TY - JOUR
T1 - Design of financial incentive interventions to improve lifestyle behaviors and health outcomes
T2 - A systematic review
AU - Miranda, J. Jaime
AU - Aldridge, Robert W.
AU - Pesantes, M. Amalia
AU - Lazo-Porras, María
AU - Portocarrero, Jill
AU - Diez-Canseco, Francisco
AU - Carrillo-Larco, Rodrigo M.
AU - Bernabe-Ortiz, Antonio
AU - Trujillo, Antonio J.
N1 - Funding Information:
We are thankful to Sebastián Arámbulo Castillo, Janina Bazalar Palacios, Pablo Cazzulino, Dercy Centeno, Jhacksson Córdova Agurto, Darwin Del Castillo-Fernández, Oscar Flores, Luis Helguero Santín, Hongsheng Lu, Marianne Luyo Avalo, Luis Mari Huarache, Raisa Nadine Martínez Rivera, Daniel Mendoza-Quispe, Juan Diego Mendoza Saldaña, Percy Fernando Nateros Baldeon, Andrea Oriette Ruiz Alejos, Niels Pacheco Barrios, Julia Pauschardt, Diana Fiorela Sanchez Velazco, Fiorela Solano Zapata, Janeth Tenorio, Bing Xuan Ho, Elizabeth Zavaleta Lopez, and Ludwing Zeta Solís for their support during the search and review process.
Publisher Copyright:
© 2021 Miranda JJ et al.
PY - 2021
Y1 - 2021
N2 - Background: Financial incentives may improve the initiation and engagement of behaviour change that reduce the negative outcomes associated with non-communicable diseases. There is still a paucity in guidelines or recommendations that help define key aspects of incentive-oriented interventions, including the type of incentive (e.g. cash rewards, vouchers), the frequency and magnitude of the incentive, and its mode of delivery. We aimed to systematically review the literature on financial incentives that promote healthy lifestyle behaviours or improve health profiles, and focused on the methodological approach to define the incentive intervention and its delivery. The protocol was registered at PROSPERO on 26 July 2018 ( CRD42018102556). Methods: We sought studies in which a financial incentive was delivered to improve a health-related lifestyle behaviour (e.g., physical activity) or a health profile (e.g., HbA1c in people with diabetes). The search (which took place on March 3 rd 2018) was conducted using OVID (MEDLINE and Embase), CINAHL and Scopus. Results: The search yielded 7,575 results and 37 were included for synthesis. Of the total, 83.8% (31/37) of the studies were conducted in the US, and 40.5% (15/37) were randomised controlled trials. Only one study reported the background and rationale followed to develop the incentive and conducted a focus group to understand what sort of incentives would be acceptable for their study population. There was a degree of consistency across the studies in terms of the direction, form, certainty, and recipient of the financial incentives used, but the magnitude and immediacy of the incentives were heterogeneous. Conclusions: The available literature on financial incentives to improve health-related lifestyles rarely reports on the rationale or background that defines the incentive approach, the magnitude of the incentive and other relevant details of the intervention, and the reporting of this information is essential to foster its use as potential effective interventions.
AB - Background: Financial incentives may improve the initiation and engagement of behaviour change that reduce the negative outcomes associated with non-communicable diseases. There is still a paucity in guidelines or recommendations that help define key aspects of incentive-oriented interventions, including the type of incentive (e.g. cash rewards, vouchers), the frequency and magnitude of the incentive, and its mode of delivery. We aimed to systematically review the literature on financial incentives that promote healthy lifestyle behaviours or improve health profiles, and focused on the methodological approach to define the incentive intervention and its delivery. The protocol was registered at PROSPERO on 26 July 2018 ( CRD42018102556). Methods: We sought studies in which a financial incentive was delivered to improve a health-related lifestyle behaviour (e.g., physical activity) or a health profile (e.g., HbA1c in people with diabetes). The search (which took place on March 3 rd 2018) was conducted using OVID (MEDLINE and Embase), CINAHL and Scopus. Results: The search yielded 7,575 results and 37 were included for synthesis. Of the total, 83.8% (31/37) of the studies were conducted in the US, and 40.5% (15/37) were randomised controlled trials. Only one study reported the background and rationale followed to develop the incentive and conducted a focus group to understand what sort of incentives would be acceptable for their study population. There was a degree of consistency across the studies in terms of the direction, form, certainty, and recipient of the financial incentives used, but the magnitude and immediacy of the incentives were heterogeneous. Conclusions: The available literature on financial incentives to improve health-related lifestyles rarely reports on the rationale or background that defines the incentive approach, the magnitude of the incentive and other relevant details of the intervention, and the reporting of this information is essential to foster its use as potential effective interventions.
KW - Behavioral economics
KW - Evidence synthesis
KW - Incentives
KW - Interventions
KW - Non-communicable diseases
KW - Quality
KW - Systematic review
KW - Trials
UR - http://www.scopus.com/inward/record.url?scp=85115104030&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85115104030&partnerID=8YFLogxK
U2 - 10.12688/wellcomeopenres.16947.2
DO - 10.12688/wellcomeopenres.16947.2
M3 - Article
C2 - 34595355
AN - SCOPUS:85115104030
SN - 2398-502X
VL - 6
JO - Wellcome Open Research
JF - Wellcome Open Research
M1 - 163
ER -