Journal
PREVENTIVE MEDICINE
Volume 73, Issue -, Pages 145-158Publisher
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ypmed.2014.12.029
Keywords
Healthy behaviours; Critical review; Systematic review; Financial incentives; Behaviour change
Funding
- NIHR [CDF-2011-04-001]
- Fuse: the Centre for Translational Research in Public Health, a UKCRC Public Health Research Centre of Excellence
- British Heart Foundation
- Cancer Research UK
- Economic and Social Research Council
- Medical Research Council
- National Institute for Health Research
- UK Clinical Research Collaboration
- Medical Research Council [MR/K02325X/1] Funding Source: researchfish
- National Institute for Health Research [CDF-2011-04-001] Funding Source: researchfish
- National Institutes of Health Research (NIHR) [CDF-2011-04-001] Funding Source: National Institutes of Health Research (NIHR)
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Objective. Financial 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. Methods. Database, 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 financial incentives for healthy behaviours in members of the public, potential recipients, potential practitioners or policy makers. Data was analysed using thematic analysis. Results. Eighty one papers were included: 59 pieces of scholarly writing and 22 empirical studies, primarily exploring acceptability to the public. Five themes were identified: fair exchange, design and delivery, effectiveness and cost-effectiveness, recipients, and impact on individuals and wider society. Although there was consensus that if financial incentives are effective and cost effective they are likely to be considered acceptable, a number of other factors also influenced acceptability. Conclusions. Financial incentives tend to be acceptable to the public when they are effective and cost-effective. Programmes that benefit recipients and wider society; are considered fair; and are delivered to individuals deemed appropriate are likely to be considered more acceptable. (C) 2015 Elsevier Inc. All rights reserved.
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