How v. How and Why Nudges and Rewards

NCT05376059 | Completed

• 1 other identifier: 850988
• Study Type: interventional
• Target: 60,000
• Locations: 1 country
• Sites: 1

Brief Summary

Members of CVS/Aetna will receive a direct mailing or receive no outreach at all. Our design will be a 3-cell between-subjects design:

1. 1.control: this will be a group who will not receive any outreach
2. 2.how: this will be a group that will receive a mailer emphasizing only how to seek treatment for mental health issues
3. 3.how and why: this will be a mailer emphasizing both how to get help and why they should get help for mental health issues (i.e., listing out how mental health treatment can improve their lives).
4. 4.incentive ineligible
5. 5.incentive eligible
6. 6.incentive holdout
7. 7.incentive receive Those randomized into the incentive holdout group will receive the how or how and why mailer, depending on their condition. Those randomized into the incentive receive group will receive one of those two mailers, but it will also include an incentive if they seek out mental health treatment (if they visit a therapist within 30 days, they will receive a gift card).

Conditions

Control Condition; How Incentive Receive; How Incentive Holdout; How Incentive Ineligible; How and Why Incentive Receive; How and Why Incentive Holdout; How and Why Incentive Ineligible

Outcome Measures

Primary Outcomes (4)

• Microwebsite Visits 2 Weeks

  Number of participants who visit the website to find a mental health appointment.

  We will conduct all analyses at 2 weeks post mailer.

• Microwebsite Visits 4 Weeks

  Number of participants who visit the website to find a mental health appointment

  We will conduct all analyses at 4 weeks post mailer.

• Appointment Claims 3 Months

  Number of participants who submit a claim for an appointment to the insurance company (indicating they did in fact make an appointment and go).

  We will examine a claim for an appointment that was up to 3 months post mailer.

• Appointment Claims 6 Months

  Number of participants who submit a claim for an appointment to the insurance company (indicating they did in fact make an appointment and go).

  We will examine a claim for an appointment that was up to 6 months post mailer.

Study Arms (7)

Control Condition

NO INTERVENTION

Participants in this group will not receive any oureach at all

How incentive receive

EXPERIMENTAL

This will be a group that will receive a mailer emphasizing only how to seek treatment for mental health issues, including an incentive if they seek out mental health treatment (if they visit a therapist within 30 days, they will receive a gift card).

Behavioral: How Nudge; Behavioral: Incentive

How incentive holdout

EXPERIMENTAL

This will be a group that will receive a mailer emphasizing only how to seek treatment for mental health issues. This group is eligible for an incentive but not randomly assigned to it.

Behavioral: How Nudge

How incentive ineligible

EXPERIMENTAL

This will be a group that will receive a mailer emphasizing only how to seek treatment for mental health issues. This group is not eligible for an incentive.

Behavioral: How Nudge

How and why incentive receive

EXPERIMENTAL

This will be a group that will receive a mailer emphasizing both how to get help and why they should get help for mental health issues (i.e., listing out how mental health treatment can improve their lives), including an incentive if they seek out mental health treatment (if they visit a therapist within 30 days, they will receive a gift card).

Behavioral: How and Why Nudge; Behavioral: Incentive

How and why incentive holdout

EXPERIMENTAL

This will be a group that will receive a mailer emphasizing both how to get help and why they should get help for mental health issues (i.e., listing out how mental health treatment can improve their lives). This group is eligible for an incentive but not randomly assigned to it.

Behavioral: How and Why Nudge

How and why incentive ineligible

EXPERIMENTAL

This will be a group that will receive a mailer emphasizing both how to get help and why they should get help for mental health issues (i.e., listing out how mental health treatment can improve their lives). This group is not eligible for an incentive.

Behavioral: How and Why Nudge

Interventions

How Nudge BEHAVIORAL

We will nudge participants to get mental health treatment in a mailing that details how they can go about seeking treatment.

How incentive holdout; How incentive ineligible; How incentive receive

How and Why Nudge BEHAVIORAL

We will nudge participants to get mental health treatment in a mailing that details how they can go about seeking treatment and why they should go about seeking treatment.

How and why incentive holdout; How and why incentive ineligible; How and why incentive receive

Incentive BEHAVIORAL

Participants in incentive groups will also receive a mailer that includes a an incentive to seek treatment (if they visit a therapist within 30 days, they will receive a gift card).

How and why incentive receive; How incentive receive

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Participant must be a health insurance customer with the company we are working with.
• All other eligibility criteria are determined by the company and not disclosed to us. They will pick a sample of 60,000 eligible customers for the study, with participants then being randomly assigned to treatments they qualify for.

You may not qualify if:

• To be eligible for the incentive receive and holdout conditions, a participant must live in a state that allows these incentives to be mailed out by the company.

Sponsors & Collaborators

• University of Pennsylvania: lead

Study Sites (1)

Wharton Marketing Department

Philadelphia, Pennsylvania, 19130, United States

Location

Study Officials

• Marissa Sharif, PhD

  University of Pennsylvania

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 2, 2022
• First Posted: May 17, 2022
• Study Start: April 24, 2022
• Primary Completion: May 1, 2023
• Study Completion: May 1, 2023
• Last Updated: June 6, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)