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Chronically ill patients’ preferences for a financial incentive in a lifestyle intervention. Results of a discrete choice experiment

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  • Claudia Molema
  • Jorien Veldwijk
  • Wanda Wendel-Vos
  • Ardine de Wit
  • Ien van de Goor
  • Jantine Schuit

Abstract

Background: The preferences of diabetes type 2 patients and cardiovascular disease patients for a financial incentive added to a specified combined lifestyle intervention were investigated. Methods: A discrete choice experiment questionnaire was filled out by 290 diabetes type 2 patients (response rate 29.9%). Panel-mixed-logit models were used to estimate the preferences for a financial incentive. Potential uptake rates of different financial incentives and relative importance scores of the included attributes were estimated. Included attributes and levels were: form of the incentive (cash money and different types of vouchers), value of the incentive (ranging from 15 to 100 euros), moment the incentive is received (start, halfway, after finishing the intervention) and prerequisite for receiving the incentive (registration, attendance or results at group or individual level). Results: Prerequisites for receiving the financial incentive were the most important attribute, according to the respondents. Potential uptake rates for different financial incentives ranged between 37.9% and 58.8%. The latter uptake rate was associated with a financial incentive consisting of cash money with a value of €100 that is handed out after completing the lifestyle program with the prerequisite that the participant attended at least 75% of the scheduled meetings. Conclusions: The potential uptake of the different financial incentives varied between 37.9% and 58.8%. The value of the incentive does not significantly influence the potential uptake. However, the potential uptake and associated potential effect of the financial incentive is influenced by the type of financial incentive. The preferred type of incentive is €100 in cash money, awarded after completing the lifestyle program if the participant attended at least 75% of the scheduled meetings.

Suggested Citation

  • Claudia Molema & Jorien Veldwijk & Wanda Wendel-Vos & Ardine de Wit & Ien van de Goor & Jantine Schuit, 2019. "Chronically ill patients’ preferences for a financial incentive in a lifestyle intervention. Results of a discrete choice experiment," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-15, July.
    • Handle: RePEc:plo:pone00:0219112
    DOI: 10.1371/journal.pone.0219112
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    References listed on IDEAS

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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. Emily Lancsar & Jordan Louviere, 2008. "Conducting Discrete Choice Experiments to Inform Healthcare Decision Making," PharmacoEconomics, Springer, vol. 26(8), pages 661-677, August.
    3. Joanna Coast & Hareth Al‐Janabi & Eileen J. Sutton & Susan A. Horrocks & A. Jane Vosper & Dawn R. Swancutt & Terry N. Flynn, 2012. "Using qualitative methods for attribute development for discrete choice experiments: issues and recommendations," Health Economics, John Wiley & Sons, Ltd., vol. 21(6), pages 730-741, June.
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    1. Daniel Pérez-Troncoso & David M. Epstein & José A. Castañeda-García, 2021. "Consumers' Preferences and Willingness to Pay for Personalised Nutrition," Applied Health Economics and Health Policy, Springer, vol. 19(5), pages 757-767, September.

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