Evidence map›Paper›PMID 27274847›Full record

ArticleBMC sports science, medicine & rehabilitation2016

A systematic review of financial incentives given in the healthcare setting; do they effectively improve physical activity levels?

Claudia C M Molema, G C Wanda Wendel-Vos, Lisanne Puijk, Jørgen Dejgaard Jensen, A Jantine Schuit, G Ardine de Wit

Abstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Claudia C M MolemaDepartment of Tranzo, Scientific Center for Care and Welfare, Tilburg University, PO Box 90153, 5000LE Tilburg, The Netherlands ; National Institute for Public Health and the Environment, Centre for Nutrition and Health Services, Bilthoven, The Netherlands.
G C Wanda Wendel-VosNational Institute for Public Health and the Environment, Centre for Nutrition and Health Services, Bilthoven, The Netherlands.
Lisanne PuijkNational Institute for Public Health and the Environment, Centre for Nutrition and Health Services, Bilthoven, The Netherlands.
Jørgen Dejgaard JensenDepartment of Health Science, VU University, Amsterdam, The Netherlands.
A Jantine SchuitNational Institute for Public Health and the Environment, Centre for Nutrition and Health Services, Bilthoven, The Netherlands ; Institute of Resource Economics and Food Policy, University of Copenhagen, Copenhagen, Denmark.
G Ardine de WitNational Institute for Public Health and the Environment, Centre for Nutrition and Health Services, Bilthoven, The Netherlands ; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccording to current physical activity guidelines, a substantial percentage of the population in high-income countries is inactive, and inactivity is an important risk factor for chronic conditions and mortality. Financial incentives may encourage people to become more active. The objective of this review was to provide insight in the effectiveness of financial incentives used for promoting physical activity in the healthcare setting.

methodsA systematic literature search was performed in three databases: Medline, EMBASE and SciSearch. In total, 1395 papers published up until April 2015 were identified. Eleven of them were screened on in- and exclusion criteria based on the full-text publication.

resultsThree studies were included in the review. Two studies combined a financial incentive with nutrition classes or motivational interviewing. One of these provided a free membership to a sports facility and the other one provided vouchers for one episode of aerobic activities at a local leisure center or swimming pool. The third study provided a schedule for exercise sessions. None of the studies addressed the preferences of their target population with regard to financial incentives. Despite some short-term effects, neither of the studies showed significant long-term effects of the financial incentive.

conclusionsBased on the limited number of studies and the diversity in findings, no solid conclusion can be drawn regarding the effectiveness of financial incentives on physical activity in the healthcare setting. Therefore, there is a need for more research on the effectiveness of financial incentives in changing physical activity behavior in this setting. There is possibly something to be gained by studying the preferred type and size of the financial incentive.

Indexed as

Financial incentiveHealthcare settingPhysical activitySystematic review

Identifiers

PMID27274847
PMCPMC4893256

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.