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OpenTrials
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NCT Number: NCT01823458

Behavioral Economics Incentives for Health Management

Incentives are increasingly being used to motivate health behavior in medical studies. Small cash payments conditional on certain health and welfare promoting behaviors have shown efficacy in both real world and experimental settings. Furthermore, in incentive studies, behavioral economics has been shown to amplify behavior change beyond what is possible with simple cash payments, but little is known about how varying incentive payment design may impact health behavior. The goal of the present study is to evaluate a new incentive payment instrument, lottery insurance, to determine its impact on adherence to the target health behavior, attendance at free exercise classes provided by QueensCare Family Clinics, a safety-net medical clinic.

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Key information

Conditions

Type 2 Diabetes Behavior Body Weight Diabetes Mellitus Diabetes Mellitus, Type 2 Endocrine System Diseases Glucose Metabolism Disorders Health Behavior Metabolic Diseases Motor Activity Nutrition Disorders Nutritional and Metabolic Diseases Obesity Overnutrition Overweight Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–64 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

QueensCare Family Clinics

Los Angeles, California, 90027, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18 to 64 years of age
  • BMI between 25-40
  • Receiving care in QueensCare Family Clinics

Exclusion criteria

  • Failure to obtain exercise clearance from physician

Treatment and study plan

Lottery Insurance

Behavioral

Standard Lottery

Behavioral

Primary outcomes

  1. Attendance at exercise classes

    Time frame: 12 weeks

    Attendance at exercise classes over the 12 week session will be analyzed across 'Lottery Insurance' and 'Standard Lottery' arms.

Secondary outcomes

  1. Body Mass Index

    Time frame: Change from Baseline Body Mass Index at 12 weeks

    Change from Baseline Body Mass Index (based on Centers for Disease Control calculations) at 12 weeks (post exercise session) will be assessed.

  2. HbA1c

    Time frame: Change from Baseline HbA1c at 12 weeks

    Change from Baseline glycemic control (measured as percentage glycosylated hemoglobin [HbA1c] as part of a fasting blood sample) at 12 weeks (post exercise session) will be assessed.

  3. Blood Pressure

    Time frame: Change from Baseline Blood Pressure at 12 weeks

    Change from Baseline Blood Pressure at 12 weeks (post exercise session) will be assessed.

  4. LDL cholesterol

    Time frame: Change from Baseline LDL at 12 weeks

    Change from Baseline LDL cholesterol (measured as part of a lipid panel) at 12 weeks (post exercise session) will be assessed.

Sponsors and collaborators

Lead sponsor

University of Southern California

Other

Collaborators

  • National Institute on Aging (NIA)
  • National Institutes of Health (NIH)

Registry information

Official study title

Evaluation of Behavioral Economics Patient Incentive Strategies for Health Management

Important dates

Study start
2012
Primary completion
2014
Study completion
2014
First posted
Apr 4, 2013
Registry last updated
Apr 4, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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