View in EDS

Food Allergy Management for Adolescents Using Behavioral Incentives: A Randomized Trial.

Saved in:
Bibliographic Details
Title: Food Allergy Management for Adolescents Using Behavioral Incentives: A Randomized Trial.
Authors: Dupuis, Roxanne, Feuerstein-Simon, Rachel, Brown-Whitehorn, Terri F., Spergel, Jonathan M., Volpp, Kevin G., Marti, Xochitl Luna, Troxel, Andrea B., Meisel, Zachary F., Mollen, Cynthia J., Kenney, Erica L., Block, Jason, Gortmaker, Steven L., Cannuscio, Carolyn C.
Source: Pediatrics. Feb2023, Vol. 151 Issue 2, p1-9. 10p.
Subjects: Motivation (Psychology), Adrenaline, Intramuscular injections, Treatment effectiveness, Randomized controlled trials, Health behavior, Descriptive statistics, Research funding, Teenagers' conduct of life, Text messages, Endowments, Statistical sampling, Food allergy, Disease management, Longitudinal method, Adolescence
Abstract: OBJECTIVE: We sought to evaluate the use of behavioral economics approaches to promote the carrying of epinephrine auto-injectors (EAIs) among adolescents with food allergies. We hypothesized that adolescents who receive frequent text message nudges (Intervention 1) or frequent text message nudges plus modest financial incentives (Intervention 2) would be more likely to carry their epinephrine than members of the usual care control group. METHODS: We recruited 131 adolescents ages 15 to 19 with a food allergy and a current prescription for epinephrine to participate in a cohort multiple randomized controlled trial. Participants were randomly assigned to participate in Intervention 1, Intervention 2, or to receive usual care. The primary outcome was consistency of epinephrine-carrying, measured as the proportion of checkpoints at which a participant could successfully demonstrate they were carrying their EAI, with photo-documentation of the device. RESULTS: During Intervention 1, participants who received the intervention carried their EAI 28% of the time versus 38% for control group participants (P 5 .06). During Intervention 2, participations who received the intervention carried their EAI 45% of the time versus 23% for control group participants (P 5 .002). CONCLUSIONS: Text message nudges alone were unsuccessful at promoting EAI-carrying but text message nudges combined with modest financial incentives almost doubled EAI-carriage rates among those who received the intervention compared with the control group. However, even with the intervention, adolescents with food allergies carried their EAI<50%of the time. Alternative strategies for making EAIs accessible to adolescents at all times should be implemented. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 164235308
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Food Allergy Management for Adolescents Using Behavioral Incentives: A Randomized Trial.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dupuis%2C+Roxanne%22&quot;&gt;Dupuis, Roxanne&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Feuerstein-Simon%2C+Rachel%22&quot;&gt;Feuerstein-Simon, Rachel&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Brown-Whitehorn%2C+Terri+F%2E%22&quot;&gt;Brown-Whitehorn, Terri F.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Spergel%2C+Jonathan+M%2E%22&quot;&gt;Spergel, Jonathan M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Volpp%2C+Kevin+G%2E%22&quot;&gt;Volpp, Kevin G.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Marti%2C+Xochitl+Luna%22&quot;&gt;Marti, Xochitl Luna&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Troxel%2C+Andrea+B%2E%22&quot;&gt;Troxel, Andrea B.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Meisel%2C+Zachary+F%2E%22&quot;&gt;Meisel, Zachary F.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mollen%2C+Cynthia+J%2E%22&quot;&gt;Mollen, Cynthia J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kenney%2C+Erica+L%2E%22&quot;&gt;Kenney, Erica L.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Block%2C+Jason%22&quot;&gt;Block, Jason&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gortmaker%2C+Steven+L%2E%22&quot;&gt;Gortmaker, Steven L.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cannuscio%2C+Carolyn+C%2E%22&quot;&gt;Cannuscio, Carolyn C.&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Pediatrics%22&quot;&gt;Pediatrics&lt;/searchLink&gt;. Feb2023, Vol. 151 Issue 2, p1-9. 10p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Motivation+%28Psychology%29%22&quot;&gt;Motivation (Psychology)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Adrenaline%22&quot;&gt;Adrenaline&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Intramuscular+injections%22&quot;&gt;Intramuscular injections&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Treatment+effectiveness%22&quot;&gt;Treatment effectiveness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Randomized+controlled+trials%22&quot;&gt;Randomized controlled trials&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+behavior%22&quot;&gt;Health behavior&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Descriptive+statistics%22&quot;&gt;Descriptive statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+funding%22&quot;&gt;Research funding&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Teenagers&#39;+conduct+of+life%22&quot;&gt;Teenagers&#39; conduct of life&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Text+messages%22&quot;&gt;Text messages&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Endowments%22&quot;&gt;Endowments&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Statistical+sampling%22&quot;&gt;Statistical sampling&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Food+allergy%22&quot;&gt;Food allergy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Disease+management%22&quot;&gt;Disease management&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Longitudinal+method%22&quot;&gt;Longitudinal method&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Adolescence%22&quot;&gt;Adolescence&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVE: We sought to evaluate the use of behavioral economics approaches to promote the carrying of epinephrine auto-injectors (EAIs) among adolescents with food allergies. We hypothesized that adolescents who receive frequent text message nudges (Intervention 1) or frequent text message nudges plus modest financial incentives (Intervention 2) would be more likely to carry their epinephrine than members of the usual care control group. METHODS: We recruited 131 adolescents ages 15 to 19 with a food allergy and a current prescription for epinephrine to participate in a cohort multiple randomized controlled trial. Participants were randomly assigned to participate in Intervention 1, Intervention 2, or to receive usual care. The primary outcome was consistency of epinephrine-carrying, measured as the proportion of checkpoints at which a participant could successfully demonstrate they were carrying their EAI, with photo-documentation of the device. RESULTS: During Intervention 1, participants who received the intervention carried their EAI 28% of the time versus 38% for control group participants (P 5 .06). During Intervention 2, participations who received the intervention carried their EAI 45% of the time versus 23% for control group participants (P 5 .002). CONCLUSIONS: Text message nudges alone were unsuccessful at promoting EAI-carrying but text message nudges combined with modest financial incentives almost doubled EAI-carriage rates among those who received the intervention compared with the control group. However, even with the intervention, adolescents with food allergies carried their EAI&lt;50%of the time. Alternative strategies for making EAIs accessible to adolescents at all times should be implemented. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=164235308
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1542/peds.2022-058876
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 1
    Subjects:
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Adrenaline
        Type: general
      – SubjectFull: Intramuscular injections
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Teenagers' conduct of life
        Type: general
      – SubjectFull: Text messages
        Type: general
      – SubjectFull: Endowments
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Food allergy
        Type: general
      – SubjectFull: Disease management
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Adolescence
        Type: general
    Titles:
      – TitleFull: Food Allergy Management for Adolescents Using Behavioral Incentives: A Randomized Trial.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Dupuis, Roxanne
      – PersonEntity:
          Name:
            NameFull: Feuerstein-Simon, Rachel
      – PersonEntity:
          Name:
            NameFull: Brown-Whitehorn, Terri F.
      – PersonEntity:
          Name:
            NameFull: Spergel, Jonathan M.
      – PersonEntity:
          Name:
            NameFull: Volpp, Kevin G.
      – PersonEntity:
          Name:
            NameFull: Marti, Xochitl Luna
      – PersonEntity:
          Name:
            NameFull: Troxel, Andrea B.
      – PersonEntity:
          Name:
            NameFull: Meisel, Zachary F.
      – PersonEntity:
          Name:
            NameFull: Mollen, Cynthia J.
      – PersonEntity:
          Name:
            NameFull: Kenney, Erica L.
      – PersonEntity:
          Name:
            NameFull: Block, Jason
      – PersonEntity:
          Name:
            NameFull: Gortmaker, Steven L.
      – PersonEntity:
          Name:
            NameFull: Cannuscio, Carolyn C.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2023
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 00314005
          Numbering:
            – Type: volume
              Value: 151
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Pediatrics
              Type: main
ResultId 1