个性化数字咨询可以改善消费者对现代避孕方法的搜索吗?
Susan Athey1, Katy Bergstrom2, Vitor Hadad3
1Graduate School of Business, Stanford University, Stanford, CA 94305, USA.
Science advances
|October 6, 2023
概括
通过解决患者需求,个性化数字咨询显著促进了长效可逆避孕药 (LARC) 的采用. 这种方法在增加不熟悉的避孕技术的采用方面被证明比折扣更有效.
科学领域:
- 生殖健康 生殖健康
- 行为经济学是一种行为经济学.
- 采用健康技术 采用健康技术
背景情况:
- 长效可逆避孕药 (LARCs) 是非常有效的,但未得到充分利用.
- 信息约束和选择架构影响避孕方法的选择.
- 数字健康干预措施有可能改善避孕咨询和采用.
研究的目的:
- 评估一个个性化的数字咨询干预,促进共享决策 (SDM) 的避孕方法选择.
- 评估折扣对LARC采用的影响,并与SDM干预相结合.
- 了解量身定制的建议如何影响采用现代避孕技术.
主要方法:
- 一个随机对照试验交叉随机化了一个数字SDM咨询干预,为LARCs提供折扣.
- 数字咨询使用基于平板电脑的应用程序,根据客户需求提供量身定制的方法排名.
- 对干预手臂和对照组的LARC和短效方法的避孕吸收被跟踪.
主要成果:
- 仅仅通过折扣,LARC的吸收率从11%增加到28%.
- SDM干预使LARC采用率增加了三倍,达到全价35%,没有额外的折扣优惠.
- 这两种干预都没有影响短期避孕药的使用;SDM导致更深入的讨论和采用较低级别的LARCs.
结论:
- 推广SDM的个性化,低成本的数字建议可以显著增加LARC的采用率.
- 针对信息障碍的定制咨询是选择避孕方法的强大工具.
- 在促进新技术采用方面,个性化建议可能与大量补贴一样有效.
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