Application of Economics & Social psychology to improve Opioid Prescribing Safety (AESOPS) Trial

摘要 SARS-CoV-2病毒的快速传播极大地影响了服务不足的人群。这 该项目旨在了解新冠肺炎测试和测试的社会和行为决定因素 在这个种群的亚群中的变异。与最大的具有联邦资格的 在美国健康中心，我们将收集调查数据并进行随机调查 对2160名个人(540个家庭)进行实验，以评估基于风险的 宣传和鼓励重复检测SARS-CoV-2抗体。在2x2中 (消息x激励)析因实验，参与者完成一套全面的 社会和行为调查，以确定测试承诺的决定因素。那么他们就是 按调查中确定的阶层随机化，以接收个性化消息促进 反复测试。信息将集中在(1a)他们的家庭风险或(1b)他们 新冠肺炎的个人风险。他们也被随机分配到一种激励条件 这(2a)确保不会失去初始测试的基线奖励，或(2b)使他们进入 如果他们完成了两个测试，就有很小的机会赢得100美元的彩票。保险费和保险费 彩票条件也会带来同样的激励成本。我们之前在类似人群中的工作 证明了在以保险为基础的情况下，对有计划的健康行为的坚持程度更高 奖励比同等价值的现金支付更重要。这个实验比较了基于保险的 对已被证明在多种情况下有效的彩票激励。最后， 我们评估健康的社会和行为决定因素是否会导致不同的治疗 可为未来计划中的激励产品定制提供信息的效果 在服务不足的人群中越来越多地接受检测或疫苗接种。

Abstract The rapid spread of the SARS-CoV-2 virus has greatly impacted underserved populations. This project aims to understand social and behavioral determinants of COVID-19 testing and variations within sub-groups of this population. In partnership with the largest federally qualified health center in the United States, we will collect survey data and conduct a randomized experiment on 2,160 individuals (540 families) to evaluate the effectiveness of risk-based messaging and incentives that promote repeated testing for SARS-CoV-2 antibodies. In a 2 x 2 (Messaging x Incentive) factorial experiment, participants complete a comprehensive set of social and behavioral surveys to identify determinants of commitment to testing. They are then randomized by strata identified in the survey to receive personalized messaging promoting repeated testing. Messaging will focus upon either (1a) their household risk or (1b) their personal risk of COVID-19. They are also randomly assigned to either an incentive condition that (2a) insures against losing baseline rewards for initial testing, or (2b) that enters them into a lottery with a small chance to win $100 if they complete both tests. Both the insurance and lottery conditions carry the same incentive costs. Our previous work in similar populations demonstrated that adherence to planned health behaviors is higher with insurance-based incentives than cash payments of equal value. This experiment compares insurance-based incentives to lottery incentives that have been shown to be effective in multiple contexts. Finally, we evaluate if social and behavioral determinants of health result in heterogeneous treatment effects that can inform customization of incentive offerings in future programs devoted to increasing uptake of testing or vaccinations among underserved populations.