Effect of a Prize-Linked Savings Intervention on Savings and Healthy Behaviors Among Men in Kenya

Abstract

Key PointsQuestionDo prize-linked savings accounts lead to increased savings and reduced spending on alcohol, gambling, and transactional sex among men in Kenya?FindingsIn this randomized clinical trial of 300 men, 37.3% who received a prize-linked savings intervention saved money in a bank account compared with 27.2% in the control group, although the difference was not significant. There were no significant differences in expenditures on alcohol, gambling, and transactional sex.MeaningPrize-linked savings interventions can increase savings among men but did not significantly differ from standard-interest savings accounts; more evidence is needed on their potential for reducing spending on risk behaviors.

Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa

“…These interventions enrolled women who were pregnant, men, adolescents, individuals at increased risk for or living with HIV, employees at a safety and security company, members of a market traders association, parents or caretakers of adolescents, individuals receiving treatment for pulmonary TB, and adults from prioritized communities. Intervention types included home visits [ 90 ], brief and motivational interventions [ 91 , 92 , 93 ], six 75 min intervention group sessions [ 94 ], a school-based intervention [ 95 ], four 3-h intervention sessions [ 96 ], financial incentives [ 97 ], a parenting skills intervention [ 98 ], a lifestyle behavioral intervention [ 99 ], a clinic-based intervention [ 100 ], a training workplace-based intervention [ 101 ], and a community-based structural–behavioral intervention [ 102 ]. Study samples ranged from 185 to 11,448 participants.…”

A Systematic Review of Substance Use and Substance Use Disorder Research in Kenya

“…Overall, study ndings indicated feasibility and bene t for the programs and interventions evaluated except for one study which showed no effect for a contingency management type intervention (104). Several research gaps were identi ed within this category.…”

“…The number of sessions ranged from one(103,107) to six (100-102,106). Most of the individual level interventions targeted harmful alcohol use (n=9)(99)(100)(101)(102)104,106,107,109,110). One study targeted khat use among men(103), while another the use of multiple substances(105).…”

“…One study targeted khat use among men(103), while another the use of multiple substances(105). All interventions had a positive impact on substance use except the study that used the contingency management approach(104). The interventions were delivered in various settings as follows: community settings (n=6)(99,(102)(103)(104)109,110) of which one was delivered in a HIV prevention drop in center (102), HIV treatment or testing out-patient clinics (n=3)(101,106,107), alcohol and drug abuse rehabilitation facility (n=1) (100), and within a college (n=1) (105).…”

Monetary incentives for improving smartphone-measured oral hygiene behaviors in young children: A randomized pilot trial

“…To our knowledge combined lottery programs have neither been tested for promoting oral health management in adults or children nor for other health behaviors (e.g., diet) where parents supervise or administer the behavior of young children. Moreover, only a handful of studies-all in low-income countries-have tested lotteries for health promotion among a low-income population [25][26][27].…”