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Active Choice And Financial Incentives To Increase Rates Of Screening Colonoscopy-a Randomized Controlled Trial.

Home
Research Domains
Information And Computing Sciences
Human-centred Computing
Affective Computing
Active Choice And Financial Incentives To Increase Rates Of Screening Colonoscopy-a Randomized Controlled Trial.

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

Shivan J Mehta¹, Jordyn Feingold², Matthew Vandertuyn³

¹Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Penn Medicine Center for Health Care Innovation, Philadelphia, Pennsylvania; Center for Health Incentives and Behavioral Economics, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.

Gastroenterology

|July 24, 2017

View abstract on PubMed

Summary

This summary is machine-generated.

A $100 incentive significantly increased colorectal cancer screening rates in a randomized trial. Behavioral economic strategies like financial incentives can boost colonoscopy completion for cancer prevention.

Keywords:

Behavioral Economics CRC Clinical Early Detection

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Area of Science:

Public Health
Behavioral Economics
Preventive Medicine

Background:

Colorectal cancer screening uptake remains suboptimal.
Behavioral economic principles may enhance screening participation.

Purpose of the Study:

To evaluate the effectiveness of behavioral economic interventions on colorectal cancer screening.
To compare active choice and financial incentives against a standard control for colonoscopy completion.

Main Methods:

A randomized controlled trial involving 2245 employees.
Interventions included a control (scheduling phone number), active choice (opt-in/out email), and financial incentive ($100).
Colonoscopy completion within 3 months was the primary outcome.

Main Results:

The financial incentive group showed significantly higher colonoscopy completion (3.7%) compared to control (1.6%) and active choice (1.5%) groups.
No significant difference in screening uptake was observed between the active choice and control groups.
A $100 conditional incentive demonstrated a modest but statistically significant increase in colonoscopy use.

Conclusions:

Financial incentives are effective in increasing colorectal cancer screening rates.
Behavioral economic approaches, particularly financial incentives, can be a valuable tool for improving preventive health behaviors.
Further research into optimizing incentive-based strategies for cancer screening is warranted.