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Less carrot more stick: promoting health behavior change with deposit contracts

open access ;ISBN: 9789464837698 ;ISBN: 9464837691

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  • Title:
    Less carrot more stick: promoting health behavior change with deposit contracts
  • Author: Buisonjé, D.R. de
  • Subjects: Cardiovascular disease ; Deposit contracts ; Financial incentives ; Gamification ; Health behavior change ; Lifestyle change ; Loss aversion ; Physical activity
  • Description: Two types of financial incentives can help improve healthy lifestyles: carrots (a reward where one can gain something) and sticks (a deposit contract where one can lose something). In a deposit contract, participants deposit own money and can lose or earn it back depending on lifestyle changes. We studied the potential of deposit contracts to stimulate a healthy lifestyle.A smartphone app was developed together with the Swiss university ETH Zurich to conduct experimental research into the effects of deposit contracts. In addition, we collaborated with the American company WayBetter to observe the effects of commercially available deposit contracts. Finally, the opinion of people with cardiovascular disease and healthcare professionals regarding financial incentives and deposit contracts for lifestyle change was investigated.The results show that deposit contracts can have strong effects on exercise behavior (daily step counts) in the short term. The results also show that voluntary participation in deposit contracts is limited, but can be increased by doubling the amount deposited and by allowing participants to determine the amount themselves. Finally, healthcare providers think it is a good idea to use financial incentives, but people with cardiovascular disease themselves are skeptical about the use of deposit contracts.
  • Creation Date: 2024
  • Language: English
  • Identifier: ISBN: 9789464837698
    ISBN: 9464837691
  • Source: Leiden University Repository
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