Despite professional consensus, guidelines, and national campaigns, physicians continue to provide many low-value services. These services are defined as having little to no benefit, little benefit relative to their cost, or outsized potential harm compared to their benefit. Policies have tried to promote high-value care by altering physician compensation, but have had limited success in part because they are rarely based on theories of physician behavior.
Using Wearable Devices and Smartphones to Track Physical Activity: Initial Activation, Sustained Use, and Step Counts Across Sociodemographic Characteristics in a National Sample
In Annals of Internal Medicine, Mitesh Patel and colleagues describe rates of initial use of activity trackers, sustained use after 6 months, and step counts across different sociodemographic characteristics from a wellness program offered across the United States. Many large employers are using data collected from wearable devices and smartphones in workplace wellness programs; however, the characteristics of persons who use these devices are poorly understood.
Mean daily step count and sociodemographic characteristics between 2014 and 2015 were obtained from Humana for...
The Food and Drug Administration (FDA) recently approved the first digital pill that tracks if patients have taken their medication. Our experts weighed in on the potential benefits of the new technology, as well as the potential for abuse.
Effect of a Game-Based Intervention Designed to Enhance Social Incentives to Increase Physical Activity Among Families: The BE FIT Randomized Clinical Trial
In JAMA Internal Medicine, Mitesh Patel and colleagues, including Kevin Volpp and Dylan Small, tested the effectiveness of a gamification intervention designed using insights from behavioral economics to increase physical activity. The researchers piloted the Behavioral Economics Framingham Incentive Trial (BE FIT), a randomized clinical trial with a 12-week intervention period and a 12-week follow-up period, among 200 adults (comprising 94 families) enrolled in the Framingham Heart Study.
All participants received daily feedback on whether or not they had achieved their...
[This blog originally appeared on the Center for Health Incentives & Behavioral Economics (CHIBE) blog. View the original blog post here]
Community Health Worker Support For Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial
Community health worker interventions hold promise for improving outcomes of low-income patients with multiple chronic diseases.
Active Choice and Financial Incentives to Increase Rates of Screening Colonoscopy – a Randomized Controlled Trial
In Gastroenterology, Shivan Mehta and colleagues, including Chyke Doubeni, Kevin Volpp, and David Asch, examine various behavioral economics approaches to increase uptake for colorectal cancer screening. The authors assigned 2,245 individuals, all employees of a large academic health system, to one of three interventions: an e-mail containing a phone number for scheduling (control), an e-mail with the active choice to opt in or opt out (active choice), or the active choice e-mail plus a $100 incentive (financial incentive). Participants were followed to determine whether they got...
In American Journal of Public Health, Rebecca Franckle and colleagues, including Christina Roberto, assess calorie estimation, particularly in high-calorie beverages, among adolescents and adults visiting fast-food restaurants. Previous research has shown that people eating at fast-food restaurants underestimate the caloric content of their purchases, but little is known about whether purchasing beverages affects calorie estimates. Because beverages are generally not the central focus of a meal and can be consumed quickly and with little effort, it is possible that people fail to...