The Effectiveness of Financial Incentives for Health Behaviour Change: Systematic Review and Meta-Analysis

作者：Emma L. Giles, Shannon Robalino, Elaine McColl, Falko F. Sniehotta, Jean Adams · 发表于：PLoS ONE · 年份：2014 · DOI：10.1371/journal.pone.0090347 · 被引用次数：483 · 研究领域：Health Systems, Economic Evaluations, Quality of Life、Behavioral Health and Interventions、Workplace Health and Well-being

BACKGROUND: Financial incentive interventions have been suggested as one method of promoting healthy behaviour change. OBJECTIVES: To conduct a systematic review of the effectiveness of financial incentive interventions for encouraging healthy behaviour change; to explore whether effects vary according to the type of behaviour incentivised, post-intervention follow-up time, or incentive value. DATA SOURCES: Searches were of relevant electronic databases, research registers, www.google.com, and the reference lists of previous reviews; and requests for information sent to relevant mailing lists. ELIGIBILITY CRITERIA: Controlled evaluations of the effectiveness of financial incentive interventions, compared to no intervention or usual care, to encourage healthy behaviour change, in non-clinical adult populations, living in high-income countries, were included. STUDY APPRAISAL AND SYNTHESIS: The Cochrane Risk of Bias tool was used to assess all included studies. Meta-analysis was used to explore the effect of financial incentive interventions within groups of similar behaviours and overall. Meta-regression was used to determine if effect varied according to post-intervention follow up time, or incentive value. RESULTS: Seventeen papers reporting on 16 studies on smoking cessation (n = 10), attendance for vaccination or screening (n = 5), and physical activity (n = 1) were included. In meta-analyses, the average effect of incentive interventions was greater than control for short-...