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How Does Opt-in Work? A Field Experiment on Financial Incentives for Physical Activity

Author

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  • Hirofumi Kurokawa

    (School of Economics and Management, University of Hyogo)

  • Shusaku Sasaki

    (Center for Infectious Disease Education and Research (CiDER), Osaka University)

Abstract

We examined the effectiveness of two different schemes for providing financial incentives to promote physical activity. We collaborated with a local government in Japan to conduct a field experiment with 498 residents randomly assigned to participate in one of three groups: an “opt-in†group (needed to apply to receive the incentive based on their daily steps), an “opt-out†group (received the incentive by default, but could request not to receive it), and a control group (no incentive). In the opt-in group, 31.1% of the participants applied to receive the incentive, while 100% of those in the opt-out group retained the default option and received it, indicating that their take-up rates depended heavily on the default settings. Our estimation results suggest that providing financial incentives in the opt-in scheme can be effective and efficient. The opt-in group, overall, showed a statistically significant increase of approximately 710 steps per day during the first half of the treatment period, and the number of steps was estimated to increase by 2,280 among the 31.1% of participants who opted-in to receive the incentive. The opt-out scheme did not show any significant increase in their number of daily steps.

Suggested Citation

  • Hirofumi Kurokawa & Shusaku Sasaki, 2023. "How Does Opt-in Work? A Field Experiment on Financial Incentives for Physical Activity," Discussion Papers in Economics and Business 23-01, Osaka University, Graduate School of Economics.
  • Handle: RePEc:osk:wpaper:2301
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    1. Abadie, Alberto & Gay, Sebastien, 2006. "The impact of presumed consent legislation on cadaveric organ donation: A cross-country study," Journal of Health Economics, Elsevier, vol. 25(4), pages 599-620, July.
    2. Koichiro Ito & Takanori Ida & Makoto Tanaka, 2023. "Selection on Welfare Gains: Experimental Evidence from Electricity Plan Choice," American Economic Review, American Economic Association, vol. 113(11), pages 2937-2973, November.
    3. Heather Royer & Mark Stehr & Justin Sydnor, 2015. "Incentives, Commitments, and Habit Formation in Exercise: Evidence from a Field Experiment with Workers at a Fortune-500 Company," American Economic Journal: Applied Economics, American Economic Association, vol. 7(3), pages 51-84, July.
    4. Richard H. Thaler & Shlomo Benartzi, 2004. "Save More Tomorrow (TM): Using Behavioral Economics to Increase Employee Saving," Journal of Political Economy, University of Chicago Press, vol. 112(S1), pages 164-187, February.
    5. John Beshears & James J. Choi & David Laibson & Brigitte C. Madrian & William L. Skimmyhorn, 2022. "Borrowing to Save? The Impact of Automatic Enrollment on Debt," Journal of Finance, American Finance Association, vol. 77(1), pages 403-447, February.
    6. Meredith Fowlie & Catherine Wolfram & Patrick Baylis & C Anna Spurlock & Annika Todd-Blick & Peter Cappers, 2021. "Default Effects And Follow-On Behaviour: Evidence From An Electricity Pricing Program [The Impact of Presumed Consent Legislation on Cadaveric Oorgan Donation: A Cross-country Study”]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 88(6), pages 2886-2934.
    7. Mariana Carrera & Heather Royer & Mark Stehr & Justin Sydnor, 2020. "The Structure of Health Incentives: Evidence from a Field Experiment," Management Science, INFORMS, vol. 66(5), pages 1890-1908, May.
    8. Takanori Ida & Takunori Ishihara & Koichiro Ito & Daido Kido & Toru Kitagawa & Shosei Sakaguchi & Shusaku Sasaki, 2022. "Choosing Who Chooses: Selection-Driven Targeting in Energy Rebate Programs," NBER Working Papers 30469, National Bureau of Economic Research, Inc.
    9. 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.
    10. Brigitte C. Madrian & Dennis F. Shea, 2001. "The Power of Suggestion: Inertia in 401(k) Participation and Savings Behavior," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 116(4), pages 1149-1187.
    11. James J. Choi & David Laibson & Brigitte C. Madrian & Andrew Metrick, 2002. "Defined Contribution Pensions: Plan Rules, Participant Choices, and the Path of Least Resistance," NBER Chapters, in: Tax Policy and the Economy, Volume 16, pages 67-114, National Bureau of Economic Research, Inc.
    12. Marc A Adams & James F Sallis & Gregory J Norman & Melbourne F Hovell & Eric B Hekler & Elyse Perata, 2013. "An Adaptive Physical Activity Intervention for Overweight Adults: A Randomized Controlled Trial," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-11, December.
    13. Eric J Johnson & Ran Hassin & Tom Baker & Allison T Bajger & Galen Treuer, 2013. "Can Consumers Make Affordable Care Affordable? The Value of Choice Architecture," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-6, December.
    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. Amy Finkelstein & Matthew J Notowidigdo, 2019. "Take-Up and Targeting: Experimental Evidence from SNAP," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(3), pages 1505-1556.
    16. 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.
    17. Shilpa Aggarwal & Rebecca Dizon-Ross & Ariel D. Zucker, 2020. "Incentivizing Behavioral Change: The Role of Time Preferences," NBER Working Papers 27079, National Bureau of Economic Research, Inc.
    18. Gary Charness & Uri Gneezy, 2009. "Incentives to Exercise," Econometrica, Econometric Society, vol. 77(3), pages 909-931, May.
    19. Johnson, Eric J & Hershey, John & Meszaros, Jacqueline & Kunreuther, Howard, 1993. "Framing, Probability Distortions, and Insurance Decisions," Journal of Risk and Uncertainty, Springer, vol. 7(1), pages 35-51, August.
    20. Wang, Wenjie & Ida, Takanori & Shimada, Hideki, 2020. "Default effect versus active decision: Evidence from a field experiment in Los Alamos," European Economic Review, Elsevier, vol. 128(C).
    21. Jachimowicz, Jon M. & Duncan, Shannon & Weber, Elke U. & Johnson, Eric J., 2019. "When and why defaults influence decisions: a meta-analysis of default effects," Behavioural Public Policy, Cambridge University Press, vol. 3(2), pages 159-186, November.
    22. Dizon-Ross, Rebecca & Aggarwal, Shilpa & Zucker, Ariel, 2020. "Incentivizing Behavioral Change: The Role of Time Preferences," CEPR Discussion Papers 14751, C.E.P.R. Discussion Papers.
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    More about this item

    Keywords

    field experiment; default; monetary incentive; health behavior; walking;
    All these keywords.

    JEL classification:

    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
    • D90 - Microeconomics - - Micro-Based Behavioral Economics - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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