Much national and international resource has been directed at the question “can you pay people to be healthy?” Via a cluster randomized control trial, we tested whether rewards (4 x £10 vouchers) could incentivize school-leavers to engage into a healthy behavior initiative. Participants were allocated to three groups: control, behavioral support, and behavioral support with reward. The number of participants attending an initial appointment was higher for those gaining a reward. Yet of the 171 participants receiving incentives only 74 actually attended their first intervention appointment, reducing to only 18 at follow-up. These data speak toillustrate the weak motivational role that engagement-contingent rewards (i.e., that have no competence affirmation to counteract negative effects of feeling controlled) play in even the short-term enactment of very specific behaviors. A follow-up trial with 54 school-leavers showed informational rewards to better support engagement via providing supports for the participants’ autonomy and competence. Implications are discussed.
|Publication status||Published - 2013|
|Event||5th International Conference on Self-Determination Theory - Rochester, USA United States|
Duration: 27 Jun 2013 → 30 Jun 2013
|Conference||5th International Conference on Self-Determination Theory|
|Country||USA United States|
|Period||27/06/13 → 30/06/13|