J. Med. Internet Res. - The impact of an incentive on the use of an online self-directed wellness and self-management program.


{ activ(1452) weight(1219) physic(1104) }
{ survey(1388) particip(1329) question(1065) }
{ health(3367) inform(1360) care(1135) }
{ care(1570) inform(1187) nurs(1089) }
{ high(1669) rate(1365) level(1280) }
{ age(1611) year(1155) adult(843) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ studi(1119) effect(1106) posit(819) }
{ general(901) number(790) one(736) }
{ perform(1367) use(1326) method(1137) }
{ search(2224) databas(1162) retriev(909) }
{ group(2977) signific(1463) compar(1072) }
{ first(2504) two(1366) second(1323) }
{ inform(2794) health(2639) internet(1427) }
{ take(945) account(800) differ(722) }
{ assess(1506) score(1403) qualiti(1306) }
{ learn(2355) train(1041) set(1003) }
{ data(1714) softwar(1251) tool(1186) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ gene(2352) biolog(1181) express(1162) }
{ patient(1821) servic(1111) care(1106) }
{ model(3404) distribut(989) bayesian(671) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ error(1145) method(1030) estim(1020) }
{ method(984) reconstruct(947) comput(926) }
{ howev(809) still(633) remain(590) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ record(1888) medic(1808) patient(1693) }
{ state(1844) use(1261) util(961) }
{ cost(1906) reduc(1198) effect(832) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ use(1733) differ(960) four(931) }
{ implement(1333) system(1263) develop(1122) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }


CKGROUND: Those who pay for health care are increasingly looking for strategies to influence individuals to take a more active role in managing their health. Incenting health plan members and/or employees to participate in wellness programs is a widely used approach.OBJECTIVE: In this study, we examine financial incentives to health plan members to participate in an online self-management/wellness program-US $20 for completing the patient activation measure (PAM) and an additional US $40 for completing 8 learning modules. We examined whether the characteristics of plan members differed by the degree to which they responded to the incentives. Further, we examined whether participation in the wellness program was associated with improvements in PAM scores and changes in health care utilization.METHODS: This retrospective study compared demographic characteristics and change in PAM scores and health utilization for 144,625 health plan members in 2011. Four groups were compared: (1) those who were offered the incentives but chose not to participate (n=128,634), (2) those who received the initial incentive (PAM only) but did not complete 8 topics (n=7099), (3) those who received both incentives (completing 8 topics but no more) (n=2693), and (4) those who received both incentives and continued using the online program beyond what was required by the incentives (n=6249).RESULTS: The vast majority of health plan members did not participate in the program (88.91%, 128,634/144,675). Of those who participated, only 7099 of 16,041 (44.25%) completed the PAM for the first incentive, 2693 (16.79%) completed 8 topics for the second incentive, and 6249 (38.96%) received both incentives and continued using the program beyond the incentive requirements. Nonparticipants were more likely to be men and to have lower health risk scores on average than the other three groups of participants (P<.001). In multivariate regression models, those who used the online program (8 topics or beyond) increased their PAM score by approximately 1 point more than those who only took the PAM and did not use the wellness program (P<.03). In addition, emergency department visits were lower for all groups who responded to any level of the incentive as compared to those who did not (P<.01). No differences were found in other types of utilization.CONCLUSIONS: The incentive was not sufficient to spark most health plan members to use the wellness program. However, the fact that many program participants went beyond the incentive in their use of the online wellness program suggests that the users of the online program found value in using it, and it was their own internal motivation that stimulated this additional use. Providing an incentive for program participation may be an effective pathway for working with less activated patients, particularly if the program is tailored to the needs of the less activated.

Resumo Limpo

ckground pay health care increas look strategi influenc individu take activ role manag health incent health plan member andor employe particip well program wide use approachobject studi examin financi incent health plan member particip onlin selfmanagementwel programus complet patient activ measur pam addit us complet learn modul examin whether characterist plan member differ degre respond incent examin whether particip well program associ improv pam score chang health care utilizationmethod retrospect studi compar demograph characterist chang pam score health util health plan member four group compar offer incent chose particip n receiv initi incent pam complet topic n receiv incent complet topic n receiv incent continu use onlin program beyond requir incent nresult vast major health plan member particip program particip complet pam first incent complet topic second incent receiv incent continu use program beyond incent requir nonparticip like men lower health risk score averag three group particip p multivari regress model use onlin program topic beyond increas pam score approxim point took pam use well program p addit emerg depart visit lower group respond level incent compar p differ found type utilizationconclus incent suffici spark health plan member use well program howev fact mani program particip went beyond incent use onlin well program suggest user onlin program found valu use intern motiv stimul addit use provid incent program particip may effect pathway work less activ patient particular program tailor need less activ

Resumos Similares

J. Med. Internet Res. - Measuring physical activity in a cardiac rehabilitation population using a smartphone-based questionnaire. ( 0,830452935516957 )
J. Med. Internet Res. - Mindless eating challenge: retention, weight outcomes, and barriers for changes in a public web-based healthy eating and weight loss program. ( 0,79634984378474 )
J Med Syst - Barriers to physical activity: a study of self-revelation in an online community. ( 0,790983521684336 )
Health Info Libr J - Human information behaviour and physiological measurements as a basis to tailor health information. An explorative study in a physical activity intervention among prediabetic individuals in Northern Finland. ( 0,78063780817226 )
J. Med. Internet Res. - How accurate is web-based self-reported height, weight, and body mass index in young adults? ( 0,760869430694722 )
AMIA Annu Symp Proc - ReadySteady: app for accelerometer-based activity monitoring and wellness-motivation feedback system for older adults. ( 0,757432467693132 )
Healthc (Amst) - Patient-centered financial incentives for health: Can employers get change for their dollars? ( 0,723795059090681 )
J. Med. Internet Res. - Determinants of participation in a web-based health risk assessment and consequences for health promotion programs. ( 0,712910039424862 )
Int J Med Inform - Motivating and assisting physical exercise in independently living older adults: a pilot study. ( 0,712275220420444 )
J. Med. Internet Res. - Designing for psychological change: individuals' reward and cost valuations in weight management. ( 0,701851021317393 )
J. Med. Internet Res. - Silence is golden: effect of encouragement in motivating the weak link in an online exercise video game. ( 0,696667699261135 )
J. Med. Internet Res. - Investigating predictors of visiting, using, and revisiting an online health-communication program: a longitudinal study. ( 0,696157979191293 )
J. Med. Internet Res. - Using smartphone technology to monitor physical activity in the 10,000 Steps program: a matched case-control trial. ( 0,693907103091927 )
Spat Spatiotemporal Epidemiol - Geographic access to healthy and unhealthy food sources for children in neighbourhoods and from elementary schools in a mid-sized Canadian city. ( 0,69363519608468 )
J. Med. Internet Res. - Innovation in weight loss programs: a 3-dimensional virtual-world approach. ( 0,693491173705303 )
J. Med. Internet Res. - Real-time social support through a mobile virtual community to improve healthy behavior in overweight and sedentary adults: a focus group analysis. ( 0,686554571949376 )
J. Med. Internet Res. - Measures of physical activity using cell phones: validation using criterion methods. ( 0,686406885293333 )
J. Med. Internet Res. - Evaluating the interactive web-based program, activate your heart, for cardiac rehabilitation patients: a pilot study. ( 0,681208577756093 )
Int J Health Geogr - Correspondence between objective and perceived walking times to urban destinations: Influence of physical activity, neighbourhood walkability, and socio-demographics. ( 0,68075007336217 )
J. Med. Internet Res. - Dose-response effects of a Web-based physical activity program on body composition and metabolic health in inactive older adults: additional analyses of a randomized controlled trial. ( 0,679134361133242 )
J. Med. Internet Res. - The change in eating behaviors in a Web-based weight loss program: a longitudinal analysis of study completers. ( 0,679076690315148 )
J. Med. Internet Res. - Healthy weight regulation and eating disorder prevention in high school students: a universal and targeted Web-based intervention. ( 0,679071967224538 )
Res Synth Methods - Meta-analysis and the reversed Theorem of the Means. ( 0,675462200344631 )
J. Med. Internet Res. - Electronic word of mouth on twitter about physical activity in the United States: exploratory infodemiology study. ( 0,673918682949746 )
J Telemed Telecare - Use of a mobile phone diary for observing weight management and related behaviours. ( 0,6700459676947 )
Telemed J E Health - The accuracy of weight reported in a web-based obesity treatment program. ( 0,66852052604162 )
J. Med. Internet Res. - Design of a website on nutrition and physical activity for adolescents: results from formative research. ( 0,667851983248715 )
J. Med. Internet Res. - Preventing the obesity epidemic by second generation tailored health communication: an interdisciplinary review. ( 0,667701238936409 )
J. Med. Internet Res. - Validity of web-based self-reported weight and height: results of the Nutrinet-Sant? study. ( 0,665892194769103 )
J. Med. Internet Res. - Exploring the relationship between changes in weight and utterances in an online weight loss forum: a content and correlational analysis study. ( 0,662947058837626 )
J. Med. Internet Res. - Longitudinal accuracy of web-based self-reported weights: results from the Hopkins POWER Trial. ( 0,660974026366534 )
J. Med. Internet Res. - How valid are Web-based self-reports of weight? ( 0,655048021320367 )
Int J Med Inform - The use of conferencing technologies to support drug policy group knowledge exchange processes: an action case approach. ( 0,649650605124185 )
J. Med. Internet Res. - Active-Q: validation of the web-based physical activity questionnaire using doubly labeled water. ( 0,640907636655108 )
J. Med. Internet Res. - Automated indexing of Internet stories for health behavior change: weight loss attitude pilot study. ( 0,638723139112587 )
J. Med. Internet Res. - Web-based, computer-tailored, pedometer-based physical activity advice: development, dissemination through general practice, acceptability, and preliminary efficacy in a randomized controlled trial. ( 0,637311205789861 )
Telemed J E Health - Leveraging technology: creating and sustaining changes for health. ( 0,636481676686786 )
J. Med. Internet Res. - Website usage and weight loss in a free commercial online weight loss program: retrospective cohort study. ( 0,630671914836566 )
J. Med. Internet Res. - An 8-week web-based weight loss challenge with celebrity endorsement and enhanced social support: observational study. ( 0,630032181393094 )
BMC Med Inform Decis Mak - The usability and preliminary effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis. ( 0,625818359657244 )
J. Med. Internet Res. - Improvement of Physical Activity by a Kiosk-based Electronic Screening and Brief Intervention in Routine Primary Health Care: Patient-Initiated Versus Staff-Referred. ( 0,62321739275045 )
J. Med. Internet Res. - Utilization patterns and user characteristics of an ad libitum Internet weight loss program. ( 0,617690624497513 )
J. Med. Internet Res. - Multimodal guided self-help exercise program to prevent speech, swallowing, and shoulder problems among head and neck cancer patients: a feasibility study. ( 0,615842468889098 )
J. Med. Internet Res. - Web-based assessments of physical activity in youth: considerations for design and scale calibration. ( 0,611634517944338 )
J Clin Monit Comput - Comparing hemodynamic effects with three different measurement devices, of two methods of external leg compression versus passive leg raising in patients after cardiac surgery. ( 0,609258143559417 )
BMC Med Inform Decis Mak - Integrating an internet-mediated walking program into family medicine clinical practice: a pilot feasibility study. ( 0,607135093885386 )
J. Med. Internet Res. - Active assistance technology for health-related behavior change: an interdisciplinary review. ( 0,604751337991813 )
Int J Health Geogr - Where they live, how they play: neighborhood greenness and outdoor physical activity among preschoolers. ( 0,60388833874954 )
Comput Methods Programs Biomed - Comparison of checking behavior in adults with or without checking symptom of obsessive-compulsive disorder using a novel computer-based measure. ( 0,603732525456391 )
J. Med. Internet Res. - The effect of individual factors on health behaviors among college students: the mediating effects of eHealth literacy. ( 0,601274711906578 )
J. Med. Internet Res. - Features predicting weight loss in overweight or obese participants in a web-based intervention: randomized trial. ( 0,596949218725167 )
J. Med. Internet Res. - Recruitment via the Internet and social networking sites: the 1989-1995 cohort of the Australian Longitudinal Study on Women's Health. ( 0,596942772842419 )
J. Med. Internet Res. - Weight change in a commercial web-based weight loss program and its association with website use: cohort study. ( 0,596618700370914 )
J. Med. Internet Res. - Tablet-based strength-balance training to motivate and improve adherence to exercise in independently living older people: a phase II preclinical exploratory trial. ( 0,596086424201199 )
J. Med. Internet Res. - Improving diabetes care for young people with type 1 diabetes through visual learning on mobile phones: mixed-methods study. ( 0,594181416536598 )
Int J Med Inform - Needs analysis and development of a tailored mobile message program linked with electronic health records for weight reduction. ( 0,587744964894808 )
J. Med. Internet Res. - Determinants of successful weight loss after using a commercial web-based weight reduction program for six months: cohort study. ( 0,587633510210042 )
Telemed J E Health - New mothers' interest in web-based health promotion: association with healthcare barriers, risk status, and user characteristics. ( 0,584761125281551 )
J. Med. Internet Res. - Disseminating self-help: positive psychology exercises in an online trial. ( 0,582018365880954 )
J. Med. Internet Res. - Tablet, web-based, or paper questionnaires for measuring anxiety in patients suspected of breast cancer: patients' preferences and quality of collected data. ( 0,580801930684948 )
J. Med. Internet Res. - A 12-week commercial web-based weight-loss program for overweight and obese adults: randomized controlled trial comparing basic versus enhanced features. ( 0,580401232795146 )
J Am Med Inform Assoc - Tweeting it off: characteristics of adults who tweet about a weight loss attempt. ( 0,579734071905428 )
AMIA Annu Symp Proc - Family physicians' completion of scoring criteria in Virtual Patient encounters. ( 0,579731224788781 )
BMC Med Inform Decis Mak - The anxious wait: assessing the impact of patient accessible EHRs for breast cancer patients. ( 0,578982565997411 )
Int J Health Geogr - Evaluation of the role of location and distance in recruitment in respondent-driven sampling. ( 0,57859168629102 )
J. Med. Internet Res. - Associations of internet website use with weight change in a long-term weight loss maintenance program. ( 0,577874652938932 )
J. Med. Internet Res. - Classification accuracies of physical activities using smartphone motion sensors. ( 0,575578438641772 )
Telemed J E Health - Physical activity behavior, barriers to activity, and opinions about a smartphone-based physical activity intervention among rural residents. ( 0,574512478383715 )
J Telemed Telecare - Evaluation of a mobile phone-based diet game for weight control. ( 0,572241455162234 )
J Am Med Inform Assoc - An assessment of pharmacists' readiness for paperless labeling: a national survey. ( 0,56887194638931 )
Healthc (Amst) - Evaluation of readiness to transfer to adult healthcare: What about the well adolescent? ( 0,568751603654731 )
Telemed J E Health - Body weight telemetry is useful to reduce interdialytic weight gain in patients with end-stage renal failure on hemodialysis. ( 0,565544638483622 )
J. Med. Internet Res. - Comparison of physical activity measures using mobile phone-based CalFit and Actigraph. ( 0,562443363384089 )
Inform Health Soc Care - Design of an interactive digital nutritional education package for elderly people. ( 0,56136089142384 )
Med Decis Making - Stamping out fires! Controlling smallpox with targeted mass vaccination. ( 0,560118324142295 )
J. Med. Internet Res. - Efficacy of standard versus enhanced features in a Web-based commercial weight-loss program for obese adults, part 2: randomized controlled trial. ( 0,559189295368831 )
J. Med. Internet Res. - Increasing physical activity with mobile devices: a meta-analysis. ( 0,559115051414954 )
Comput Math Methods Med - Antibiotic use as a tragedy of the commons: a cross-sectional survey. ( 0,559027874714099 )
AMIA Annu Symp Proc - Studying visual behaviors from multiple eye tracking features across levels of information representation. ( 0,55774001209691 )
J. Med. Internet Res. - Consumer participation in quality improvements for chronic disease care: development and evaluation of an interactive patient-centered survey to identify preferred service initiatives. ( 0,556643869717556 )
J. Med. Internet Res. - Challenges for researchers investigating contraceptive use and pregnancy intentions of young women living in urban and rural areas of Australia: face-to-face discussions to increase participation in a web-based survey. ( 0,554070766718729 )
J Am Med Inform Assoc - Resident physicians as human information systems: sources yet seekers. ( 0,552648369338644 )
BMC Med Inform Decis Mak - A cross-sectional survey assessing the acceptability and feasibility of self-report electronic data collection about health risks from patients attending an Aboriginal Community Controlled Health Service. ( 0,551224967082314 )
Telemed J E Health - Barriers to telemedicine: survey of current users in acute care units. ( 0,549673865189424 )
J Telemed Telecare - A pilot study of a tool to stimulate physical activity in patients with COPD or type 2 diabetes in primary care. ( 0,54806656465648 )
J Telemed Telecare - A survey of telehealth coordinators in Canada. ( 0,543890377561972 )
J Telemed Telecare - The use of web-based interventions to prevent excessive weight gain. ( 0,543328075230823 )
Int J Med Inform - Desirability and expectations of the UK MS Register: views of people with MS. ( 0,53829594946972 )
J. Med. Internet Res. - A comparison of a postal survey and mixed-mode survey using a questionnaire on patients' experiences with breast care. ( 0,53824258624428 )
J Chem Inf Model - Ranking COMMPS chemical substances by an improved POT/RLE approach. ( 0,537780560014301 )
J Telemed Telecare - Caller satisfaction with the Cannabis Information and Helpline. ( 0,537111282454813 )
J Telemed Telecare - Video telehealth for weight maintenance of African-American women. ( 0,534790916496841 )
Appl Clin Inform - How online crowds influence the way individual consumers answer health questions: an online prospective study. ( 0,534026423042087 )
BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part II: the referring clinician and patient perspective. ( 0,533352445113363 )
Telemed J E Health - Telemedicine and face-to-face care for pediatric obesity. ( 0,532801721826472 )
J. Med. Internet Res. - An assessment of incentive versus survey length trade-offs in a Web survey of radiologists. ( 0,530815463705977 )
Int J Health Geogr - Land-use and land-cover assessment for the study of lifestyle change in a rural Mexican community: the Maycoba project. ( 0,529785764265196 )
Telemed J E Health - Computerized recovery support for substance use disorders: predictors of posttreatment usage. ( 0,52959664849456 )
J. Med. Internet Res. - Web-based versus traditional paper questionnaires: a mixed-mode survey with a Nordic perspective. ( 0,526294630895939 )
J. Med. Internet Res. - Factors related to sustained use of a free mobile app for dietary self-monitoring with photography and peer feedback: retrospective cohort study. ( 0,524282877023069 )