Abstract

BackgroundPostal questionnaires are an economical and simple method of data collection for research purposes but are subject to non-response bias. Several studies have explored the effect of monetary and non-monetary incentives on response. Recent meta-analyses conclude that financial incentives are an effective way of increasing response rates. However, large surveys rarely have the resources to reward individual participants. Three previous papers report on the effectiveness of lottery incentives with contradictory results. This study aimed to determine the effect of including a lottery-style incentive on response rates to a postal health survey.MethodsRandomised controlled trial. Setting: North and West Birmingham. 8,645 patients aged 18 or over randomly selected from registers of eight general practices (family physician practices). Intervention: Inclusion of a flyer and letter with a health questionnaire informing patients that returned questionnaires would be entered into a lottery-style draw for £100 of gift vouchers. Control: Health questionnaire accompanied only by standard letter of explanation. Main outcome measures: Response rate and completion rate to questionnaire.Results5,209 individuals responded with identical rates in both groups (62.1%). Practice, patient age, sex and Townsend score (a postcode based deprivation measure) were identified as predictive of response, with higher response related to older age, being female and living in an area with a lower Townsend score (less deprived).ConclusionThis RCT, using a large community based sample, found that the offer of entry into a lottery style draw for £100 of High Street vouchers has no effect on response rates to a postal health questionnaire.

Highlights

  • Postal questionnaires are an economical and simple method of data collection for research purposes but are subject to non-response bias

  • High response rates are important because they reduce the risk of non-response bias and because they increase the precision of parameter estimates [4]

  • Ensuring a high response rate to initial mailings has the additional benefit of reducing the costs associated with re-mailing or other methods of follow-up such as telephone interviews

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Summary

Introduction

Postal questionnaires are an economical and simple method of data collection for research purposes but are subject to non-response bias. Several studies have explored the effect of monetary and non-monetary incentives on response. This study aimed to determine the effect of including a lottery-style incentive on response rates to a postal health survey. Self-completed postal questionnaires are an economical and simple method of data collection for both research studies and audit activity. They are cheaper than telephone or personal interviews [1] and may be useful in medical research as the response rate to sensitive questions may be greater than from other methods of data collection [2]. Ensuring a high response rate to initial mailings has the additional benefit of reducing the costs associated with re-mailing or other methods of follow-up such as telephone interviews

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