Uncovering a behavioral strategy for establishing new habits: Evidence from incentives for medication adherence in Uganda.

Uncovering a behavioral strategy for establishing new habits: Evidence from incentives for medication adherence in Uganda.
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DOI:
10.1016/j.jhealeco.2021.102443
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发表时间:
2021-05
影响因子:
3.5
通讯作者:
Linnemayr S
Linnemayr S
中科院分区:
经济学2区
文献类型:
--
作者:
Stecher C;Mukasa B;Linnemayr S

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激励措施被用来改善许多与健康有关的行为,但在激励期间,以及在激励措施撤销后行为的持续性方面,其有效性的证据是混合的。在本文中,我们介绍了一项随机对照试验的结果,该试验成功地使用激励措施来改善乌干达艾滋病毒感染者20个月以上的药物依从性,并对样本进行了另外6个月的跟踪,以衡量这些行为改善的持续性。我们的研究有助于习惯形成的文献,通过确定一种行为策略,与持续高服药依从性控制后,可观察到的个人层面的特征和收到的激励措施。我们发现了支持习惯作为反射性情境行为关联的心理学理论的证据,这表明了设计基于激励的干预措施的新方法,以更好地促进持久的,更健康的行为。
Incentives are used to improve many health-related behaviors, but evidence is mixed for their effectiveness both during the incentivization period and, even more so, on the persistence of the behavior after incentives are withdrawn. In this paper, we present the results of a randomized controlled trial that successfully uses incentives to improve medication adherence among HIV-infected patients in Uganda over 20 months, and follows the sample for another 6 months to measure the persistence of these behavioral improvements. Our study contributes to the literature on habit formation by identifying a behavioral strategy that is associated with persistently high medication adherence after controlling for observable individual-level characteristics and the receipt of incentives. We find evidence supporting a psychological theory of habits as reflexive context-behavior associations, which suggests new ways of designing incentive-based interventions for better promoting persistent, healthier behaviors.
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