Behavioral Economics Incentives for Health Management

Obesity Clinical Trial

Official title:

Evaluation of Behavioral Economics Patient Incentive Strategies for Health Management

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01823458
• Other study ID #: RC4AG039115-03
• Secondary ID: RC4AG039115
• Status: Completed
• Phase: N/A
• First received: March 5, 2013
• Last updated: March 31, 2017
• Start date: April 2012
• Est. completion date: August 2014

Study information

• Verified date: March 2017
• Source: University of Southern California
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 152
• Est. completion date: August 2014
• Est. primary completion date: August 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 64 Years

Eligibility

Inclusion Criteria:

• 18 to 64 years of age

• BMI between 25-40

• Receiving care in QueensCare Family Clinics

Exclusion Criteria:

• Failure to obtain exercise clearance from physician

Related Conditions & MeSH terms

• Obesity
• Type 2 Diabetes

Intervention

Behavioral:
• Lottery Insurance

• Standard Lottery

Locations

Country	Name	City	State
United States	QueensCare Family Clinics	Los Angeles	California

Sponsors (3)

Lead Sponsor	Collaborator
University of Southern California	National Institute on Aging (NIA), National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Attendance at exercise classes	Attendance at exercise classes over the 12 week session will be analyzed across 'Lottery Insurance' and 'Standard Lottery' arms.	12 weeks
Secondary	Body Mass Index	Change from Baseline Body Mass Index (based on Centers for Disease Control calculations) at 12 weeks (post exercise session) will be assessed.	Change from Baseline Body Mass Index at 12 weeks
Secondary	HbA1c	Change from Baseline glycemic control (measured as percentage glycosylated hemoglobin [HbA1c] as part of a fasting blood sample) at 12 weeks (post exercise session) will be assessed.	Change from Baseline HbA1c at 12 weeks
Secondary	Blood Pressure	Change from Baseline Blood Pressure at 12 weeks (post exercise session) will be assessed.	Change from Baseline Blood Pressure at 12 weeks
Secondary	LDL cholesterol	Change from Baseline LDL cholesterol (measured as part of a lipid panel) at 12 weeks (post exercise session) will be assessed.	Change from Baseline LDL at 12 weeks