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Unconditional and conditional monetary incentives to increase response to mailed questionnaires: A randomized
Ben Young1, Laura Bedford1, Roshan das Nair2
1Division of Primary Care, University of Nottingham, Nottingham, UK.
Unconditional monetary incentives may temporarily boost mailed questionnaire response rates in clinical trials. However, this approach may risk data completeness and requires careful cost-benefit analysis.
Area of Science:
- Clinical Trials
- Health Services Research
- Incentive Studies
Background:
- High questionnaire response rates are crucial for representative study results and statistical power.
- Improving response speed and quality can significantly reduce research costs.
- Monetary incentives are a common strategy to enhance participant engagement.
Purpose of the Study:
- To compare the effectiveness of unconditional versus conditional monetary incentives on questionnaire response rates.
- To evaluate the impact of incentive type on data completeness and the need for reminders.
- To assess the long-term effects of monetary incentives on participant response in a clinical trial.
Main Methods:
- A randomized study within a trial (SWAT) was conducted.
- Participants received either an unconditional £5 gift voucher or a conditional voucher upon return.
- Response rates, data completeness, and reminder needs were tracked over 12 months.
Main Results:
- Unconditional incentives showed a higher response rate for the first questionnaire (94.2% vs 91.7%).
- Significantly greater odds of returning repeat questionnaires were observed in the unconditional group at 6 months.
- Incomplete questionnaires were more frequent at 3 months in the unconditional group.
Conclusions:
- Unconditional monetary incentives can offer a short-term increase in mailed questionnaire response rates.
- The observed benefits may be transient, and the findings could be due to chance.
- While potentially cost-saving, unconditional incentives may compromise data completeness, necessitating a balance between response and data quality.
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