Behavioral Economic Incentives and Cancer Health Risk Assessment
| Status: | Completed |
|---|---|
| Conditions: | Colorectal Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 50 - 64 |
| Updated: | 2/22/2019 |
| Start Date: | May 8, 2017 |
| End Date: | November 8, 2017 |
This is an RCT among UPHS employees between ages 50-64 comparing no incentive and a
loss-framed incentive for completing cancer health risk assessment. Those eligible will
receive the phone number for direct colonoscopy scheduling, with the incentive arm receiving
an additional unconditional incentive. The primary outcome is completion of screening
colonoscopy. Secondary outcomes include scheduling of colonoscopy and completion of risk
assessment.
loss-framed incentive for completing cancer health risk assessment. Those eligible will
receive the phone number for direct colonoscopy scheduling, with the incentive arm receiving
an additional unconditional incentive. The primary outcome is completion of screening
colonoscopy. Secondary outcomes include scheduling of colonoscopy and completion of risk
assessment.
Colorectal cancer (CRC) is the second leading cause of cancer death in the United States.
Despite effective screening and treatment strategies, screening rates remain at 59-65%. UPHS
employees have similarly limited rates of CRC screening despite having awareness, access, and
insurance coverage. There is a need to identify those who are not up-to-date on screening and
eligible for outreach in this population. Financial incentives informed by behavioral
economic principles could be used to encourage self-report about screening status and
completion of CRC screening. This research utilizes a digital health platform, Way to Health,
to evaluate the feasibility of a cancer health risk assessment. This is a single-center RCT
among UPHS employees between ages 50-64 that will randomize eligible participants into one of
two study arms: (1) no incentive to complete cancer health risk assessment (no incentive) or
(2) loss-framed incentive to complete cancer health risk assessment (incentive). Those that
are eligible for screening will receive a direct access phone number to schedule colonoscopy,
with an additional unconditional incentive for those in incentive arm. The primary outcome is
completion of screening colonoscopy, with secondary outcomes of colonoscopy scheduling and
completion of risk assessment.
Despite effective screening and treatment strategies, screening rates remain at 59-65%. UPHS
employees have similarly limited rates of CRC screening despite having awareness, access, and
insurance coverage. There is a need to identify those who are not up-to-date on screening and
eligible for outreach in this population. Financial incentives informed by behavioral
economic principles could be used to encourage self-report about screening status and
completion of CRC screening. This research utilizes a digital health platform, Way to Health,
to evaluate the feasibility of a cancer health risk assessment. This is a single-center RCT
among UPHS employees between ages 50-64 that will randomize eligible participants into one of
two study arms: (1) no incentive to complete cancer health risk assessment (no incentive) or
(2) loss-framed incentive to complete cancer health risk assessment (incentive). Those that
are eligible for screening will receive a direct access phone number to schedule colonoscopy,
with an additional unconditional incentive for those in incentive arm. The primary outcome is
completion of screening colonoscopy, with secondary outcomes of colonoscopy scheduling and
completion of risk assessment.
Inclusion criteria:
- male and female UPHS employees between the ages 50-64
- those who live within 30 miles of the main endoscopy sites
Exclusion criteria:
-minimal exclusion criteria
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