Evaluation of Postcard Mailers Enhanced With Behavioral Nudges to Promote Mammogram Screening
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Geisinger Clinic
- Enrollment
- 1,342
- Locations
- 2
- Primary Endpoint
- Mammogram Completion at 6 months (2020)
Study Overview
Brief Summary
In this evaluation, 3 different versions of mailers promoting annual mammograms are being sent to women on the month of their 50th and 64th birthdays. The researchers hypothesize that the use of behavioral nudges in the mailers should lead to increased uptake in mammogram screening.
Detailed Description
Mammogram screening for women, starting at age 50, can significantly reduce the risk of complications due to breast cancer. As part of an existing outreach campaign, the health system mails a postcard and small gift (pink socks) to women on the month of their 50th and 64th birthdays to promote annual mammogram screening.
The researchers are evaluating two new versions of the mailers against a standard mailer to see which version leads to greater uptake in mammograms. The new mailers have content that applies behavioral nudge theory - specifically, loss frames and fear appeals - to encourage taking action. One of the two new versions does not include the small gift, to test whether its inclusion or exclusion has any effect on mammogram screening.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Factorial
- Primary Purpose
- Screening
- Masking
- Double (Participant, Care Provider)
Masking Description
Participants and providers are not aware of the different mailer versions.
Eligibility Criteria
- Ages
- 50 Years to 64 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Female Geisinger Health Plan members turning 50 and 64 in that month
- •For the 2020 campaign, birthdays from June 2020 (as opposed to August 2020) will be included due to a temporary suspension of the outreach program due to the COVID-19 pandemic since June
- •For the pre-post examination of the 2019 campaign, all months in that year will be included
Exclusion Criteria
- •Members who are on the do not contact list at Geisinger Health Plan
Outcomes
Primary Outcomes
Mammogram Completion at 6 months (2020)
Time Frame: 6 months from intervention start date
Binary variable indicating whether a mammogram was completed
Secondary Outcomes
- Mammogram Completion at 12 months (2020)(12 months from intervention start date)
- Breast Cancer Diagnosis at 6 months (2020)(6 months from intervention start date)
- Breast Cancer Diagnosis at 12 months (2020)(12 months from intervention start date)
- Emergency Department Visits at 12 months (2020)(12 months from intervention start date)
- Obstetrician-Gynecologist Visits at 12 months (2020)(12 months from intervention start date)
- Emergency Department Visits at 6 months (2020)(6 months from intervention start date)
- Primary Care Provider Visits at 12 months (2020)(12 months from intervention start date)
- Primary Care Provider Visits at 6 months (2020)(6 months from intervention start date)
- Obstetrician-Gynecologist Visits at 6 months (2020)(6 months from intervention start date)
Investigators
Amir Goren
Program Director, Behavioral Insights Team
Geisinger Clinic