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.
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.
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).
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.
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
Principal Investigator: Shivan Mehta, MD
The proposed project will evaluate the effect of mailed colonoscopy outreach, mailed FIT, or mailed FIT with the choice of colonoscopy (active choice). The hypothesis is that offering the choice of mailed FIT or colonoscopy will result in greater screening response than mailed FIT or colonoscopy outreach alone.
Funder: NIA/NIH P30AG034546 (Roybal Pilot Project)