ArticleBMC public health2014
Effects of financial incentives on motivating physical activity among older adults: results from a discrete choice experiment.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using discrete choice experiments to develop and deliver patient-centered psychological interventions: a systematic review.Health psychology review · 2021Pooled it
- Effects of social network incentives and financial incentives on physical activity and social capital among older women: a randomized controlled trial.BMC public health · 2021Trial
- Individual preferences for the design of a health coaching-based lifestyle promotion program among middle-aged adults in Hong Kong: a discrete choice experiment.Health and quality of life outcomes · 2026Article
- Motivating Factors for Continuous Participation in a Municipality-Initiated Incentive-Based Health Promotion Program: A Qualitative Study.Journal of general and family medicine · 2026Article
- Chinese university students' preferences for physical activity incentive programs: a discrete choice experiment.Frontiers in public health · 2023Article
- Design of Financial Incentive Programs for Smoking Cessation: A Discrete Choice Experiment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Patient preferences for medication adherence financial incentive structures: A discrete choice experiment.Research in social & administrative pharmacy : RSAP · 2021Article
- Barriers to preventive care utilization among Hong Kong community-dwelling older people and their views on using financial incentives to improve preventive care utilization.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Perceived appropriateness of medication adherence incentives.Journal of managed care & specialty pharmacy · 2021Article
- Effects of Intervention Characteristics on Willingness to Initiate a Weight Gain Prevention Program.American journal of health promotion : AJHP · 2020Article
- Rationale, design, and baseline characteristics of WalkIT Arizona: A factorial randomized trial testing adaptive goals and financial reinforcement to increase walking across higher and lower walkable neighborhoods.Contemporary clinical trials · 2019Article
- Assessment of Parents' Preferences for Incentives to Promote Engagement in Family-Based Childhood Obesity Treatment.JAMA network open · 2019Article
- Acceptability of financial incentives for maintenance of weight loss in mid-older adults: a mixed methods study.BMC public health · 2018Article
- Women's preferences for alternative financial incentive schemes for breastfeeding: A discrete choice experiment.PloS one · 2018Article
- Article
- Stated Uptake of Physical Activity Rewards Programmes Among Active and Insufficiently Active Full-Time Employees.Applied health economics and health policy · 2017Article
- Valuing Individuals' Preferences and Health Choices of Physical Exercise.Pain and therapy · 2017Article
- Parents' views on their children's use of eye drops and willingness to accept a new sustained-release subconjunctival injection.Clinical ophthalmology (Auckland, N.Z.) · 2017Article
- Article
- Acceptability of Financial Incentives for Health Behaviours: A Discrete Choice Experiment.PloS one · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is extensive evidence that regular physical activity confers numerous health benefits. Despite this, high rates of physical inactivity prevail among older adults. This study aimed to ascertain if incentives could be effective in motivating physical activity through improving uptake of walking programs, either with or without an enrolment fee to cover corresponding costs.
methodsA discrete-choice conjoint survey was fielded to a national sample of older adults in Singapore. Each respondent was given ten pairs of hypothetical walking programs and asked to choose the option they preferred. Each option varied along several dimensions, including the level and type (cash, voucher, or health savings credit) of incentive and an enrolment fee. For each option, they were asked how likely they would be to join their preferred program. A random utility model (RUM) was used to analyze the responses.
resultsResults suggest that a free 6-month program with a $500 cash incentive would generate enrolment rates of 58.5%; charging $50 to enroll lowers this to 55.7%. In terms of incentive type, cash payments were the most preferred incentive but not significantly different from supermarket vouchers. Both were preferred to health savings credits and sporting goods vouchers. Concerns of adverse selection were minimal because those who were inactive represented at least 72% of new participants for any offered program(s) and were the majority.
conclusionsStudy results demonstrate the potential for even modest incentives to increase program uptake among inactive older adults. Moreover, although cash was the most preferred option, supermarket vouchers, which could potentially be purchased at a discount, were a close alternative. Results also suggest that an enrolment fee is a viable option to offset the costs of incentives as it has only minimal impact on participation.
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