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On Supplementing “Foot in the Door” Incentives for eHealth Program Engagement
by Marc Steven Mitchell, Guy E Faulkner
(Published on 25 Jul 2014)
Financial health incentives, such as paying people to lose weight, are being widely implemented by Western nations and large corporations. A growing number of studies have tested the impact of incentives on health behaviors, though few have evaluated the approach on a population-scale. In this issue of the Journal of Medical Internet Research, Liu et al add to the evidence-base by examining whether a single incentive can motivate enrollment and engagement in a preventive eHealth program in a sample of 142,726 Canadian adults. While the incentives increased enrollment significantly (by a factor of about 28), a very high level of program attrition was noted (90%). The “foot in the door” incentive technique employed was insufficient; enrollees received incentives for signing-up...
Response to: Self-Directed Interventions to Promote Weight Loss: A Systematic Review of Reviews
by Melinda Hutchesson, Philip Morgan, Penelope Jones, Clare Collins
(Published on 24 Jul 2014)
Dear Editor In the February edition of the journal Tang et al conducted a systematic review of reviews examining the effectiveness of self-directed interventions to promote weight loss . They reviewed 20 systematic reviews which incorporated 99 primary studies relevant to their review question. They concluded that self-directed interventions promote weight loss both independently and when provided as an adjunct to personal contact interventions. We agree that the evidence presented in this systematic review of reviews provides some support for the use of self-directed interventions for weight loss; however we believe the data provided does not specifically support the use of self-directed interventions alone and when used in combination with other delivery modes. We wish to point...
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