Publications by authors named "G L Floyd"
Stakeholder advisory boards are recognized as an essential and useful part of patient-centered research. However, such engagement can involve exchanges of diverse individual experiences, multiple opinions, and strong feelings in the face of researchers' limitations, deadlines, and agendas. Yet, little work examines how these potential tensions occur and are resolved in actual advisory board meetings.
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- In the last decade, research has increasingly focused on using financial incentives to encourage healthy behaviors, especially in adults, but the implications for children remain less explored.
- Five key considerations for applying these incentives in children are outlined, including their impact on intrinsic motivation, ethical concerns, child development stages, effects on health disparities, and funding for effective programs.
- Current studies indicate that, while the research on financial incentives for children is limited, immediate small incentives may be more effective than larger delayed ones, and there is no clear advantage to loss-framed incentives over gain-framed ones.
Objectives: A relatively small proportion of children with asthma account for an outsized proportion of health care use. Our goal was to use quality improvement methodology to reduce repeat emergency department (ED) and inpatient care for patients with frequent asthma-related hospitalization.
Methods: Children ages 2 to 17 with ≥3 asthma-related hospitalizations in the previous year who received primary care at 3 in-network clinics were eligible to receive a bundle of 4 services including (1) a high-risk asthma screener and tailored education, (2) referral to a clinic-based asthma community health worker program, (3) facilitated discharge medication filling, and (4) expedited follow-up with an allergy or pulmonology specialist.
Background: Poor adherence to inhaled corticosteroid medications for children with high-risk asthma is both well documented and poorly understood. It has a disproportionate prevalence and impact on children of minority demographics in urban settings. Financial incentives have been shown to be a compelling method to engage those in a high-risk asthma population, but whether adherence can be maintained by offering financial incentives and how these incentives can be used to sustain high adherence are unknown.
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