一个随机试验的邮件推广与行为经济干预,以改善肝癌监测
Shivan J Mehta1,2, Caitlin McDonald1,2, Catherine Reitz1,2
1Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Hepatology communications
|December 15, 2023
概括
邮件外展显著增加了肝硬化患者肝细胞癌 (HCC) 监测. 20美元的激励金额并没有进一步提高吸收率,这表明邮寄订单是HCC查的关键.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 临床试验 临床试验
背景情况:
- 在肝硬化患者中,肝细胞癌 (HCC) 监测率低于最佳水平.
- 邮件推广策略可能会提高查遵守率.
研究的目的:
- 评估邮件推广的有效性,有或没有财政激励,对肝硬化患者的HCC监测的有效性.
主要方法:
- 一项实用随机对照试验与562名患有肝硬化或晚期纤维化的成年患者进行.
- 参与者被随机分配到通常的护理,邮寄信与超声波订单,或邮寄信与订单和20美元的激励.
- 主要结局是六个月内完成超声波.
主要成果:
- 在通常护理组中,超声波完成率为27.6%.
- 在邮寄信+订单组中,完成率增加到54.5% (p<0.001).
- 增加20美元的激励并没有显著改变完成率 (54.1%).
结论:
- 邮件推广与选择退出框架订单显著提高HCC监控.
- 财政激励措施没有提供额外的好处,除了增加HCC查的邮寄订单之外.
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