Family monetary incentives as a value-based care model for oral hygiene: rationale and design of the BEhavioral EConomics for Oral health iNnovation (BEECON) trial.

Autor: Ramos-Gomez F; Center to Address Disparities in Children's Oral Health, University of California San Francisco, San Francisco, CA, USA.; Section of Pediatric Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, CA, USA.; UCLA Center for Children's Oral Health (UCCOH), University of California Los Angeles, Los Angeles, California, USA., White JS; Center to Address Disparities in Children's Oral Health, University of California San Francisco, San Francisco, CA, USA.; Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA.; Department of Epidemiology and Biostatistics, University of California San Francisco, University of California San Francisco, San Francisco, California, USA., Lindau HE; Section of Pediatric Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, CA, USA., Lin TK; Institute for Health & Aging, Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA., Finlayson TL; Center to Address Disparities in Children's Oral Health, University of California San Francisco, San Francisco, CA, USA.; School of Public Health, San Diego State University, San Diego, CA, USA., Liu JX; Center to Address Disparities in Children's Oral Health, University of California San Francisco, San Francisco, CA, USA.; Institute for Health & Aging, Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA., Gansky SA; Center to Address Disparities in Children's Oral Health, University of California San Francisco, San Francisco, CA, USA.; Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA.; Department of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, CA, USA.; Bakar Computational Health Sciences Institute, University of California San Francisco, University of California San Francisco, San Francisco, California, USA.
Jazyk: angličtina
Zdroj: Journal of public health dentistry [J Public Health Dent] 2020 Oct 08. Date of Electronic Publication: 2020 Oct 08.
DOI: 10.1111/jphd.12406
Abstrakt: Background: Effective prevention-focused, value-based strategies are needed to improve oral health. Despite evidence that monetary incentives can motivate healthy behavior, well-powered studies have yet to examine incentives for improving children's oral hygiene.
Aim: Describe the rationale and design of the BEhavioral EConomics for Oral health iNnovation (BEECON) trial, which tests lottery-based monetary incentives as a consumer-oriented, value-based care model for improving children's oral hygiene.
Design: Phase II, stratified, permuted block randomized, controlled, two-arm, parallel groups, prevention trial.
Setting: Study visits occur at three Los Angeles, CA health clinics.
Participants: Two hundred and forty-four parent-child dyads with a child aged 6-48 months.
Interventions: Eligible dyads were randomized in equal allocation to one of two groups: lottery incentive group or waitlist (delayed incentive) control group. Weekly lottery incentives were offered for 6 months based on Bluetooth-recorded toothbrushing frequency. Both groups received weekly text message feedback on toothbrushing performance.
Outcomes: The primary outcome was toothbrushing performance from baseline to 6 months, measured as the mean number of qualifying half-day Bluetooth-recorded episodes per week when the child's teeth were brushed. Secondary outcomes included toothbrushing performance sustainability through 12 months and dental caries status.
Conclusions: BEECON offers a consumer-oriented approach to promoting value-based oral health care. We hypothesize that lottery-based incentives can improve oral hygiene in young children. Study results will inform programming efforts to enhance oral disease prevention in young children.
Trial Registration: ClinicalTrials.gov identifier NCT03576326.
(© 2020 American Association of Public Health Dentistry.)
Databáze: MEDLINE
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