Research

Adherence

Financial incentives structured around achieving intermediate behavioral goals (goal-directed) are theoretically more sustainable for long-term weight management than incentives contingent solely on weight loss outcomes (outcome-based), as they build self-efficacy and intrinsic motivation.

If you are trying to lose weight, focus on rewarding yourself for doing the right things (going to the gym, tracking food) rather than just the scale number. This paper suggests that paying for the *behavior* helps you build the habits and confidence to keep the weight off long-term, whereas paying only for the result might not sustain the effort once the money stops.

ModerateQualifiesLOW confidence
Incentivising an individual’s participation in goal-directed, evidence-based behaviours for weight loss... may be more sustainable than incentivising outcome-based attainment of weight loss, since goal-directed financial incentives are designed to encourage individuals to develop specific skills for maintaining weight loss long term.
Melanie Jay et al. · BMJ Open · 2019

Why this rating

This is a study protocol/rationale paper; it describes the design of a trial but does not yet report the results or effect sizes.

Source

Goal-directed versus outcome-based financial incentives for weight loss among low-income patients with obesity: rationale and design of the Financial Incentives foR Weight Reduction (FIReWoRk) randomised controlled trial

Melanie Jay et al. · BMJ Open · 2019

DOI 10.1136/bmjopen-2018-025278

rct · n=795Cited 13×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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