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The objective of this meta-analysis was to assess incentive effectiveness on response to electronic health surveys.
First, it was a single-arm intervention study using historical controls against which to estimate incentive effectiveness.
Even where it is prominent, with one exception, we do not find evidence for rewards reducing motivation in randomized controlled trials on incentive effectiveness.
Long, Jahnle, Richardson, Loewenstein, and Volpp (2012) found no evidence for incentive effectiveness for blood glucose control in a 6-month RCT among African American veterans with diabetes, but outcomes in the incentive group were no worse than the control group (outcomes in the peer mentoring group, however, were better than in the control group).
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Table 2, above, already hints to the various incentives' effectiveness, but do not consider cost-efficiency.
More so, the promotion of community based organization as implementing agencies is an incentive for effectiveness.
Preliminary results from a series of ongoing experiments reveal that the majority of participants were prepared to trade-off their negative attitudes towards financial incentives against increased effectiveness, i.e. the more effective a scheme, the more acceptable it is judged to be [ 23].
But some insiders say those incentives have lost effectiveness.
Coulter et al. advanced a list of prerequisites to be put in place to normalise SDM in clinical practice, including: appropriate policies, regulation and standards; availability of tools and information; tools for monitoring progress; training; clinical and patient champions; evidence of effectiveness; incentives; and implementation plans [ 76].
Whilst the focus group participants were largely against financial incentives, there is evidence to suggest that as effectiveness of incentives increase, acceptability increases [ 47, 62] and so this viewpoint may have been different had the focus group participants been provided with evidence of effectiveness.
Consequently, although incentives can effect change, their effectiveness in eliciting the desired results depends critically on several (often poorly) understood aspects of the institutional environment in which they are used [ 12, 13].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com