Way to Health

Project Portfolio

See projects being designed, that are in progress and that have graduated.

BCFG Flu Mega Study
Vaccination

This is a mega trial with planned enrollment of 150,000 patients across Penn Medicine and Geisinger Health system. The intent was to simultaneously test out 19 different nudges to figure out how to increase flu vaccination rates. The secondary intent was to use learnings from this to inform COVID vaccination efforts. The best performing nudge increases uptake by 11% over previous year baselines. The study was replicated with Walmart with 800,000+ participants.


Results

Increased uptake by 11% over baseline

Text messaging effectiveness


Features Utilized
Arms and randomization EHR integration (appts) Text messaging and scheduling
Read more
COVID Vaccine Community Clinics
Vaccination

In a concerted effort to address racial inequities. Penn Medicine partnered with Mercy Health, local pastors and the community in West and Southwest Philadelphia, to set up a community vaccination clinic. The goal was to vaccinate 500 individuals who met the 1A or 1B criteria set forth by the city. Way to Health provided the texting and IVR backends to enable registration and appointment scheduling prior. 557 patients were vaccinated. The next clinic on Feb 27th intends to vaccinate 750. The one after that will hopefully vaccinate 1500.


Results

550 citizens vaccinated in 7 hours

Minimal wait times

Patients scheduled and pre-registered (no lines)

NPS score of 90 (330+ responses)


Features Utilized
Bulk messaging IVR and text based communication Bi-directional conversations Automated slot availability
Read more
COVID SAFE
Testing

Given that testing availability will likely continue to be constrained, symptom tracking based testing could lead to earlier case identification. At the same time, sentinel surveillance will be a critical tool for identifying pre-symptomatic, asymptomatic or mildly symptomatic spread that may evade symptom-based surveillance. Together, this approach provides ability to rapidly identify new cases and conduct contact tracing. This is an RCT that aims to (1) Evaluate the feasibility of a saliva-based screening COVID viral testing program (2) Compare behavioral strategies to improve study enrollment (3)Understand the relationship between daily symptom tracking and identifying infection,


Results

2500+ recruited

10,000+ tests

Increased installs of patient app


Features Utilized
Two-way Texting LIMS integration Arms & Randomization Nudges
Automated Results Reporting
Patient Communication

COVID tests are conducted in advance of procedures or as part of occupational health. These results needed to be communicated to patients in a timely manner. While they were also communicated via the patient portal, immediacy is critical and not all patients have the app installed and activated. Phone calls from a nursing team were expensive and time consuming. An automated system to communicate negative test results (the majority) was put into place to optimize resources while ensuring patient communication.


Results

2100+ results communicated

Increased installs of patient app


Features Utilized
Two-way Texting Epic Workbench Epic SDE writeback
COVID Pulse
Remote Monitoring

COVID Pulse was designed partly in response to reports that some patients with Covid-19 have little dyspnea, despite concerning hypoxemia (low blood oxygen). This program enrolls patients from emergency departments with depressed oxygen saturations, providing them with pulse oximeters, and escalates to care based on declines in measured oxygen saturation.


Results

Enhanced monitoring of patients

Objective escalations based on PulseOx readings

$2.5M PCORI award


Features Utilized
Two-way Texting EHR Integration
Cancer COVID Watch
Remote Monitoring

A variant of the COVID Watch program that automatically checks in specifically with cancer patients at risk for complications of COVID-19 who are self-isolating at home. Patients are monitored 24x7 via text message and escalations managed by an oncology nursing team with full Epic integration.


Results

80+% patient engagement

Patient NPS score of 100


Features Utilized
Two-way Texting EHR Integration
COVID Watch
Remote Monitoring

A Penn Medicine program that automatically checks in with patients at risk for complications of COVID-19 who are self-isolating at home. Patients are monitored 24x7 via text message and escalations managed by a nursing team with full Epic integration.


Results

Staff hour reduction to just 64 per day

$2.3 Million savings over 100 days

Patient NPS score of 80


Features Utilized
Two-way Texting EHR Integration
Read more
Pregnancy Watch
Remote Monitoring

A variant of the COVID Watch program that automatically checks in specifically with pregnant women at risk for complications of COVID-19 who are self-isolating at home. Patients are monitored 24x7 via text message and escalations managed by an hospital specific nursing teams with full Epic integration.


Results

80+% patient engagement

Patient NPS score of 76

Covered 208 patients over six months


Features Utilized
Two-way Texting EHR Integration
CHI/HCS/NBR/SIT
Clinical Psychology

Test the effectiveness of text-based recruitment strategies to increase participation across four R01 funded research trials targeting hard to reach populations such as smokers and people living with HIV.


Results

Ongoing Research & Analysis


Features Utilized
Flexible Event Scheduling CSV Upload
Employee Hypertension
Primary Care

Hypertension monitoring text messaging program for Penn Medicine employees.


Results

Decrease in high blood pressure for participants.

Remote population health management of patients, including medication management.


Features Utilized
Two-way Texting Epic Integration Natural Language Understanding
LaTCH
Lactation

Women's health intervention after child birth to assist with new mothers with questions and provide support for breastfeeding.


Results

Increase in breastfeeding due to support from text intervention.

Increase in provider and patient communication regarding newborn questions.


Features Utilized
EPIC Integration Two-way Texting
Social Media and Mental Health
Mental Health

Text intervention prompting and monitoring participants to share their social media posts and information with their therapists during their scheduled appointments.


Results

Increased discussion of social media presence in therapy sessions.

Monitoring signs of anxiety and depression in a participant's social media data.


Features Utilized
Two-way Texting Survey Administration
THEA
Obstetrics

Weekly text message blood pressure monitoring for pregnant women without complications in order to replace office visits with at home monitoring.


Results

Minimize the amount of in-person visits during pregnancy for healthy women.

Monitor patient blood pressures from home and intervene as necessary.


Features Utilized
Blood pressure monitoring via text messaging. EPIC Integration
Move UP
Urology

To evaluate the effectiveness of behavioral economic approaches to increase patient mobility and reduce mobility disability and postoperative complications.


Results

Ongoing Research & Analysis


Features Utilized
EPIC Integration Gamification Support Partners
Weigh Forward
Obesity

Test an escalating lottery-based incentive tied to daily self-weighing for weight loss maintenance


Results

Mean weight changes at the end of phase 1 were −1.1 kg in the incentive group and −1.9 kg in the control group

At the end of phase 2, mean weight changes were 0.2 kg in the incentive group and −0.6 kg in the control group


Features Utilized
Financial Incentives Lottery
Read more
STEP UP Mom
Hypertension

Implement a novel intervention using mobile technology and social incentives to increase physical activity for women with preeclampsia or gestational hypertension.


Results

Ongoing Research & Analysis


Features Utilized
Gamification Bonus Points Lifelines
Mobility Pilot
Physical Activity

Looking at improving mobility in the inpatient setting specifically through goal setting and gamification.


Results

Ongoing Research & Analysis


Features Utilized
Gamification Conversations
Nurtured in Nature
Physical Activity

The broad objective of this study is to develop and test a digital health intervention using a behavioral economics framework to increase the amount of time people spend in nature.


Results

Ongoing Research & Analysis


Features Utilized
Conversations Nature Coach Alert
STEP UP
Physical Activity

Use social incentives and gamification to increase physical activity among overweight and obese adults.


Results

Gamification interventions had significant increase in activity

Competitive intervention had more sustained activity (post study)


Features Utilized
Device Integration Randomization Gamification
Read more
ColoPrep
Gastroenterology

Developed a text message navigation program to improve colonoscopy show rates, reduce cancellations and improve quality / adherence to procedure prep.


Results

Improved show rate by 30%

Maintained or improved quality of prep


Features Utilized
Two-way Texting EHR Integration Randomization
Read more
MOVE-OK
Orthopedics

Randomized crossover trial of different types of intra-articular injections and financial incentives will also be used to promote adherence to the completion of the patient-reported outcomes.


Results

Ongoing Research & Analysis


Features Utilized
Survey Administration Gamification Financial Incentives
TAICAM Trial
Asthma

Test the effectiveness of remote monitoring, automated reminders, performance feedback and incentives among children with asthma.


Results

Ongoing Research & Analysis


Features Utilized
Propeller Device Integration Financial Incentives
Way 2 Text
Hypertension

Evaluate the impact of monitoring adherence with electronic pill bottles or bidirectional text messaging on improving hypertension control.


Results

Mean change values in systolic blood pressure were − 4.7 (23.4) mmHg in usual care, − 4.3 (21.5) mmHg in the pill bottle arm, and − 4.6 (19.8) mmHg in the text arm

No significant change in systolic blood pressure between control and the pill bottle arm


Features Utilized
Device Integration Bi-Directional Text Messaging
Read more
MoTIvatE-PD
Neurology

The overall goal of this study is to test if behavioral economic approaches will reduce apathy, and subsequently, improve goal-directed behavior in Parkinson’s disease.


Results

Ongoing Research & Analysis


Features Utilized
Gamification Support Partners Survey Administration
Remote Drain Management
Home Health

Text conversations to monitor drain outputs of patients who’ve received breast reconstructive surgery. These tailored conversations comply with 20 cc and 30 cc drain management. Texts ask patients their daily output to determine if they are at criteria and need a drained pulled from a home health nurse until they have no drains left.


Results

Post-op visits reduced from 5 to 1

Per patient time savings of 15 hours

Significant contribution margin

New Home Health revenue


Features Utilized
Two-way texting EHR integration
Remote Ostomy Output Monitoring
Remote Monitoring

Text conversations to monitor patients’ ostomy output levels after an ileostomy procedure. Patients can send in output values throughout the day, whenever they empty their ostomy bag. We calculate their levels over varying hours to determine total output and compare against thresholds. If these reported outputs are above or below thresholds, the patient’s care team is alerted.


Results

Ongoing Research & Analysis


Features Utilized
Two-way texting EHR integration
Virtual MOHS consults
Dermatology

There are various photo submission modules to collect photos from patients. These modules include questions asking patients to send in pictures with different angles as well as with a ruler for size comparisons. The questions provide examples of clear photos so patients have guidance on the type of photo they need to send.


Results

Ongoing Research & Analysis


Features Utilized
Two-way texting Conditional Surveys EHR integration
Habit Formation
Medication Adherence

Assessed whether the interventions, based on principles from behavioral economics, might improve statin adherence and lipid control in at-risk populations.


Results

Achieved enrollment targets

Health system enrollment was cost-efficient


Features Utilized
Financial Incentives CleverCap Pill Bottle Integration
Read more
Right Size Opioid Prescribing
Emergency Medicine

Design a scalable model for capturing patient level data to develop, implement, and evaluate EMR defaults to “right-size” opioid prescribing for acute painful episodes and routine surgical procedures.


Results

Ongoing Research & Analysis


Features Utilized
Survey Administration Rules Engine
DFI CHW Engage Study
Diabetes

Test the effectiveness of remote monitoring of glucose plus lottery financial incentives among low-income patients suffering from diabetes.


Results

Ongoing Research & Analysis


Features Utilized
Blood Pressure Receiver Health Coach Alerts
CHANGE
HIV

This pilot will answer questions important to the feasibility of conducting a well-powered randomized controlled trial to improve adherence among African American HIV patients within the US who have suboptimal adherence using CVS and Aetna claims data to identify such patients, CVS/Aetna communications channels to enroll them, and incentives to achieve high levels of ongoing participation.


Results

Ongoing Research & Analysis


Features Utilized
Lottery Financial Incentives Wisepill Device Integration
Be Active
Wellness

Testing how financial incentives and gamification can improve moderate-to-vigorous physical activity.


Results

Ongoing Research & Analysis


Features Utilized
Financial Incentives Gamification Support Partners
Bloom
Gestational Care

Pilot grant to test feasibility of incentivizing various behaviors and outcomes associated with gestational weight gain.


Results

Ongoing Research & Analysis


Features Utilized
Survey Administration Nokia Scale Device Integration
SLEEPY Study
General Care

Testing a 2x2x2x2x2 factorial design to optimize components for a sleep extension intervention for children.


Results

Ongoing Research & Analysis


Features Utilized
Fitbit Device Integration Survey Administration Automated Text Messaging
Reduce Opioid Usage
Opioid Use

Implementation of this novel ERAS pathway for patients undergoing elective spine or peripheral nerve surgery safely reduces patients’ postoperative opioid requirements during hospitalization and 1 month postoperatively. ERAS results in improved postoperative mobilization and ambulation.


Results

Post-op intravenous opioid meds nearly eliminated

3x greater mobility on post-op day 0


Features Utilized
Two-way Texting EHR Integration
Read more
Remote Monitoring of Depression in Older Adults
Mental Health

Test the effectiveness of a mobile app to replace in person therapy sessions and to track physical health through an activity tracker among depressed adults older than 50 years.


Results


Features Utilized
Device Integrations 2-way texting
Youth Mindfulness App
Mental Health

Test the effectiveness of a mindfulness app among youth 13-22 years old. This will be a three arm trial leveraging gamification and supportive social incentives approaches.


Results


Features Utilized
Device integrations 2-way texting Social incentives
Fitbit-PD
Neurology

A simple observational study with a very small group of VA patients with Parkinsons (30 odd). Patients will register their fitbits and collect movement and MVPA data over 2 weeks. Intent is to figure out if this patient population would actually use it and if the data provides any insight.


Results

Ongoing Research & Analysis


Features Utilized
Fitbit Device integration Automated messaging Survey administration
Heart Safe Motherhood - HUP/PAH
Womens Health

Blood pressure monitoring for pregnant women with a diagnosis of pre-eclampsia. They will be recruited via EPIC. The project/study leverages bidirectional messaging for BP monitoring and escalation to provider / care team on an exception basis. Rollout to Penn Hospitals


Results

Ongoing Research & Analysis


Features Utilized
Bidirectional texting Blood Pressure Monitoring EPIC Enrollment Integration
Read more
Partners and Alerts in Medication Adherence
Cardiovascular Disease Management

Investigate how social supports, automated alerts, and their combination improve medication adherence.


Results

52.9% adherence in alert arm

54.5% adherence in partner + alert arm

36.0% adherence in control arm


Features Utilized
Support Partners Medication Alerts
Read more
Skin Exam
Oncology

Evaluate the use of a mobile application (app) in patients already using total body photography (TBP) to increase skin self-examination (SSE) rates and pilot the effectiveness of examination reminders and accountability partners.


Results

SSE rates increased from 58% to 83% at 6 months in intervention groups


Features Utilized
Text Reminders Support Partners
Read more
VA Osteoarthritis - Physical Activity
Medication Adherence

Randomized crossover trial of different types of intra-articular injections in osteoarthritic patients. Monitor physical activity and patient-reported outcomes over 3 months after each injection. Financial incentives will also be used to promote adherence to the completion of the patient-reported outcomes.


Results


Features Utilized
Device Integrations Surveys & 2-way texting Financial Incentives
Narcan ITMAT
Addiction

Test the effectiveness of a pledge system and nudge messaging to purchase naloxone within one week of training. Population is staff and patrons of Free Library of Phila.


Results

Ongoing Research & Analysis


Features Utilized
Two-way Texting Survey administration Escalating messaging
VA Opioid Fitbit Study
Addiction

Bidirectional texting intervention, assessing participants use of medication, pain and other symptoms via survey. 3 arms have been designed - control, intervention and intervention plus incentive. Deployed at the VA for opioid patients.


Results

Ongoing Research & Analysis


Features Utilized
Two-way Texting Survey administration Lottery
Way to Recovery
Trauma

Assessing long-term recovery and potential for connection with trauma patients after injury through Survey administration, bi-directional texts, and sleep tracking (Fitbits). We propose to conduct pilot research for a remote monitoring intervention to improve long- term injury recovery.


Results

Ongoing Research & Analysis


Features Utilized
Fitbit device integration Bidirectional texting Survey administration
UCLA Health Obesity - Activity & Coaching
Physical Activity

A multi-site, RCT that will evaluate the effectiveness of trained pre-med post-baccalaureate health coaches in chronic disease management. Our primary outcomes are changes in weight, physical activity, dietary choices, and patient engagement throughout the 16-week intervention. In our proof of concept (n=22), participants increased their physical activity by an average of 60 minutes per week, responded to 70% of messages, and lost 4.6% their bodyweight over 16 weeks.


Results


Features Utilized
Device integrations 2-way texting Social incentives
Vitality Smoking
Smoking Cessation

Financial incentives, pharmacologic therapies, and electronic cigarettes (e-cigarettes) to promote smoking cessation


Results

Large scale pragmatic trial using opt-out for enrollment

Redeemable deposits and rewards were superior to free cessation aids


Features Utilized
Financial Incentives Text Messaging
Read more
Active Reward
Cardiology

Improve cardiac outcomes after heart attacks and cardiac stent placements through the use of financial incentives and a wearable sleep and step tracking device


Results

Incentive arm had an increase of 1388 mean daily steps from baseline

Control arm had an increase of 385 mean daily steps from baseline


Features Utilized
Device Integration Financial Incentives
Read more
ENGAGE
Physical Activity

The purpose of this study is to determine how goal-setting in the context of gamification affects habit formation for physical activity among participants who are overweight or obese. We plan to use the gamification features of the Way to Health platform and the step tracking feature of to test the impact of two separate goal-setting features including 1. actively choosing a step goal versus being assigned a step goal and 2. being asked to immediately meet that goal versus being asked to make incremental changes towards that goal over an 8 week period.


Results

Ongoing Research & Analysis


Features Utilized
Withings Device integration Survey administration Gamification
EpiPrompt
Allergy & Immunology

As part of this project, we will be using the Way to Health platform to send/receive text messages to adolescents and will be using financial incentives.


Results

Ongoing Research & Analysis


Features Utilized
Multi-Media Messaging Survey administration Financial Incentives
Way to Safety
Driving

Gain a deeper understanding of teen perspectives on how to overcome the barriers to the use of cellphone blocking technology and facilitate improved research and implementation strategies.


Results

Teens willing to give up reading texts (90%), sending texts (95%), social media (99%) while driving

Not willing to give up navigation (59%) and music applications (43%)


Features Utilized
Survey Administration Financial Incentives
Read more
Heart Safe Motherhood: Prime
Womens Health

Rollout of Heart Safe Motherhood program at Northwestern University and the University of North Carolina.


Results

Ongoing Research & Analysis


Features Utilized
Two-way Texting Survey administration
Read more
PREDICT-DM
General Care

Compares different methods of data collection from wearable devices to develop enhanced risk prediction models for changes in glycemic control among pre-diabetic adults.


Results

Ongoing Research & Analysis


Features Utilized
Fitbit Device integration Financial incentives Support partner
Veteran's Physical Activity
Physical Activity

Test effectiveness of social incentive-based gamification intervention to increase physical activity among overweight and obese veterans. VA funding Withings device BMI stratification participation incentives only potentially 4 week ramp Arms: 1. Control- just device (60) 2. Supportive social incentive (60) 3. Supportive social incentive + $ (60)


Results

Ongoing Research & Analysis


Features Utilized
Fitbit Device Integration Financial Incentives Support Partners
Taking Charge of Your Diabetes
Diabetes

Examine the effect of an opt-out default recruitment strategy compared to a conventional opt-in strategy on enrollment and adherence to a behavioral intervention for poorly controlled diabetic patients


Results

Enrollment rates were 38% in the opt-out arm and 13% in the opt-in arm

496 were randomized to the opt-in arm and 73 to the opt-out arm


Features Utilized
Glycemic Monitoring Device Configuration Enrollment
Read more
VA Osteoarthritis - Physical Activity
Rheumatology

Randomized crossover trial of different types of intra-articular injections (population: osteoarthritis at the VA). W2H to be used to monitor physical activity (activity monitors) and patient-reported outcomes over the 3 months after each injection. Financial incentives will also be used to promote adherence to the completion of the patient-reported outcomes.


Results

Ongoing Research & Analysis


Features Utilized
BE Smokefree
Smoking Cessation

Adolescents will be randomized to 1 of 3 financial incentive groups: (1) reward-based, with each adolescent receiving incremental $15-45 payments submitted into a virtual account when program benchmarks for the Quitline are achieved (maximum $150); (2) loss-framed, with $150 deposited into a virtual account, with $15-45 losses deducted from the account for each benchmark not achieved, with withdrawal only allowed at the end of the study; and (3) no financial incentive. The Quitline is funded by the Pennsylvania Department of Health and staffed by trained cessation counselors available 24 hours a day, 7 days a week.


Results

Ongoing Research & Analysis


Features Utilized
Survey administration Financial incentives Two-way Texting
m.Sgrow 2 ITMAT
Sleep

Use Way to Health to track and promote longer sleeping habits among adolescents. Interested in using social normatives on top of loss framed incentives. 4 arms- control, normative feedback (team), loss framed incentive, loss + normative $50 incentive text messages and sleep hygiene tips


Results

Ongoing Research & Analysis


Features Utilized
device integration Survey administration Gamification
PA and CVD
Cardiology

Use Way to Health to track step counts, heart rate and intensity in patients with cardiovascular disease. Wants to build this remote monitoring into clinical practice. Fitbit Charge 2- low, moderate, vigorous activity Goals and targets Text feedback


Results

Ongoing Research & Analysis


Features Utilized
Fitbit Device integration Bidirectional texting Gamification
PennPRO
Oncology

Collecting and studying the impact of patient reported outcomes on satisfaction and survivorship. Targeted at patients with advanced non-small cell lung cancer initiating chemotherapy, includes symptom assessment and provider alerts


Results

Ongoing Research & Analysis


Features Utilized
Survey administration Bidirectonal texting
Stepping Into Survivorship
Oncology

Studying the impact of activity on breast cancer patients. Incentives and gamification techniques are also being tested.


Results

Ongoing Research & Analysis


Features Utilized
Team collaboration Withings device integration Gamification
BreathBetterTogether
Pulmonology

Intervention upon discharge from the hospital for patients with COPD for monitoring and to reduce hospital utilization.


Results

Ongoing Research & Analysis


Features Utilized
Two-way Texting Epic integration Survey administration
Be In Control
Diabetes

Effectiveness of daily financial incentives on glucose monitoring adherence and glycemic control in adolescents & young adults with type 1 diabetes.


Results

Effectiveness of financial incentives

Improved glucose monitoring by 62%


Features Utilized
Read more
Be Fit
Physical Activity

Gamification designed to leverage insights from behavioral economics offers a promising approach to improve daily health behaviors at low cost


Results

Increased activity achievement by 50%

Post study activity increased by 27%


Features Utilized
Read more
LiveBetter
Cirrhosis & Transplants

Reduce 30-day readmissions for cirrhosis and post-transplant patients by remotely monitoring weight, mental function, medication adherence and temperature


Results

Reduced 7-day readmissions by 43%

Reduced preventable readmits by 75%


Features Utilized
Remote monitoring Two-way Texting EHR integration
Read more
PUSH
Urology

Complex study focused on reducing occurrence of kidney stones via hydration. Study includes devices, incentives, choose your own path and multiple other models.


Results

Ongoing Research & Analysis


Features Utilized
Water Bottle Integration Financial Incentives Bidirectional texting
LiveBetter Phase II
Hepatology

Larger trial building on Livebetter Phase 1. Focused on automated hovering of cirrhosis and liver transplant patients


Results

Ongoing Research & Analysis


Features Utilized
Weight Monitoring Survey administration Bidirectional Temperature Monitoring
ADAPT
Mental Health

Intent of the trial is to assist depressed adults with primary care treatment. W2H is used to automate the trial with respect to randomization, measurement of medication adherence via electronic pill bottle, and distribution of financial incentives to patients.


Results

Ongoing Research & Analysis


Features Utilized
Adheretech Pill Bottle Integration Bidirectional texting Gamification
Heartstrong
Cardiovascular Disease Management

Determine whether a system of medication reminders using financial incentives and social support delays subsequent vascular events in patients.


Results

No significant increase in medication adherence

Did not reduce the rate of vascular readmission


Features Utilized
Text reminders Financial Incentives Support partners
Read more
Home Connect + Phase II
General Care


Results

Ongoing Research & Analysis


Features Utilized
device integration Support partners Two-way Texting
Engaged Recovery After Surgery
Surgery

Text messages sent to patients post-surgery to help with recovery. These text messages are sent over the course of 7-10 days depending on the type of procedure. The text content is tailored to reminding patients on how to clean wounds, drink fluids to stay hydrated, and inform them of any dietary restrictions in place after surgery.


Results

Patient compliance increased to 90+%

Readmission reduction of 50-85%

Length of stay reduction of 20-30%


Features Utilized
Two-way texting EHR integration
Engaged Recovery at Penn - Gyn
Surgery

Test effectiveness of reminders and recovery tips in reducing readmissions following Gynecologic Oncology surgery.


Results

Ongoing Research & Analysis


Features Utilized
Bidirectional texting
MOVE IT
Physical Activity

Use W2H to track mobility and examine how it relates to nurse mobility assessment scores; W2H would be used to passively collect data via wearable. Partnered with Scott Halpern for testing $ in enrollment - now looking at cancer patients as well- recruiting from Cancer floors - enrollment incentives Control- mobility assessment Intervention- told mobility score and mobility assessment 1 daily feedback message Target for intervention arm participants: Participants in the intervention arm will have a weekly step goal that increases from baseline by 10% each week of the intervention (12 weeks) with a maximum of 10,000 steps


Results

Ongoing Research & Analysis


Features Utilized
Activity and Sleep Monitor Integration EPIC Discharge Date Finder Gamification
PHiT Study
Addiction

The purpose of this study is to assess the acceptability of the W2H patient portal in patients seeking AD treatment. The W2H portal will include data from the following: PH indices from the Withings health monitor and nursing assessments, responses to electronic momentary assessment (eMA) text messaging prompts, self-report and clinician-interview AD symptom ratings, and cognitive/psychophysiological assessments.


Results

Ongoing Research & Analysis


Features Utilized
Activity, Hear Rate and Sleep Monitor Integration Survey administration Bidirectional texting
Superutilizers ITMAT
Emergency Medicine

The proposed pilot program will develop a bidirectional W2H SMS medication adherence platform to tailor patient specific medication reminders and medication assistance inquiries. 50 patients with a diagnosis of depression and anxiety prescribed ≥1 medication for that disorder (i.e. the intervention group) will be enrolled. Using propensity score matching, study patients will be matched.


Results

Ongoing Research & Analysis


Features Utilized
Bidirectional texting Medication Adherence Monitoring
SupportBP
Hypertension

Leverage the W2H platform to develop and evaluate a new hypertension service-delivery model that is integrated with routine clinical care at Penn Family Care (PFC), an academic family medicine practice in West Philadelphia. Among patients with poorly controlled HTN, we will assess the effects of monitoring blood pressure and medication adherence with feedback to the patient and to the clinical practice, as needed if out of control. We will also compare the impact of providing feedback to a social support partner with what we call facilitated cheer leading.


Results

Ongoing Research & Analysis


Features Utilized
BP Monitoring Financial Incentives Support partners
Way to Walk
Physical Activity

The effects of financial incentives, donations to charity, and the combined effects of both interventions on older adults’ uptake and retention of increased levels of walking


Results

Proportion of days step goals were met was higher in intervention groups versus controls

Incentive schemes increase older adults’ initial uptake of increased levels of walking


Features Utilized
Financial Incentives Pedometer Device Configuration Targets
Read more
Statin Medication Adherence
Cardiovascular Disease Management

Impact of a pill bottle used to monitor adherence, delivery a daily alarm, and generate weekly medication adherence feedback reports on statin adherence.


Results

89% of Individual feedback group adhered to taking their statin medication

86% of partner feedback group adhered to taking their statin medication


Features Utilized
Medication adherence feedback Support partners Pill-monitoring device
Read more
Transplant Patient-Reminders
Kidney Transplant

Wireless-enabled pill bottles with adherence data to providers to improve adherence and help providers identify adherence barriers


Results

Mean adherence was 88% in the reminders + notifications arm

Mean adherence was 78% in the reminders arm

Mean adherence was 55% in the control arm


Features Utilized
Pill-Bottle Device Configuration Automated Message Reminders
Read more
Heart Safe Motherhood
Pre-eclampsia

Reduce 7-day readmissions for hypertension among postpartum women and creating a national leadership model to meet ACOG guidelines


Results

Increased guideline adherence by 80%

Reduced 7 day readmission by 80%


Features Utilized
2 way texting Blood pressure cuff Automated alerts Epic integration
Read more
PA Activity Study
Physical Activity

Test different methods of collecting patient-generated health data including self-reported Survey administration, smartphones, and a wearable activity tracking device. The overall objective of the study is to develop algorithms for the dynamic and timely prediction of health care utilization using a multimodal, integrated dataset from insurer and pharmacy claims, electronic health records, and patient-generated health data.


Results

novel method of remotely-monitoring patient behaviors after hospital discharge

nform new ways to improve the identification of patients at high-risk for hospital readmission


Features Utilized
Activity and Sleep Monitor Integration Financial Incentives Bi-Directional Text
Read more
Engaged Recovery at Penn - Ortho
Orthopedic Surgery

Test effectiveness of reminders and recovery tips in reducing readmissions following Orthopaedic surgery.


Results

Ongoing Research & Analysis


Features Utilized
Bidirectional texting
Keep it Off
Diabetes

Compare the efficacy of a lottery-based incentive, traditional direct payment incentive, and control of daily feedback without any incentive for weight-loss maintenance.


Results

12% of candidates created an account on the study website

Yielded 191 randomized participants


Features Utilized
Financial incentives Lottery
Read more
U-REAACT
Urology

Compare the efficacy of two 6-month mhealth-based interventions to promote treatment adherence among young adults post kidney transplant or spinal bifida.


Results

Ongoing Research & Analysis


Features Utilized
Multi-Media Messaging Survey administration
Superutilizers
Emergency Medicine

Test effectiveness of weekly check ins and appt reminders in reducing over utilization of healthcare services


Results

Ongoing Research & Analysis


Features Utilized
Bidirectional texting EPIC Appointment Date Finder Integration
Way to Be Active - UPHS
Physical Activity

Compare the effectiveness of different combinations of social comparison feedback and financial incentives to increase physical activity.


Results

Incentive group mean proportion achieving the 7000-step goal was 0.45

Control group mean proportion achieving the 7000-step goal was 0.27


Features Utilized
Device Integration Lottery
Read more
BCBS Weight Loss
Obesity

Test whether employer matching of employees’ monetary contributions increases employees’ participation in deposit contracts to promote weight loss and weight loss.


Results

At 24 weeks, control participants gained an average of 1 lb and 1:1 match participants lost an average of 5.3 lbs

Matching deposits did not increase participation


Features Utilized
Financial Incentives Deposit Randomization
Read more
iDiabetes Trial
Diabetes

The objective of this study is to use a randomized, controlled trial to test the effectiveness of three interventions using social incentives and gamification to promote physical activity, weight loss, and improved glycemic control among adult type 2 diabetics.


Results

Ongoing Research & Analysis


Features Utilized
Fitbit Device integration Social Incentives Gamification
Way to Be Active - IBC
Physical Activity

Compare the effectiveness of individual versus team-based financial incentives to increase physical activity.


Results

Combined incentive arm achieved goal at greater rates than the team incentive (0.35 vs. 0.17)

Combined incentive had greater mean daily steps than control (difference: 1446)


Features Utilized
Financial Incentives Device Integration
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BE SAFE
Mental Health

Participants receive a smartphone breathalyzer to provide feedback on their estimated blood alcohol level. The intervention compares loss- and gain-framed messages that make the consequences of drinking and driving more salient to standard messages not to drink and drive.


Results

Ongoing Research & Analysis


Features Utilized
Bidirectional texting Survey administration
RECOUPS
Physical Activity

Use W2H to develop a protocol to efficiently recruit and enroll pediatric and adult concussion patients from the ED, and monitor and integrate their data in real time daily. The primary outcome is the mean proportion of participant days that the 2000-step goal was achieved for each group for each day of the study.


Results

Ongoing Research & Analysis


Features Utilized
Activity and Sleep Monitor Integration Survey administration Bidirectional texting
STEPP
Oncology

Intent of the study is to increase physical activity to decrease post-operative morbidity for radical cystectomy patients


Results

Ongoing Research & Analysis


Features Utilized
Activity Tracker Integration Lottery Survey administration
SUFIA
Physical Activity

The primary goal of this pilot study will be to determine whether one incentive (loss aversion) is better than no incentive in increasing step counts and maintaining an increased level of physical activity among RA patients. The primary outcome will be percent of days meeting goal during the intervention period.


Results

Ongoing Research & Analysis


Features Utilized
Activity and Sleep Monitor Integration Participant Payments Survey administration
Merck Promote and Support
Cardiovascular Disease Management

Improve adherence through real-time feedback based on theories of how social forces influence behavior


Results

High pill-bottle adherence (90% in PROMOTE, 92% in SUPPORT)

Participants had low baseline MPRs (median = 60%, IQR 41–72%)


Features Utilized
Pill-Bottle Device Configuration Support Partner
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Way to Be Active - UPenn
Physical Activity

Test the effectiveness of 3 methods to frame financial incentives to increase physical activity among overweight and obese adults.


Results

In control, mean proportion achieving the goal was 0.30

In gain-incentive group, mean proportion achieving the goal was 0.35

In lottery-incentive group, mean proportion achieving the goal was 0.36

In loss-incentive group, mean proportion achieving the goal was 0.45


Features Utilized
Device Integration Financial Incentives
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Engaged Recovery at Penn - Colo
Surgery

Test effectiveness of reminders and recovery tips in reducing readmissions following colorectal surgery.


Results

Ongoing Research & Analysis


Features Utilized
Bidirectional texting
UPHS Weight Loss
Obesity

Premium-based financial incentives to promote workplace weight loss


Results

Control group had a mean gain of 0.1 pounds

Delayed-premium adjustment group had a mean loss of 1.2 pounds

Immediate-premium adjustment group had a mean loss of 1.4 pounds

Daily lottery incentive group had a mean loss of 1.0 pounds


Features Utilized
Lottery Financial Incentives
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Way To Heart Health
Cardiovascular Disease Management

Shared physician and patient incentives are more effective in reducing levels of low-density lipoprotein cholesterol (LDL-C) among patients with high CVD risk.


Results

Reduced LDL-C by 33%

Aligned patient and provider incentives


Features Utilized
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Way to Sleep
Obstructive Sleep Apnea

Improve adherence and functional outcomes of adults adults with Obstructive Sleep Apnea (OSA) using daily Web-based access to their positive airway pressure (PAP) with or without a financial incentive.


Results

Average daily PAP use was 4.7 ± 3.3 h in the usual care group

Average daily PAP use was 5.9 ± 2.5 h and 6.3 ± 2.5 h in the Web access groups


Features Utilized
Survey administration Financial incentives Participant dashboard
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Way to Quit
Smoking Cessation

Financial incentives to quit smoking work and even more so when own money is staked. Program rolled out across all CVS employees.


Results

Rewards quit rate - 17.1%

Personal stake quit rate - 52.3%


Features Utilized
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EMPOWER
Cardiology

Test effectiveness of automated hovering of scale and medication adherence with daily lotteries to improve outcomes for UPHS CHF patients. The goal of the proposed project is to conduct a pragmatic randomized controlled trial testing a new approach to chronic disease management combining wireless monitoring devices and behavioral economic engagement incentives to reduce rehospitalization rates among patients with Congestive Heart Failure (CHF) recently hospitalized at the University of Pennsylvania Health System (UPHS).


Results

Ongoing Research & Analysis


Features Utilized
(Adheretech) Pill Bottle Integration Qualcomm Scale Integration EPIC Alerts and Flowsheet Integration
Healthy Measures
Diabetes

Test effectiveness of two different magnitudes of financial incentives for improving adherence to remote-monitoring regimens among patients with diabetes.


Results

Low incentive arm had an adherence rate of 62%

High incentive arm had an adherence rate of 35%

Control arm had adherence rate of 27%


Features Utilized
Financial incentives Lottery
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CHOP Weight Loss
Obesity

Test Effectiveness of two financial incentive designs for promoting weight loss among obese employees


Results

Group incentive participants lost 9.7 lbs more than other participants

At 12 weeks, group arm participants maintained greater weight loss


Features Utilized
Financial Incentives Group collaboration Targets
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Process vs. Outcomes
Cardiovascular Disease Management

Test effectiveness of improving cholesterol levels among participants who are at high risk of CVD and who have elevated LDL cholesterol levels by testing process versus outcomes financial incentives. The primary outcome will be change in LDL cholesterol over 12 months. Last day of intervention is 4/14/2018. End of follow up period is 10/11/2018.


Results

Ongoing Research & Analysis


Features Utilized
Financial Incentives Bidirectional texting
Improving Diabetic Outcomes
Diabetes

Determine whether peer mentors or financial incentives are superior to usual care in helping African American Veterans improve their HbA1c levels.


Results

Peer mentorship improved glucose control

Financial incentives did not significantly decrease glucose control


Features Utilized
Financial Incentive Peer Mentor
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