software to translate behavioral economic insights to improve health

将行为经济学见解转化为改善健康的软件

• 批准号: 8810707
• 负责人: Karen Sussman Horgan
• 金额: $ 44.1万
• 依托单位: VAL HEALTH, LLC
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-15 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8810707
• 关键词: Accounting; Address; Administrator; American; Architecture; Behavior; Behavioral; Behavioral Sciences; Body Weight decreased; Cessation of life; Client; Communication; Computer software; Consult; Disease Management; Economics; Electronic Mail; Employee; Fostering; Foundations; Future; Goals; Habits; Health; Health Care Costs; Health Promotion; Health behavior; Healthcare; Incentives; Insurance Carriers; Journals; Life Style; Local Government; Marketing; Measures; Medical; Medicine; Morbidity - disease rate; New England; Obesity; Online Systems; Outcome; Participant; Patients; Persons; Pharmaceutical Preparations; Pharmacologic Substance; Phase; Population; Provider; Publishing; Regrets; Research; Rewards; Running; Smoking; Solutions; Specific qualifier value; Staging; Technology; Testing; Translating; United States; United States National Institutes of Health; Work; behavior change; cloud based; design; diet and exercise; experience; improved; insight; medication compliance; meetings; member; mortality; motivated behavior; payment; population health; premature; programs; rat Ran 2 protein; smoking cessation; tool; web interface

DESCRIPTION (provided by applicant): Unhealthy behaviors such as smoking, medication non-adherence, and lifestyle habits leading to obesity are major contributors to premature morbidity and mortality among the U.S. population. Participation rates in programs designed to improve these behaviors are often less than 10%. Considerable research has shown that lotteries that leverage the principle of anticipated regret are particularly effective at motivatin behavior change and increasing participation. These lotteries provide encouragement to perform a specified health behavior not only by offering a reward for successful participation, but also by fostering a sense of regret if a reward would have been won if only they had participated the day before. These approaches have been repeatedly successful in research settings, but the mechanisms to run these lotteries are not currently available in commercial settings. In this Phase I/Phase II Fast Track project, we will develop a scalable web-based application to run regret lotteries to improve participation in and outcomes from health improvement programs. The initial application will focus on smoking cessation program participation. Future modules will include weight loss, disease management, and medication adherence. Ultimately, the lottery tool will be available to employers, insurers, provider organizations, and product companies to improve participation in a wide range of health improvement programs, making the lottery approach readily accessible to small and large companies alike. Phase I Specific Aims: We will design, build, and test a web-based modular lottery software program to be used to increase health improvement program participation. We will: [1] design a web interface for administrators to customize program parameters and patients to track activity; [2] build cloud-based architecture to run a regret lottery; [3] create connectivity between this platform and email and SMS communications; and [4] test the product against technical standards and functionality with a 50-person, 30- day pilot. Phase II Specific Aims: We will expand and test a scalable, commercial regret-lottery with two stages of product testing: program scalability and improvement in program participation. We will: [1] enhance product functionality with a debit-card financial fulfillment solution; [2] run a 30-day pilot with 100 participants to test functionaities and refine user experience in commercial setting; [3] conduct a 6-month 438 participant pilot to measure smoking cessation participation rates with and without the lottery. With this project, we will bring the science of behavioral economics within reach of employers, insurers, provider organizations, and technology companies to improve health and health care for millions of Americans.

描述（由申请人提供）：不健康的行为，例如吸烟，不遵守药物和生活方式习惯，导致肥胖症是美国人口过早发病和死亡的主要原因。旨在改善这些行为的计划的参与率通常不到10％。大量研究表明，利用预期遗憾原则的彩票在动机行为改变和增加参与方面特别有效。这些彩票不仅可以通过为成功参与提供奖励，还可以鼓励执行指定的健康行为 同样，如果只有前一天才能赢得奖励，请培养遗憾的感觉。这些方法在研究环境中反复成功，但是运行这些彩票的机制目前尚未在商业环境中获得。 在II/II阶段快速轨道项目中，我们将开发一个基于Web的可扩展应用程序，以进行遗憾的彩票，以改善健康改善计划的参与和成果。最初的申请将集中于戒烟计划的参与。未来的模块将包括减肥，疾病管理和药物依从性。最终，彩票工具将适用于雇主，保险公司，提供者组织和产品公司，以改善参与广泛的健康改善计划，使小型和大型公司都可以轻松使用彩票方法。 第一阶段的特定目的：我们将设计，构建和测试基于Web的模块化彩票软件程序，用于增加健康改善计划的参与。我们将：[1]设计一个Web界面供管理员自定义程序参数和患者以跟踪活动； [2]建立基于云的建筑以进行遗憾的彩票； [3]在此平台和电子邮件和SMS通信之间建立连接性； [4]通过50人，30天的飞行员根据技术标准和功能测试产品。 II阶段的特定目的：我们将扩展和测试具有两个产品测试阶段的可扩展，商业遗憾 - 洛特 - 程序的可伸缩性和计划参与的改进。我们将：[1]通过借记卡财务履行解决方案增强产品功能； [2]运行30天的飞行员，有100名参与者来测试功能和在商业环境中的用户体验； [3]进行6个月的438名参与者飞行员，以测量有或没有彩票的戒烟率。 有了这个项目，我们将把行为经济学的科学带入雇主，保险公司，提供商组织和技术公司，以改善数百万美国人的健康和保健。