Financial incentive for Health Behaviors

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Geisinger Clinic, Danville, PA
Health Behaviors+4 More
Financial incentive - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether small incentives are effective at promoting flu vaccine uptake.

See full description

Eligible Conditions

  • Health Behaviors
  • Vaccinations
  • Health Promotion
  • Flu caused by Influenza

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Financial incentive will improve 1 primary outcome and 4 secondary outcomes in patients with Health Behaviors. Measurement will happen over the course of Within 28 days of when the study subject is randomized.

Day 3
Flu vaccination at appointment
Month 11
Flu complications
Month 8
Flu diagnosis
Day 28
Flu vaccination (among subject cohabitants) within 28 days
Day 7
Flu vaccination within 7 days

Trial Safety

Safety Progress

1 of 3

Trial Design

4 Treatment Groups

No Treatment Control
1 of 4
Pennsylvania (PA) Lottery Scratch-Off Financial Incentive
1 of 4
Certain Cash Payout Financial Incentive
1 of 4
Reminder / Active Control (No Financial Incentive)
1 of 4
Active Control
Experimental Treatment

This trial requires 57581 total participants across 4 different treatment groups

This trial involves 4 different treatments. Financial Incentive is the primary treatment being studied. Participants will be divided into 3 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Pennsylvania (PA) Lottery Scratch-Off Financial IncentiveParticipants in this arm will receive a message stating that they will receive a PA lottery $1 scratch-off ticket if they get a flu shot at an upcoming appointment. The message will mention that they could win $5,000 (the top prize for the scratch-off game). Note: $1 scratch-off products vary over time; at study implementation, an active game with top prize of $5,000 (or the next-highest top prize) will be selected and will define the prize in the raffle absent upfront odds
Certain Cash Payout Financial IncentiveParticipants in this arm will receive a message stating that they will receive $1 in cash if they get a flu shot at an upcoming appointment.
Reminder / Active Control (No Financial Incentive)
Behavioral
Participants in this arm will receive a message stating that they can get a flu shot at an upcoming appointment. These participants will not be offered a financial incentive for getting a flu shot.
No Treatment ControlNo additional contact beyond standard Geisinger flu shot communications
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Reminder
2014
N/A
~207520
Lottery
2015
N/A
~100
Financial incentive
2016
Completed Phase 3
~3940

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: during the 2021-22 flu season (up to 8 months, from the time the patient is randomized through april 30, 2022)
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly during the 2021-22 flu season (up to 8 months, from the time the patient is randomized through april 30, 2022) for reporting.

Closest Location

Geisinger Clinic - Danville, PA

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Aged 18+
Pennsylvania mailing address listed
Geisinger primary care provider (PCP) assigned
Upcoming appointment with PCP or select specialist who stocks and can administer the vaccine during the study period

Patient Q&A Section

What are the signs of influenza, human?

"The findings of influenza-suspected patients are described. The most common presenting symptoms are headache, cough, fever, vomiting, malaise, muscle pains. Other respiratory symptoms like shortness of breath may occur occasionally. Neurological symptoms like cranial or neck pain and vertigo are rare in influenza due to the shortness of the incubation period." - Anonymous Online Contributor

Unverified Answer

How many people get influenza, human a year in the United States?

"More than 9 in 10,000 Americans have been exposed to seasonal influenza viruses, yet only less than 3 in 10,000 have been confirmed as having symptomatic influenza." - Anonymous Online Contributor

Unverified Answer

What causes influenza, human?

"An infectious pathogenesis is supported by viral RNA identified within affected organs and in the blood, which also suggests disease in the respiratory and genital tracts at the later stages of infection. This is an example of a new paradigm in infectious disease research." - Anonymous Online Contributor

Unverified Answer

What is influenza, human?

"influenza infection is a common, often serious, human illness, the most common cause of which is the influenza virus. Both pandemic and endemic strains occur, but the pandemic strains are often more virulent than the endemic strains. This review emphasizes the importance of appropriate and prompt treatment of fever due to influenza infection, especially influenza A. The review also highlights a number of prevention strategies, including vaccination." - Anonymous Online Contributor

Unverified Answer

What are common treatments for influenza, human?

"Immunization with either influenza vaccine is common treatment as is antiviral agents for most clinical isolates of influenza. Antibiotics are rarely used. In those at risk for chronic lung disease or those who have developed severe complications from influenza, antiviral agents are considered the treatment of choice. The best available evidence suggests avoiding influenza in healthy children. A 2009/2010 review for the Committee on Influenza of the World Health Organization said that there is insufficient evidence to clarify if one type of influenza vaccine is better than others. More comprehensive evidence is needed. However, current guidelines do not mention the influenza vaccine for routine immunization in healthy young infants." - Anonymous Online Contributor

Unverified Answer

Can influenza, human be cured?

"Based on this study, we conclude that the clinical influenza viruses currently circulating do not possess a genetic mutation conferring resistance to known antiviral NAI." - Anonymous Online Contributor

Unverified Answer

What is financial incentive?

"Financial incentive is an important issue to be considered in a health situation where there is an economic burden of over $300 B for all sectors over 9.9 years. The public health sector needs to reconsider its response strategies as the global financial crisis has led to a massive financial cut-down for public healthcare services. This may not be a suitable strategy, particularly at the early stages of global health crises." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of financial incentive?

"There was no proof to suggest that there was a difference in the frequency of reported side effects after financial incentive. All the side effects reported among participants in the control arm were as expected. However, there was statistically significant difference between the two financial incentive arms regarding reported side effects. The most frequent reported side effects were fatigue, increased temperature, decreased appetite, itchiness, nausea, dizziness, fever, headache, and chest tightness. There is a chance for potential clinical consequences to such side effects occurring." - Anonymous Online Contributor

Unverified Answer

How does financial incentive work?

"[Financial incentives can raise HINI uptake to higher levels compared to standard care, but are not associated with improved influenza burden for people with diabetes] (http://www.jamaresc.com/content/early/2019/05/16/jamanetwork.rs201804076-1.html)." - Anonymous Online Contributor

Unverified Answer

Is financial incentive typically used in combination with any other treatments?

"Even high-level financial incentives can be used to reinforce a voluntary treatment policy in the U.S. in most cases, but they may not impact overall uptake of a disease control service by all individuals. More research is needed on the combination of financial incentives and other treatment strategies." - Anonymous Online Contributor

Unverified Answer

How serious can influenza, human be?

"There is no question that [influenza](https://www.withpower.com/clinical-tri[als](https://www.withpower.com/clinical-trials/als)/influenza) is a serious illness. In fact, it can be fatal as a result of an underlying medical condition, such as a lung infection. Influenza is a major cause of death in young children in the United States. Severe infections cause complications that can be life-threatening; for example, in 2009, as many as 18% of those hospitalized may have died from the illness. The flu pandemic of 1918 also lasted about two years and killed as many as 50 million people—over half the world's population. There are several [strain variations of the virus]] that are circulating in humans. [Most importantly], in 2015, an H1N1 strain appeared in Mexico and the United States." - Anonymous Online Contributor

Unverified Answer

What are the latest developments in financial incentive for therapeutic use?

"The financial incentives are substantial and continue to evolve as a result of FDA action. This article outlines the current situation, provides examples of how different incentives could be used to further increase the use of VCE, and points out several areas that need attention." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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