--facilitated self-initiated mental contrasting more than neutral moods (Studies 1, 5) or happy moods (Studies 2, 3, 4, 6). Importantly, mood did not affect the relation between mental contrasting and selective formation of goal commitment (Studies 5, 6). The results suggest that sad moods aid in self-regulation by making people self-initiate goal commitments that are sensitive to their expectations of success.

When goal sharing produces support that is not caring.

Four studies used experimental and correlational methods to investigate the effect of a "partner-achievement goal," or a personal goal for a relationship partner's successful achievement. This goal led support providers to offer unhelpful support about how to play a computer game (Study 1). It also predicted poor achievement for dieting support recipients (Study 2). The effects of partner-achievement goals were moderated by recipient expectations of success and mediated by recipient effort. Recipients with low expectations of their own success requested that their provider partners with partner-achievement goals refrain from offering them support (Study 3); they also invested less time studying Latin grammar and learned fewer Latin words over one week (Study 4). Together, these findings highlight the unique behavioral consequences of partner-achievement goals for both members of a relationship.