Improving Fecal Occult Blood Test Completion Rates Among Veterans
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 1,549
- 试验地点
- 1
- 主要终点
- FOBT completion and return
研究概览
简要总结
This is a 4-arm cluster randomized controlled trial to evaluate whether patient financial incentives directly integrated into primary care can improve fecal occult blood test (FOBT) completion rates. We will recruit primary care patients at the Philadelphia Veterans Affairs Medical Center (PVAMC) in 2 stages. In stage 1, we hypothesize that, compared to usual care, $5, $10, $20 incentives will each lead to a statistically significant increase in the rate of FOBT completion. We also hypothesize that there will be a direct dose-response relationship between the incentive amount and rates of FOBT completion. In stage 2, we hypothesize that a lottery-based incentive and a raffle-based incentive will both lead to a statistically significant increase in the rate of FOBT completion compared to a fixed payment incentive with an equivalent dollar per patient value.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •PVAMC outpatients who are prescribed an FOBT kit in Module B or C during the study period.
排除标准
- •None. All PVAMC outpatients who are prescribed an FOBT kit in Module B or C during the study period will be eligible.
研究组 & 干预措施
Stage 1 Control Group
In the FOBT kit, individuals will receive a card that asks them to complete and return their FOBT kit within 30 days.
$5 Incentive
In the FOBT kit, individuals will receive a card that states that if they complete and return their FOBT kit within 30 days, they will be mailed a voucher that can be exchanged for $5 at PVAMC.
干预措施: Stage 1 (Behavioral)
$10 Incentive
In the FOBT kit, individuals will receive a card that states that if they complete and return their FOBT kit within 30 days, they will be mailed a voucher that can be exchanged for $10 at PVAMC.
干预措施: Stage 1 (Behavioral)
$20 Incentive
In the FOBT kit, individuals will receive a card that states that if they complete and return their FOBT kit within 30 days, they will be mailed a voucher that can be exchanged for $20 at PVAMC.
干预措施: Stage 1 (Behavioral)
$5 Voucher-Based Incentive
In the FOBT kit, individuals will receive a card that states that if they complete and return their FOBT kit within 30 days, they will be mailed a voucher that can be exchanged for $5 at PVAMC.
干预措施: Stage 2 (Behavioral)
$50 Lottery-Based Incentive
In the FOBT kit, individuals will receive a card that states that if they complete and return their FOBT kit within 30 days, they will have a 1 in 10 chance of being mailed a voucher that can be exchanged for $50 at PVAMC.
干预措施: Stage 2 (Behavioral)
$500 Raffle-Based Incentive
In the FOBT kit, individuals will receive a card that states that if they complete and return their FOBT kit within 30 days, they will be entered into a raffle in which 1 randomly chosen patient (out of about 100 patients) will be mailed a check in the amount of $500.
干预措施: Stage 2 (Behavioral)
Stage 2 Control Group
In the FOBT kit, individuals will receive a card that asks them to complete and return their FOBT kit within 30 days.
结局指标
主要结局
FOBT completion and return
时间窗: 30 days
次要结局
- FOBT completion rate among previously non-adherent patients and FOBT kit return time by arm(30 days)
研究者
Steven C. Marcus, PhD
Principal Investigator
Corporal Michael J. Crescenz VA Medical Center