Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
8042 participants
INTERVENTIONAL
2018-08-31
2021-06-30
Brief Summary
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Detailed Description
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The study will be conducted among individuals enrolled in an insurance plan offered by an insurance company in the state of Nebraska.
The sample will include a subset of individuals eligible for a program designed to improve delivery of care by incentivizing individuals and their dependents to fill "care gaps" - gaps in recommended care.
Interventions:
The design will entail two overarching interventions for each incentivized care gap: Incentives, and Information Only. In addition, there will be a control that receives neither.
* Incentives. Individuals receiving the Incentives intervention for a given care gap will receive a mailer informing them of that gap, and that they are eligible for a gift card if they close that care gap.
* Information Only. Individuals receiving the Information Only intervention for a given care gap will receive a mailer informing them of that gap, but without information on the incentives available.
* Control. Individuals receiving the Control intervention for a given care gap will not receive a mailer.
All individuals will be made whole following the intervention period, regardless of treatment status; i.e. members will be compensated for closing incentivized care gaps regardless of whether they were informed of their eligibility to do so.
The specific Incentivized Care Gaps include: W34, LSC, IMA, CDC Eye Exam and/or CDC Hba1c Screening, CCS, and AWC.
Randomization:
A separate letter is sent for each care gap, so that individuals may receive more than one letter. The investigators will randomize which letters are sent.
The process will be as follows: every individual with a care gap in the sample (a care-gap, beneficiary pair) will be randomly assigned a study status: financial incentive, information only, or no letter. When it comes time to send mailers for each care gap, mailers will be sent according to the intersection of eligibility and care gap-specific treatment assignment. E.g. if at mailing time a participant is eligible for only cervical cancer screening (CCS), that participant will receive the CCS intervention (Control, Information Only, or Incentives) as pre-assigned. If the participant is also eligible for an adolescent well-visit (AWC) incentive based on her dependent's age and visit status, the participant will also receive the AWC intervention as pre-assigned; this intervention may be the same or different from her CCS intervention.
Analysis:
The investigators will compare the number and rate of care-gap closure at 6 and 18 months following the initial mailing. The investigators will also conduct heterogeneity analysis according to baseline characteristics of the population.
Conditions
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Study Design
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RANDOMIZED
FACTORIAL
PREVENTION
SINGLE
Study Groups
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Control: W34
Members receiving the Control intervention for the W34 (3- to 6-year-old well visit) gap will not receive a mailer.
No interventions assigned to this group
Information only: W34
Members receiving the Information Only intervention for the W34 care gap will receive a mailer informing them of that gap, but not of financial incentives for closing the care gap.
Information
Information on care gap and closure process.
Incentives: W34
Informational W34 mailer and incentive to close gap
Financial Incentives
Incentives for gap closure.
Information
Information on care gap and closure process.
Control: LSC
Members receiving the Control intervention for the LSC (lead screening in children) gap will not receive a mailer.
No interventions assigned to this group
Information only: LSC
Informational LSC mailer and incentive to close gap
Information
Information on care gap and closure process.
Incentives: LSC
Members receiving the Incentives intervention for the LSC care gap will receive a mailer informing them of the gap and eligibility for a gift card if they close the gap.
Financial Incentives
Incentives for gap closure.
Information
Information on care gap and closure process.
Control: IMA
No mailer for IMA (immunizations) gap
No interventions assigned to this group
Information only: IMA
Informational IMA mailer
Information
Information on care gap and closure process.
Incentives: IMA
Informational IMA mailer and incentive
Financial Incentives
Incentives for gap closure.
Information
Information on care gap and closure process.
Control: CDC
No mailer for CDC (clinical diabetes care) gap
No interventions assigned to this group
Information only: CDC
Informational CDC mailer
Information
Information on care gap and closure process.
Incentives: CDC
Informational CDC mailer and incentive
Financial Incentives
Incentives for gap closure.
Information
Information on care gap and closure process.
Control: CCS
No mailer for CCS (cervical cancer screening)
No interventions assigned to this group
Information only: CCS
Informational CCS mailer
Information
Information on care gap and closure process.
Incentives: CCS
Informational CCS mailer and incentive
Financial Incentives
Incentives for gap closure.
Information
Information on care gap and closure process.
Control: AWC
No mailer for AWC (adolescent well-care visit) gap
No interventions assigned to this group
Information only: AWC
Informational AWC mailer
Information
Information on care gap and closure process.
Incentives: AWC
Informational AWC mailer and incentive
Financial Incentives
Incentives for gap closure.
Information
Information on care gap and closure process.
Interventions
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Financial Incentives
Incentives for gap closure.
Information
Information on care gap and closure process.
Eligibility Criteria
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Inclusion Criteria
* Has a care gap in one of the six target areas
Exclusion Criteria
21 Years
ALL
Yes
Sponsors
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Massachusetts Institute of Technology
OTHER
Responsible Party
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Locations
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Massachusetts Institute of Technology
Cambridge, Massachusetts, United States
Countries
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Other Identifiers
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1805348624
Identifier Type: -
Identifier Source: org_study_id
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