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.

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.
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家庭货币激励措施是一种基于价值的护理模型:口腔健康创新行为经济学(BEECON)试验的基本原理和设计。

DOI:
10.1111/jphd.12406
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发表时间:
2020-10-08
影响因子:
2.3
通讯作者:
Gansky SA
Gansky SA
中科院分区:
医学4区
文献类型:
--
作者:
Ramos-Gomez F;White JS;Lindau HE;Lin TK;Finlayson TL;Liu JX;Gansky SA

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需要有效的预防为重点,以价值为基础的战略,以改善口腔健康。尽管有证据表明,金钱激励可以激励健康的行为,有力的研究还没有检查改善儿童口腔卫生的激励措施。描述BEECON口腔健康经济学(BEECON)试验的基本原理和设计,该试验测试了基于彩票的货币激励措施,作为一种以消费者为导向,以价值为基础的护理模式,用于改善儿童的口腔卫生。设计:II期、分层、排列区组、随机、对照、双臂、平行组、预防试验。研究访视在三家洛杉矶,CA健康诊所进行。244对父母-孩子,孩子年龄在6-48个月之间。符合条件的二人组被随机平均分配到两组之一:彩票激励组或候补(延迟激励)对照组。根据蓝牙记录的刷牙频率,提供为期6个月的每周抽奖奖励。两组人每周都会收到关于刷牙表现的短信反馈。主要结果是从基线到6个月的刷牙表现,测量为每周刷牙时合格的半天蓝牙记录事件的平均数量。次要结果包括12个月内刷牙性能的可持续性和龋齿状况。BEECON提供以消费者为导向的方法,以促进基于价值的口腔保健。我们假设,基于彩票的激励措施可以改善幼儿的口腔卫生。研究结果将为加强幼儿口腔疾病预防的规划工作提供信息。ClinicalTrials.gov标识符NCT 03576326。
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. 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. Study visits occur at three Los Angeles, CA health clinics. Two hundred and forty-four parent-child dyads with a child aged 6–48 months. 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. 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. 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. ClinicalTrials.gov identifier NCT03576326.
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