J. Med. Internet Res. - On supplementing Foot in the door incentives for eHealth program engagement.

Tópicos

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Resumo

Financial health incentives, such as paying people to lose weight, are being widely implemented by Western nations and large corporations. A growing number of studies have tested the impact of incentives on health behaviors, though few have evaluated the approach on a population-scale. In this issue of the Journal of Medical Internet Research, Liu et al add to the evidence-base by examining whether a single incentive can motivate enrollment and engagement in a preventive eHealth program in a sample of 142,726 Canadian adults. While the incentives increased enrollment significantly (by a factor of about 28), a very high level of program attrition was noted (90%). The "foot in the door" incentive technique employed was insufficient; enrollees received incentives for signing-up for, but not for engaging with, the eHealth program. To supplement this technique and drive sustained behavior change, several theoretically- and empirically-based strategies are proposed. Specifically, incentives indexed to behavioral achievements over time are highlighted as one approach to boost engagement in this population in the future.

Resumo Limpo

financi health incent pay peopl lose weight wide implement western nation larg corpor grow number studi test impact incent health behavior though evalu approach populationscal issu journal medic internet research liu et al add evidencebas examin whether singl incent can motiv enrol engag prevent ehealth program sampl canadian adult incent increas enrol signific factor high level program attrit note foot door incent techniqu employ insuffici enrolle receiv incent signingup engag ehealth program supplement techniqu drive sustain behavior chang sever theoret empiricallybas strategi propos specif incent index behavior achiev time highlight one approach boost engag popul futur

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