Learning How Behavioral Economics Impacts Health Decisions

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Center for Health Incentives and Behavioral Economics Research

CHIBE researchers apply concepts from the field of behavioral economics to design, implement, and evaluate interventions that improve health and build knowledge about efficacy, cost and effectiveness. 

Basic Science Core Request for Applications

The Basic Science Core aims to support laboratory or low-cost field studies that will shed light on mechanisms that can generate behavior change.  In contrast to previous large-scale field studies, which have often combined multiple mechanisms into one intervention in order to maximize impact on behavior, basic science projects supported by the Core focus on disentangling and precisely identifying the impacts of individual mechanisms.  CHIBE researchers interested in applying for project support can click here for more information.

 

 

Health Incentives and Behavioral Economics Research Studies

You are viewing 11 posts by the author Samantha Fellman

Behavioral Economics in Provider Incentive Design

Principal Investigator: Amol Navathe, MD, PhD

Payers and provider groups are in need of novel approaches to structure provider incentives—both financial and non-financial—to better promote the delivery of quality, cost-effective care. In this project, we will study how behavioral economic principles can improve the effectiveness of physician incentives to deliver higher quality and lower cost care. We will test the application of specific behavioral economic principles including loss aversion; physician versus non-physician incentives; and variation in physician-organization relationships in incentive design and implementation.

Funder: The Commonwealth Foundation

Tags: Amol Navathe

RCT of Automated Hovering for Congestive Heart Failure

Principal Investigators: David Asch, MD, MBA; Kevin Volpp, MD, PhD

The objective of this study is to conduct a pragmatic, randomized controlled trial testing a new approach to chronic disease management combining wireless monitoring devices and behavioral economic engagement incentives to reduce rehospitalization rates among patients with congestive heart failure (CHF) recently hospitalized at the University of Pennsylvania Health System (UPHS).

Funder: NHLBI/NIH


Incentives for Participation in a Randomized Controlled Trial

Principal investigator: Scott Halpern, MD, PhD, M.Bioethics

Paying patients to enroll in randomized clinical trials could dramatically improve the pace and scientific validity with which new interventions for cancer and other diseases are tested, but the practice raises important ethical concerns. To inform the regulation of research incentives and reduce undue variability in their use, we will conduct a randomized trial of 3 real incentives for patients with lung cancer to participate in a real trial comparing two forms of radiation therapy. The trial’s innovative design will enable definitive tests of how patients make research decisions in the face of money, and will provide the best possible evidence regarding the scientific and ethical pros and cons of incentives for research participation.

Funder: NCI/NIH 


Pragmatic Randomized Trial of Proton vs. Photon Therapy for Patients with Stage II or III Breast Cancer

Principal Investigator: Justin Bekelman, MD 

The Radiotherapy Comparative Effectiveness (RADCOMP) Consortium will conduct a pragmatic randomized clinical trial in which 1,716 patients with stage II and III breast cancer involving lymph nodes under the arm or above the collarbone will be randomized after surgery to either proton therapy or photon therapy, the current standard treatment. Patients will be followed to determine differences in heart problems, cancer control, and health-related quality of life (HRQOL) after treatment.

Funder: PCORI


Promoting Interfamily Accountability for Reducing Cellphone Use While Driving in Adults and their Teen Children: A Pilot Trial

Principal Investigator: Kit Delgado, MD, MS

The objective of this project is to pilot test an interfamily accountability strategy for teens and their parents to work together to reduce their collective cellphone use while driving. The specific aims are to compare measures of acceptance and feasibility across teen-parent dyads randomized to bidirectional teen-parent vs. teen only monitoring of cellphone use while driving.

Funder: NIA/NIH

Tags: Kit Delgado

Behavioral Economic Approaches to Improve Colorectal Cancer Screening

Principal Investigator: Shivan Mehta, MD, MBA, MSHP

This research project will test a population-based approach to improving colorectal cancer screening rates among UPHS employees, which could serve as a model for other payer or employer populations.  The specific aim is to compare conventional email notification, active choice pre-scheduling, and active choice prescheduling with financial incentives against their ability to increase colonoscopy completion rates.

Funder: NIA/NIH

Tags: Shivan Mehta

Creating Exercise Habits through Incentives

Principal Investigator: Katherine Milkman, PhD

This research project will conduct a randomized controlled trial to test the impact of an intervention designed to increase gym attendance and improve health outcomes related to obesity. This project consists of performing a large-scale field experiment at a Fortune-500 company to determine whether healthy habits can be formed more effectively when consumers are rewarded for repeated engagement in a given healthy behavior at a specific, routinized time each day rather than at any time.

Funder: NIA/NIH


Intuition and Deliberation in Decisions about Life-Sustaining Medical Interventions

Principal Investigator: Emily Rubin, MD, JD   

There has been a strong movement in health care towards the development of decision aids that foster deliberation, but we know little about the use and relative merits of intuitive and deliberative thinking in decisions regarding life-sustaining medical interventions. This research project will determine whether there are systematic differences between the decisions patients make intuitively versus deliberatively about life-sustaining medical interventions and evaluate how decisions about life-sustaining treatments reached intuitively and those reached deliberatively map with the stated underlying values of the patient.

Funder: NIA/NIH


Way to Cure: Developing Effective Strategies to Promote Adherence to Hepatitis C Therapy among Older Adults

Principal Investigator: Marina Serper, MD

Hepatitis C (HCV) treatment has been revolutionized by the advent of highly effective, but extremely costly drug regimens. Data from clinical trials show >90% cure rates, however, medication adherence and real world cure rates are not known. This research project will test the efficacy of tailored reminders vs. financial incentives compared to usual care to promote medication adherence among a diverse sample of Hepatitis C patients at risk for medication non-adherence, and will determine specific patient characteristics (age, cognitive function) that are associated with medication non-adherence after adjustment by intervention arm. 

Funder: NIA/NIH  


Can the Endowment Effect be Used to Increase the Power of Health Incentives?

Principal Investigator: Justin Sydnor, PhD

The specific aims of this study are to (1) estimate the treatment effect of both the standard monetary incentive and the endowment-effect incentive relative to a control in terms of the fraction of members using the gym over time; (2) test whether the endowment-effect treatment increases the fraction of participants meeting the program gym-use goals relative to a standard treatment with the same monetary value; and (3) estimate the size of a standard monetary incentive that is expected to generate the same success rate as the endowment-effect incentive.

Funder: NIA/NIH


Improving Participation in Vector Control Campaigns

Principal Investigators: Alison Buttenheim, PhD, MBA; Joanne Levy, MBA, MCP

Peruvian officials have engaged for years in a vector-control campaign to fight Chagas, a potentially fatal, bug-borne disease common in Latin America. Resistance to the voluntary, door-to-door program in Arequipa, however, threatens to undermine the Ministry of Health's effort in that city.  This project will explore the effectiveness of three behavioral economics interventions in persuading Arequipa residents to allow pesticide treatment in their homes.

Funder: NICHD/NIH