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Buttenheim AM, Paz-Soldán VA, Castillo-Neyra R, et al. Increasing participation in a vector control campaign: a cluster randomised controlled evaluation of behavioural economic interventions in Peru. BMJ Glob Health. 2018;3(5):e000757doi: 10.1136/bmjgh-2018-000757.
Buttenheim, A. M., Paz-Soldán, V. A., Castillo-Neyra, R., Toledo Vizcarra, A. M., Borrini-Mayori, K., McGuire, M., Arevalo-Nieto, C., Volpp, K. G., Small, D. S., Behrman, J. R., Naquira-Verlarde, C., & Levy, M. Z. (2018). Increasing participation in a vector control campaign: a cluster randomised controlled evaluation of behavioural economic interventions in Peru. BMJ global health, 3(5), e000757. https://doi.org/10.1136/bmjgh-2018-000757
Buttenheim, Alison M, et al. "Increasing participation in a vector control campaign: a cluster randomised controlled evaluation of behavioural economic interventions in Peru." BMJ global health vol. 3,5 (2018): e000757. doi: https://doi.org/10.1136/bmjgh-2018-000757
Buttenheim AM, Paz-Soldán VA, Castillo-Neyra R, Toledo Vizcarra AM, Borrini-Mayori K, McGuire M, Arevalo-Nieto C, Volpp KG, Small DS, Behrman JR, Naquira-Verlarde C, Levy MZ. Increasing participation in a vector control campaign: a cluster randomised controlled evaluation of behavioural economic interventions in Peru. BMJ Glob Health. 2018 Sep 21;3(5):e000757. doi: 10.1136/bmjgh-2018-000757. eCollection 2018. PMID: 30271624; PMCID: PMC6157568.
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BMJ Glob Health. 2018 Sep 21;3(5):e000757. doi: 10.1136/bmjgh-2018-000757. eCollection 2018.

Increasing participation in a vector control campaign: a cluster randomised controlled evaluation of behavioural economic interventions in Peru.

BMJ global health

Alison M Buttenheim, Valerie A Paz-Soldán, Ricardo Castillo-Neyra, Amparo M Toledo Vizcarra, Katty Borrini-Mayori, Molly McGuire, Claudia Arevalo-Nieto, Kevin G Volpp, Dylan S Small, Jere R Behrman, Cesar Naquira-Verlarde, Michael Z Levy

Affiliations

  1. Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  2. Global Community Health and Behavioral Sciences, Tulane University, New Orleans, Louisiana, USA.
  3. Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
  4. Zoonotic Disease Research Lab, OneHealth Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Arequipa, Peru.
  5. Medical Ethics and Health Policy, School of Medicine, University of Pennsylvania Perelman, Philadelphia, Pennsylvania, USA.
  6. Department of Statistics, University of Pennsylvania Wharton School, Philadelphia, Pennsylvania, USA.
  7. Department of Economics School of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  8. Universidad Peruana Cayetano Heredia, Arequipa, Peru.

PMID: 30271624 PMCID: PMC6157568 DOI: 10.1136/bmjgh-2018-000757

Abstract

OBJECTIVE: To assess the efficacy of strategies informed by behavioural economics for increasing participation in a vector control campaign, compared with current practice.

DESIGN: Pragmatic cluster randomised controlled trial.

SETTING: Arequipa, Peru.

PARTICIPANTS: 4922 households.

INTERVENTIONS: Households were randomised to one of four arms: advanced planning, leader recruitment, contingent group lotteries, or control.

MAIN OUTCOME MEASURES: Participation (allowing the house to be sprayed with insecticide) during the vector control campaign.

RESULTS: In intent-to-treat analyses, none of the interventions increased participation compared with control (advanced planning adjusted OR (aOR) 1.07 (95% CI 0.87 to 1.32); leader recruitment aOR 0.95 (95% CI 0.78 to 1.15); group lotteries aOR 1.12 (95% CI 0.89 to 1.39)). The interventions did not improve the efficiency of the campaign (additional minutes needed to spray house from generalised estimating equation regressions: advanced planning 1.08 (95% CI -1.02 to 3.17); leader recruitment 3.91 (95% CI 1.85 to 5.97); group lotteries 3.51 (95% CI 1.38 to 5.64)) nor did it increase the odds that houses would be sprayed in an earlier versus a later stage of the campaign cycle (advanced planning aOR 0.94 (95% CI 0.76 to 1.25); leader recruitment aOR 0.68 (95% CI 0.55 to 0.83); group lotteries aOR 1.19 (95% CI 0.96 to 1.47)). A post hoc analysis suggested that advanced planning increased odds of participation compared with control among households who had declined to participate previously (aOR 2.50 (95% CI 1.41 to 4.43)).

CONCLUSIONS: Achieving high levels of household participation is crucial for many disease prevention efforts. Our trial was not successful in improving participation compared with the existing campaign. The trial highlights persistent challenges to field experiments as well as lessons about the intervention design process, particularly understanding barriers to participation through a behavioural lens.

TRIAL REGISTRATION NUMBER: American Economic Association AEARCTR-0000620.

Keywords: change disease; cluster randomised trial; control strategies; public health

Conflict of interest statement

Competing interests: None declared.

References

  1. BMC Health Serv Res. 2008 Dec 23;8:272 - PubMed
  2. Emerg Infect Dis. 2006 Sep;12(9):1345-52 - PubMed
  3. Am J Public Health. 1991 Feb;81(2):168-71 - PubMed
  4. Ann Trop Med Parasitol. 2006 Dec;100(8):663-77 - PubMed
  5. Pharmacoepidemiol Drug Saf. 2012 May;21 Suppl 2:148-54 - PubMed
  6. Mem Inst Oswaldo Cruz. 2003 Jul;98(5):577-91 - PubMed
  7. JAMA. 2015 Nov 10;314(18):1926-35 - PubMed
  8. Malar J. 2008 Aug 27;7:164 - PubMed
  9. Cad Saude Publica. 2007 Jul;23(7):1656-64 - PubMed
  10. PLoS Comput Biol. 2011 Sep;7(9):e1002146 - PubMed
  11. Psychol Bull. 1999 Nov;125(6):627-68; discussion 692-700 - PubMed
  12. N Engl J Med. 2011 Aug 4;365(5):388-90 - PubMed
  13. Malar J. 2011 Nov 23;10:344 - PubMed
  14. J R Soc Interface. 2010 Jul 6;7(48):1061-70 - PubMed
  15. Malar J. 2012 Jan 09;11:10 - PubMed
  16. PLoS Negl Trop Dis. 2017 Mar 17;11(3):e0005460 - PubMed
  17. Mem Inst Oswaldo Cruz. 1999;94 Suppl 1:405-11 - PubMed
  18. Eur J Epidemiol. 2010 Apr;25(4):231-5 - PubMed
  19. Psychol Sci. 2010 Feb;21(2):194-9 - PubMed
  20. J Dent Res. 2007 Jul;86(7):641-5 - PubMed
  21. Glob Public Health. 2018 Jan;13(1):65-82 - PubMed
  22. Am Econ Rev. 2013 Jun;103(4):1138-71 - PubMed
  23. Eval Rev. 2005 Jun;29(3):268-86 - PubMed
  24. Am J Health Promot. 1997 Sep-Oct;12(1):38-48 - PubMed
  25. Health Psychol. 2007 Jul;26(4):507-12 - PubMed
  26. PLoS Negl Trop Dis. 2007 Dec 26;1(3):e103 - PubMed
  27. Malar J. 2015 Mar 31;14:136 - PubMed
  28. J Epidemiol Community Health. 2014 Feb;68(2):103-9 - PubMed
  29. N Engl J Med. 2009 Feb 12;360(7):699-709 - PubMed
  30. World Health Forum. 1994;15(3):299-300 - PubMed
  31. Health Psychol. 2014 Jun;33(6):501-4 - PubMed
  32. Proc Natl Acad Sci U S A. 2007 Oct 9;104(41):16194-9 - PubMed
  33. Sci Adv. 2017 Feb 17;3(2):e1602024 - PubMed
  34. Mem Inst Oswaldo Cruz. 2007 Oct 30;102 Suppl 1:11-8 - PubMed
  35. Proc Natl Acad Sci U S A. 2011 Jun 28;108(26):10415-20 - PubMed
  36. JAMA. 2007 Nov 14;298(18):2171-81 - PubMed
  37. JAMA. 2008 Dec 10;300(22):2631-7 - PubMed
  38. Mem Inst Oswaldo Cruz. 2007 Oct 30;102 Suppl 1:41-4 - PubMed
  39. Mem Inst Oswaldo Cruz. 2010 Mar;105(2):233-8 - PubMed
  40. Salud Publica Mex. 2006 Jul-Aug;48(4):317-24 - PubMed
  41. Perspect Psychol Sci. 2009 Jul;4(4):379-83 - PubMed
  42. Clin Infect Dis. 2008 Jun 15;46(12):1822-8 - PubMed
  43. Annu Rev Public Health. 2014;35:399-421 - PubMed
  44. Am J Trop Med Hyg. 2001 Dec;65(6):861-4 - PubMed
  45. Emerg Infect Dis. 2014 Dec;20(12):2055-63 - PubMed
  46. J Gen Intern Med. 2011 Jun;26(6):621-6 - PubMed
  47. Health Educ Behav. 2007 Dec;34(6):881-96 - PubMed
  48. BMJ. 1997 Sep 20;315(7110):703-7 - PubMed
  49. Soc Sci Med. 2010 May;70(10):1648-55 - PubMed
  50. J Appl Behav Anal. 1984 Fall;17(3):313-25 - PubMed

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