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Investigating Rewards and Deposit Contract Financial Incentives for Physical Activity Behavior Change Using a
David R de Buisonjé1, Thomas Reijnders1,2, Talia R Cohen Rodrigues1
1Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Leiden, Netherlands.
Journal of Medical Internet Research
|October 6, 2022
Summary
Financial incentives boost physical activity, but deposit contracts showed no greater effectiveness than rewards. Low uptake of deposit contracts hinders implementation, and loss-framed incentives were less effective than gain-framed ones.
Area of Science:
- Behavioral Economics
- Health Psychology
- Exercise Science
Background:
- Financial incentives are effective for increasing physical activity but can be costly.
- Deposit contracts, where participants pledge their own money, offer a potentially affordable alternative.
- Deposit contracts may leverage loss aversion for enhanced effects, though previous research often used loss framing with rewards instead of actual deposits.
Purpose of the Study:
- To differentiate the effects of actual financial loss (deposit contracts) versus loss framing.
- To compare the effectiveness and uptake of deposit contracts against financial rewards.
- To evaluate incentive effectiveness versus a no-incentive control and the impact of gain versus loss framing.
Main Methods:
- A 20-day physical activity intervention involving 126 healthy participants (mean age 22.7 years).
- Participants used a smartphone app with personalized goals, receiving either a €10 deposit or reward, with feedback framed as gain or loss.
- A between-subjects factorial design compared incentive type (deposit vs. reward) and feedback frame (gain vs. loss) against a no-incentive control.
Main Results:
- Financial incentives significantly increased goal achievement days compared to the control group (13.10 vs. 8.00 days).
- Deposit contracts had significantly lower uptake (62%) than rewards (100%).
- Deposit contracts were not significantly more effective than rewards, and loss frames were less effective than gain frames (10.50 vs. 14.67 days).
Conclusions:
- While financial incentives improve physical activity, deposit contracts do not offer superior effectiveness over rewards, despite lower cost.
- Low uptake of deposit contracts presents a significant barrier to widespread adoption.
- Loss framing was unexpectedly less effective than gain framing, suggesting a need for further research before practical application.

