Appointments: a more effective commitment device for health behaviours

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 com¬mitment devices to high-risk men in Malawi. Ap...

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Main Authors: Derksen, L, Kerwin, JT, Ordaz Reynoso, N, Sterck, O
Format: Working paper
Language:English
Published: Centre for the Study of African Economies 2021
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author Derksen, L
Kerwin, JT
Ordaz Reynoso, N
Sterck, O
author_facet Derksen, L
Kerwin, JT
Ordaz Reynoso, N
Sterck, O
author_sort Derksen, L
collection OXFORD
description 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 com¬mitment 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.
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spelling oxford-uuid:9b77bbe4-7cdd-4d15-bcf4-86fb7f9930162022-03-27T00:29:02ZAppointments: a more effective commitment device for health behavioursWorking paperhttp://purl.org/coar/resource_type/c_8042uuid:9b77bbe4-7cdd-4d15-bcf4-86fb7f993016EnglishSymplectic ElementsCentre for the Study of African Economies2021Derksen, LKerwin, JTOrdaz Reynoso, NSterck, OHealth 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 com¬mitment 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.
spellingShingle Derksen, L
Kerwin, JT
Ordaz Reynoso, N
Sterck, O
Appointments: a more effective commitment device for health behaviours
title Appointments: a more effective commitment device for health behaviours
title_full Appointments: a more effective commitment device for health behaviours
title_fullStr Appointments: a more effective commitment device for health behaviours
title_full_unstemmed Appointments: a more effective commitment device for health behaviours
title_short Appointments: a more effective commitment device for health behaviours
title_sort appointments a more effective commitment device for health behaviours
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AT stercko appointmentsamoreeffectivecommitmentdeviceforhealthbehaviours