一个随机对照试验比较损失与收益的激励措施,以改善青少年对肥胖治疗干预措施的坚持
Robert M Siegel1,2, Christopher Kist1, Shelley Kirk1,2
1The Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.
Nutrients
|October 16, 2024
概括
货币激励,特别是收益框架礼品卡,显著提高了儿童肥胖治疗的坚持. 在青少年的生活方式干预中,收益激励比损失激励更有效.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 行为经济学是一种行为经济学.
- 公共卫生 公共卫生
背景情况:
- 儿童肥胖治疗的坚持是一个重大挑战.
- 货币激励可以提高对生活方式干预措施的坚持.
- 基于损失的激励措施往往比基于收益的激励措施更有效.
研究的目的:
- 评估货币激励措施 (礼品卡) 在改善儿童肥胖治疗的有效性.
- 为了比较收益框架与损失框架的货币激励措施对遵守的有效性.
主要方法:
- 60名患有肥胖的青少年被随机分为三个组:获取 (n=20),损失 (n=21) 和控制 (n=19).
- 每个月使用基于医疗访问,饮食报告和步骤跟踪的得分 (AS) 来衡量坚持.
- 激励措施有所不同:收益组了高达100美元的收入,损失组以100美元开始并失去资金,控制获得了10美元.
主要成果:
- 收益组 (66.0分) 的遵守率最高,其次是损失组 (54.9分) 和对照组 (40.6分) (p < 0.01).
- 与损失和控制组相比,增益组对步骤目标和饮食报告的坚持明显更大 (p < 0.005).
结论:
- 以收益为框架的货币激励措施优于以损失为框架的激励措施,以改善儿童肥胖治疗的坚持.
- 作为收益的礼品卡激励措施有效地提高了青少年参与生活方式干预的可能性.
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