Acceptability of financial incentives for maintenance of weight loss in mid-older adults: a mixed methods study
- Publisher:
- BioMed Central
- Publication Type:
- Journal Article
- Citation:
- BMC Public Health, 2018, 18, (1), pp. 244
- Issue Date:
- 2018
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | McGill, B | |
dc.contributor.author | O'Hara, B | |
dc.contributor.author |
Grunseit, A https://orcid.org/0000-0003-0783-4596 |
|
dc.contributor.author | Bauman, A | |
dc.contributor.author | Osborne, D | |
dc.contributor.author | Lawler, L | |
dc.contributor.author | Phongsavan, P | |
dc.date.accessioned | 2022-09-04T21:57:12Z | |
dc.date.available | 2018-02-01 | |
dc.date.available | 2022-09-04T21:57:12Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | BMC Public Health, 2018, 18, (1), pp. 244 | |
dc.identifier.issn | 1471-2458 | |
dc.identifier.issn | 1471-2458 | |
dc.identifier.uri | http://hdl.handle.net/10453/161344 | |
dc.description.abstract | Background Health insurers worldwide implement financial incentive schemes to encourage health-related behaviours, including to facilitate weight loss. The maintenance of weight loss is a public health challenge, and as non-communicable diseases become more prevalent with increasing age, mid-older adults could benefit from programs which motivate weight loss maintenance. However, little is understood about their perceptions of using financial incentives to maintain weight loss. Methods We used mixed methods to explore the attitudes and views of participants who had completed an Australian weight loss and lifestyle modification program offered to overweight and obese health insurance members with weight-related chronic diseases, about the acceptability and usefulness of different types of financial incentives to support weight loss maintenance. An online survey was completed by 130 respondents (mean age = 64 years); and a further 28 participants (mean age = 65 years) attended six focus groups. Results Both independent samples of participants supported a formalised maintenance program. Online survey respondents reported that non-cash (85.2%) and cash (77%) incentives would be potentially motivating; but only 40.5% reported that deposit contracts would motivate weight loss maintenance. Results of in-depth discussions found overall low support for any type of financial incentive, but particularly deposit contracts and lotteries. Some participants expressed that improved health was of more value than a monetary incentive and that they felt personally responsible for their own health, which was at odds with the idea of financial incentives. Others suggested ongoing program and peer support as potentially useful for weight loss maintenance. Conclusions If financial incentives are considered for mid-older Australian adults in the health insurance setting, program planners will need to balance the discordance between participant beliefs about the individual responsibility for health and their desire for external supports to motivate and sustain weight loss maintenance. | |
dc.format | Electronic | |
dc.language | eng | |
dc.publisher | BioMed Central | |
dc.relation.ispartof | BMC Public Health | |
dc.relation.isbasedon | 10.1186/s12889-018-5136-z | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 1117 Public Health and Health Services | |
dc.subject.classification | Public Health | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Body Weight Maintenance | |
dc.subject.mesh | Female | |
dc.subject.mesh | Focus Groups | |
dc.subject.mesh | Health Promotion | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Insurance, Health | |
dc.subject.mesh | Male | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Motivation | |
dc.subject.mesh | Obesity | |
dc.subject.mesh | Overweight | |
dc.subject.mesh | Program Evaluation | |
dc.subject.mesh | Qualitative Research | |
dc.subject.mesh | Reward | |
dc.subject.mesh | Surveys and Questionnaires | |
dc.subject.mesh | Weight Loss | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Obesity | |
dc.subject.mesh | Weight Loss | |
dc.subject.mesh | Focus Groups | |
dc.subject.mesh | Program Evaluation | |
dc.subject.mesh | Motivation | |
dc.subject.mesh | Reward | |
dc.subject.mesh | Qualitative Research | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Health Promotion | |
dc.subject.mesh | Insurance, Health | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Overweight | |
dc.subject.mesh | Surveys and Questionnaires | |
dc.subject.mesh | Body Weight Maintenance | |
dc.title | Acceptability of financial incentives for maintenance of weight loss in mid-older adults: a mixed methods study | |
dc.type | Journal Article | |
utslib.citation.volume | 18 | |
utslib.location.activity | England | |
utslib.for | 1117 Public Health and Health Services | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Public Health | |
utslib.copyright.status | open_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-09-04T21:57:10Z | |
pubs.issue | 1 | |
pubs.publication-status | Published | |
pubs.volume | 18 | |
utslib.citation.issue | 1 |
Abstract:
Background
Health insurers worldwide implement financial incentive schemes to encourage health-related behaviours, including to facilitate weight loss. The maintenance of weight loss is a public health challenge, and as non-communicable diseases become more prevalent with increasing age, mid-older adults could benefit from programs which motivate weight loss maintenance. However, little is understood about their perceptions of using financial incentives to maintain weight loss.
Methods
We used mixed methods to explore the attitudes and views of participants who had completed an Australian weight loss and lifestyle modification program offered to overweight and obese health insurance members with weight-related chronic diseases, about the acceptability and usefulness of different types of financial incentives to support weight loss maintenance. An online survey was completed by 130 respondents (mean age = 64 years); and a further 28 participants (mean age = 65 years) attended six focus groups.
Results
Both independent samples of participants supported a formalised maintenance program. Online survey respondents reported that non-cash (85.2%) and cash (77%) incentives would be potentially motivating; but only 40.5% reported that deposit contracts would motivate weight loss maintenance. Results of in-depth discussions found overall low support for any type of financial incentive, but particularly deposit contracts and lotteries. Some participants expressed that improved health was of more value than a monetary incentive and that they felt personally responsible for their own health, which was at odds with the idea of financial incentives. Others suggested ongoing program and peer support as potentially useful for weight loss maintenance.
Conclusions
If financial incentives are considered for mid-older Australian adults in the health insurance setting, program planners will need to balance the discordance between participant beliefs about the individual responsibility for health and their desire for external supports to motivate and sustain weight loss maintenance.
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