software to translate behavioral economic insights to improve health

描述（由申请人提供）：吸烟、药物不依从性和导致肥胖的生活习惯等不健康行为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%。相当多的研究表明，利用预期后悔原则的彩票在激励行为改变和增加参与方面特别有效。这些彩票不仅通过为成功参与提供奖励， 如果他们在前一天参加了比赛，就会获得奖励，这也会让他们产生一种遗憾感。这些方法在研究环境中一再取得成功，但运行这些彩票的机制目前在商业环境中不可用。 在这个第一阶段/第二阶段快速通道项目中，我们将开发一个可扩展的基于Web的应用程序来运行后悔彩票，以提高健康改善计划的参与度和结果。最初的申请将集中在戒烟计划的参与。未来的模块将包括减肥，疾病管理和药物依从性。最终，彩票工具将提供给雇主，保险公司，供应商组织和产品公司，以提高对广泛的健康改善计划的参与，使彩票方法容易获得小型和大型公司一样。 第一阶段具体目标：我们将设计，建立和测试一个基于网络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]为管理员设计一个Web界面，以自定义程序参数和患者跟踪活动; [2]构建基于云的架构，以运行后悔彩票; [3]在此平台与电子邮件和短信通信之间创建连接;[4]通过50人，30天的试点测试产品的技术标准和功能。 第二阶段具体目标：我们将扩展和测试一个可扩展的，商业遗憾彩票与两个阶段的产品测试：计划的可扩展性和改善计划的参与。我们将：[1]通过借记卡财务履行解决方案增强产品功能; [2]在商业环境中进行为期30天的试点，测试功能并改善用户体验; [3]进行为期6个月的438名参与者试点，以测量有无彩票的戒烟参与率。 通过这个项目，我们将把行为经济学的科学范围内的雇主，保险公司，供应商组织和技术公司，以改善健康和医疗保健数百万美国人。

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.