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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 9 posts with the tag David Asch

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


A Rapid Cycle Approach to Improving Medication Adherence Through Incentives and Remote Monitoring for Coronary Artery Disease Patients

Principal Investigators: Kevin Volpp, David Asch

The goal of this project is to improve medication adherence and health outcomes in post-discharge patients who are recovering from acute myocardial infarctions.  Such patients typically have high rates of poor medication adherence and hospital readmissions and are costly to monitor through intensive case management.  The intervention will increase medication adherence through use of wireless pill bottles, financial incentives, and social incentives. We are conducting this study in 38 states with 5 major insurer partners. The anticipated result will be improved health outcomes and lower cost.

Funder: Center for Medicare and Medicaid Innovation


Financial Incentives in Surveys of Healthcare Providers: Lotteries versus Guaranteed Payments

Principal Investigators: Halpern / Volpp 

Co-investigator:  Asch

This study will evaluate the relative efficacy of guaranteed payments (either up-front or conditional on response) vs. lotteries (in which respondents are entered into a random drawing for a larger reward) in increasing healthcare provider response to surveys. This study comprises 3 independent randomized trials of actuarially equivalent payments and lotteries.

Funded by: Greenwall Foundation and University of Pennsylvania, LDI CHIBE Pilot Project


A Randomized Trial of Behavioral Economic Interventions to Reduce CVD Risk

Principal Investigators: Asch / Volpp 

Co-investigators:  Barg, Bellamy, Berger, Gaziano, Glick, Graf, Jones, Lafata, Loewenstein, Metlay, Rosenthal, Shea, Stewart, Troxel, Weiner, Weinstein

This project aims to test whether financial incentives and/or choice architecture improve the uptake of comparative effectiveness research findings related to reducing cardiovascular disease risk among physicians and patients.

Funded by: National Institutes of Health / National Institute on Aging


Developing Interactive Technologies to Improve Research and Health Behavior

Principal Investigators: Asch / Volpp

Co-investigators:  Bellamy, Halpern, Glanz, Goldberg, Groeneveld, Karlawish, Kimmel, Kuna, Loewenstein, Rozin, Shea, Troxel, Zauberman

David A. Asch, MD, MBA and Kevin G. Volpp, MD, PhD are developing IT infrastructure that will deploy clinical and behavioral research studies to advance the science at the intersection of behavioral economics and health.  The project is called Way to Health. For more information see: waytohealth.org

Funded by: National Institutes of Health / National Institute on Aging


Behavioral Economic Approaches to Dietary Control

Principal Investigators: Loewenstein / Volpp / Asch

George Loewenstein, PhD is leading a team in pilot studies to explore different ways of encouraging consumption of healthier food items by framing caloric content using various formats.

 Funded by: Aramark


Team-Based Approaches for Physical Activity to Compare Social Norms Feedback With and Without Forgiveness: A Randomized, Controlled Trial

Principal Investigators: Mitesh Patel, David Asch, Kevin Volpp

Increased physical activity has been found to be associated with lower rates of all-cause mortality, cardiovascular disease, type 2 diabetes, hypertension, and stroke.  Yet, more than 50% of adults in the United States do not meet the national guidelines for minimum levels of physical activity to achieve health benefits.  This randomized, controlled trial enrolled teams of four members each who were given the goal of walking at least 7,000 steps per day.  Each team received different types of social norms feedback on their performance and outcomes were compared for groups that received feedback that accounted for all seven days of the week or forgave the two lowest days of activity, counting only 5 of 7 days per week.

Funder: NIH Institute on Aging


 


Team-Based Approaches for Physical Activity Using Financial Incentives and Social Norms Feedback: A Randomized, Controlled Trial

Principal Investigators: Mitesh Patel, David Asch, Kevin Volpp

Increased physical activity has been found to be associated with lower rates of all-cause mortality, cardiovascular disease, type 2 diabetes, hypertension, and stroke.  Yet, more than 50% of adults in the United States do not meet the national guidelines for minimum levels of physical activity to achieve health benefits.  This randomized, controlled trial enrolled teams of four members each who were given the goal of walking at least 7,000 steps per day.  Each team received different types of social norms feedback on their performance and outcomes were compared with and without financial incentives.

Funder: NIH Institute on Aging

 


Academic Research Consortium

Principal Investigator: Volpp

Co-investigators:  Asch, Duggan, Kolstad, Pauly, Werner

Due to concerns about increasing health care costs, health insurers are looking to the field of behavioral economics to offer solutions to some of the most serious problems facing health care; obesity, medication non-adherence, and ineffective provider payment models. To this end, Horizon Healthcare Innovations established an Academic Research Consortium to address these issues. The goals of the academic research consortium is to independently study new health care and consumer engagement pilot programs. The Consortium members will advise Horizon Healthcare Innovations on pilot designs and adjustments to produce improved results in health quality, cost and patient engagement. The Consortium will test new ways of trying to improve health and address the nation's problems of high rates of growth in health care costs.

Funder: Horizon Healthcare Innovations (a Horizon BCBS subsidary)