Abstract

BackgroundThe preferences of diabetes type 2 patients and cardiovascular disease patients for a financial incentive added to a specified combined lifestyle intervention were investigated.MethodsA discrete choice experiment questionnaire was filled out by 290 diabetes type 2 patients (response rate 29.9%). Panel-mixed-logit models were used to estimate the preferences for a financial incentive. Potential uptake rates of different financial incentives and relative importance scores of the included attributes were estimated. Included attributes and levels were: form of the incentive (cash money and different types of vouchers), value of the incentive (ranging from 15 to 100 euros), moment the incentive is received (start, halfway, after finishing the intervention) and prerequisite for receiving the incentive (registration, attendance or results at group or individual level).ResultsPrerequisites for receiving the financial incentive were the most important attribute, according to the respondents. Potential uptake rates for different financial incentives ranged between 37.9% and 58.8%. The latter uptake rate was associated with a financial incentive consisting of cash money with a value of €100 that is handed out after completing the lifestyle program with the prerequisite that the participant attended at least 75% of the scheduled meetings.ConclusionsThe potential uptake of the different financial incentives varied between 37.9% and 58.8%. The value of the incentive does not significantly influence the potential uptake. However, the potential uptake and associated potential effect of the financial incentive is influenced by the type of financial incentive. The preferred type of incentive is €100 in cash money, awarded after completing the lifestyle program if the participant attended at least 75% of the scheduled meetings.

Highlights

  • Physical inactivity and a poor diet contribute to the development of a range of chronic diseases and explain part of the variation in premature mortality [1, 2]

  • Potential uptake rates for different financial incentives ranged between 37.9% and 58.8%

  • The latter uptake rate was associated with a financial incentive consisting of cash money with a value of €100 that is handed out after completing the lifestyle program with the prerequisite that the participant attended at least 75% of the scheduled meetings

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Summary

Introduction

Physical inactivity and a poor diet contribute to the development of a range of chronic diseases and explain part of the variation in premature mortality [1, 2]. Patients with diabetes mellitus type 2 or with coronary heart disease are groups with relatively high prevalence of physical inactivity [2]. One way to do so is by offering (chronically ill) patients a lifestyle program that includes physical activity and improving eating behavior, called combined lifestyle interventions (CLIs) [4, 5]. The participation rates of diabetes mellitus type 2 patients in lifestyle programs, mainly implemented in primary care, range from 10% to 80% and multiple studies mentioned that boosting the motivation of participants requires more attention [6,7,8,9]. The preferences of diabetes type 2 patients and cardiovascular disease patients for a financial incentive added to a specified combined lifestyle intervention were investigated

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