The Goose Is (Half) Cooked: a Consideration of the Mechanisms and Interpersonal Context Is Needed to Elucidate the Effects of Personal Financial Incentives on Health Behaviour
MetadataShow full item record
While we agree that personal financial incentives (PFIs) may have some utility in public health interventions to motivate people in the uptake and persistence of health behaviour, we disagree with some of the sentiments outlined by Lynagh et al. (Int J Behav Med 20:114–120, 2012). Specifically, we feel that the article gives a much stronger impression that PFIs will likely lead to long-term behaviour change once the incentive has been removed than is warranted by current research. This claim has not received strong empirical support nor is it grounded in psychological theory on the role of incentives and motivation. We also feel that the presentation of some of the tenets of self-determination theory by the authors is misleading. Based on self-determination theory, we propose that PFIs, without sufficient consideration of the mechanisms by which external incentives affect motivation and the interpersonal context in which they are presented, are unlikely to lead to persistence in health behaviour once the incentive is removed. We argue that interventions that adopt PFIs as a strategy to promote health-behaviour change should incorporate strategies in the interpersonal context to minimise the undermining effect of the incentives on intrinsic motivation. Interventions should present incentives as informational regarding individuals’ competence rather than as purely contingent on behavioural engagement and emphasise self-determined reasons for pursuing the behaviour.
The final publication is available at link.springer.com
Showing items related by title, author, creator and subject.
Mirshekary, S.; Yaftian, A.; Brown, Alistair; Chatterjee, Bikram (2012)The paper investigates the ethical climate in the New Zealand health sector after it experienced heavy reform. The findings of the study suggest that little emphasis has been placed on ethics in the New Zealand public ...
Investigating the predictive validity of implicit and explicit measures of motivation on condom use, physical activity and healthy eatingKeatley, D.; Clarke, D.; Hagger, Martin (2012)The literature on health-related behaviours and motivation is replete with research involving explicit processes and their relations with intentions and behaviour. Recently, interest has been focused on the impact of ...
Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatientsLhakhang, P.; Hamilton, Kyra; Sud, N.; Sud, S.; Kroon, J.; Knoll, N.; Schwarzer, R. (2016)Background: Periodontal disease is a significant public health issue worldwide. Motivational techniques in combination with financial incentives are shown to lead to effective behavior change. The current study sought to ...