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Less stick more carrot? Increasing the uptake of deposit contract financial incentives for physical activity: A randomized controlled trial.
de Buisonjé, David R; Reijnders, Thomas; Cohen Rodrigues, Talia R; Santhanam, Prabhakaran; Kowatsch, Tobias; Breeman, Linda D; Janssen, Veronica R; Kraaijenhagen, Roderik A; Kemps, Hareld M C; Evers, Andrea W M.
Afiliación
  • de Buisonjé DR; Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, the Netherlands. Electronic address: d.r.de.buisonje@fsw.leidenuniv.nl.
  • Reijnders T; Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, the Netherlands; Department of Human-Centered Design, Faculty of Industrial Design Engineering, TU Delft, Delft, the Netherlands.
  • Cohen Rodrigues TR; Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, the Netherlands.
  • Santhanam P; Centre for Digital Health Interventions, Department of Management, Technology, and Economics, ETH Zurich, Zurich, Switzerland.
  • Kowatsch T; Centre for Digital Health Interventions, Department of Management, Technology, and Economics, ETH Zurich, Zurich, Switzerland; Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland; School of Medicine, University of St.Gallen, St.Gallen, Switzerland.
  • Breeman LD; Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, the Netherlands.
  • Janssen VR; Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, the Netherlands; Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands.
  • Kraaijenhagen RA; Hearts4People Foundation, Amsterdam, the Netherlands.
  • Kemps HMC; Department of Cardiology, Máxima Medical Center, Veldhoven, the Netherlands; Department of Industrial Design, Eindhoven University of Technology, the Netherlands.
  • Evers AWM; Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, the Netherlands; Leiden University, Technical University Delft, and Erasmus University, Rotterdam, the Netherlands.
Psychol Sport Exerc ; 70: 102532, 2024 01.
Article en En | MEDLINE | ID: mdl-37678644
ABSTRACT

BACKGROUND:

Financial incentives are a promising tool to help people increase their physical activity, but they are expensive to provide. Deposit contracts are a type of financial incentive in which participants pledge their own money. However, low uptake is a crucial obstacle to the large-scale implementation of deposit contracts. Therefore, we investigated whether (1) matching the deposit 11 (doubling what is deposited) and (2) allowing for customizable deposit amounts increased the uptake and short term effectiveness of a deposit contract for physical activity.

METHODS:

In this randomized controlled trial, 137 healthy students (age M = 21.6 years) downloaded a smartphone app that provided them with a tailored step goal and then randomized them to one of four experimental conditions. The deposit contract required either a €10 fixed deposit or a customizable deposit with any amount between €1 and €20 upfront. Furthermore, the deposit was either not matched or 11 matched (doubled) with a reward provided by the experiment. During 20 intervention days, daily feedback on goal progress and incentive earnings was provided by the app. We investigated effects on the uptake (measured as agreeing to participate and paying the deposit) and effectiveness of behavioral adoption (measured as participant days goal achieved).

FINDINGS:

Overall, the uptake of deposit contracts was 83.2%, and participants (n = 113) achieved 14.9 out of 20 daily step goals. A binary logistic regression showed that uptake odds were 4.08 times higher when a deposit was matched (p = .010) compared to when it was not matched. Furthermore, uptake odds were 3.53 times higher when a deposit was customizable (p = .022) compared to when it was fixed. Two-way ANCOVA showed that matching (p = .752) and customization (p = .143) did not impact intervention effectiveness. However, we did find a marginally significant interaction effect of deposit matching X deposit customization (p = .063, ηp2 = 0.032). Customization decreased effectiveness when deposits were not matched (p = .033, ηp2 = 0.089), but had no effect when deposits were matched (p = .776, ηp2 = 0.001).

CONCLUSIONS:

We provide the first experimental evidence that both matching and customization increase the uptake of a deposit contract for physical activity. We recommend considering both matching and customization to overcome lack of uptake, with a preference for customization since matching a deposit imposes significant additional costs. However, since we found indications that customizable deposits might reduce effectiveness (when the deposits are not matched), we urge for more research on the effectiveness of customizable deposit contracts. Finally, future research should investigate which participant characteristics are predictive of deposit contract uptake and effectiveness. PRE-REGISTRATION OSF Registries, https//osf.io/cgq48.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Daucus carota / Motivación Tipo de estudio: Clinical_trials / Health_economic_evaluation / Prognostic_studies Límite: Adult / Humans Idioma: En Revista: Psychol Sport Exerc Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Daucus carota / Motivación Tipo de estudio: Clinical_trials / Health_economic_evaluation / Prognostic_studies Límite: Adult / Humans Idioma: En Revista: Psychol Sport Exerc Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos