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: Gregory Tasian, MD and Thomas Guzzo, MD
In this application, we propose a pilot randomized, controlled trial to estimate the effect size of financial incentives on achieving a daily goal of 2000 steps in the hospital and post-discharge for 1 month following radical cystectomy. Secondary outcomes include step count, composite morbidity, and functional decline. Thirty adults with bladder cancer undergoing radical cystectomy at the Hospital of the University of Pennsylvania will be randomized to either control (education of step goal with monitoring and daily feedback) or a gain financial incentive ($1.50 for each day the goal was achieved) combined with a lottery incentive if they achieve 75% of the daily goals during the study period. We will use Fitbit Zips to measure step counts for all participants. This proposal will provide the preliminary data needed to design future, larger trials that will test the effect of financial incentives to increase ambulation on post-operative complications, readmissions, and functional decline.
Funder: CTSA UL1TR000003 from the National Center for Advancing Translational Science