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首页> 外文期刊>Health education & behavior: the official publication of the Society for Public Health Education >Coupling Financial Incentives With Direct Mail in Population-Based Practice: A Randomized Trial of Mammography Promotion
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Coupling Financial Incentives With Direct Mail in Population-Based Practice: A Randomized Trial of Mammography Promotion

机译：耦合与直邮财务激励以人群为基础的实践:一项随机试验乳房x光检查促销

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摘要

Financial incentives are being used increasingly to encourage a wide array of health behaviors because of their well-established efficacy. However, little is known about how to translate incentive-based strategies to public health practice geared toward improving population-level health, and a dearth of research exists on how individuals respond to incentives through public health communication strategies such as direct mail. This study reports results of a population-based randomized controlled trial testing a direct mail, incentive-based intervention for promoting mammography uptake. The study population was composed of a random sample of Minnesota women enrolled in Medicare fee-for-service and overdue for breast cancer screening. Participants (N = 18,939) were randomized into three groups: (1) Direct Mail only, (2) Direct Mail plus Incentive, and (3) Control. Both direct mail groups received two mailers with a message about the importance of mammography; however, Mail plus Incentive mailers also offered a $25 incentive for getting a mammogram. Logistic regression analyses measured intervention effects. Results showed the odds for receiving mammography were significantly higher for the Direct Mail plus Incentive group compared with both Direct Mail only and Control groups. The use of incentives also proved to be cost-effective. Additionally, the Direct Mail only group was more likely to receive mammography than the Control group. Findings offer experimental evidence on how the population-based strategy of direct mail coupled with a financial incentive can encourage healthy behavior, as well as how incentive-based programs can be translated into health promotion practice aimed at achieving population-level impact.
机译：财务激励越来越多的使用鼓励广泛的健康行为因为他们的功效。然而,很少有人知道如何翻译激发动机的策略对公众健康实践面向提高群体健康,研究上存在的不足个人通过公众会对激励做出反应健康传播策略如直接邮件。以人群为基础的随机对照试验测试一个直接邮件,激发动机干预促进乳房x光检查的吸收。研究随机组成的人口样本明尼苏达妇女参加医疗保险费用和逾期乳腺癌筛选。随机分为三组:(1)直接邮件,(2)直接邮件+激励,(3)控制。邮件消息的重要性乳房x光检查;也提供了一个激励得到25美元乳房x光检查。干预的效果。接受乳房x光检查明显更高直接邮件加奖励组相比只直邮和对照组。使用激励机制也被证明成本效益。只有组织更有可能接受乳房x光检查比对照组。如何以人群为基础的实验证据直接邮件加上金融战略奖励可以鼓励健康的行为如何激发动机的程序可以翻译在健康促进实践旨在实现群体的影响。

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