IDEAS home Printed from https://ideas.repec.org/p/osf/socarx/y8gh7_v1.html
   My bibliography  Save this paper

Appointments: A More Effective Commitment Device for Health Behaviors

Author

Listed:
  • Derksen, Laura
  • Kerwin, Jason Theodore
  • Reynoso, Natalia Ordaz
  • Sterck, Olivier

Abstract

Health behaviors are plagued by self-control problems, and commitment devices are frequently proposed as a solution. We show that a simple alternative works even better: appointments. We randomly offer HIV testing appointments and financial commitment devices to high-risk men in Malawi. Appointments are much more effective than financial commitment devices, more than doubling testing rates. In contrast, most men who take up financial commitment devices lose their investments. Appointments address procrastination without the potential drawback of commitment failure, and also address limited memory problems. Appointments have the potential to increase demand for healthcare in the developing world.

Suggested Citation

  • Derksen, Laura & Kerwin, Jason Theodore & Reynoso, Natalia Ordaz & Sterck, Olivier, 2021. "Appointments: A More Effective Commitment Device for Health Behaviors," SocArXiv y8gh7_v1, Center for Open Science.
    • Handle: RePEc:osf:socarx:y8gh7_v1
    DOI: 10.31219/osf.io/y8gh7_v1
    as

    Download full text from publisher

    File URL: https://osf.io/download/6160f471c55658013d4b3843/
    Download Restriction: no
    File URL: https://libkey.io/10.31219/osf.io/y8gh7_v1?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Gneezy, Uri & Rustichini, Aldo, 2000. "A Fine is a Price," The Journal of Legal Studies, University of Chicago Press, vol. 29(1), pages 1-17, January.
    2. Anderson, Michael L., 2008. "Multiple Inference and Gender Differences in the Effects of Early Intervention: A Reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Journal of the American Statistical Association, American Statistical Association, vol. 103(484), pages 1481-1495.
    3. Leonardo Bursztyn & Robert Jensen, 2017. "Social Image and Economic Behavior in the Field: Identifying, Understanding, and Shaping Social Pressure," Annual Review of Economics, Annual Reviews, vol. 9(1), pages 131-153, September.
    4. Karthik Muralidharan & Mauricio Romero & Kaspar Wüthrich, 2019. "Factorial Designs, Model Selection, and (Incorrect) Inference in Randomized Experiments," NBER Working Papers 26562, National Bureau of Economic Research, Inc.
    5. Manuela Angelucci & Daniel Bennett, 2021. "Adverse Selection in the Marriage Market: HIV Testing and Marriage in Rural Malawi [Marrying Up: The Role of Sex Ratio in Assortative Matching]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 88(5), pages 2119-2148.
    6. José Luis Montiel Olea & Carolin Pflueger, 2013. "A Robust Test for Weak Instruments," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 31(3), pages 358-369, July.
    7. Ashraf, Nava & Gons, Nathalie & Karlan, Dean S. & Yin, Wesley, 2003. "A Review of Commitment Savings Products in Development Countries," ADB Economics Working Paper Series 45, Asian Development Bank.
    8. Rustamdjan Hakimov & C.-Philipp Heller & Dorothea Kübler & Morimitsu Kurino, 2021. "How to Avoid Black Markets for Appointments with Online Booking Systems," American Economic Review, American Economic Association, vol. 111(7), pages 2127-2151, July.
    9. Alan, Sule & Ertac, Seda, 2015. "Patience, self-control and the demand for commitment: Evidence from a large-scale field experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 115(C), pages 111-122.
    10. Anett John, 2020. "When Commitment Fails: Evidence from a Field Experiment," Management Science, INFORMS, vol. 66(2), pages 503-529, February.
    11. Nava Ashraf & Dean Karlan & Wesley Yin, 2006. "Tying Odysseus to the Mast: Evidence From a Commitment Savings Product in the Philippines," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 121(2), pages 635-672.
    12. David Laibson, 1997. "Golden Eggs and Hyperbolic Discounting," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 112(2), pages 443-478.
    13. Stefano DellaVigna & Ulrike Malmendier, 2006. "Paying Not to Go to the Gym," American Economic Review, American Economic Association, vol. 96(3), pages 694-719, June.
    14. Alberto Abadie & Susan Athey & Guido W. Imbens & Jeffrey M. Wooldridge, 2020. "Sampling‐Based versus Design‐Based Uncertainty in Regression Analysis," Econometrica, Econometric Society, vol. 88(1), pages 265-296, January.
    15. 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.
    16. Godlonton, Susan & Thornton, Rebecca, 2012. "Peer effects in learning HIV results," Journal of Development Economics, Elsevier, vol. 97(1), pages 118-129.
    17. Felipe Kast & Stephan Meier & Dina Pomeranz, 2012. "Under-Savers Anonymous: Evidence on Self-Help Groups and Peer Pressure as a Savings Commitment Device," NBER Working Papers 18417, National Bureau of Economic Research, Inc.
    18. Dean Karlan & Margaret McConnell & Sendhil Mullainathan & Jonathan Zinman, 2016. "Getting to the Top of Mind: How Reminders Increase Saving," Management Science, INFORMS, vol. 62(12), pages 3393-3411, December.
    19. Jay Bhattacharya & Alan M. Garber & Jeremy D. Goldhaber-Fiebert, 2015. "Nudges in Exercise Commitment Contracts: A Randomized Trial," NBER Working Papers 21406, National Bureau of Economic Research, Inc.
    20. Yoav Benjamini & Abba M. Krieger & Daniel Yekutieli, 2006. "Adaptive linear step-up procedures that control the false discovery rate," Biometrika, Biometrika Trust, vol. 93(3), pages 491-507, September.
    21. Heather Royer & Mark Stehr & Justin Sydnor, 2015. "Incentives, Commitments, and Habit Formation in Exercise: Evidence from a Field Experiment with Workers at a Fortune-500 Company," American Economic Journal: Applied Economics, American Economic Association, vol. 7(3), pages 51-84, July.
    22. Ravallion, Martin, 2017. "A concave log-like transformation allowing non-positive values," Economics Letters, Elsevier, vol. 161(C), pages 130-132.
    23. Lasse Brune & Eric Chyn & Jason Kerwin, 2021. "Pay Me Later: Savings Constraints and the Demand for Deferred Payments," American Economic Review, American Economic Association, vol. 111(7), pages 2179-2212, July.
    24. Keith M. Marzilli Ericson, 2011. "Forgetting We Forget: Overconfidence And Memory," Journal of the European Economic Association, European Economic Association, vol. 9(1), pages 43-60, February.
    25. Sadoff, Sally & Samek, Anya, 2019. "Can interventions affect commitment demand? A field experiment on food choice," Journal of Economic Behavior & Organization, Elsevier, vol. 158(C), pages 90-109.
    26. Xavier Giné & Dean Karlan & Jonathan Zinman, 2010. "Put Your Money Where Your Butt Is: A Commitment Contract for Smoking Cessation," American Economic Journal: Applied Economics, American Economic Association, vol. 2(4), pages 213-235, October.
    27. Rebecca L. Thornton, 2008. "The Demand for, and Impact of, Learning HIV Status," American Economic Review, American Economic Association, vol. 98(5), pages 1829-1863, December.
    28. Sally Sadoff & Anya Samek & Charles Sprenger, 2020. "Dynamic Inconsistency in Food Choice: Experimental Evidence from Two Food Deserts," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(4), pages 1954-1988.
    29. Abhijit Banerjee & Arun G. Chandrasekhar & Suresh Dalpath & Esther Duflo & John Floretta & Matthew O. Jackson & Harini Kannan & Francine N. Loza & Anirudh Sankar & Anna Schrimpf & Maheshwor Shrestha, 2021. "Selecting the Most Effective Nudge: Evidence from a Large-Scale Experiment on Immunization," NBER Working Papers 28726, National Bureau of Economic Research, Inc.
    30. Kincaid, D. Lawrence, 2000. "Social networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis," Social Science & Medicine, Elsevier, vol. 50(2), pages 215-231, January.
    31. Keith Marzilli Ericson, 2017. "On the Interaction of Memory and Procrastination: Implications for Reminders, Deadlines, and Empirical Estimation," Journal of the European Economic Association, European Economic Association, vol. 15(3), pages 692-719.
    32. Imbens,Guido W. & Rubin,Donald B., 2015. "Causal Inference for Statistics, Social, and Biomedical Sciences," Cambridge Books, Cambridge University Press, number 9780521885881, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Derksen, Laura & Kerwin, Jason Theodore & Reynoso, Natalia Ordaz & Sterck, Olivier, 2021. "Appointments: A More Effective Commitment Device for Health Behaviors," SocArXiv y8gh7, Center for Open Science.
    2. Laura Derksen & Jason T Kerwin & Natalia Ordaz Reynoso & Olivier Sterck, 2025. "Healthcare Appointments as Commitment Devices," The Economic Journal, Royal Economic Society, vol. 135(665), pages 81-118.
    3. Raphael Brade & Oliver Himmler & Robert Jaeckle & Philipp Weinschenk, 2024. "Helping Students to Succeed – The Long-Term Effects of Soft Commitments and Reminders," CESifo Working Paper Series 11001, CESifo.
    4. Cobb-Clark, Deborah A. & Dahmann, Sarah C. & Kamhöfer, Daniel A. & Schildberg-Hörisch, Hannah, 2024. "Sophistication about self-control," Journal of Public Economics, Elsevier, vol. 238(C).
    5. Ek, Claes & Samahita, Margaret, 2023. "Too much commitment? An online experiment with tempting YouTube content," Journal of Economic Behavior & Organization, Elsevier, vol. 208(C), pages 21-38.
    6. Muller, Paul & Habla, Wolfgang, 2018. "Experimental and non-experimental evidence on limited attention and present bias at the gym," Working Papers in Economics 743, University of Gothenburg, Department of Economics.
    7. Laureti, Carolina & Szafarz, Ariane, 2023. "Banking regulation and costless commitment contracts for time-inconsistent agents," Economic Modelling, Elsevier, vol. 129(C).
    8. Anett John, 2020. "When Commitment Fails: Evidence from a Field Experiment," Management Science, INFORMS, vol. 66(2), pages 503-529, February.
    9. Anett John & Kate Orkin, 2022. "Can Simple Psychological Interventions Increase Preventive Health Investment?," Journal of the European Economic Association, European Economic Association, vol. 20(3), pages 1001-1047.
    10. Paul Bettega & Paolo Crosetto & Dimitri Dubois & Rustam Romaniuc, 2023. "Hard vs. soft commitments: Experimental evidence from a sample of French gamblers," Working Papers 2023-05, Grenoble Applied Economics Laboratory (GAEL).
    11. Antonio Gargano & Alberto G. Rossi, 2024. "Goal Setting and Saving in the FinTech Era," Journal of Finance, American Finance Association, vol. 79(3), pages 1931-1976, June.
    12. John Beshears & James J. Choi & Christopher Harris & David Laibson & Brigitte C. Madrian & Jung Sakong, 2015. "Self Control and Commitment: Can Decreasing the Liquidity of a Savings Account Increase Deposits?," NBER Working Papers 21474, National Bureau of Economic Research, Inc.
    13. Yves Le Yaouanq & Peter Schwardmann, 2022. "Learning About One’s Self," Journal of the European Economic Association, European Economic Association, vol. 20(5), pages 1791-1828.
    14. Diarmaid Ó Ceallaigh & Kirsten I.M. Rohde & Hans van Kippersluis, 2024. "Skipping your workout, again? Measuring and understanding time inconsistency in physical activity," Tinbergen Institute Discussion Papers 24-028/V, Tinbergen Institute.
    15. Oliver Himmler & Robert Jäckle & Philipp Weinschenk, 2019. "Soft Commitments, Reminders, and Academic Performance," American Economic Journal: Applied Economics, American Economic Association, vol. 11(2), pages 114-142, April.
    16. Alexander M. Danzer & Helen Zeidler, 2024. "Present Bias in Choices over Food and Money," Working Papers 239, Bavarian Graduate Program in Economics (BGPE).
    17. Andrej Woerner, 2021. "Overcoming Time Inconsistency with a Matched Bet: Theory and Evidence from Exercising," CESifo Working Paper Series 9503, CESifo.
    18. Alexander M. Danzer & Helen Zeidler, 2024. "Present Bias in Choices over Food and Money," CESifo Working Paper Series 11454, CESifo.
    19. Christine L. Exley & Jeffrey K. Naecker, 2017. "Observability Increases the Demand for Commitment Devices," Management Science, INFORMS, vol. 63(10), pages 3262-3267, October.
    20. Jeffrey D. Michler & Anna Josephson, 2022. "Recent developments in inference: practicalities for applied economics," Chapters, in: A Modern Guide to Food Economics, chapter 11, pages 235-268, Edward Elgar Publishing.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:osf:socarx:y8gh7_v1. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: OSF (email available below). General contact details of provider: https://arabixiv.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.