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

Prevention Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00891111
• Other study ID #: CMUHS08613
• Status: Completed
• Phase: N/A
• First received: April 30, 2009
• Last updated: January 31, 2018
• Start date: May 2009
• Est. completion date: June 2009

Study information

• Verified date: January 2018
• Source: Carnegie Mellon University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 634
• Est. completion date: June 2009
• Est. primary completion date: June 2009
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Full time employees

Related Conditions & MeSH terms

• Prevention

Intervention

Behavioral:
• Direct Payment
$25 gift card given upon completion of Health Risk Assessment
• Regret Lottery
Entered into a lottery upon completion of Health Risk Assessment

Locations

Country	Name	City	State
United States	Med3000	Dallas	Texas
United States	Med3000	Dayton	Ohio
United States	Med 3000	Pensacola	Florida
United States	Med3000	Pittsburgh	Pennsylvania
United States	Med3000	Shelton	Connecticut
United States	Med3000	Tampa	Florida
United States	Med3000	Tinley Park	Illinois
United States	Med3000	Winston-Salem	North Carolina

Sponsors (3)

Lead Sponsor	Collaborator
Carnegie Mellon University	University of Pennsylvania, Yale University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percent of people in each condition who complete their health risk assessment		4 weeks