Personal financial incentives for changing habitual health-related behaviors: A systematic review and meta-analysis.
Personal financial incentives for changing habitual health-related behaviors: A systematic review and meta-analysis.
复制标题
个人经济激励措施改变了与健康相关的行为：系统评价和荟萃分析。
DOI：
10.1016/j.ypmed.2015.03.001
复制
发表时间：
2015-06
影响因子：
5.1
通讯作者：
Marteau TM
中科院分区：
文献类型：
--
作者：
Mantzari E;Vogt F;Shemilt I;Wei Y;Higgins JP;Marteau TM
个人财务激励措施能否实现与健康有关的行为的持续变化，从而减少快速增长的全球非传染性疾病负担，这一点仍然存在不确定性。本审查旨在评估是否：i.财政激励措施实现了吸烟、饮食、饮酒和体育活动方面的持续变化; ii.有效性受（a）目标行为，（B）激励价值和成就确定性，（c）接受者的剥夺水平的影响。研究人员搜索了多个来源，以寻找为成年人提供经济激励的试验，并评估了与基线至少6个月的预先指定行为相关的结果。分析包括随机效应荟萃分析和按时间终点分组的荟萃回归。在24，265篇唯一识别的文章中，34篇被纳入分析。经济激励增加了行为改变，其影响持续到基线后18个月（OR：1.53，95%CI 1.05-2.23）和取消激励后3个月（OR：2.11，95%CI 1.21-3.67）。高度剥夺增加了激励效应（OR：2.17; 95%CI 1.22-3.85），但仅在基线后> 6-12个月时。其他评估变量在任何时间点均未独立改变效应。个人经济激励可以改变习惯性的健康相关行为，并有助于减少健康不平等。然而，考虑到目前的证据表明，在取消奖励后三个月，效果就会消失，因此它们在减少疾病负担方面的作用可能有限。健康行为的持续改变将减少非传染性疾病的负担。个人经济激励措施可以改变习惯性的健康行为。个人经济激励可能有助于减少健康不平等。在取消奖励后，财政奖励的影响不会持续很长时间。财政激励措施在减少疾病负担方面的作用可能有限。
Uncertainty remains about whether personal financial incentives could achieve sustained changes in health-related behaviors that would reduce the fast-growing global non-communicable disease burden. This review aims to estimate whether: i. financial incentives achieve sustained changes in smoking, eating, alcohol consumption and physical activity; ii. effectiveness is modified by (a) the target behavior, (b) incentive value and attainment certainty, (c) recipients' deprivation level. Multiple sources were searched for trials offering adults financial incentives and assessing outcomes relating to pre-specified behaviors at a minimum of six months from baseline. Analyses included random-effects meta-analyses and meta-regressions grouped by timed endpoints. Of 24,265 unique identified articles, 34 were included in the analysis. Financial incentives increased behavior-change, with effects sustained until 18 months from baseline (OR: 1.53, 95% CI 1.05–2.23) and three months post-incentive removal (OR: 2.11, 95% CI 1.21–3.67). High deprivation increased incentive effects (OR: 2.17; 95% CI 1.22–3.85), but only at > 6–12 months from baseline. Other assessed variables did not independently modify effects at any time-point. Personal financial incentives can change habitual health-related behaviors and help reduce health inequalities. However, their role in reducing disease burden is potentially limited given current evidence that effects dissipate beyond three months post-incentive removal. Sustained changes in health behaviours would reduce non-communicable disease burden. Personal financial incentives can change habitual health-behaviours. Personal financial incentives may help reduce health inequalities. The impact of financial incentives is not sustained long after incentive removal. The role of financial incentives in reducing disease burden is potentially limited.