Active Choice and Financial Incentives to Increase Rates of Screening Colonoscopy-A Randomized Controlled Trial

作者：Mehta Shivan J^*; Feingold Jordyn; Vandertuyn Matthew; Niewood Tess; Cox Catherine; Doubeni Chyke A; Volpp Kevin G; Asch David A

来源：Gastroenterology, 2017, 153(5): 1227-+.

DOI：10.1053/j.gastro.2017.07.015

• CRC
• Early Detection
• Behavioral Economics
• Clinical

Behavioral economic approaches could increase uptake for colorectal cancer screening. We performed a randomized controlled trial of 2245 employees to determine whether an email containing a phone number for scheduling (control), an email with the active choice to opt in or opt out (active choice), or the active choice email plus a $100 incentive (financial incentive) increased colonoscopy completion within 3 months. Higher proportions of participants in the financial incentive group underwent screening (3.7%) than in the control (1.6%) or active choice groups (1.5%) (P = .01 and P < .01). We found no difference in uptake of screening between the active choice and control groups (P = .88). The $100 conditional incentive modestly but significantly increased colonoscopy use.

• 出版日期2017-11