Elsevier

Preventive Medicine

Volume 31, Issue 6, December 2000, Pages 706-713
Preventive Medicine

Regular Article
Effectiveness of Monetary Incentives for Recruiting Adolescents to an Intervention Trial to Reduce Smoking,☆☆

https://doi.org/10.1006/pmed.2000.0762Get rights and content

Abstract

Background. The study objective is to evaluate the effect of monetary incentives on response rates of adolescents to a smoking-related survey as the first step toward participation in an intervention trial.

Methods. A sample of 4,200 adolescent members of a managed care organization were randomized to one of four incentive groups: a $2 cash group, a $15 cash group, a $200 prize drawing group, or a no-incentive group. We compared group-specific response rates and willingness to be contacted about future study activities, as well as costs.

Results. Incentives increased survey response rates (55% response without incentive vs a 69% response with incentive), with response of 74% in the $15 cash group, 69% in the token group, and 63% with a prize incentive. Incentives did not adversely affect willingness of adolescents to be contacted about a smoking intervention, (65% willing with incentives vs 60% without, P = 0.03). In terms of cost per additional survey completed, token and prize groups were marginally more expensive than the no-incentive group ($0.40 and $1.42, respectively) while the large cash incentive was substantially more costly ($11.37).

Conclusions. Monetary incentives improve response rates to a mailed survey, without adverse impact on willingness to further participate in intervention activities. However, a variety of issues must be considered when using incentives for recruitment to intervention studies.

References (37)

  • MMWR

    (1994)
  • K Allen et al.

    Teenage tobacco use: data estimates from the Teenage Attitudes and Practice Survey, United States, 1989

    Adv Data

    (1993)
  • Sussman, S, Dent, C, W, Burton, D. el al, Developing school-based tobacco use prevention and cessation programs,...
  • Hollis, J, F, Vogt, J, M, Stevens, V, Biglan, A, Severson, H, Lichtenstein, C, The Tobacco Reduction and Cancer Control...
  • K Sheikh et al.

    Investigating non-response bias in mail surveys

    J Epidemiol Community Health

    (1981)
  • A Cartwright

    Who responds to postal questionnaires?

    J Epidemiol Community Health

    (1986)
  • FJ Yammarino et al.

    Understanding mail survey response behavior

    Public Opin Q

    (1991)
  • AH Church

    Estimating the effect of incentives on mail survey response rates: a meta-analysis

    Public Opin Q

    (1993)
  • Cited by (63)

    • Clinical preparation—subject recruitment

      2023, Translational Radiation Oncology
    • Factors associated with clinical trials that fail and opportunities for improving the likelihood of success: A review

      2018, Contemporary Clinical Trials Communications
      Citation Excerpt :

      On the other hand, Edwards et al. [36] reported that monetary incentives increased participant response to postal and electronic questionnaires that were designed to improve retention. Martinson et al. [81] reported effective remuneration in a smoking trial, but the trial focused on adolescents, who may have a different reaction to receiving funds than adults. Surveys show, however, that a high remuneration is often associated in patients' minds as being associated with a perception of higher risk in the trial [25,109] and thus a reluctance to enroll.

    • Patient recruitment and experiences in a randomised trial of supervised exercise training for individuals with abdominal aortic aneurysm

      2014, Journal of Vascular Nursing
      Citation Excerpt :

      Another factor that may have facilitated recruitment is providing financial incentives. Many researchers use financial incentives to promote recruitment,19 and Martinson et al20 demonstrated the effectiveness of this in an intervention trial of smoking cessation. However, the ethics of such an approach needs to be considered,21 with concerns about undue inducement and taking advantage of economically vulnerable individuals.

    View all citing articles on Scopus

    This research was supported by Grant CA78183-01 from the Cancer Prevention and Control Research Small Grant Program, and by Grant CA74536-01, both from the National Cancer Institute.

    ☆☆

    To whom reprint requests should be addressed at HealthPartners Research Foundation, 8100 34th Avenue South, P.O. Box 1524, Minneapolis, MN 55440-1524. Fax: (612) 967-5022 or (952) 967-5022. E-mail: [email protected].

    View full text