Evidence map›Paper›PMID 31106034›Full record

ArticleHealth psychology and behavioral medicine2017

Secondary data analysis from a randomized trial examining the effects of small financial incentives on intrinsic and extrinsic motivation for weight loss.

Tricia M Leahey, Jessica Gokee LaRose, Autumn Lanoye, Joseph L Fava, Rena R Wing

Abstract read
In one paragraph

Article in Health psychology and behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. 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

5 authors.

Tricia M LeaheyUniversity of Connecticut, 358 Mansfield Road, Unit 1101, Storrs, CT 06269-1101, USA; tricia.leahey@uconn.edu;
Jessica Gokee LaRoseVirginia Commonwealth University School of Medicine, 830 E. Main Street, PO Box 980430, Richmond, VA, 23298, USA; jessica.larose@vcuhealth.org;
Autumn LanoyeVirginia Commonwealth University School of Medicine, 830 E. Main Street, PO Box 980430, Richmond, VA, 23298, USA; lanoyeam@vcu.edu;
Joseph L FavaThe Miriam Hospital's Weight Control and Diabetes Research Center, 196 Richmond Street, Providence, RI, 02903, USA; jfava@lifespan.org;
Rena R WingThe Miriam Hospital's Weight Control and Diabetes Research Center, 196 Richmond Street, Providence, RI, 02903, USA; rwing@lifespan.org;

Funding

A State-Wide Initiative to Spread Effective Behavioral Weight Loss StrategiesR18DK083248 · NIDDK · MIRIAM HOSPITAL · PI WING, RENA R · 2010 to 2013
$1.8M
NIDDK NIH HHS R18 DK083248
6 · The paper itself

Abstract

objectivesTo examine whether (a) an obesity treatment involving financial incentives yields higher levels of extrinsic motivation for weight management compared to an identical intervention without incentives, (b) extrinsic motivation for weight management mediates, or accounts for, the difference in weight loss outcomes between the two interventions, and (c) there is any evidence that financial incentives and associated extrinsic motivation "crowd out" intrinsic motivation for weight control.

methodsParticipants (N=153, 80.4% Female; BMI = 33.2 ± 5.9) were randomly assigned to a 3-month Web-based behavioral weight loss program (WBWL) or the same program plus small financial incentives delivered consistent with behavioral economics and behavior change theories (WBWL+$). Weight was objectively assessed at baseline, post-treatment (month 3), and after a 9-month no-treatment follow-up phase (month 12). Intrinsic and extrinsic motivation for weight management were assessed at months 3 and 12 using a modified version of the Treatment Self-Regulation Questionnaire, with questions added to specifically target extrinsic motivation related to incentives.

resultsCompared to WBWL alone, WBWL+$ had better weight loss and higher levels of both extrinsic

conclusionsModest financial incentives delivered consistent with behavioral economics and behavior change theories do not undermine intrinsic motivation for weight management during obesity treatment; in fact, they yield higher levels of both extrinsic and intrinsic motivation. Additional research is needed to better understand the mechanisms by which incentives improve outcomes in health behavior change interventions.

Indexed as

autonomous motivationextrinsic motivationfinancial incentivesintrinsic motivationweight loss

Identifiers

PMID31106034
PMCPMC6521883

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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.