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Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial

Pediatric weight management is often hampered by poor engagement and adherence. Incentives based on loss have been shown to be more effective than gain-based incentives in improving outcomes among children with health conditions other than obesity. In preparation for a clinical trial comparing loss-...

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Autores principales: Siegel, Robert, McGrady, Meghan E., Dynan, Linda, Kharofa, Roohi, Stackpole, Kristin, Casson, Paula, Siegel, Francesca, Kasparian, Nadine A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819945/
https://www.ncbi.nlm.nih.gov/pubmed/36612907
http://dx.doi.org/10.3390/ijerph20010584
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author Siegel, Robert
McGrady, Meghan E.
Dynan, Linda
Kharofa, Roohi
Stackpole, Kristin
Casson, Paula
Siegel, Francesca
Kasparian, Nadine A.
author_facet Siegel, Robert
McGrady, Meghan E.
Dynan, Linda
Kharofa, Roohi
Stackpole, Kristin
Casson, Paula
Siegel, Francesca
Kasparian, Nadine A.
author_sort Siegel, Robert
collection PubMed
description Pediatric weight management is often hampered by poor engagement and adherence. Incentives based on loss have been shown to be more effective than gain-based incentives in improving outcomes among children with health conditions other than obesity. In preparation for a clinical trial comparing loss-framed to gain-framed incentives, a survey of youth and caregiver attitudes on weight management incentives, reasons for program attendance, and an economic evaluation of a theoretical trial were conducted. Ninety of 835 (11%) surveys were completed by caregiver and child. The economic evaluation showed that loss-framed incentives had a preferable incremental cost-effectiveness ratio (a lower value is considered preferable) than gain-based incentives. Most youth and caregivers felt a gain incentive would be superior, agreed that the full incentive should go to the youth (vs. the caregiver), and identified “improving health” as a top reason for pursuing weight management.
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spelling pubmed-98199452023-01-07 Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial Siegel, Robert McGrady, Meghan E. Dynan, Linda Kharofa, Roohi Stackpole, Kristin Casson, Paula Siegel, Francesca Kasparian, Nadine A. Int J Environ Res Public Health Article Pediatric weight management is often hampered by poor engagement and adherence. Incentives based on loss have been shown to be more effective than gain-based incentives in improving outcomes among children with health conditions other than obesity. In preparation for a clinical trial comparing loss-framed to gain-framed incentives, a survey of youth and caregiver attitudes on weight management incentives, reasons for program attendance, and an economic evaluation of a theoretical trial were conducted. Ninety of 835 (11%) surveys were completed by caregiver and child. The economic evaluation showed that loss-framed incentives had a preferable incremental cost-effectiveness ratio (a lower value is considered preferable) than gain-based incentives. Most youth and caregivers felt a gain incentive would be superior, agreed that the full incentive should go to the youth (vs. the caregiver), and identified “improving health” as a top reason for pursuing weight management. MDPI 2022-12-29 /pmc/articles/PMC9819945/ /pubmed/36612907 http://dx.doi.org/10.3390/ijerph20010584 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Siegel, Robert
McGrady, Meghan E.
Dynan, Linda
Kharofa, Roohi
Stackpole, Kristin
Casson, Paula
Siegel, Francesca
Kasparian, Nadine A.
Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial
title Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial
title_full Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial
title_fullStr Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial
title_full_unstemmed Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial
title_short Effects of Loss and Gain Incentives on Adherence in Pediatric Weight Management: Preliminary Studies and Economic Evaluation of a Theoretical Trial
title_sort effects of loss and gain incentives on adherence in pediatric weight management: preliminary studies and economic evaluation of a theoretical trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819945/
https://www.ncbi.nlm.nih.gov/pubmed/36612907
http://dx.doi.org/10.3390/ijerph20010584
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