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Incentives and children's dietary choices: A field experiment in primary schools

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  • Belot, Michèle
  • James, Jonathan
  • Nolen, Patrick

Abstract

We conduct a field experiment in 31 primary schools in England to test the effectiveness of different temporary incentives on increasing choice and consumption of fruit and vegetables at lunchtime. In each treatment, pupils received a sticker for choosing a fruit or vegetable at lunch. They were eligible for an additional reward at the end of the week depending on the number of stickers accumulated, either individually (individual scheme) or in comparison to others (competition). Overall, we find no significant effect of the individual scheme, but positive effects of competition. For children who had margin to increase their consumption, competition increases choice of fruit and vegetables by 33% and consumption by 48%. These positive effects generally carry over to the week immediately following the treatment, but are not sustained effects six months later. We also find large differences in effectiveness across demographic characteristics such as age and gender.

Suggested Citation

  • Belot, Michèle & James, Jonathan & Nolen, Patrick, 2016. "Incentives and children's dietary choices: A field experiment in primary schools," Journal of Health Economics, Elsevier, vol. 50(C), pages 213-229.
  • Handle: RePEc:eee:jhecon:v:50:y:2016:i:c:p:213-229
    DOI: 10.1016/j.jhealeco.2016.07.003
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    1. Gneezy, Uri & Rustichini, Aldo, 2000. "A Fine is a Price," The Journal of Legal Studies, University of Chicago Press, vol. 29(1), pages 1-17, January.
    2. Jay Bhattacharya & Neeraj Sood, 2011. "Who Pays for Obesity?," Journal of Economic Perspectives, American Economic Association, vol. 25(1), pages 139-158, Winter.
    3. Nagore Iriberri & Pedro Rey-Biel, 2011. "Let's (Not) Talk about Sex: The Effect of Information Provision on Gender Differences in Performance under Competition," Working Papers 583, Barcelona School of Economics.
    4. Booth, Alison & Nolen, Patrick, 2012. "Choosing to compete: How different are girls and boys?," Journal of Economic Behavior & Organization, Elsevier, vol. 81(2), pages 542-555.
    5. Matthew Rabin & Ted O'Donoghue, 1999. "Doing It Now or Later," American Economic Review, American Economic Association, vol. 89(1), pages 103-124, March.
    6. Uri Gneezy & Stephan Meier & Pedro Rey-Biel, 2011. "When and Why Incentives (Don't) Work to Modify Behavior," Journal of Economic Perspectives, American Economic Association, vol. 25(4), pages 191-210, Fall.
    7. Belot, Michèle & James, Jonathan, 2016. "Partner selection into policy relevant field experiments," Journal of Economic Behavior & Organization, Elsevier, vol. 123(C), pages 31-56.
    8. Philip Oreopoulos & Daniel Lang & Joshua Angrist, 2009. "Incentives and Services for College Achievement: Evidence from a Randomized Trial," American Economic Journal: Applied Economics, American Economic Association, vol. 1(1), pages 136-163, January.
    9. Belot, Michèle & James, Jonathan, 2011. "Healthy school meals and educational outcomes," Journal of Health Economics, Elsevier, vol. 30(3), pages 489-504, May.
    10. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    11. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2008. "Bootstrap-Based Improvements for Inference with Clustered Errors," The Review of Economics and Statistics, MIT Press, vol. 90(3), pages 414-427, August.
    12. Jessica Wisdom & Julie S. Downs & George Loewenstein, 2010. "Promoting Healthy Choices: Information versus Convenience," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 164-178, April.
    13. Becker, Gary S, 1992. "Habits, Addictions, and Traditions," Kyklos, Wiley Blackwell, vol. 45(3), pages 327-345.
    14. Dan Acland & Matthew R. Levy, 2015. "Naiveté, Projection Bias, and Habit Formation in Gym Attendance," Management Science, INFORMS, vol. 61(1), pages 146-160, January.
    15. Acland, Dan & Levy, Matthew R., 2015. "Naiveté, projection bias, and habit formation in gym attendance," LSE Research Online Documents on Economics 66147, London School of Economics and Political Science, LSE Library.
    16. Xavier Giné & Dean Karlan & Jonathan Zinman, 2010. "Put Your Money Where Your Butt Is: A Commitment Contract for Smoking Cessation," American Economic Journal: Applied Economics, American Economic Association, vol. 2(4), pages 213-235, October.
    17. Gary Charness & Uri Gneezy, 2009. "Incentives to Exercise," Econometrica, Econometric Society, vol. 77(3), pages 909-931, May.
    18. Uri Gneezy & Aldo Rustichini, 2004. "Gender and Competition at a Young Age," American Economic Review, American Economic Association, vol. 94(2), pages 377-381, May.
    19. Ai, Chunrong & Norton, Edward C., 2003. "Interaction terms in logit and probit models," Economics Letters, Elsevier, vol. 80(1), pages 123-129, July.
    20. Michael Kremer & Edward Miguel & Rebecca Thornton, 2009. "Incentives to Learn," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 437-456, August.
    21. Loewenstein, George & Price, Joseph & Volpp, Kevin, 2016. "Habit formation in children: Evidence from incentives for healthy eating," Journal of Health Economics, Elsevier, vol. 45(C), pages 47-54.
    22. David Laibson, 1997. "Golden Eggs and Hyperbolic Discounting," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 112(2), pages 443-478.
    23. List, John A. & Samek, Anya Savikhin, 2015. "The behavioralist as nutritionist: Leveraging behavioral economics to improve child food choice and consumption," Journal of Health Economics, Elsevier, vol. 39(C), pages 135-146.
    24. Acland, Dan & Levy, Matthew, 2013. "Naivete, projection bias, and habit formation in gym attendance," LSE Research Online Documents on Economics 46827, London School of Economics and Political Science, LSE Library.
    25. Perry, C.L. & Bishop, D.B. & Taylor, G. & Murray, D.M. & Mays, R.W. & Dudovitz, B.S. & Smyth, M. & Story, M., 1998. "Changing fruit and vegetable consumption among children: The 5-a-day power plus program in St. Paul, Minnesota," American Journal of Public Health, American Public Health Association, vol. 88(4), pages 603-609.
    26. James J. Choi & David Laibson & Brigitte C. Madrian & Andrew Metrick, 2003. "Optimal Defaults," American Economic Review, American Economic Association, vol. 93(2), pages 180-185, May.
    27. Gary S. Becker, 1992. "Habits, Addictions, and Traditions," Kyklos, Wiley Blackwell, vol. 45(3), pages 327-345, August.
    28. David R. Just & Joseph Price, 2013. "Using Incentives to Encourage Healthy Eating in Children," Journal of Human Resources, University of Wisconsin Press, vol. 48(4), pages 855-872.
    29. Cawley, John & Price, Joshua A., 2013. "A case study of a workplace wellness program that offers financial incentives for weight loss," Journal of Health Economics, Elsevier, vol. 32(5), pages 794-803.
    30. Delaney, Liam & Doyle, Orla, 2012. "Socioeconomic differences in early childhood time preferences," Journal of Economic Psychology, Elsevier, vol. 33(1), pages 237-247.
    31. Uri Gneezy & Muriel Niederle & Aldo Rustichini, 2003. "Performance in Competitive Environments: Gender Differences," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(3), pages 1049-1074.
    32. Joshua Angrist & Victor Lavy, 2009. "The Effects of High Stakes High School Achievement Awards: Evidence from a Randomized Trial," American Economic Review, American Economic Association, vol. 99(4), pages 1384-1414, September.
    33. Kelder, S.H. & Perry, C.L. & Klepp, K.-I. & Lytle, L.L., 1994. "Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1121-1126.
    34. Becker, Gary S & Murphy, Kevin M, 1988. "A Theory of Rational Addiction," Journal of Political Economy, University of Chicago Press, vol. 96(4), pages 675-700, August.
    35. Singer, M.R. & Moore, L.L. & Garrahie, E.J. & Ellison, R.C., 1995. "The tracking of nutrient intake in young children: The Framingham Children's Study," American Journal of Public Health, American Public Health Association, vol. 85(12), pages 1673-1677.
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    Cited by:

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    2. Fritz Schiltz & Kristof De Witte, 2022. "Sugar rush or sugar crash? Experimental evidence on the impact of sugary drinks in the classroom," Health Economics, John Wiley & Sons, Ltd., vol. 31(1), pages 215-232, January.
    3. Benito-Ostolaza, Juan Miguel & Echavarri, Rebeca & Garcia-Prado, Ariadna & Oses-Eraso, Nuria, 2021. "Using visual stimuli to promote healthy snack choices among children," Social Science & Medicine, Elsevier, vol. 270(C).
    4. Jan Marcus & Thomas Siedler & Nicolas R. Ziebarth, 2022. "The Long-Run Effects of Sports Club Vouchers for Primary School Children," American Economic Journal: Economic Policy, American Economic Association, vol. 14(3), pages 128-165, August.
    5. John A. List & Anya Samek & Terri Zhu, 2022. "Incentives to Eat Healthily: Evidence from a Grocery Store Field Experiment," Economica, London School of Economics and Political Science, vol. 89(354), pages 489-509, April.
    6. Manuel Hoffmann & Roberto Mosquera & Adrian Chadi, 2019. "Vaccines at Work," TWI Research Paper Series 116, Thurgauer Wirtschaftsinstitut, Universität Konstanz.
    7. Belot, Michèle & James, Jonathan, 2016. "Partner selection into policy relevant field experiments," Journal of Economic Behavior & Organization, Elsevier, vol. 123(C), pages 31-56.
    8. Gwozdz, W. & Reisch, L. & Eiben, G. & Hunsberger, M. & Konstabel, K. & Kovacs, E. & Luszczki, E. & Mazur, A. & Mendl, E. & Saamel, M. & Wolters, M., 2020. "The effect of smileys as motivational incentives on children’s fruit and vegetable choice, consumption and waste: A field experiment in schools in five European countries," Food Policy, Elsevier, vol. 96(C).
    9. Carroll, Kathryn A. & Samek, Anya, 2018. "Field experiments on food choice in grocery stores: A ‘how-to’ guide," Food Policy, Elsevier, vol. 79(C), pages 331-340.
    10. Marit Hinnosaar, 2023. "The Persistence of Healthy Behaviors in Food Purchasing," Marketing Science, INFORMS, vol. 42(3), pages 521-537, May.
    11. Belot, Michèle & James, Jonathan, 2022. "Incentivizing dietary choices among children: Review of experimental evidence," Food Policy, Elsevier, vol. 111(C).
    12. Fabrice Etilé, 2019. "The Economics of Diet and Obesity: Public Policy," PSE-Ecole d'économie de Paris (Postprint) hal-02154445, HAL.
    13. Nguyen, Trang & de Brauw, Alan & van den Berg, Marrit, 2022. "Sweet or not: Using information and cognitive dissonance to nudge children toward healthier food choices," Economics & Human Biology, Elsevier, vol. 47(C).
    14. Antinyan, Armenak & Corazzini, Luca, 2021. "Money does it better! Economic incentives, nudging interventions and reusable shopping bags: Evidence from a natural field experiment," Cardiff Economics Working Papers E2021/29, Cardiff University, Cardiff Business School, Economics Section.
    15. Ozturk, Orgul D. & Frongillo, Edward A. & Blake, Christine E. & McInnes, Melayne M. & Turner-McGrievy, Gabrielle, 2020. "Before the lunch line: Effectiveness of behavioral economic interventions for pre-commitment on elementary school children's food choices," Journal of Economic Behavior & Organization, Elsevier, vol. 176(C), pages 597-618.
    16. Samek, Anya, 2019. "Gifts and goals: Behavioral nudges to improve child food choice at school," Journal of Economic Behavior & Organization, Elsevier, vol. 164(C), pages 1-12.
    17. Antinyan, Armenak & Corazzini, Luca, 2023. "Breaking the Bag Habit: Testing Interventions to Reduce Plastic Bag Demand in a Developing Country," Cardiff Economics Working Papers E2023/7, Cardiff University, Cardiff Business School, Economics Section.
    18. Kurz, Verena, 2018. "Nudging to reduce meat consumption: Immediate and persistent effects of an intervention at a university restaurant," Journal of Environmental Economics and Management, Elsevier, vol. 90(C), pages 317-341.
    19. Mecheva, Margarita de Vries & Rieger, Matthias & Sparrow, Robert & Prafiantini, Erfi & Agustina, Rina, 2021. "Snacks, nudges and asymmetric peer influence: Evidence from food choice experiments with children in Indonesia," Journal of Health Economics, Elsevier, vol. 79(C).
    20. Dominguez-Viera, Marcos E. & van den Berg, Marrit & Handgraaf, Michel & Donovan, Jason, 2023. "Influence of poverty concerns on demand for healthier processed foods: A field experiment in Mexico City," Economics & Human Biology, Elsevier, vol. 49(C).
    21. Arad, Ayala & Gneezy, Uri & Mograbi, Eli, 2023. "Intermittent incentives to encourage exercising in the long run," Journal of Economic Behavior & Organization, Elsevier, vol. 205(C), pages 560-573.
    22. Sule Alan & Seda Ertac & Inci Gumus, 2021. "Does a forward‐looking perspective affect self‐control and the demand for commitment? Results from an educational intervention," Economic Inquiry, Western Economic Association International, vol. 59(4), pages 1533-1546, October.
    23. J. M. Bauer & L. A. Reisch, 2019. "Behavioural Insights and (Un)healthy Dietary Choices: a Review of Current Evidence," Journal of Consumer Policy, Springer, vol. 42(1), pages 3-45, March.
    24. Kurz, Verena, 2017. "Nudging to reduce meat consumption: Immediate and persistent effects of an intervention at a university restaurant," Working Papers in Economics 712, University of Gothenburg, Department of Economics.

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    More about this item

    Keywords

    Incentives; Health; Habits; Child nutrition; Field experiments;
    All these keywords.

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H52 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Education

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