In a randomized clinical trial of about 5,000 emergency patients, researchers found that the proportion of patients who were willing to undergo a rapid HIV test rose from 66 percent to 38 percent when the test was introduced as a medical service, they had to deliberately refuse, not one that they had to actively ask for.
Similarly, coronavirus screening programs are more likely to be involved if they refuse than they refuse. “The more you ask people to put their own cognitive-behavioral effort into it, the less likely they are to do so,” said Derek Reed, who heads the University of Kansas Laboratory of Applied Behavioral Economics.
Of course, the actual testing process needs to be fast և convenient, experts say, with strategically placed testing sites ված simplified procedures that allow people to easily incorporate testing into their daily routine.
Ask people to plan
Experts also suggested that people ask logistics to think about when and how they plan to test. Studies show that people who have a clear plan for how they want to accomplish something, whether it be a vote in the upcoming election or a flu vaccine, are more likely to fall behind.
According to Dr. Reed, one of the opportunities would be to send people reminders of their test appointments, asking them to answer, say, 1 if they were going to walk before the meeting, 2 if they were going to drive, or 3. if they intend to board the bus. “And then, depending on the answer, you just automatically redirect to Google Map directions or link to university or community bus maps or schedules,” he said.
Such noodles are likely to be more effective for people who are already motivated to undergo an examination but may have problems getting back. “Often you just have to be more discriminating with the help you render toward other people,” said Sebastian Linnemayr, a behavioral economist at RAN Corporation, California.
Provide (correct) incentives
Healthcare professionals can also reward people who participate in testing programs. “There probably needs to be a stimulus at the patient level,” said Dr. May. “We have seen the same thing in cancer screening. “We have seen health insurers provide incentives for patients to lead a healthy lifestyle and participate in screening activities.”