A Pilot Study Testing the Effect of Different Levels of Financial Incentives on Weight Loss Among Overweight Employees
Abstract
OBJECTIVE: To test the ability of two levels of modest financial incentives to encourage weight loss among overweight employees. METHODS: This study used a randomized design with measurements at baseline, 3, and 6 months and two levels of financial incentives ($7 and $14 per percentage point of weight lost). Payments were structured so that all participants had equal ability to obtain the incentives during the study period. RESULTS: At 3 months, participants with no financial incentive lost 2 pounds, those in the $7 group lost approximately 3 pounds, and those in the $14 group lost 4.7 pounds. Between baseline and 6 months, when the financial gains were equalized, weight losses were similar across groups. CONCLUSION: This study revealed that modest financial incentives can be effective in motivating overweight employees to lose weight.
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Experiments testing financial incentives to improve health behaviors demonstrate that financial incentives can improve health behaviors in the short term, especially when financial incentives are larger.
“These studies demonstrate that financial incentives can improve health behaviors in the short term, especially when financial incentives are larger.216–219”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [219]
Incentives led to greater participation and completion rates, successful cessation in smoking cessation programs at 3 months, and greater weight loss ranging from 0.9 to 2.25 kg at 3 months, but these differences generally did not persist at longer follow-up (e.g., 6 months) after completion of the incentive programs.
“Generally, incentives led to greater participation and completion rates, successful cessation in smoking cessation programs at 3 months, and greater weight loss ranging from 0.9 to 2.25 kg at 3 months. However, these differences generally did not persist at longer follow-up (eg, 6 months) after completion of the incentive programs.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [219]
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- Authors
- Finkelstein, E. A., Linnan, L. A., Tate, D. F., & Birken, B. E.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Finkelstein, Eric A.
- Venue
- Journal of Occupational & Environmental Medicine
- Published
- 2007-09
- Volume
- 49
- Issue
- 9
- Pages
- 981-989
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W2039134112
- Cited by
- 149
- References
- 15
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 5 · 2019: 13 · 2018: 10 · 2017: 12 · 2016: 10 · 2015: 11 · 2014: 12 · 2013: 13 · 2012: 15
- FWCI
- 14.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention (P30 CD000138-01)
- National Center for Chronic Disease Prevention and Health Promotion (R01 DP000102)
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- financial incentives, weight loss, overweight employees, workplace health promotion, obesity, monetary rewards, employee motivation
- MeSH terms
- Adult, Clinical Protocols, Female, Health Promotion, Humans, Male, Middle Aged, Pilot Projects, Reward, Time Factors, Weight Loss, Prevalence, Workplace, Overweight
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