Mehta Shivan J, Feingold Jordyn, Vandertuyn Matthew, Niewood Tess, Cox Catherine, Doubeni Chyke A, Volpp Kevin G, Asch David A
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Penn Medicine Center for Health Care Innovation, Philadelphia, Pennsylvania; Center for Health Incentives and Behavioral Economics, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Gastroenterology. 2017 Nov;153(5):1227-1229.e2. doi: 10.1053/j.gastro.2017.07.015. Epub 2017 Jul 20.
Behavioral economic approaches could increase uptake for colorectal cancer screening. We performed a randomized controlled trial of 2245 employees to determine whether an email containing a phone number for scheduling (control), an email with the active choice to opt in or opt out (active choice), or the active choice email plus a $100 incentive (financial incentive) increased colonoscopy completion within 3 months. Higher proportions of participants in the financial incentive group underwent screening (3.7%) than in the control (1.6%) or active choice groups (1.5%) (P = .01 and P < .01). We found no difference in uptake of screening between the active choice and control groups (P = .88). The $100 conditional incentive modestly but significantly increased colonoscopy use. ClinicalTrials.gov no: NCT02660671.
行为经济学方法可提高结直肠癌筛查的接受率。我们对2245名员工进行了一项随机对照试验，以确定包含预约电话号码的电子邮件（对照组）、有主动选择加入或退出选项的电子邮件（主动选择组），还是主动选择电子邮件加上100美元激励（经济激励）能否在3个月内提高结肠镜检查的完成率。经济激励组接受筛查的参与者比例（3.7%）高于对照组（1.6%）或主动选择组（1.5%）（P = .01和P < .01）。我们发现主动选择组和对照组在筛查接受率上没有差异（P = .88）。100美元的有条件激励适度但显著增加了结肠镜检查的使用率。临床试验注册号：NCT02660671。
