Multidimensional Evaluation of Monetary Incentive Strategies for Weight Control
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Abstract
This study compares the effectiveness of five monetary incentive strategies in the context of a behavioral weight management program. Four weight-contingent strategies were used: (a) continuous positive reinforcement; (b) monetary response cost; (c) positive reinforcement with a lottery system; and (d) response cost with a lottery system. For comparison, a fifth group was based on an attendance-contingent monetary reward condition. Subjects were randomly assigned to one of five groups and participated in a 10-session/14-week behavioral weight loss program. Twelve behavioral and attitudinal criteria were used to compare the programs, related to weight loss, self-efficacy, program acceptance, dropout, and maintenance activities. Differences among the monetary contingencies were found for weekly weight goal attainment, dropout rate, participation in subsequent maintenance activities, perceived program reactance, group satisfaction, and satisfaction with the incentive strategy. The results demonstrate the broad effects beyond the contractually specified contingencies, which can influence participant performance, and support the use of monetary reward incentive procedures.
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- ARAGONA, J., CASSADY, J., & DRABMAN, R. D. (1974). Treating overweight children through parental training and contingency contracting. Journal of Applied Behavior Analysis, 8, 269–278.CrossRefGoogle Scholar
- BANDURA, A. (1984). Recycling misconceptions of perceived self-efficacy. Cognitive Therapy and Research, 8(3), 231–255.CrossRefGoogle Scholar
- BLACK, D. R., & FRIESEN, J. G. (1983). Deposit money: A component in a self-directed minimal intervention program for weight control. Behavior Therapy, 14, 333–340.CrossRefGoogle Scholar
- BREHM, J. W. (1966). A theory of psychological reactance. New York: Academic Press.Google Scholar
- BROWNELL, K. (1983). Obesity: Treatment effectiveness and adherence to behavioral programs. In R. K. Goodstein (Ed.), Eating and weight disorders (Vol. 8, p. 41). New York: Springer Publishing Company.Google Scholar
- BROWNELL, K. D. (1979). Behavior therapy for weight control: A treatment manual. Unpublished manuscript, University of Pennsylvania.Google Scholar
- BROWNELL, K. D., HECKERMAN, C. L., & WESTLAKE, R. J. (1979). The behavioral control of obesity: A descriptive analysis of a large scale program. Journal of Clinical Psychology, 35, 864–869.CrossRefPubMedGoogle Scholar
- BROWNELL, K. D., & WADDEN, T. A. (1992). Etiology and treatment of obesity: Understanding a serious, prevalent and refractory disorder. Journal of Consulting and Clinical Psychology, 60(4), 505–517.CrossRefPubMedGoogle Scholar
- COEHLO, R. J. (1983). An experimental investigation of two multicomponent approaches on smoking cessation. Unpublished doctoral dissertation, Michigan State University.Google Scholar
- COLVIN, R. H., ZOPF, K. J., & MYERS, H. J. (1983). Weight control among coworkers. Behavior Modification, 7(1), 64–75.CrossRefPubMedGoogle Scholar
- CUMMINGS, K., KELLY, J., SCIANDRA, R., DELOUGHRY, T., & FRANCOIS, F. (1990). Impact of a community-wide stop smoking contest. American Journal of Health Promotion, 4(6), 429–434.CrossRefPubMedGoogle Scholar
- EPSTEIN, L. H., & WING, R. R. (1984). Behavioral contracting: Health behaviors. In C. Franks (Ed.), New developments in behavior therapy (pp. 409–449). New York: Haworth Press.Google Scholar
- EPSTEIN, L. H., WING, R. R., THOMPSON, J. K., & GRIFFIN, W. (1980). Attendance and fitness in aerobic exercise: The effects of contract and lottery procedures on attendance and fitness in aerobics and exercise. Behavior Modification, 4, 465–480.CrossRefGoogle Scholar
- EUFEMIA, R. L., & WESOLOWSKI, M. D. (1985). Attrition in behavioral studies of obesity: A meta-analytic review. Behavior Therapist, 8, 115–116.Google Scholar
- FISHER, E. B., LEVENKRON, J. C., LOWE, M. R., LORO, A. D., & GREEN, L. (1982). Self-initiated self-control in risk reduction. In R. B. Stuart (Ed.), Adherence, compliance and generalization in behavioral medicine (pp. 169–191). New York: Brunner-Mazel.Google Scholar
- FISHER, E. B., LOWE, M. R., LEVENKRON, J. C., & NEWMAN, A. (1982). Reinforcement and structural support of maintained risk reduction. In R. B. Stuart (Ed.), Adherence, compliance and generalization in behavioral medicine (pp. 145–168). New York: Brunner/Mazel.Google Scholar
- FOREYT, J. P., SCOTT, L. W., & GOTTO, A. M. (1982). Weight control and nutrition education programs in occupational settings. In R. S. Parkinson & Associates (Ed.), Managing health promotion in the workplace (pp. 173–193). Palo Alto, CA.: Mayfield Publishing Co.Google Scholar
- HAGEN, R. L., FOREYT, J. P., & DURHAM, F. W. (1976). The dropout problem: Reducing attrition in obesity research. Behavior Therapy, 7, 463–471.CrossRefGoogle Scholar
- HARRIS, M. B., & BRUNNER, C. G. (1971). A comparison of a self-control and a contract procedure for weight control. Behavior Research and Therapy, 9, 347–354.CrossRefGoogle Scholar
- JEFFERY, R. W., WING, R. R., & STUNKARD, A. J. (1978). Behavioral treatment of obesity: The state of the art, 1976. Behavior Therapy, 9, 189–199.CrossRefGoogle Scholar
- KANFER, F. H., & GAELICK, L. (1986). Self-management methods. In F. Kanfer & A. Goldstein (Eds.), Helping people change (3rd ed.). New York: Pergamon Press.Google Scholar
- KING, A., FLORA, J., FORTMANN, S., & TAYLOR, C. (1987). Smoker’s challenge: Immediate and long-term findings of a community cessation contest. American Journal of Public Health, 77, 1340–1341.CrossRefPubMedPubMedCentralGoogle Scholar
- LANDO, H. A. (1977). Successful treatment of smokers with a broad spectrum behavioral approach. Journal of Consulting and Clinical Psychology, 45, 361–366.CrossRefPubMedGoogle Scholar
- LEISCHOW, S. J., & STITZER, M. L. (1989). Smoking cessation lottery study. Paper presented at the 97th conference of the American Psychological Association, New Orleans, LA.Google Scholar
- MARLATT, G. A., & GORDON, J. R. (1985). Relapse prevention: Maintenance strategies in addictive behavior change. New York: Guilford Press.Google Scholar
- NEALE, A., SINGLETON, S., DUPUIS, M., & HESS, J. (1990). The use of behavioral contracting to increase exercise activity. American Journal of Health Promotion, 4(6), 441–447.CrossRefPubMedGoogle Scholar
- OWEN, N., JAMES, R., HENRIKSON, D., & VAN BEURDEN, E. (1990). Community cholesterol screenings: The impact of follow-up letters and incentives on retest rates and biometric changes in follow-up screenings. American Journal of Health Promotion, 5(1), 58–62.CrossRefPubMedGoogle Scholar
- ROZENSKY, R. H., & BELLACK, A. S. (1976). Individual differences in self-reinforcement style and performance in self and therapist controlled weight reduction programs. Behavior Research and Therapy, 14, 357–364.CrossRefGoogle Scholar
- SHEPARD, D. S., & PEARLMAN, L. (1983). Incentive-based programs for health promotion in the workplace. Boston: Center for the Analysis of Health Practices, Harvard School of Public Health.Google Scholar
- SPERDUTO, W. A., & O’BRIEN, R. M. (1983). Effects of cash deposits on attendance and weight loss in a large scale clinical program for obesity. Psychological Reports, 52, 261–262.CrossRefPubMedGoogle Scholar
- STACHNIK, T., BROWN, B., HINDS, W., MAVIS, B., STÖFFELMAYR, B., THORNTON, D., & VAN EGEREN, L. (1990). Goal setting, social support and financial incentives in stress management programs: A pilot study of their impact on adherence. American Journal of Health Promotion, 5(1), 24–29.CrossRefPubMedGoogle Scholar
- STÖFFELMAYR, B., MAVIS, B., STACHNIK, T., ROBISON, J., ROGERS, M., VAN HUSS, W., & CARLSON, J. (1992). A program model to enhance adherence in worksite based fitness programs. Journal of Occupational Medicine, 34, 156–161.CrossRefPubMedGoogle Scholar
- VAN KOTEN CHAPPELL, C. (1982). Self-efficacy as a predictor of weight loss. Unpublished dissertation, University of Oregon.Google Scholar
- WARE, J. E., & DAVIES, A. R. (1983). Behavioral consequences of consumer satisfaction with medical care. Evaluation and Program Planning, 6, 291–297.CrossRefPubMedGoogle Scholar
- WASHINGTON BUSINESS GROUP ON HEALTH. (1986). Using incentives to promote employee health. Washington, DC: WBGH Worksite Wellness Series.Google Scholar