Less stick more carrot? Increasing the uptake of deposit contract financial incentives for physical activity: A randomized controlled trial

Background: Financial incentives are a promising tool to help people increase their physical activity, but they are expensive to provide. Deposit contracts are a type of financial incentive in which participants pledge their own money. However, low uptake is a crucial obstacle to the large-scale implementation of deposit contracts. Therefore, we investigated whether (1) matching the deposit 1:1 (doubling what is deposited) and (2) allowing for customizable deposit amounts increased the uptake and short term effectiveness of a deposit contract for physical activity.Methods: In this randomized controlled trial, 137 healthy students (age M = 21.6 years) downloaded a smart-phone app that provided them with a tailored step goal and then randomized them to one of four experimental conditions. The deposit contract required either a euro10 fixed deposit or a customizable deposit with any amount between euro1 and euro20 upfront. Furthermore, the deposit was either not matched or 1:1 matched (doubled) with a reward provided by the experiment. During 20 intervention days, daily feedback on goal progress and incentive earnings was provided by the app. We investigated effects on the uptake (measured as agreeing to participate and paying the deposit) and effectiveness of behavioral adoption (measured as participant days goal achieved).Findings: Overall, the uptake of deposit contracts was 83.2%, and participants (n = 113) achieved 14.9 out of 20 daily step goals. A binary logistic regression showed that uptake odds were 4.08 times higher when a deposit was matched (p = .010) compared to when it was not matched. Furthermore, uptake odds were 3.53 times higher when a deposit was customizable (p = .022) compared to when it was fixed. Two-way ANCOVA showed that matching (p = .752) and customization (p = .143) did not impact intervention effectiveness. However, we did find a marginally significant interaction effect of deposit matching X deposit customization (p = .063, eta p2 = 0.032). Customization decreased effectiveness when deposits were not matched (p = .033, eta p2 = 0.089), but had no effect when deposits were matched (p = .776, eta p2 = 0.001).Conclusions: We provide the first experimental evidence that both matching and customization increase the uptake of a deposit contract for physical activity. We recommend considering both matching and customization to overcome lack of uptake, with a preference for customization since matching a deposit imposes significant additional costs. However, since we found indications that customizable deposits might reduce effectiveness (when the deposits are not matched), we urge for more research on the effectiveness of customizable deposit contracts. Finally, future research should investigate which participant characteristics are predictive of deposit contract uptake and effectiveness.Pre-registration: OSF Registries, https://osf.io/cgq48.

Automated summary

This study investigated whether matching and customization of deposit amounts increased the uptake and short-term effectiveness of a deposit contract for physical activity. The results showed that both matching and customization increased the uptake of the deposit contract. However, customization might reduce the effectiveness of the intervention. More research is needed to understand the effectiveness of customizable deposit contracts and the participant characteristics predictive of uptake and effectiveness.