Evaluation of Behavioral Economics Patient Incentive Strategies for Health Management
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 152
- 试验地点
- 1
- 主要终点
- Attendance at exercise classes
研究概览
简要总结
Incentives are increasingly being used to motivate health behavior in medical studies. Small cash payments conditional on certain health and welfare promoting behaviors have shown efficacy in both real world and experimental settings. Furthermore, in incentive studies, behavioral economics has been shown to amplify behavior change beyond what is possible with simple cash payments, but little is known about how varying incentive payment design may impact health behavior. The goal of the present study is to evaluate a new incentive payment instrument, lottery insurance, to determine its impact on adherence to the target health behavior, attendance at free exercise classes provided by QueensCare Family Clinics, a safety-net medical clinic.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 to 64 years of age
- •BMI between 25-40
- •Receiving care in QueensCare Family Clinics
排除标准
- •Failure to obtain exercise clearance from physician
研究组 & 干预措施
Lottery Insurance
All participants receive a one time, $10 payment for attending the first exercise class of the 12 week session. Participants in the 'Lottery Insurance' arm receive a lottery ticket valued at $20 for attending either a Monday or Tuesday exercise class. They have the option to insure their lottery ticket by attending a second exercise class during the week on either Wednesday or Thursday. If they do not attend the second class, they have a 90% chance of winning the weekly lottery. This sequence is repeated each week over the 12 week exercise session.
干预措施: Lottery Insurance (Behavioral)
Standard Lottery
All participants receive a one time, $10 payment for attending the first exercise class of the 12 week session. Subjects in the 'Standard Lottery' arm receive a lottery ticket valued at $20 for attending either a Monday or Tuesday exercise class. They also receive the expected value of the insurance ($2) for attending a second exercise class during the week on either Wednesday or Thursday. They have a 90% chance of winning the weekly lottery. This sequence is repeated each week over the 12 week exercise session.
干预措施: Standard Lottery (Behavioral)
结局指标
主要结局
Attendance at exercise classes
时间窗: 12 weeks
Attendance at exercise classes over the 12 week session will be analyzed across 'Lottery Insurance' and 'Standard Lottery' arms.
次要结局
- LDL cholesterol(Change from Baseline LDL at 12 weeks)
- Body Mass Index(Change from Baseline Body Mass Index at 12 weeks)
- HbA1c(Change from Baseline HbA1c at 12 weeks)
- Blood Pressure(Change from Baseline Blood Pressure at 12 weeks)
研究者
Jason Doctor
Associate Professor
University of Southern California