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The majority of incentives in this study were conducted in non-clinical settings such as outreach, and these settings have lower positivity rates [ 10, 17].
Based on these figures, we expect financial incentives in this study to increase completion (i.e. uptake of the 3rd vaccination) of the HPV vaccination programme by 8.5%, resulting in a completion rate of 40.9% by incentivised groups.
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However, due to the fiscal incentive in this study (AUD$10), some of the participation interests may be countered by other motives.
Other explanations for the lack of impact of the incentive in this study may be that: the prize was of insufficient value in this relatively wealthy population, the GPs did not perceive the odds of winning to be high enough, as we did not communicate the size of the survey, or because entry to the prize draw was conditional on whether the GP completed the questionnaire [ 14, 24].
The evidence for the effectiveness of incentives provided in this study may inform the debate.
However, the majority (86%) of incentives evaluated in this study were prize draws and no significant impact was demonstrated for these.
The economic incentives in the study regions to support PARs may be considered an intervention in itself, as these incentives could have enhanced the PAR effort and yielded a higher number of prescriptions than would otherwise have been the case.
The scratch lottery ticket incentive used in this study gave a higher odds ratio than the average for the 94 studies of non-monetary incentives identified in the recent Cochrane Review [ 11].
The incentive offered in this study was entry to a prize draw for which a winner was certain.
The size of the financial incentive offered in this study may have been insufficient to motivate GPs to offer increased testing.
Nonhuman primate studies have demonstrated that DA neurons, which originate in the midbrain and prominently project to the dorsal and ventral striatum and PFC, phasically respond to rewards and reward-predicting stimuli (Schultz 1998) and, as such, would likely be active in response to the presentation of the incentive cues in this study.
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CEO of Professional Science Editing for Scientists @ prosciediting.com