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https://www.readbyqxmd.com/read/29148344/moderating-effects-of-patient-characteristics-on-the-impact-of-financial-incentives
#1
Meredith B Rosenthal, Andrea B Troxel, Kevin G Volpp, Walter F Stewart, Thomas D Sequist, James B Jones, AnneMarie G Hirsch, Karen Hoffer, Jingsan Zhu, Wenli Wang, Amanda Hodlofski, Darra Finnerty, Jack J Huang, David A Asch
While financial incentives to providers or patients are increasingly common as a quality improvement strategy, their impact on patient subgroups and health care disparities is unclear. To examine these patterns, we analyzed data from a randomized clinical trial of financial incentives to lower low-density lipoprotein (LDL) cholesterol levels in patients at risk for cardiovascular disease. Patients with higher baseline LDL experienced greater cholesterol reductions in the shared incentive arm (0.23 mg/dL per unit change in baseline LDL, 95% CI [-0...
May 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29059692/technology-and-medicine-reimagining-provider-visits-as-the-new-tertiary-care
#2
Christian Terwiesch, David A Asch, Kevin G Volpp
No abstract text is available yet for this article.
October 24, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28973195/reimagining-halfway-technologies-with-behavioral-science
#3
David A Asch, Kevin G Volpp
No abstract text is available yet for this article.
October 3, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28973115/effect-of-a-game-based-intervention-designed-to-enhance-social-incentives-to-increase-physical-activity-among-families-the-be-fit-randomized-clinical-trial
#4
RANDOMIZED CONTROLLED TRIAL
Mitesh S Patel, Emelia J Benjamin, Kevin G Volpp, Caroline S Fox, Dylan S Small, Joseph M Massaro, Jane J Lee, Victoria Hilbert, Maureen Valentino, Devon H Taylor, Emily S Manders, Karen Mutalik, Jingsan Zhu, Wenli Wang, Joanne M Murabito
Importance: Gamification, the application of game design elements such as points and levels in nongame contexts, is often used in digital health interventions, but evidence on its effectiveness is limited. Objective: To test the effectiveness of a gamification intervention designed using insights from behavioral economics to enhance social incentives within families to increase physical activity. Design, Setting, and Participants: The Behavioral Economics Framingham Incentive Trial (BE FIT) was a randomized clinical trial with a 12-week intervention period and a 12-week follow-up period...
November 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28898374/behavioral-economics-and-health-insurance-reform-reply
#5
LETTER
Jonathan Skinner, Kevin G Volpp
No abstract text is available yet for this article.
September 12, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28817301/patients-views-of-a-behavioral-intervention-including-financial-incentives
#6
Judy A Shea, Aderinola Adejare, Kevin G Volpp, Andrea B Troxel, Darra Finnerty, Karen Hoffer, Thomas Isaac, Meredith Rosenthal, Thomas D Sequist, David A Asch
OBJECTIVES: Clinical trials are increasingly testing the effectiveness of paying patients' financial incentives for achieving desired clinical outcomes. Some researchers and providers are concerned that patient financial incentives will harm the doctor-patient relationship. How patients feel about these approaches, and these trials, is largely unknown. This study examined patients' perceptions of a compound behavioral and financial incentive intervention used in a large multicenter trial to lower low-density lipoprotein cholesterol (LDL-C), including their perceptions of benefits and challenges and the study's effect on patients' relationship with their primary care physicians (PCPs)...
June 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28751176/the-effect-of-interactive-reminders-on-medication-adherence-a-randomized-trial
#7
Hengchen Dai, David Mao, Kevin G Volpp, Heather E Pearce, Michael J Relish, Victor F Lawnicki, Katherine L Milkman
Expanding on evidence that interventions to improve health are more effective when informed by behavioral science, we explore whether reminders designed to harness behavioral science principles can improve medication adherence. We conducted a randomized controlled trial with 46,581 U.S. participants with commercial or Medicare Advantage insurance from Humana. Participants were randomly assigned to one of four experimental conditions. Participants in the usual care condition only received standard mailings that the insurer usually sends...
July 24, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28734830/active-choice-and-financial-incentives-to-increase-rates-of-screening-colonoscopy-a-randomized-controlled-trial
#8
Shivan J Mehta, Jordyn Feingold, Matthew Vandertuyn, Tess Niewood, Catherine Cox, Chyke A Doubeni, Kevin G Volpp, David A Asch
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...
November 2017: Gastroenterology
https://www.readbyqxmd.com/read/28654972/effect-of-electronic-reminders-financial-incentives-and-social-support-on-outcomes-after-myocardial-infarction-the-heartstrong-randomized-clinical-trial
#9
RANDOMIZED CONTROLLED TRIAL
Kevin G Volpp, Andrea B Troxel, Shivan J Mehta, Laurie Norton, Jingsan Zhu, Raymond Lim, Wenli Wang, Noora Marcus, Christian Terwiesch, Kristen Caldarella, Tova Levin, Mike Relish, Nathan Negin, Aaron Smith-McLallen, Richard Snyder, Claire M Spettell, Brian Drachman, Daniel Kolansky, David A Asch
Importance: Adherence to medications prescribed after acute myocardial infarction (AMI) is low. Wireless technology and behavioral economic approaches have shown promise in improving health behaviors. Objective: To determine whether a system of medication reminders using financial incentives and social support delays subsequent vascular events in patients following AMI compared with usual care. Design, Setting, and Participants: Two-arm, randomized clinical trial with a 12-month intervention conducted from 2013 through 2016...
August 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28639106/time-to-selected-quit-date-and-subsequent-rates-of-sustained-smoking-abstinence
#10
George L Anesi, Scott D Halpern, Michael O Harhay, Kevin G Volpp, Kathryn Saulsgiver
In efforts to combat tobacco dependence, most smoking cessation programs offer individuals who smoke the choice of a target quit date. However, it is uncertain whether the time to the selected quit date is associated with participants' chances of achieving sustained abstinence. In a pre-specified secondary analysis of a randomized clinical trial of four financial-incentive programs or usual care to encourage smoking cessation (Halpern et al. in N Engl J Med 372(22):2108-2117, doi: 10.1056/NEJMoa1414293 , 2015), study participants were instructed to select a quit date between 0 and 90 days from enrollment...
December 2017: Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28627929/design-of-the-hptn-065-tlc-plus-study-a-study-to-evaluate-the-feasibility-of-an-enhanced-test-link-to-care-plus-treat-approach-for-hiv-prevention-in-the-united-states
#11
Theresa Gamble, Bernard Branson, Deborah Donnell, H Irene Hall, Georgette King, Blayne Cutler, Shannon Hader, David Burns, Jason Leider, Angela Fulwood Wood, Kevin G Volpp, Kate Buchacz, Wafaa M El-Sadr
Background/Aims HIV continues to be a major public health threat in the United States, and mathematical modeling has demonstrated that the universal effective use of antiretroviral therapy among all HIV-positive individuals (i.e. the "test and treat" approach) has the potential to control HIV. However, to accomplish this, all the steps that define the HIV care continuum must be achieved at high levels, including HIV testing and diagnosis, linkage to and retention in clinical care, antiretroviral medication initiation, and adherence to achieve and maintain viral suppression...
August 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28384693/replacing-the-affordable-care-act-lessons-from-behavioral-economics
#12
Jonathan S Skinner, Kevin G Volpp
No abstract text is available yet for this article.
May 16, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28337690/using-active-choice-within-the-electronic-health-record-to-increase-influenza-vaccination-rates
#13
Mitesh S Patel, Kevin G Volpp, Dylan S Small, Craig Wynne, Jingsan Zhu, Lin Yang, Steven Honeywell, Susan C Day
BACKGROUND: Despite the benefits of influenza vaccination, each year more than half of adults in the United States do not receive it. OBJECTIVE: To evaluate the association between an active choice intervention in the electronic health record (EHR) and changes in influenza vaccination rates. DESIGN: Observational study. PATIENTS: Adults eligible for influenza vaccination with a clinic visit at one of three internal medicine practices at the University of Pennsylvania Health System between September 2010 and March 2013...
July 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28329124/sleep-and-alertness-in-medical-interns-and-residents-an-observational-study-on-the-role-of-extended-shifts
#14
Mathias Basner, David F Dinges, Judy A Shea, Dylan S Small, Jingsan Zhu, Laurie Norton, Adrian J Ecker, Cristina Novak, Lisa M Bellini, Kevin G Volpp
Study Objectives: Fatigue from sleep loss is a risk to physician and patient safety, but objective data on physician sleep and alertness on different duty hour schedules is scarce. This study objectively quantified differences in sleep duration and alertness between medical interns working extended overnight shifts and residents not or rarely working extended overnight shifts. Methods: Sleep-wake activity of 137 interns and 87 PGY-2/3 residents on 2-week Internal Medicine and Oncology rotations was assessed with wrist-actigraphy...
April 1, 2017: Sleep
https://www.readbyqxmd.com/read/28245653/synchronized-prescription-refills-and-medication-adherence-a-retrospective-claims-analysis
#15
Jalpa A Doshi, Raymond Lim, Pengxiang Li, Peinie P Young, Victor F Lawnicki, Andrea B Troxel, Kevin G Volpp
OBJECTIVES: Medication adherence is often suboptimal, especially among patients on multiple chronic medications. We examined the association between synchronized medication refill schedules-which typically reduce organizational effort and logistical demands-and adherence. STUDY DESIGN: Retrospective study among patients enrolled in Medicare Advantage prescription drug plans. METHODS: We used 2012 pharmacy, medical, and enrollment data linked with consumer meta-data for Medicare patients filling 2 or more maintenance prescriptions for antihypertensives, lipid-lowering agents, antidiabetic agents, antidepressants, and/or antiosteoporotic agents...
February 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28196212/effectiveness-of-medication-adherence-reminders-tied-to-fresh-start-dates-a-randomized-clinical-trial
#16
Hengchen Dai, David Mao, Jason Riis, Kevin G Volpp, Michael J Relish, Victor F Lawnicki, Katherine L Milkman
No abstract text is available yet for this article.
April 1, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28007228/using-active-choice-within-the-electronic-health-record-to-increase-physician-ordering-and-patient-completion-of-high-value-cancer-screening-tests
#17
Mitesh S Patel, Kevin G Volpp, Dylan S Small, Craig Wynn, Jingsan Zhu, Lin Yang, Steven Honeywell, Susan C Day
BACKGROUND: High value screening tests such as colonoscopy and mammography can improve early cancer detection but are often underutilized. METHODS: We evaluated an active choice intervention using the electronic health record (EHR) to confirm patient eligibility for colonoscopy or mammography during the patient's clinic visit and prompt the physician and his/her medical assistant to actively choose to "accept" or "cancel" an order for it. We fit multivariate logistic regression models using a difference-in-differences approach to evaluate changes in physician ordering and patient completion of colonoscopy and mammography at the intervention practice compared to two control practices, adjusting for time trends, patient and clinic visit characteristics...
December 2016: Healthcare
https://www.readbyqxmd.com/read/27997663/learning-by-listening-improving-health-care-in-the-era-of-yelp
#18
Raina M Merchant, Kevin G Volpp, David A Asch
No abstract text is available yet for this article.
December 20, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27940063/automated-reminders-and-physician-notification-to-promote-immunosuppression-adherence-among-kidney-transplant-recipients-a-randomized-trial
#19
RANDOMIZED CONTROLLED TRIAL
Peter P Reese, Roy D Bloom, Jennifer Trofe-Clark, Adam Mussell, Daniel Leidy, Simona Levsky, Jingsan Zhu, Lin Yang, Wenli Wang, Andrea Troxel, Harold I Feldman, Kevin Volpp
BACKGROUND: Immunosuppression nonadherence increases the risk for kidney transplant loss after transplantation. Wireless-enabled pill bottles have created the opportunity to monitor medication adherence in real time. Reminders may help patients with poor memory or organization. Provision of adherence data to providers may motivate patients to improve adherence and help providers identify adherence barriers. STUDY DESIGN: Randomized controlled trial. SETTING & PARTICIPANTS: Kidney transplant recipients (n=120) at a single center...
March 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/27932264/physician-attitudes-toward-participating-in-a-financial-incentive-program-for-ldl-reduction-are-associated-with-patient-outcomes
#20
Tianyu Liu, David A Asch, Kevin G Volpp, Jingsan Zhu, Wenli Wang, Andrea B Troxel, Aderinola Adejare, Darra D Finnerty, Karen Hoffer, Judy A Shea
No abstract text is available yet for this article.
September 2017: Healthcare
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