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During September-December 2018 we conducted a randomised controlled trial
(RCT) with 705 Worcestershire County Council (WCC) domiciliary care users to reduce the number of unpaid service invoices and increase the number of people who sign-up to direct debit. We tested two behaviourally optimised conditions against the control across the Invoice, Reminder 1 and Reminder 2 phases. Relative to the control, our test letters significantly increased: direct debit sign ups by 61% (P<.10), people paying their invoice via the WCC website and automated telephone line by 33% (P<.10), and people calling the helpline by 36% (P<.20).
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