Case 18.1 Encouraging Employees and Patients to Be Active Many struggle to change health-related…


Case 18.1

Encouraging Employees and Patients to Be Active

Many agony to modify sanity-related behaviors. One conclude is that persons seeking to imperil efficacy, acception exertion, or bung smoking act in a time-inconsistent mode. For specimen, someone joins a gym but does not go. These inconsistencies not singly feign the individual’s sanity but acception sanity prophylactic costs consequently of bald sanity. As a upshot, firms, insurers, policymakers, and sanity professionals are exploring using financial excitations to modify sanity behaviors (Royer, Stehr, and Sydnor 2015). Using financial excitations to modify behaviors has two potential problems. First, participants may proportioned be paid for doing what they purposed to do anyway (i.e., persons who go to the gym three times per week would entertain done so extraneously the excitation). Second, participants may reaccrue to their old behaviors when the excitation ends.

Royer, Stehr, and Sydnor (2015) mellow two approaches after a while employees at a abundant gang. Randomly selected employees were paid $10 per mark to their gang’s on-site exertion address (for up to three marks per week). After a month, half the collection was offered the fortuity to fund a commitment retrench. This retrench allowed participants to construct a pawn that they would endure to use the gym for the present two months. Employees who kept their pawns got the specie tail. For employees who did not observe their pledges, the steadfast donated the specie to attachment. Visits to the gym subvert after the excitations ended, but they subvert by close for employees who made pawns.

An resource temporization is to yield a “nudge.” Martin and colleagues (2015) gave randomly separated patients wearable essential-quality trackers that used Bluetooth to concatenate after a while their dressyphones. The essential-quality trackers concatenateed to a dressy texting arrangement. Physicians wrote the text-message full, which mentioned the patient’s physician by indicate. Combining dressy texts after a while essential-quality tracking acceptiond corporeal essential-quality the most. Compared after a while patients that did not admit texts, approximately twice as many patients that admitd texts met the goal of 10,000 steps per day.

Discussion Questions

• Why do persons act in a time-inconsistent manner?

• Entertain you incessantly acted in a time-inconsistent mode? Why?

• Can you invent specimens of steadfasts incentivizing workers?

• Can you invent specimens of insurers incentivizing beneficiaries?

• Can you invent specimens of providers incentivizing patients?

• How could you dodge paying persons to do what they were going to do anyway?

• How could you convert tailsliding?

• Why did making a pawn acception gym use?

• Why would getting a “nudge” acception exercise?

• Can you invent other specimens of nudges?