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One potential solution to improve adherence is to provide monetary incentives. Traditional economic theory suggests that providing individuals with incentives to complete an action will lead to increased frequency of the occurrence of the desired action. Studies in adults have shown monetary incentives to be modestly successful in certain diseases [38-40], but not all studies have shown positive results [41]. Further, it is unclear if these findings translate to youth.
JMIR Res Protoc 2025;14:e65105
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Further, we find strong evidence in support of the view that financial incentives matter for participation in surveys and blood donation tasks. On average, including financial incentives increases the willingness to participate in surveys or blood tests by about 22 to 26 percentage points.
J Med Internet Res 2025;27:e68472
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With such widespread use, mobile apps show promise as delivery channels for incentives that promote physical activity [3].
Systematic reviews of randomized controlled trials and observational real-world studies suggest that financial incentives are effective in encouraging physical activity [4-8]. Despite their apparent effectiveness, the question remains as to whether financial incentives can offer a cost-effective intervention that should be funded at a population level [9].
JMIR Form Res 2024;8:e50041
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In addition, we projected the cost for additional response by incentive level based on 1000 invitations to the survey, by comparing the cost of additional response between 2 ZMW (US $0.16) and no incentives and between 5 ZMW (US $0.42) and no incentives. All analyses were completed using Stata BE (Stata Corp LLC).
J Med Internet Res 2024;26:e54304
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A Cochrane review [16] into incentives for smoking cessation found that not only the use of financial incentives, either monetary or vouchers, were accepted in multiple mixed-population settings but also there was sufficient evidence to indicate that incentives improved long-term smoking cessation rates. This outcome was also sustained after the withdrawal of the incentives.
JMIR Mhealth Uhealth 2024;12:e50851
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Impact of Incentives on Physician Participation in Research Surveys: Randomized Experiment
While the influence of the mode of distribution, timing, and type of incentive offered has been evaluated, few studies have explored the impact of varying amounts of monetary incentives on survey completion among physicians [2-4].
We conducted a randomized study to determine to what extent the incentive amount influenced participation among neurologists participating in a case-vignette internet-based survey.
JMIR Form Res 2024;8:e54343
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In contrast, in adult samples, physical activity–promoting m Health programs that use adaptive goal setting and incentives are efficacious in increasing physical activity [13]. In addition to electronic tracking and feedback, the application of incentives within an m Health program may further enhance physical activity goal achievement in adolescents with overweight and obesity.
JMIR Pediatr Parent 2022;5(1):e32420
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As there is no synthesized literature on the efficacy or use of gamification and incentives in mobile apps for medication adherence, the aim of this review is to explore the current use of gamification or financial incentives in mobile apps to address medication adherence and help identify best practices for future applications.
JMIR Mhealth Uhealth 2022;10(2):e30671
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