Trial Outcomes & Findings for Assessing Choice in the Employer Setting (ACES) Study (NCT NCT00808808)

NCT ID: NCT00808808

Last Updated: 2013-11-20

Results Overview

Recruitment status

COMPLETED

Target enrollment

4411 participants

Primary outcome timeframe

30Sep2008 through 23Dec2008

Results posted on

2013-11-20

Participant Flow

Potential employers estimated to have at least 60 employees were contacted to determine their interest in participating in the study and were offered an influenza vaccine clinic on site at no cost. A screening questionnaire to determine eligibility was completed. Sites were excluded according to the study inclusion and exclusion criteria.

Participant milestones

Participant milestones
Measure
Arm A (Control)
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Overall Study
STARTED
4078
3757
4387
Overall Study
Vaccinated
1392
1489
2132
Overall Study
COMPLETED
1261
1320
1830
Overall Study
NOT COMPLETED
2817
2437
2557

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm A (Control)
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Overall Study
Vaccinated; survey not completed
131
169
302
Overall Study
Employee was not vaccinated.
2686
2268
2255

Baseline Characteristics

Assessing Choice in the Employer Setting (ACES) Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A (Control)
n=1392 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=1489 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
n=2132 Participants
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Total
n=5013 Participants
Total of all reporting groups
Age, Customized
18 to 49 years
983 participants
n=5 Participants
988 participants
n=7 Participants
1398 participants
n=5 Participants
3369 participants
n=4 Participants
Age, Customized
≥ 50 years
409 participants
n=5 Participants
501 participants
n=7 Participants
734 participants
n=5 Participants
1644 participants
n=4 Participants
Sex/Gender, Customized
Male
748 participants
n=5 Participants
814 participants
n=7 Participants
808 participants
n=5 Participants
2370 participants
n=4 Participants
Sex/Gender, Customized
Female
644 participants
n=5 Participants
675 participants
n=7 Participants
1324 participants
n=5 Participants
2643 participants
n=4 Participants

PRIMARY outcome

Timeframe: 30Sep2008 through 23Dec2008

Population: All employees at participating sites, including those who were vaccinated and those who were not

Outcome measures

Outcome measures
Measure
Arm A (Control)
n=4078 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=3757 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
n=4387 Participants
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Overall Vaccination Rate, All Ages
41.6 Percentage of participants
45.1 Percentage of participants
51.0 Percentage of participants

PRIMARY outcome

Timeframe: 30Sep2008 through 23Dec2008

Population: All vaccinated employees at participating sites, including those who completed surveys and those who did not

Outcome measures

Outcome measures
Measure
Arm A (Control)
n=983 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=988 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
n=1398 Participants
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Overall Vaccination Rate, Employees 18 to 49 Years of Age
38.5 Percentage of participants
40.9 Percentage of participants
46.1 Percentage of participants

SECONDARY outcome

Timeframe: 2007-2008 season through 2008-2009 season

Population: All vaccinated employees at participating sites, including those who completed surveys and those who did not

Rate difference by arm from baseline to intervention season

Outcome measures

Outcome measures
Measure
Arm A (Control)
n=1392 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=1489 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
n=2132 Participants
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Change in Influenza Vaccination Rate From Baseline Season to Intervention Season in the Total Population
4.7 percentage points
4.8 percentage points
12.7 percentage points

SECONDARY outcome

Timeframe: 2007-2008 season through 2008-2009 season

Population: All vaccinated employees 18-49 years of age at participating sites, including those who completed surveys and those who did not

Rate difference by arm from baseline to intervention season

Outcome measures

Outcome measures
Measure
Arm A (Control)
n=983 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=988 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
n=1398 Participants
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Change in Influenza Vaccination Rate From Baseline Season to Intervention Season in Employees 18-49 Years of Age
3.7 percentage points
2.4 percentage points
9.7 percentage points

SECONDARY outcome

Timeframe: 30Sep2008 through 23Dec2008

Population: All vaccinated employees 18-49 years of age at participating sites, including those who completed surveys and those who did not

Outcome measures

Outcome measures
Measure
Arm A (Control)
n=983 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=988 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
n=1398 Participants
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Percent of Eligible Participants 18-49 Years of Age Choosing FluMist During Intervention Season
0.8 percent
19.1 percent
26.8 percent

SECONDARY outcome

Timeframe: 30Sep2008 through 23Dec2008

Population: All participants who completed surveys and were eligible to receive FluMist

Percent of participants 18-49 years of age who chose FluMist vs TIV for influenza vaccination and who self-identified as white

Outcome measures

Outcome measures
Measure
Arm A (Control)
n=399 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=1990 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Characteristics of Participants 18-49 Years of Age Choosing FluMist vs TIV: Race
67.8 percent
71.8 percent

SECONDARY outcome

Timeframe: 30Sep2008 through 23Dec2008

Population: All participants who completed surveys and were eligible to receive FluMist

Percent of participants 18-49 years of age who chose FluMist vs TIV for influenza vaccination and who self-identified as college graduates.

Outcome measures

Outcome measures
Measure
Arm A (Control)
n=399 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=1990 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Characteristics of Participants 18-49 Years of Age Choosing FluMist vs TIV: Education
73.4 percent
52.8 percent

SECONDARY outcome

Timeframe: 30Sep2008 through 23Dec2008

Population: All participants who completed surveys and were eligible to receive FluMist

Percent of participants 18-49 years of age who chose FluMist vs TIV for influenza vaccination and who self-identified as male.

Outcome measures

Outcome measures
Measure
Arm A (Control)
n=399 Participants
A control arm of usual care offering TIV with baseline advertisement
Arm B (Choice)
n=1990 Participants
An intervention arm offering choice of TIV or FluMist with baseline advertisement, including advertisement to highlight the availability of FluMist
Arm C (Choice Plus)
An intervention arm offering choice of TIV or FluMist with enhanced advertisement and additional incentives for receiving an influenza vaccination
Characteristics of Participants 18-49 Years of Age Choosing FluMist vs TIV: Gender
49.9 percent
49.7 percent

Adverse Events

Arm A (Control)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm B (Choice)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm C (Choice Plus)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Seth Toback, MD

MedImmune, LLC

Phone: 301-398-0000

Results disclosure agreements

  • Principal investigator is a sponsor employee MedImmune has 60 days to review results communications prior to public release and may delete information that compromises ongoing studies or is considered proprietary. This restriction is not intended to compromise the objective scientific integrity of the manuscript, it being understood that results shall be published regardless of outcome.The principal investigators (PIs) also agree for data to be presented first as a joint, multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER