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Related Experiment Videos

Rewards and adolescent health behavior.

A K Lund, S S Kegeles

    Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
    |January 1, 1984
    PubMed
    Summary

    Contingent rewards effectively initiate adolescent health habits like fluoride rinsing, but the behavior often stops when rewards cease. Long-term continuation requires more than partial rewards or self-management training.

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    Area of Science:

    • Health Psychology
    • Adolescent Health Behaviors
    • Preventive Health

    Background:

    • Contingent rewards can enhance student adoption of new health activities.
    • Adolescent health behaviors require effective strategies for long-term adherence.

    Purpose of the Study:

    • To evaluate the long-term effectiveness of contingent rewards in establishing adolescent fluoride rinse habits.
    • To compare the impact of saturated versus partial reward schedules on habit continuation.
    • To assess the efficacy of self-management instruction as a follow-up to reward withdrawal.

    Main Methods:

    • Adolescents participated in a fluoride rinse program over two school years.
    • Different reward schedules (saturated vs. partial) were implemented.
    • Self-management instruction was introduced to a subset of participants.

    Main Results:

    • Habits initiated by contingent rewards tended to cease upon reward withdrawal.
    • Partial reward schedules showed less immediate attrition but similar long-term effects to saturated schedules.
    • Higher participation was observed in girls and urban students.
    • Self-management instruction showed temporary success in urban students but decreased adherence in suburban students.

    Conclusions:

    • Contingent rewards are effective for initiating adolescent health habits but not sufficient for long-term continuation.
    • Neither partial reward schedules nor self-management instruction alone ensures sustained behavior change.
    • Health psychologists and public health professionals need to develop more robust strategies for long-term habit maintenance.

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