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Incentives and Habit Formation in Health Screenings: Evidence from the Illinois Workplace Wellness Study

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  • Damon Jones
  • David Molitor
  • Julian Reif

Abstract

We study habit formation in annual biometric health screenings using a field experiment that randomly assigned financial incentives to 4,799 employees over three years. Completing the first screening raised subsequent screenings by 32.4-36.0 percentage points (84%-90%) annually. Habit formation was similar whether employees were offered screenings as part of a comprehensive wellness program or just screenings alone, suggesting such habits can develop without frequent interactions. We rule out inattention as an explanation, using a subsample assigned more salient incentives. The long-run effect stems from the initial decision to participate, indicating a habit formation process with a one-shot mechanism.

Suggested Citation

  • Damon Jones & David Molitor & Julian Reif, 2024. "Incentives and Habit Formation in Health Screenings: Evidence from the Illinois Workplace Wellness Study," NBER Working Papers 32745, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:32745
    Note: AG EH PE
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    References listed on IDEAS

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    1. Sanderson, Eleanor & Windmeijer, Frank, 2016. "A weak instrument F-test in linear IV models with multiple endogenous variables," Journal of Econometrics, Elsevier, vol. 190(2), pages 212-221.
    2. Alberto Abadie & Susan Athey & Guido W Imbens & Jeffrey M Wooldridge, 2023. "When Should You Adjust Standard Errors for Clustering?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(1), pages 1-35.
    3. Clément de Chaisemartin & Jaime Ramirez-Cuellar, 2024. "At What Level Should One Cluster Standard Errors in Paired and Small-Strata Experiments?," American Economic Journal: Applied Economics, American Economic Association, vol. 16(1), pages 193-212, January.
    4. Julian Reif, 2019. "A Model Of Addiction And Social Interactions," Economic Inquiry, Western Economic Association International, vol. 57(2), pages 759-773, April.
    5. Kosali Simon & Aparna Soni & John Cawley, 2017. "The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 36(2), pages 390-417, March.
    6. David Laibson, 2001. "A Cue-Theory of Consumption," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 116(1), pages 81-119.
    7. Reshmaan Hussam & Atonu Rabbani & Giovanni Reggiani & Natalia Rigol, 2022. "Rational Habit Formation: Experimental Evidence from Handwashing in India," American Economic Journal: Applied Economics, American Economic Association, vol. 14(1), pages 1-41, January.
    8. Becker, Gary S & Murphy, Kevin M, 1988. "A Theory of Rational Addiction," Journal of Political Economy, University of Chicago Press, vol. 96(4), pages 675-700, August.
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    Cited by:

    1. Pol Campos-Mercade & Armando N. Meier & Stephan Meier & Devin G. Pope & Florian H. Schneider & Erik Wengström, 2024. "Incentives to Vaccinate," NBER Working Papers 32899, National Bureau of Economic Research, Inc.
    2. Anikó Bíró & Péter Elek, 2024. "Firm quality and health maintenance," IFS Working Papers W24/58, Institute for Fiscal Studies.

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    More about this item

    JEL classification:

    • H0 - Public Economics - - General
    • I1 - Health, Education, and Welfare - - Health

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