Evidence map›Paper›PMID 31198881›Full record

ArticleContemporary clinical trials communications2019

Behavioral economics implementation: Regret lottery improves mHealth patient study adherence.

S Ali Husain, Keith Diaz, Joseph E Schwartz, Faith E Parsons, Matthew M Burg, Karina W Davidson, Ian M Kronish

Registry-linked trialAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06592209 (Body Electric), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06592209 nacompletednot on this mapstarted 2023, after this paper: background citation

Body Electric: a Pragmatic Trial Evaluating Movement Breaks As a Public Health Strategy to Mitigate the Harms of Prolonged Sedentary Behavior

TypeinterventionalSponsorColumbia UniversityRan2023 to 2023Enrolled20,217ConditionsSedentary BehaviorArmsSedentary Breaks
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

S Ali HusainCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Keith DiazCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Joseph E SchwartzCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Faith E ParsonsCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Matthew M BurgDepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Karina W DavidsonCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Ian M KronishCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Ecological Link of Psychosocial Stress to Exercise: Personalized PathwaysR01HL115941 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BURG, MATTHEW M, DAVIDSON, KARINA W. · 2012 to 2014
$1.7M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL115941
6 · The paper itself

Abstract

backgroundNonadherence to study protocols reduces the generalizability, validity, and statistical power of longitudinal studies. PURPOSE: To determine whether an automated electronically-delivered regret lottery would improve adherence to an intensive mHealth self-monitoring protocol as part of a longitudinal observational study.

methodsWe enrolled 77 adults into a 52-week study requiring five daily ecologic momentary assessments (EMA) of stress and daily accelerometer use. We performed a pre/post single-arm study to evaluate the efficacy of a lottery intervention in improving adherence to this protocol. Midway through the study, participants were invited to enter a weekly regret lottery ($50 prize, expected value <$1) in which prize collection was contingent upon meeting adherence thresholds for the prior week. Study protocol adherence before and after lottery initiation were compared using mixed models repeated measures analysis of variance.

results62 participants consented to lottery participation. In the 12 weeks prior to lottery initiation, weekly adherence was declining (slope -1.4%/week). The weekly per-participant probability of adherence was higher after lottery initiation when comparing the 4-week (32% pre-lottery vs 50% post-lottery, p < 0.001), 8-week (37% vs 49%, p < 0.001), and 12-week periods (39% vs 45%, p = 0.001) before and after lottery initiation. However, the rate of decline in adherence over time was unchanged.

conclusionThe implementation of an automated, electronically-delivered weekly regret lottery improved adherence with an intensive self-monitoring study protocol. Regret lotteries may represent a cost-effective tool to improve adherence and reduce bias caused by dropout or nonadherence.

Indexed as

AdherenceBehaviorBehavioral economicsFinancial incentivesLotteryValidity

Identifiers

PMID31198881
PMCPMC6555893

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.