Evidence map›Paper›PMID 30084892›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2018

Commitment Lotteries Promote Physical Activity Among Overweight Adults-A Cluster Randomized Trial.

Koen van der Swaluw, Mattijs S Lambooij, Jolanda J P Mathijssen, Maarten Schipper, Marcel Zeelenberg, Stef Berkhout, Johan J Polder, Henriëtte M Prast

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Trial
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  6. Promoting healthy behaviour with financial incentives: three challenges and solutions for large scale implementation.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Review
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  13. Behavior Change.Organizational behavior and human decision processes · 2020
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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

8 authors.

Koen van der SwaluwTilburg University, Tranzo Scientific Center for Care and Welfare, Tilburg School of Social and Behavioral Sciences, LE Tilburg, The Netherlands.
Mattijs S LambooijNational Institute of Public Health and the Environment (RIVM), Department of Quality of Care and Health Economics, Center for Nutrition, Prevention and Health Services, BA Bilthoven, The Netherlands.
Jolanda J P MathijssenTilburg University, Tranzo Scientific Center for Care and Welfare, Tilburg School of Social and Behavioral Sciences, LE Tilburg, The Netherlands.
Maarten SchipperNational Institute of Public Health and the Environment (RIVM), Department of Statistics, Informatics and Modelling, Center for Nutrition, Prevention and Health Services, BA Bilthoven, The Netherlands.
Marcel ZeelenbergTilburg University, Department of Social Psychology, Tilburg School of Social and Behavioral Sciences, LE Tilburg, The Netherlands.
Stef BerkhoutHigh Five Health Promotion, Department of Quality Management, Schinkeldijkje, CE Aalsmeer, The Netherlands.
Johan J PolderTilburg University, Tranzo Scientific Center for Care and Welfare, Tilburg School of Social and Behavioral Sciences, LE Tilburg, The Netherlands.
Henriëtte M PrastTilburg University, Department of Finance, Tilburg School of Economics and Management, LE Tilburg, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The World Health Organization has identified physical inactivity as the fourth leading risk factor for global mortality. People often intend to engage in physical activity on a regular basis, but have trouble doing so. To realize their health goals, people can voluntarily accept deadlines with consequences that restrict undesired future behaviors (i.e., commitment devices). Purpose: We examined if lottery-based deadlines that leverage regret aversion would help overweight individuals in attaining their goal of attending their gym twice per week. At each deadline a lottery winner was drawn from all participants. The winners were only eligible for their prize if they attained their gym-attendance goals. Importantly, nonattending lottery winners were informed about their forgone prize. The promise of this counterfactual feedback was designed to evoke anticipated regret and emphasize the deadlines. Methods: Six corporate gyms with a total of 163 overweight participants were randomized to one of three arms. We compared (i) weekly short-term lotteries for 13 weeks; (ii) the same short-term lotteries in combination with an additional long-term lottery after 26 weeks; and (iii) a control arm without lotteries. Results: After 13 weeks, participants in the lottery arms attained their attendance goals more often than participants in the control arm. After 26 weeks, we observe a decline in goal attainment in the short-term lottery arm and the highest goal attainment in the long-term lottery arm. Conclusions: With novel applications, the current research adds to a growing body of research that demonstrates the effectiveness of commitment devices in closing the gap between health goals and behavior. Clinical Trial information: This trial is registered in the Dutch Trial Register. Identifier: NTR5559.

Indexed as

ExerciseHealth BehaviorMotivationOutcome and Process Assessment, Health CareAdultEconomics, BehavioralFemaleGoalsHealth PromotionHumansMaleMiddle AgedOverweight

Identifiers

PMID30084892
PMCPMC6361262

What OpenQuestion holds

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Registered trials

None linked

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.