Participation Rates With Opt-out Enrollment in a Remote Monitoring Intervention for Patients With Myocardial Infarction

Many research studies are limited by low participation rates, threatening the generalizability of findings because participants likely differ greatly from non-participants.1 Low participation rates could be a function of the opt-in approach to enrollment in which the default is to not participate. Behavioral economics research has shown that an opt-out approach can increase participation in retirement savings and organ donation while maintaining informed choice.2,3 We evaluated whether an opt-out approach will increase participation in a remote monitoring intervention among heart attack patients.