Enhanced Invitations Using the Question-Behavior Effect and Financial Incentives to Promote Health Check Uptake in Primary Care
| Autor: | Mark Ashworth, Mark Conner, Caroline Burgess, Alice S. Forster, Hiten Dodhia, Jane Miller, Caroline Rudisill, Victoria Cornelius, Philippa Clery, Frances Fuller, Alison J Wright, Bernadette Khoshaba, Martin Gulliford, Lisa McDermott |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Promotion Intention Primary care Risk Assessment Health check law.invention 17 Psychology And Cognitive Sciences 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires Electronic health records Humans Medicine 030212 general & internal medicine Health behavior General Psychology Aged Motivation Intention-to-treat analysis Primary Health Care business.industry 030503 health policy & services Public health 11 Medical And Health Sciences Middle Aged Mass screening—methods Confidence interval Psychiatry and Mental health Cardiovascular diseases Incentive Family medicine Primary prevention—methods Patient Compliance Female Public Health 0305 other medical science business Risk assessment 13 Education Regular Articles |
| Zdroj: | McDermott, L, Cornelius, V, Wright, A J, Burgess, C, Forster, A S, Ashworth, M, Khoshaba, B, Clery, P, Fuller, F, Miller, J, Dodhia, H, Rudisill, C, Conner, M T & Gulliford, M C 2018, ' Enhanced Invitations Using the Question-Behavior Effect and Financial Incentives to Promote Health Check Uptake in Primary Care ', Annals of Behavioral Medicine, vol. 52, no. 7, pp. 594–605 . https://doi.org/10.1093/abm/kax048 Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine |
| ISSN: | 1532-4796 0883-6612 |
| DOI: | 10.1093/abm/kax048 |
| Popis: | Background Uptake of health checks for cardiovascular risk assessment in primary care in England is lower than anticipated. The question-behavior effect (QBE) may offer a simple, scalable intervention to increase health check uptake. Purpose The present study aimed to evaluate the effectiveness of enhanced invitation methods employing the QBE, with or without a financial incentive to return the questionnaire, at increasing uptake of health checks. Methods We conducted a three-arm randomized trial including all patients at 18 general practices in two London boroughs, who were invited for health checks from July 2013 to December 2014. Participants were randomized to three trial arms: (i) Standard health check invitation letter only; (ii) QBE questionnaire followed by standard invitation letter; or (iii) QBE questionnaire with offer of a financial incentive to return the questionnaire, followed by standard invitation letter. In intention to treat analysis, the primary outcome of completion of health check within 6 months of invitation, was evaluated using a p value of .0167 for significance. Results 12,459 participants were randomized. Health check uptake was evaluated for 12,052 (97%) with outcome data collected. Health check uptake within 6 months of invitation was: standard invitation, 590 / 4,095 (14.41%); QBE questionnaire, 630 / 3,988 (15.80%); QBE questionnaire and financial incentive, 629 / 3,969 (15.85%). Difference following QBE questionnaire, 1.43% (95% confidence interval −0.12 to 2.97%, p = .070); following QBE questionnaire and financial incentive, 1.52% (−0.03 to 3.07%, p = .054). Conclusions Uptake of health checks following a standard invitation was low and not significantly increased through enhanced invitation methods using the QBE. In a large randomized controlled trial, enhanced invitation methods based on the question-behavior effect did not increase uptake of health checks |
| Databáze: | OpenAIRE |
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