Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia

Non-communicable diseases account for a growing proportion of deaths in Armenia, which require early detection to achieve disease control and prevent complications. To increase rates of screening, demand-side interventions of personalized invitations, descriptive social norms, labeled cash transfers...

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Main Authors:	Gong, Estelle, Chukwuma, Adanna, Ghazaryan, Emma, de Walque, Damien
Format:	Journal Article
Published:	Springer Nature 2021
Subjects:	PRIMARY HEALTH CARE SCREENING FINANCIAL INCENTIVE BEHAVIORAL ECONOMICS CASH TRANSFERS DESCRIPTIVE SOCIAL NORM HYPERTENSION DIABETES
Online Access:	http://hdl.handle.net/10986/35562

id	okr-10986-35562
recordtype	oai_dc
spelling	okr-10986-355622021-07-19T16:32:29Z Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia Gong, Estelle Chukwuma, Adanna Ghazaryan, Emma de Walque, Damien PRIMARY HEALTH CARE SCREENING FINANCIAL INCENTIVE BEHAVIORAL ECONOMICS CASH TRANSFERS DESCRIPTIVE SOCIAL NORM HYPERTENSION DIABETES Non-communicable diseases account for a growing proportion of deaths in Armenia, which require early detection to achieve disease control and prevent complications. To increase rates of screening, demand-side interventions of personalized invitations, descriptive social norms, labeled cash transfers, and conditional cash transfers were tested in a field experiment. Our complementary qualitative study explores factors leading to the decision to attend screening and following through with that decision, and experiences with different intervention components. An individual’s decision to screen depends on 1) the perceived need for screening based on how they value their own health and perceive hypertension and diabetes as a harmful but manageable condition, and 2) the perceived utility of a facility-based screening, and whether screening will provide useful information on disease status or care management and is socially acceptable. Following through with the decision to screen depends on their knowledge of and ability to attend screenings, as well as any external motivators such as an invitation or financial incentive. Personalized invitations from physicians can prompt individuals to reconsider their need for screening and can, along with financial incentives, motivate individuals to follow through with the decision to screen. The effect of descriptive social norms in invitations should be further studied. Efforts to increase preventive screenings as an entry point into primary care in Armenia may benefit from implementation of tailored messages and financial incentives. 2021-05-12T19:27:37Z 2021-05-12T19:27:37Z 2020-12 Journal Article BMC Health Services Research 1472-6963 http://hdl.handle.net/10986/35562 CC BY 4.0 http://creativecommons.org/licenses/by/4.0 World Bank Springer Nature Publications & Research :: Journal Article Publications & Research Europe and Central Asia Armenia
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	PRIMARY HEALTH CARE SCREENING FINANCIAL INCENTIVE BEHAVIORAL ECONOMICS CASH TRANSFERS DESCRIPTIVE SOCIAL NORM HYPERTENSION DIABETES
spellingShingle	PRIMARY HEALTH CARE SCREENING FINANCIAL INCENTIVE BEHAVIORAL ECONOMICS CASH TRANSFERS DESCRIPTIVE SOCIAL NORM HYPERTENSION DIABETES Gong, Estelle Chukwuma, Adanna Ghazaryan, Emma de Walque, Damien Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia
geographic_facet	Europe and Central Asia Armenia
description	Non-communicable diseases account for a growing proportion of deaths in Armenia, which require early detection to achieve disease control and prevent complications. To increase rates of screening, demand-side interventions of personalized invitations, descriptive social norms, labeled cash transfers, and conditional cash transfers were tested in a field experiment. Our complementary qualitative study explores factors leading to the decision to attend screening and following through with that decision, and experiences with different intervention components. An individual’s decision to screen depends on 1) the perceived need for screening based on how they value their own health and perceive hypertension and diabetes as a harmful but manageable condition, and 2) the perceived utility of a facility-based screening, and whether screening will provide useful information on disease status or care management and is socially acceptable. Following through with the decision to screen depends on their knowledge of and ability to attend screenings, as well as any external motivators such as an invitation or financial incentive. Personalized invitations from physicians can prompt individuals to reconsider their need for screening and can, along with financial incentives, motivate individuals to follow through with the decision to screen. The effect of descriptive social norms in invitations should be further studied. Efforts to increase preventive screenings as an entry point into primary care in Armenia may benefit from implementation of tailored messages and financial incentives.
format	Journal Article
author	Gong, Estelle Chukwuma, Adanna Ghazaryan, Emma de Walque, Damien
author_facet	Gong, Estelle Chukwuma, Adanna Ghazaryan, Emma de Walque, Damien
author_sort	Gong, Estelle
title	Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia
title_short	Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia
title_full	Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia
title_fullStr	Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia
title_full_unstemmed	Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia
title_sort	invitations and incentives : a qualitative study of behavioral nudges for primary care screenings in armenia
publisher	Springer Nature
publishDate	2021
url	http://hdl.handle.net/10986/35562
_version_	1764483293975150592

Invitations and Incentives : A Qualitative Study of Behavioral Nudges for Primary Care Screenings in Armenia

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