Using financial incentives to achieve healthy behaviour

Marteau, Theresa; Ashcroft, Richard; Oliver, Adam

doi:10.1136/bmj.b1415

Cited by 227 publications

(228 citation statements)

References 23 publications

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“…The use of incentives may therefore be a particularly good approach to employ when recruiting “hard-to-reach” groups, and is an approach which should be factored into the budgeting of a study from the outset. However, the ethical implications of using such an approach must be considered, as incentives can be viewed as a form of bribery or coercion (Marteau, Ashcroft, & Oliver, 2009). …”

Section: Discussionmentioning

confidence: 99%

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

Rockliffe

Chorley

Marlow

et al. 2018

International Journal of Qualitative Studies on Health and Well

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In this article, we discuss the challenges faced in recruiting “hard-to-reach” groups for interview studies, specifically those who do not access preventative healthcare services. We do this by reflecting on the varying success of different recruitment methods we have used in two recent studies; one investigating ethnic disparities in human papillomavirus vaccination uptake and another exploring difference in cervical screening non-participation. Engaging new community groups to help with recruitment proved particularly difficult, as did recruiting online. Our most successful recruitment methods included recruiting through community groups with whom we had previously established relationships, recruiting through schools and re-contacting participants who previously completed a related survey. We conclude that successful recruitment is dependent on study awareness and engagement. We urge others to be transparent in reporting recruitment methods in order to benefit the qualitative research community and suggest that details are published as supplementary material alongside qualitative articles in future.

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Section: Discussionmentioning

confidence: 99%

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

Rockliffe

Chorley

Marlow

et al. 2018

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

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“…Policymakers in Great Britain and the US, for instance, wary of intruding too coercively into the citizenry's weight, eating habits, and exercise patterns, have begun to contemplate and experiment with "libertarian paternalist" strategies of health promotion such as personal fi nancial incentives, that is, payments to individuals who lose weight and take up exercise. 34,35 But perhaps policy must go beyond "mere" incentives to subsidies: calculating the costs of government recommendations that Americans greatly increase their consumption of green leafy and deep-yellow vegetables, J. Oliver concludes that, barring a huge decrease in their price, "We would need to pay people to eat them." 18 …”

Section: Preemption and Prescriptionmentioning

confidence: 99%

The Political Face of Public Health

Brown

2010

Public Health Rev

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Public health is politically paradoxical because its core conceptual componentsthe exercise of public authority and the promotion of population health -stand in practical tension that belies their theoretical promise. Across Western nations, public policymakers stand accused of failing properly to honor and support the crucial contributions that public health makes to the improvement of health outcomes and of overinvesting in acute medical care services, the need for which timely interventions in prevention and health promotion might have averted. The dramatic budgetary discrepancies in Western nations between the massive funds devoted to medical care and the minuscule sums allotted to public health are often taken as evidence that in such matters, political leaders are irrational (or perhaps uninformed, or captured by big-moneyed medical interests) and that good public policy would have epidemiologists and other public health experts running, or at least orchestrating, the show. This paper explores the sources of this tension between population health and political power within the concept of public health and seeks to show why these strains prove to be so durable, indeed irresolvable. The argument and evidence draw largely on the United States, but the supposition -anyway, the hope -is that the analysis will also throw light on the politics of public health in other nations.

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“…Taking this into consideration, we concur with Lynagh et al's contention that "incentive schemes targeting more 'complex' behaviours should be used in combination with other supportive strategies such as patient education, skills training and social support" (p. 117). This recommendation has also been made by others [e.g., 27,28]; incentive schemes cannot operate in isolation of individual, social and environmental factors that determine human behaviour.…”

Section: Resultsmentioning

confidence: 99%

The Goose Is (Half) Cooked: a Consideration of the Mechanisms and Interpersonal Context Is Needed to Elucidate the Effects of Personal Financial Incentives on Health Behaviour

et al. 2013

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While we agree that personal financial incentives (PFIs) may have some utility in public health interventions to motivate people in the uptake and persistence of health behaviour, we disagree with some of the sentiments outlined by Lynagh and colleagues [Lynagh, M. C., Sanson-Fisher, R. W., & Bonevski, B. (2013). What's good for the goose is good for the gander. Guiding principles for the use of financial incentives in health-behaviour change. Medicine,20,[114][115][116][117][118][119][120]. Specifically, we feel that the article gives a much stronger impression that PFIs will likely lead to long-term behaviour change once the incentive has been removed than is warranted by current research. This claim has not received strong empirical support nor is it grounded in psychological theory on the role of incentives and motivation. We also feel that the presentation of some of the tenets of self-determination theory by the authors is misleading. Based on self-determination theory, we propose that PFIs, without sufficient consideration of the mechanisms by which external incentives affect motivation and the interpersonal context in which they are presented, are unlikely to lead to persistence in health behaviour once the incentive is removed. We argue that interventions that adopt PFIs as a strategy to promote health-behaviour change, should incorporate strategies in the interpersonal context to minimize the undermining effect of the incentives on intrinsic motivation. Interventions should present incentives as informational regarding individuals' competence rather than as purely contingent on behavioural engagement and emphasise self-determined reasons for pursuing the behaviour. International Journal of Behavioural

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Using financial incentives to achieve healthy behaviour

Abstract: Paying people to change their behaviour can work, at least in the short term. However, as Theresa Marteau, Richard Ashcroft, and Adam Oliver explain, there are many unanswered questions about this approach

Cited by 227 publications

References 23 publications

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

The Political Face of Public Health

The Goose Is (Half) Cooked: a Consideration of the Mechanisms and Interpersonal Context Is Needed to Elucidate the Effects of Personal Financial Incentives on Health Behaviour

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