Chronically ill patients’ preferences for a financial incentive in a lifestyle intervention

Results of a discrete choice experiment

C.M. Molema*, J. Veldwijk, W. Wendel-Vos, I. van de Goor, J. Schuit

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background
The preferences of diabetes type 2 patients and cardiovascular disease patients for a financial incentive added to a specified combined lifestyle intervention were investigated.

Methods
A 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).

Results
Prerequisites 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.

Conclusions
The 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.
Original languageEnglish
Pages (from-to)e0219112
Number of pages15
JournalPLoS ONE
Volume14
Issue number7
DOIs
Publication statusPublished - 2019

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Patient Preference
Medical problems
Experiments
Type 2 Diabetes Mellitus

Keywords

  • ACCEPTABILITY
  • BEHAVIORS
  • DISEASE
  • TYPE-2 DIABETES-MELLITUS

Cite this

@article{7bfec3cb102140b494ba42d3faa08cdf,
title = "Chronically ill patients’ preferences for a financial incentive in a lifestyle intervention: Results of a discrete choice experiment",
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.",
keywords = "ACCEPTABILITY, BEHAVIORS, DISEASE, TYPE-2 DIABETES-MELLITUS",
author = "C.M. Molema and J. Veldwijk and W. Wendel-Vos and {van de Goor}, I. and J. Schuit",
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language = "English",
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Chronically ill patients’ preferences for a financial incentive in a lifestyle intervention : Results of a discrete choice experiment. / Molema, C.M.; Veldwijk, J.; Wendel-Vos, W.; van de Goor, I.; Schuit, J.

In: PLoS ONE, Vol. 14, No. 7, 2019, p. e0219112.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Chronically ill patients’ preferences for a financial incentive in a lifestyle intervention

T2 - Results of a discrete choice experiment

AU - Molema, C.M.

AU - Veldwijk, J.

AU - Wendel-Vos, W.

AU - van de Goor, I.

AU - Schuit, J.

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

KW - ACCEPTABILITY

KW - BEHAVIORS

KW - DISEASE

KW - TYPE-2 DIABETES-MELLITUS

U2 - 10.1371/journal.pone.0219112

DO - 10.1371/journal.pone.0219112

M3 - Article

VL - 14

SP - e0219112

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 7

ER -