Evaluation of an Email Intervention Promoting Enrollment in Mail-order Pharmacy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5,266
- 试验地点
- 1
- 主要终点
- Mail-order Pharmacy Enrollment
研究概览
简要总结
In this evaluation, four versions of emails will be sent to eligible health plan members who are not currently enrolled in the health system's mail-order pharmacy. A control group will not receive any communication. The researchers hypothesize that the use of content informed by behavioral nudge theory in the emails should lead to increased enrollment in the health system's mail-order pharmacy.
详细描述
The utilization of a mail-order pharmacy can increase adherence to medications. The health system's mail-order pharmacy (from here, simply referred to as mail-order pharmacy) can also provide reduced costs for medications. Ongoing outreach efforts involve sending emails and other communications encouraging enrollment in Geisinger's mail-order pharmacy to eligible members of the system's health plan (i.e., those who take maintenance medications). The study will compare a standard promotional email from these outreach efforts, as well as three new emails with content informed by behavioral science research, against a no-contact control arm and each other.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- Double (Participant, Care Provider)
盲法说明
Participants and providers are not aware that different mailer versions exist, and they do not know what elements in the letter are being tested.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •An active member of the health plan (Medicare, Commercial, or Exchange)
- •Currently prescribed maintenance medications
- •Not currently subscribed to the health system's mail-order pharmacy
- •Has an email on record
排除标准
- •Explicitly opted out of receiving emails from the health system
- •Only has eligible current prescriptions for fewer than 28 days
- •Only has prescriptions that cannot be sent via mail-order pharmacy (e.g., antidepressants, specialty-tier drugs)
- •Is a Medicare member in the coverage gap
- •Shares an email address with another selected participant (who was randomly chosen for inclusion among all those sharing the same email address)
研究组 & 干预措施
Email with Healthcare Cost Savings
The email emphasizes future reductions in healthcare costs due to increased adherence with mail-order pharmacy, in addition to mentioning reduced prices for medications. It also uses fear appeals by stating the risk of hospital stays and how mail-order pharmacy could be an easily-achievable way to avoid this negative consequence.
干预措施: Fear Appeals (Behavioral)
Email with Healthcare Cost Savings
The email emphasizes future reductions in healthcare costs due to increased adherence with mail-order pharmacy, in addition to mentioning reduced prices for medications. It also uses fear appeals by stating the risk of hospital stays and how mail-order pharmacy could be an easily-achievable way to avoid this negative consequence.
干预措施: Message about Future Healthcare Costs (Behavioral)
Email with Healthcare Cost Savings
The email emphasizes future reductions in healthcare costs due to increased adherence with mail-order pharmacy, in addition to mentioning reduced prices for medications. It also uses fear appeals by stating the risk of hospital stays and how mail-order pharmacy could be an easily-achievable way to avoid this negative consequence.
干预措施: Highlighting Cost Savings and Convenience (Behavioral)
Email with Endorsement
The email is a letter from a doctor at the health system's health plan--who may been seen as a trusted source of information--encouraging the benefits of using a mail-order pharmacy.
干预措施: Endorsement from a Doctor (Behavioral)
Email with Endorsement
The email is a letter from a doctor at the health system's health plan--who may been seen as a trusted source of information--encouraging the benefits of using a mail-order pharmacy.
干预措施: Highlighting Cost Savings and Convenience (Behavioral)
Email with Comparison Table
The email includes a table comparing the benefits and drawbacks of mail-order and chain pharmacies, which appeals to their sense of agency and allows them to make the choice that best suits them.
干预措施: Highlighting Cost Savings and Convenience (Behavioral)
No Contact
Members do not receive an email.
Standard Email
The "standard of care" email is the same as one used in prior outreach efforts at the health system, emphasizing reduced cost for medications and convenience.
干预措施: Highlighting Cost Savings and Convenience (Behavioral)
Email with Comparison Table
The email includes a table comparing the benefits and drawbacks of mail-order and chain pharmacies, which appeals to their sense of agency and allows them to make the choice that best suits them.
干预措施: Comparison Table (Behavioral)
结局指标
主要结局
Mail-order Pharmacy Enrollment
时间窗: 1 week from the intervention
Binary variable indicating if there was an enrollment in the health system's mail order pharmacy
次要结局
- Email Opens(1 week from the intervention)
- Email Unsubscribes(1 week from the intervention)
- Email Link Click(1 week from the intervention)
研究者
Amir Goren
Program Director, Behavioral Insights Team
Geisinger Clinic