Akshitha Adhiyaman, Melanie Jay, Un Young Rebecca Chung, Andres N Gronda, Chi-Hong Tseng, Judith Wylie-Rosett, Sandra Wittleder, Soma Wali, Joseph A Ladapo, Stephanie L Orstad
{"title":"低收入参与者对行为目标与减肥目标的经济激励的偏好以及与行为目标坚持的关联。","authors":"Akshitha Adhiyaman, Melanie Jay, Un Young Rebecca Chung, Andres N Gronda, Chi-Hong Tseng, Judith Wylie-Rosett, Sandra Wittleder, Soma Wali, Joseph A Ladapo, Stephanie L Orstad","doi":"10.1177/08901171241254366","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Examine associations between whether participants' were matched to their preferred financial incentive design and behavioral goal adherence in a weight management intervention.</p><p><strong>Design: </strong>Secondary quantitative analysis incorporating qualitative survey data.</p><p><strong>Setting: </strong>Primary care clinics in socioeconomically disadvantaged communities in New York City and Los Angeles.</p><p><strong>Subjects: </strong>668 participants (mean age 47.7 years, 81.0% female, 72.6% Hispanic) with obesity were enrolled in the Financial Incentives foR Weight Reduction (FIReWoRk) intervention.</p><p><strong>Measures: </strong>We explored qualitatively participant's reasons for hypothetically choosing a behavioral goal-directed vs a weight loss outcome-based financial incentive program. Additionally, behavioral adherence to different goals was collected at the 6-month timepoint, categorized by match to preferred financial incentive design.</p><p><strong>Analysis: </strong>Logistic regression was used to examine if participants with certain demographic and higher psychosocial factors were more likely to choose goal-directed over outcome-based incentives. Additionally, logistic regression was used to test for associations between preference and behavioral adherence, using incentive type as an interaction term.</p><p><strong>Results: </strong>60.2% of participants preferred the goal-directed incentive, with the majority stating that it was more structured. Married participants were more likely to prefer goal-directed incentives (OR = 1.57, CI = 1.06-2.33, <i>P</i> = .025). Moderation analysis revealed that participants who preferred goal-directed and were matched to goal-directed had greater rates of behavioral adherence for program attendance and self-weighing, but not dietary tracking and physical activity tracking, compared to those who preferred outcome-based and were matched to outcome-based.</p><p><strong>Conclusion: </strong>Receiving one's preferred incentive design may not play a strong role in behavioral goal adherence during financially incentivized weight loss interventions.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Low-Income Participants' Preference Between Financial Incentives for Behavioral Goals vs Weight Loss Targets and Associations With Behavioral Goal Adherence.\",\"authors\":\"Akshitha Adhiyaman, Melanie Jay, Un Young Rebecca Chung, Andres N Gronda, Chi-Hong Tseng, Judith Wylie-Rosett, Sandra Wittleder, Soma Wali, Joseph A Ladapo, Stephanie L Orstad\",\"doi\":\"10.1177/08901171241254366\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Examine associations between whether participants' were matched to their preferred financial incentive design and behavioral goal adherence in a weight management intervention.</p><p><strong>Design: </strong>Secondary quantitative analysis incorporating qualitative survey data.</p><p><strong>Setting: </strong>Primary care clinics in socioeconomically disadvantaged communities in New York City and Los Angeles.</p><p><strong>Subjects: </strong>668 participants (mean age 47.7 years, 81.0% female, 72.6% Hispanic) with obesity were enrolled in the Financial Incentives foR Weight Reduction (FIReWoRk) intervention.</p><p><strong>Measures: </strong>We explored qualitatively participant's reasons for hypothetically choosing a behavioral goal-directed vs a weight loss outcome-based financial incentive program. Additionally, behavioral adherence to different goals was collected at the 6-month timepoint, categorized by match to preferred financial incentive design.</p><p><strong>Analysis: </strong>Logistic regression was used to examine if participants with certain demographic and higher psychosocial factors were more likely to choose goal-directed over outcome-based incentives. Additionally, logistic regression was used to test for associations between preference and behavioral adherence, using incentive type as an interaction term.</p><p><strong>Results: </strong>60.2% of participants preferred the goal-directed incentive, with the majority stating that it was more structured. Married participants were more likely to prefer goal-directed incentives (OR = 1.57, CI = 1.06-2.33, <i>P</i> = .025). Moderation analysis revealed that participants who preferred goal-directed and were matched to goal-directed had greater rates of behavioral adherence for program attendance and self-weighing, but not dietary tracking and physical activity tracking, compared to those who preferred outcome-based and were matched to outcome-based.</p><p><strong>Conclusion: </strong>Receiving one's preferred incentive design may not play a strong role in behavioral goal adherence during financially incentivized weight loss interventions.</p>\",\"PeriodicalId\":7481,\"journal\":{\"name\":\"American Journal of Health Promotion\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Health Promotion\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/08901171241254366\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/15 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Health Promotion","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08901171241254366","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/15 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Low-Income Participants' Preference Between Financial Incentives for Behavioral Goals vs Weight Loss Targets and Associations With Behavioral Goal Adherence.
Purpose: Examine associations between whether participants' were matched to their preferred financial incentive design and behavioral goal adherence in a weight management intervention.
Setting: Primary care clinics in socioeconomically disadvantaged communities in New York City and Los Angeles.
Subjects: 668 participants (mean age 47.7 years, 81.0% female, 72.6% Hispanic) with obesity were enrolled in the Financial Incentives foR Weight Reduction (FIReWoRk) intervention.
Measures: We explored qualitatively participant's reasons for hypothetically choosing a behavioral goal-directed vs a weight loss outcome-based financial incentive program. Additionally, behavioral adherence to different goals was collected at the 6-month timepoint, categorized by match to preferred financial incentive design.
Analysis: Logistic regression was used to examine if participants with certain demographic and higher psychosocial factors were more likely to choose goal-directed over outcome-based incentives. Additionally, logistic regression was used to test for associations between preference and behavioral adherence, using incentive type as an interaction term.
Results: 60.2% of participants preferred the goal-directed incentive, with the majority stating that it was more structured. Married participants were more likely to prefer goal-directed incentives (OR = 1.57, CI = 1.06-2.33, P = .025). Moderation analysis revealed that participants who preferred goal-directed and were matched to goal-directed had greater rates of behavioral adherence for program attendance and self-weighing, but not dietary tracking and physical activity tracking, compared to those who preferred outcome-based and were matched to outcome-based.
Conclusion: Receiving one's preferred incentive design may not play a strong role in behavioral goal adherence during financially incentivized weight loss interventions.
期刊介绍：
The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
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