Systematic review on use of health incentives in U.S. to change maternal health behavior.

Systematic review on use of health incentives in U.S. to change maternal health behavior.
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DOI:
10.1016/j.ypmed.2021.106442
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发表时间:
2021-04
影响因子:
5.1
通讯作者:
Isaacs K
Isaacs K
中科院分区:
医学2区
文献类型:
--
作者:
Washio Y;Atreyapurapu S;Hayashi Y;Taylor S;Chang K;Ma T;Isaacs K

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根据健康结果使用财政激励措施已显示出对健康行为改变的有效性。基于证据的信息,激励使用孕产妇健康行为改变的影响,可以告知是否以及如何进行未来的研究,以及将激励为基础的干预措施,在现有的医疗保健系统。本系统性文献综述是根据PRISMA方法在美国队列中对孕产妇健康行为改变的激励使用进行的前瞻性研究。检索的数据库包括PubMed、Web of Science、PsycINFO和EBSCOhost。2019年1月7日或之前在同行评审期刊上发表的研究,以英语撰写,在美国进行,使用激励条件的孕产妇健康行为的变化,并前瞻性设计。两位作者独立检索了标题和摘要。构建了一个抽象表,并使用GRADE方法评估偏倚风险。审查表明,诸如代金券和其他财政激励措施等激励措施在改善成果方面是有效的,特别是与药物使用、烟草使用和母乳喂养有关的成果。在改善治疗依从性结局方面发现了混合证据;然而,关于治疗依从性结局的随机试验研究也显示出较低的确定性。在综合治疗和常规保健的背景下实施基于激励的方法,探索基于电子或移动的方法的实施,以及在产前和产后期间实施更广泛的结果方面,需要不断改进。
Use of financial incentives contingent on health outcomes has shown effective in health behavior change. Evidence-based information on the effect of incentive use for maternal health behavior change can inform whether and how to proceed with future research as well as incorporate incentive-based interventions in the existing healthcare system. This systematic literature review was conducted among prospective studies on incentive use for maternal health behavior change in a U.S. cohort according to the PRISMA methodology. Databases subject to the search included PubMed, Web of Science, PsycINFO, and EBSCOhost. Studies published in peer-reviewed journals on or before January 7, 2019, written in English, conducted in U.S., using incentives contingent on maternal health behavior change, and prospectively designed were included. Two authors independently searched titles and abstracts. An abstraction table was constructed, and the risk of bias was assessed using the GRADE approach. The review showed that incentives such as vouchers and other financial incentives were effective in improving outcomes especially related to substance use, tobacco use and breastfeeding. Mixed evidence was found in improving treatment adherence outcomes; however the studies with randomized trials on the outcome of treatment adherence also showed low certainty. Continued improvements need to be made in implementing an incentive-based approach in the context of comprehensive treatment and routine healthcare, exploring electronic- or mobile-based implementation of the approach, and implementing the approach for a wider variety of outcomes during both prenatal and postpartum periods.
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