在众包平台上评估干预措施,以在初级保健环境中推动患者的参与行为:随机对照试验
Kay-Yut Chen1, Yan Lang2, Yuan Zhou3
1College of Business, University of Texas at Arlington, Arlington, TX, United States.
Journal of medical Internet research
|July 13, 2023
概括
众包调查有效地评估了患者参与的行为经济学干预措施. 损失与心理奖励的框架显著增加了患者愿意将药物带到初级保健诊所的意愿.
科学领域:
- 健康行为研究研究健康行为研究
- 行为经济学是一种行为经济学.
- 患者参与策略 患者参与策略
背景情况:
- 患者参与健康行为至关重要,但实施具有挑战性.
- 行为经济学提供了干预潜力,但评估成本效益是困难的.
- 众包平台可以快速评估干预措施,但模拟的激励反应需要验证.
研究的目的:
- 评估众包调查的可行性,以评估行为经济学干预措施.
- 确定基于网络的参与者是否对模拟与实际激励措施的反应类似.
- 评估心理奖励和损失框架对模拟药物调和行为的影响.
主要方法:
- 在众包平台 (亚马逊机械土耳其) 上进行随机控制试验.
- 对照组与三个模拟干预措施进行了比较:货币补偿,心理奖励 (地位效应) 和损失框架.
- 用5分利克尔特尺度测量了将药物带到初级保健诊所的意愿.
主要成果:
- 与基线相比,这三个干预措施都显著增加了参与者随身携带药物的意愿.
- 货币补偿使人们的意愿增加了17.51% (P<.001).
- 心理奖励 (地位效应) 增加了11.85%的意愿 (P<.001),而损失框架则增加了24.35% (P<.001).
结论:
- 使用模拟激励的众包实验产生了有效的行为反应.
- 心理状态设计,特别是损失框架,有效地提高了患者在初级保健中的参与度.
- 众包平台可以有效地补充研究患者参与行为经济学的传统方法.
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