ArticlePreventive medicine2016
Financial incentives to promote cardiac rehabilitation participation and adherence among Medicaid patients.
Article in Preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to promote patient utilisation of cardiac rehabilitation.The Cochrane database of systematic reviews · 2019Pooled it
- Encouraging adherence in adolescents with asthma using financial incentives: An RCT.Pediatric pulmonology · 2023Trial
- Inhibitory-control training for cocaine use disorder and contingency management for clinic attendance: A randomized pilot study of feasibility, acceptability and initial efficacy.Drug and alcohol dependence · 2020Trial
- Financial Incentives to Increase Cardiac Rehabilitation Participation Among Low-Socioeconomic Status Patients: A Randomized Clinical Trial.JACC. Heart failure · 2019Trial
- Therapeutic Adherence in Cardiovascular Diseases: Insights from the Patient and Physician-A Narrative Review.Advances in therapy · 2026Review
- Latent profile analysis of social participation among adults with cardiovascular disease based on the CHARLS.Scientific reports · 2025Article
- A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities.Circulation · 2023Review
- A Structured Review of Commercially Available Cardiac Rehabilitation mHealth Applications Using the Mobile Application Rating Scale.Journal of cardiopulmonary rehabilitation and prevention · 2022Article
- Article
- Association Between Increased Hospital Reimbursement for Cardiac Rehabilitation and Utilization of Cardiac Rehabilitation by Medicare Beneficiaries: An Interrupted Time Series.Circulation. Cardiovascular quality and outcomes · 2021Article
- Behavior-Analytic Approaches to the Management of Diabetes Mellitus: Current Status and Future Directions.Behavior analysis in practice · 2021Review
- Quality indicators for cardiac rehabilitation after myocardial infarction in China: a consensus panel and practice test.BMJ open · 2020Article
- Current challenges in cardiac rehabilitation: strategies to overcome social factors and attendance barriers.Expert review of cardiovascular therapy · 2020Review
- Increasing Use of Cardiac and Pulmonary Rehabilitation in Traditional and Community Settings: OPPORTUNITIES TO REDUCE HEALTH CARE DISPARITIES.Journal of cardiopulmonary rehabilitation and prevention · 2020Article
- Cardiac rehabilitation in older adults: New options.Clinical cardiology · 2020Review
- The effect of executive function on adherence with a cardiac secondary prevention program and its interaction with an incentive-based intervention.Preventive medicine · 2019Article
- Cardiac Rehabilitation for Secondary Prevention of Cardiovascular Disease: 2019 Update.Current treatment options in cardiovascular medicine · 2019Review
- Voucher-Based Contingency Management is Efficacious but Underutilized in Treating Addictions.Perspectives on behavior science · 2019Article
- Geographic Variations in Cardiac Rehabilitation Use: Regional Variations in Medical Care or in Patient Behaviors?Circulation · 2018Article
- Small Incentives Improve Weight Loss in Women From Disadvantaged Backgrounds.American journal of preventive medicine · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeCardiac rehabilitation (CR) improves medical outcomes after myocardial infarction or coronary revascularization. Lower socioeconomic status (SES) patients are less likely to participate in and complete CR. The aim of this study was to test whether financial incentives may increase participation and adherence to CR among lower-SES patients.
methodsPatients eligible to participate in CR with Medicaid insurance coverage were approached for inclusion. Patients were placed on an escalating incentive schedule of financial incentives contingent upon CR attendance. CR participation was compared to a usual care group of 101 Medicaid patients eligible for CR in the 18months prior to the study. Attendance (participating in ≥one CR sessions) and adherence (sessions completed out of 36) were compared between groups. The study was conducted in Vermont, USA, 2013-2015.
resultsOf 13 patients approached to be in the study and receive incentives, 10 (77%) agreed to participate. All 10 patients completed at least one session of CR, significantly greater than the 25/101 (25%) in the control condition (p<0.001). Of patients in both groups who attended at least one session of CR, adherence was higher in the intervention group (average of 31.1 sessions completed vs. 13.6 in the control group, p<0.001). CR completion rates were also higher during the intervention with 8 of 10 (80%) intervention patients completing all 36 sessions compared to only 2 of 25 (8%) control patients (p<0.001).
conclusionsFinancial incentives may be an efficacious strategy for increasing CR participation and adherence among Medicaid patients.
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