- Title
- Evaluation of the Effectiveness of Behavioral Economic Incentive Programs for Goal Achievement on Healthy Diet, Weight Control and Physical Activity: A Systematic Review and Network Meta-analysis
- Creator
- Boonmanunt, Suparee; Pattanaprateep, Oraluck; Ongphiphadhanakul, Boonsong; McKay, Gareth; Attia, John; Vlaev, Ivo; Thakkinstian, Ammarin
- Relation
- Annals of Behavioral Medicine Vol. 57, Issue 4, p. 277-287
- Publisher Link
- http://dx.doi.org/10.1093/abm/kaac066
- Publisher
- Springer
- Resource Type
- journal article
- Date
- 2023
- Description
- Background: Healthy diet, weight control and physical activity to reduce obesity can be motivated by financial incentives (FI). Behavioral-economic approaches may improve the incentivization effectiveness. This study compares and ranks the effectiveness of standard and behavioral incentivization for healthy diet, weight control, and physical activity promotion. Purpose: To investigate whether behavioral-economic insights improve incentivization effectiveness. Methods: A systematic search of Medline and Scopus was performed from database inception to December 2020. Study characteristics, program designs, and risk ratio (RR) were extracted. A two-stage network meta-analysis pooled and ranked intervention effects. Results: There were 35 eligible RCTs. For diet-weight control, standard FI, deposit contract (deposit), lottery-based incentive (lottery), and standard-FI + lottery increased goal achievement compared to no-FI but only deposit was statistically significant with pooled RRs and 95% confidence intervals (CI) of 1.21 (0.94, 1.56), 1.79 (1.04, 3.05), 1.45 (0.99, 2.13), and 1.73 (0.83, 3.63). For physical activity, standard-FI, deposit, and lottery significantly increased goal achievement compared to no-FI, with pooled RRs of 1.38 (1.13, 1.68), 1.63 (1.24, 2.14) and 1.43 (1.14, 1.80), respectively. In a follow-up period for physical activity, only deposit significantly increased goal achievement compared to no-FI, with pooled RRs of 1.39 (1.11, 1.73). Conclusion: Deposit, followed by lottery, were best for motivating healthy diet, weight control and physical activity at program end. Post-intervention, deposit then standard-FI were best for motivating physical activity. Behavioral insights can improve incentivization effectiveness, although lottery-based approaches may offer only short-term benefit regarding physical activity. However, the imprecise intervention effects were major concerns.
- Subject
- behavioral economic; healthy diet; incentive; network meta-analysis; physical activity; weight control; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1488214
- Identifier
- uon:52396
- Identifier
- ISSN:0883-6612
- Rights
- © The Author(s) 2022. Published by Oxford University Press on behalf of the Society of Behavioral Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com.
- Language
- eng
- Full Text
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Goal 3: Good Health and Well-Being
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