The Impact of Financial Incentives on Physical Activity: A Systematic Review and Meta-Analysis.

American Journal of Health Promotion : AJHP
My-Linh Nguyen LuongRana S Hinman

Abstract

To evaluate the effects of financial incentives on physical activity (PA). MEDLINE, Embase, 7 other databases, and 2 trial registries until July 17, 2019. Randomized controlled trials with adults aged ≥18 years assessing the effect of financial incentives on PA. Any comparator was eligible provided the only difference between groups was the incentive strategy. Two independent reviewers extracted data and assessed study quality. Of 5765 records identified, 57 records (51 unique trials; n = 17 773 participants) were included. Random-effects models pooling data for each of the 5 PA domains. Financial incentives increase leisure time PA (gym or class attendance; standardized mean difference [95% CI], 0.46 [0.28-0.63], n = 5057) and walking behavior (steps walked; 0.25 [0.13-0.36], n = 3254). No change in total minutes of PA (0.52 [-0.09 to 1.12], n = 968), kilocalories expended (0.19 [-0.06 to 0.44], n = 247), or the proportion of participants meeting PA guidelines (risk ratio [95% CI] 1.53 [0.53-4.44], n = 650) postintervention was observed. After intervention has ceased, incentives sustain a slight increase in leisure time PA (0.10 [0.02-0.18], n = 2678) and walking behavior (0.11 [0.00-0.22], n = 2425). Incentives probably impro...Continue Reading

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Citations

Oct 5, 2021·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·T J van TrierJ D Mackenbach

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