2015
DOI: 10.1016/j.ypmed.2014.12.029
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Acceptability of financial incentives for encouraging uptake of healthy behaviours: A critical review using systematic methods

Abstract: ObjectiveFinancial incentives are effective in encouraging healthy behaviours, yet concerns about acceptability remain. We conducted a systematic review exploring acceptability of financial incentives for encouraging healthy behaviours. MethodDatabase, reference, and citation searches were conducted from the earliest available date to October 2014, to identify empirical studies and scholarly writing that: had an English language title, were published in a peer-reviewed journal, and explored acceptability of fi… Show more

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Cited by 68 publications
(98 citation statements)
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References 98 publications
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“…Findings from both stakeholder groups provide strong support for previous research, where a variety of stakeholders across a range of clinical and public health settings have described health-promoting financial incentives as coercive, divisive and akin to bribery. 49,50,91,[93][94][95][96] However, unlike previous work in other settings, in which stakeholders have challenged the potential effectiveness of health promoting financial incentives in general (sometimes as a way of avoiding discussion of acceptability altogether), [93][94][95][96] there was, overall, an acceptance that financial incentives could be effective in encouraging the uptake of preschool vaccinations for some parents. A more detailed understanding of what aspects of acceptability of health-promoting financial incentives are common across all settings and which are context-specific -as well as what determines context-specific differenceswould be helpful.…”
Section: Comparison With Previous Workmentioning
confidence: 92%
See 1 more Smart Citation
“…Findings from both stakeholder groups provide strong support for previous research, where a variety of stakeholders across a range of clinical and public health settings have described health-promoting financial incentives as coercive, divisive and akin to bribery. 49,50,91,[93][94][95][96] However, unlike previous work in other settings, in which stakeholders have challenged the potential effectiveness of health promoting financial incentives in general (sometimes as a way of avoiding discussion of acceptability altogether), [93][94][95][96] there was, overall, an acceptance that financial incentives could be effective in encouraging the uptake of preschool vaccinations for some parents. A more detailed understanding of what aspects of acceptability of health-promoting financial incentives are common across all settings and which are context-specific -as well as what determines context-specific differenceswould be helpful.…”
Section: Comparison With Previous Workmentioning
confidence: 92%
“…Similar results have been reported in relation to financial incentives for other healthy behaviours. 93 However, governance and ethical issues were raised relating to the potential for vouchers to be used to facilitate unhealthy behaviours, such as buying alcohol or cigarettes, which would sit in contrast to the work being undertaken to promote healthy behaviours generally. Findings from both stakeholder groups provide strong support for previous research, where a variety of stakeholders across a range of clinical and public health settings have described health-promoting financial incentives as coercive, divisive and akin to bribery.…”
Section: Comparison With Previous Workmentioning
confidence: 99%
“…34 These findings (along with those of the current DCE) are in contrast to qualitative work and surveys, which tends to find that incentives are generally not considered acceptable. 79,14 …”
Section: Discussionmentioning
confidence: 99%
“…A recent review of studies on acceptability of financial incentives for health behaviours found that incentives tend to be considered acceptable if they are clinically effective and cost-effective, and if they benefit recipients and the wider society. 51 The review was not able to determine if opinions on acceptability were different for different target behaviours. In addition, incentives for screening were not considered.…”
Section: Acceptability Of Incentivesmentioning
confidence: 99%
“…Few trials of financial incentives have included CEA as part of their evaluation of the incentive. Giles et al 51 conducted a systematic review of studies of financial incentives for encouraging uptake of health behaviours and concluded that 'little evidence for cost-effectiveness has been published'. In the current financial environment, it is important to ensure that any interventions are cost-effective.…”
Section: Aimsmentioning
confidence: 99%