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Active Choice and Financial Incentives to Increase Rates of Screening Colonoscopy-A Randomized Controlled Trial.

Abstract：

: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.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Mehta SJ,Feingold J,Vandertuyn M,Niewood T,Cox C,Doubeni CA,Volpp KG,Asch DA

doi

10.1053/j.gastro.2017.07.015

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

1227-1229.e2

issue

5

eissn

0016-5085

issn

1528-0012

pii

S0016-5085(17)35921-8

journal_volume

153

pub_type

杂志文章,随机对照试验

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