Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.

<h4>Background</h4>Healthy behaviours are important determinants of health and disease, but many people find it difficult to perform these behaviours. Systematic reviews support the use of personal financial incentives to encourage healthy behaviours. There is concern that financial ince...

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Main Authors: Emma L Giles, Frauke Becker, Laura Ternent, Falko F Sniehotta, Elaine McColl, Jean Adams
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0157403&type=printable
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author Emma L Giles
Frauke Becker
Laura Ternent
Falko F Sniehotta
Elaine McColl
Jean Adams
author_facet Emma L Giles
Frauke Becker
Laura Ternent
Falko F Sniehotta
Elaine McColl
Jean Adams
author_sort Emma L Giles
collection DOAJ
description <h4>Background</h4>Healthy behaviours are important determinants of health and disease, but many people find it difficult to perform these behaviours. Systematic reviews support the use of personal financial incentives to encourage healthy behaviours. There is concern that financial incentives may be unacceptable to the public, those delivering services and policymakers, but this has been poorly studied. Without widespread acceptability, financial incentives are unlikely to be widely implemented. We sought to answer two questions: what are the relative preferences of UK adults for attributes of financial incentives for healthy behaviours? Do preferences vary according to the respondents' socio-demographic characteristics?<h4>Methods</h4>We conducted an online discrete choice experiment. Participants were adult members of a market research panel living in the UK selected using quota sampling. Preferences were examined for financial incentives for: smoking cessation, regular physical activity, attendance for vaccination, and attendance for screening. Attributes of interest (and their levels) were: type of incentive (none, cash, shopping vouchers or lottery tickets); value of incentive (a continuous variable); schedule of incentive (same value each week, or value increases as behaviour change is sustained); other information provided (none, written information, face-to-face discussion, or both); and recipients (all eligible individuals, people living in low-income households, or pregnant women).<h4>Results</h4>Cash or shopping voucher incentives were preferred as much as, or more than, no incentive in all cases. Lower value incentives and those offered to all eligible individuals were preferred. Preferences for additional information provided alongside incentives varied between behaviours. Younger participants and men were more likely to prefer incentives. There were no clear differences in preference according to educational attainment.<h4>Conclusions</h4>Cash or shopping voucher-type financial incentives for healthy behaviours are not necessarily less acceptable than no incentives to UK adults.
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spelling doaj-art-ade9e71a3de24667bb4813332a68f3562025-08-20T02:31:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01116e015740310.1371/journal.pone.0157403Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.Emma L GilesFrauke BeckerLaura TernentFalko F SniehottaElaine McCollJean Adams<h4>Background</h4>Healthy behaviours are important determinants of health and disease, but many people find it difficult to perform these behaviours. Systematic reviews support the use of personal financial incentives to encourage healthy behaviours. There is concern that financial incentives may be unacceptable to the public, those delivering services and policymakers, but this has been poorly studied. Without widespread acceptability, financial incentives are unlikely to be widely implemented. We sought to answer two questions: what are the relative preferences of UK adults for attributes of financial incentives for healthy behaviours? Do preferences vary according to the respondents' socio-demographic characteristics?<h4>Methods</h4>We conducted an online discrete choice experiment. Participants were adult members of a market research panel living in the UK selected using quota sampling. Preferences were examined for financial incentives for: smoking cessation, regular physical activity, attendance for vaccination, and attendance for screening. Attributes of interest (and their levels) were: type of incentive (none, cash, shopping vouchers or lottery tickets); value of incentive (a continuous variable); schedule of incentive (same value each week, or value increases as behaviour change is sustained); other information provided (none, written information, face-to-face discussion, or both); and recipients (all eligible individuals, people living in low-income households, or pregnant women).<h4>Results</h4>Cash or shopping voucher incentives were preferred as much as, or more than, no incentive in all cases. Lower value incentives and those offered to all eligible individuals were preferred. Preferences for additional information provided alongside incentives varied between behaviours. Younger participants and men were more likely to prefer incentives. There were no clear differences in preference according to educational attainment.<h4>Conclusions</h4>Cash or shopping voucher-type financial incentives for healthy behaviours are not necessarily less acceptable than no incentives to UK adults.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0157403&type=printable
spellingShingle Emma L Giles
Frauke Becker
Laura Ternent
Falko F Sniehotta
Elaine McColl
Jean Adams
Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.
PLoS ONE
title Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.
title_full Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.
title_fullStr Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.
title_full_unstemmed Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.
title_short Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.
title_sort acceptability of financial incentives for health behaviours a discrete choice experiment
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0157403&type=printable
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