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Evaluation & the Health Professions
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The Cost-Effectiveness of Randomized Incentive and Follow-Up Contacts in a National Mail Survey of Family Physicians

Patricia D. Mullen

Irene Easling

Sam A. Nixon

Donald R. Koester

Center for Health Promotion Research and Development, University of Texas Health Science Center at Houston

Andrea K. Biddle

Rand Corporation

As part of a national mail survey of family physicians, we tested the individual and combined effects on initial response rates of a small nonmonetary incentive and an invitation to withdraw from the survey (2 X 2 fully crossedfactorial design). The effectiveness and efficiency of threefollowup contacts based on Dillman's Total Design Method were also examined in a timeseries design. Neither the incentive, a sticker, or the withdrawal provision alone nor the two treatments in combination with one another affected initial or final response significantly. The withdrawalprovision appeared to save a small amount in follow-up costs, although it was also associated with a decrease in the rates offinal response that approached signif icance. The threefollow-up mailings (postcard reminder, second questionnaire, and third questionnaire sent by certified mail) increased the initial response of 40.6% by 6.0, 11.3, and 15.0 percentage points respectively. Nonlabor costs associated with the postcard were $2.01 per returned questionnaire; for the secondfollow-up they were $7.34; and for the certified mailing, $6.25.

Evaluation & the Health Professions, Vol. 10, No. 2, 232-245 (1987)
DOI: 10.1177/016327878701000207


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This article has been cited by other articles:


Home page
Eval Health ProfHome page
M. L. del Valle, H. Morgenstern, T. L. Rogstad, C. Albright, and B. G. Vickrey
A Randomized Trial of the Impact of Certified Mail on Response Rate to a Physician Survey, and a Cost-Effectiveness Analysis
Eval Health Prof, December 1, 1997; 20(4): 389 - 406.
[Abstract] [PDF]


Home page
Eval Health ProfHome page
M. L. Berk, W. S. Edwards, and N. L. Gay
The Use of a Prepaid Incentive to Convert Nonresponders on a Survey of Physicians
Eval Health Prof, June 1, 1993; 16(2): 239 - 245.
[PDF]