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Incentives for Preventative Health Care: Increasing Completion of Health Risk Assessments

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ClinicalTrials.gov Identifier: NCT00891111
Recruitment Status : Completed
First Posted : May 1, 2009
Last Update Posted : February 2, 2018
Sponsor:
Collaborators:
Yale University
University of Pennsylvania
Information provided by (Responsible Party):
George Loewenstein, Carnegie Mellon University

Brief Summary:

The purpose of this study is to understand using incentives to encourage employees to increase participation in an aspect of a corporate wellness program - filling out health risk assessments. This study will test whether lottery-linked incentives are more effective than guaranteed incentives in encouraging people to fill out health risk assessments.

This study will be run in an employer setting in which rates of health risk assessment completion are suboptimal. This study would be conducted within a workplace setting in which the firm is divided into a number of geographically situated and functionally related subunits. The investigators will run a "complete your health risk assessment now!" program for 4 weeks. Each work unit will obtain a symbol. Every week, one symbol will be randomly drawn, publicly announced, and anyone in that work unit at the firm who has received their preventive screening would receive a $100 prize. In addition, if all of employees in that unit have completed their forms, then the prize will be increased to $125.

The investigators expect this condition to result in greater compliance compared to a control condition in which employees would receive weekly reminders and a direct payment of a $25 gift card for completing the form at anytime during the 4 weeks of the study. This is analogous to direct payments that have been used by insurers to encourage completion of such forms in other contexts.


Condition or disease Intervention/treatment Phase
Prevention Behavioral: Direct Payment Behavioral: Regret Lottery Not Applicable

Detailed Description:

The purpose of this study is to apply concepts from behavioral economics to increase the effectiveness of incentives for preventative health care.

Health risk assessments are an important part of preventative healthcare. Employees fill out these forms and are given feedback about their health risks and steps they can take to improve their health. This study will be run in an employer setting in which rates of health risk assessment completion are suboptimal. This study would be conducted within a workplace setting in which the firm is divided into a number of geographically situated and functionally related subunits. We will run a "complete your health risk assessment now!" program for 4 weeks. Each work unit will obtain a symbol. Every week, one symbol will be randomly drawn, publicly announced, and anyone in that work unit at the firm who has received their preventive screening would receive a $100 prize. In addition, if all of employees in that unit have completed their forms, then the prize will be increased to $125.

This program plays on a number of psychological factors: 1) avoidance of regret, which one will experience if the number/symbol of the unit one is a member of is drawn and one does not win a prize because one is not participating in the wellness program 2) amplification of such regret by social means - because other people around you who are participating will receive cash prizes 3) mild social pressure, because high enrollments will yield benefits for all participants.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 634 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Other
Official Title: Incentives for Preventative Health Care: Increasing Completion of Health Risk Assessments
Study Start Date : May 2009
Actual Primary Completion Date : June 2009
Actual Study Completion Date : June 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Health Checkup
U.S. FDA Resources

Arm Intervention/treatment
Experimental: Direct Payment
Direct Payment: Employees receive a $25 gift card upon completion of a Health Risk Assessment
Behavioral: Direct Payment
$25 gift card given upon completion of Health Risk Assessment
Experimental: Regret Lottery
Regret Lottery: Employees are divided into work units of about 5 employees. Employees in the lottery-linked incentive condition will be eligible for a weekly lottery drawing only if they have already completed their health risk assessment. The lotteries will work as follows. Participants will be assigned to work units of about 10 people. Each week, one work group is drawn at random. If a participants group was drawn and that participant already completed the health risk assessment, then that person will win a $100 cash prize. If all of the members of his or her work group also filled out the health risk assessment, then the prize will be boosted.
Behavioral: Regret Lottery
Entered into a lottery upon completion of Health Risk Assessment



Primary Outcome Measures :
  1. Percent of people in each condition who complete their health risk assessment [ Time Frame: 4 weeks ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Full time employees

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00891111


Locations
United States, Connecticut
Med3000
Shelton, Connecticut, United States
United States, Florida
Med 3000
Pensacola, Florida, United States
Med3000
Tampa, Florida, United States
United States, Illinois
Med3000
Tinley Park, Illinois, United States
United States, North Carolina
Med3000
Winston-Salem, North Carolina, United States
United States, Ohio
Med3000
Dayton, Ohio, United States
United States, Pennsylvania
Med3000
Pittsburgh, Pennsylvania, United States
United States, Texas
Med3000
Dallas, Texas, United States
Sponsors and Collaborators
Carnegie Mellon University
Yale University
University of Pennsylvania
Investigators
Principal Investigator: George Loewenstein, PhD Carnegie Mellon University

Responsible Party: George Loewenstein, Professor, Carnegie Mellon University
ClinicalTrials.gov Identifier: NCT00891111     History of Changes
Other Study ID Numbers: CMUHS08613
First Posted: May 1, 2009    Key Record Dates
Last Update Posted: February 2, 2018
Last Verified: January 2018

Keywords provided by George Loewenstein, Carnegie Mellon University:
Health Risk Assessment
Incentives
Preventative Healthcare
Encouraging Health Risk Assessments