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Published in: Prevention Science 4/2019

Open Access 01-05-2019

Financial Incentives for Promoting Participation in a School-Based Parenting Program in Low-Income Communities

Authors: Deborah Gross, Amie F. Bettencourt

Published in: Prevention Science | Issue 4/2019

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Abstract

Although financial incentives are a well-accepted strategy for raising parent participation rates in prevention studies, they are rarely employed in practice due to concerns about their ethics, sustainability, and public acceptability. We sought to address these common concerns in the context of a larger prevention study using financial incentives to boost parent participation in a group-based parenting program implemented in an urban school district. We examined the extent to which the financial incentives delivered via bank debit cards ($15 for attending weekly group sessions, $5 for completing weekly practice assignments) motivated parents to enroll in the program and were associated with higher attendance and practice completion but poorer participation quality in group sessions, and how parents used the extra cash. Over 3 years, 67.4% (n = 372) of eligible families enrolled in a parenting program called the Chicago Parent Program. Most parents were African American (68%) or Latinx (24%); 67% reported annual household incomes < $20,000. Although 71.2% of parents reported that the financial incentives motivated their enrollment, the most important motivators pertained to wanting to be a better parent. Parents citing incentives as motivating their enrollment had higher attendance than those who did not (p = .01). Quality of parent participation was high and unrelated to whether financial incentives motivated enrollment. Parents reported using the extra cash to purchase items for their children (92%) and groceries (56%). Results suggest that financial incentives targeting low-income families of young children may improve parent participation rates without diminishing their intrinsic motivation to improve their parenting.
Literature
go back to reference Biglan, A. (2015). The nurture effect: How the science of human behavior can improve our lives and our world. Oakland: New Harbinger Publications. Biglan, A. (2015). The nurture effect: How the science of human behavior can improve our lives and our world. Oakland: New Harbinger Publications.
go back to reference Bowlby, J. (1982). Attachment and loss: Volume 1 (2nd ed.). New York: Basic Books. Bowlby, J. (1982). Attachment and loss: Volume 1 (2nd ed.). New York: Basic Books.
go back to reference Breitenstein, S. M., Gross, D., Fogg, L., Ridge, A., Garvey, C., Julion, W., & Tucker, S. (2012). The Chicago Parent Program: Comparing 1-year outcomes for African American and Latino parents of young children. Research in Nursing & Health, 35, 475–489. https://doi.org/10.1002/nur.21489.CrossRef Breitenstein, S. M., Gross, D., Fogg, L., Ridge, A., Garvey, C., Julion, W., & Tucker, S. (2012). The Chicago Parent Program: Comparing 1-year outcomes for African American and Latino parents of young children. Research in Nursing & Health, 35, 475–489. https://​doi.​org/​10.​1002/​nur.​21489.CrossRef
go back to reference Cahyadi, N., Hanna, R., Olken, B. A., Prima, R. A., Satriawan, E., & Syamsulhakim, E. (2018). Cumulative impacts of conditional cash transfer programs: Experimental evidence from Indonesia. (No. w24670). National Bureau of Economic Research. Available at: https://www.nber.og/papers/w24670. Accessed 18 Aug 2018. Cahyadi, N., Hanna, R., Olken, B. A., Prima, R. A., Satriawan, E., & Syamsulhakim, E. (2018). Cumulative impacts of conditional cash transfer programs: Experimental evidence from Indonesia. (No. w24670). National Bureau of Economic Research. Available at: https://​www.​nber.​og/​papers/​w24670. Accessed 18 Aug 2018.
go back to reference Carvalho, N., Thacker, N., Gupta, S. S., & Salomon, J. A. (2014). More evidence on the impact of India’s conditional cash transfer program, Janani Suraksha Yojana: Quasi-experimental evaluation of the effects on childhood immunization and other reproductive and child health outcomes. PLoS One, 9. https://doi.org/10.1371/journal.pone.0109311. Carvalho, N., Thacker, N., Gupta, S. S., & Salomon, J. A. (2014). More evidence on the impact of India’s conditional cash transfer program, Janani Suraksha Yojana: Quasi-experimental evaluation of the effects on childhood immunization and other reproductive and child health outcomes. PLoS One, 9. https://​doi.​org/​10.​1371/​journal.​pone.​0109311.
go back to reference Courtin, E., Muennig, P., Verma, N., Riccio, J. A., Lagarde, M., Vineis, P., … Avendano, M. (2018). Conditional cash transfers and health of low-income families in the US: Evaluating the family rewards experiment. Health Affairs, 37(3), 438–446. doi:https://doi.org/10.1377/hlthaff.2017.1271. Courtin, E., Muennig, P., Verma, N., Riccio, J. A., Lagarde, M., Vineis, P., … Avendano, M. (2018). Conditional cash transfers and health of low-income families in the US: Evaluating the family rewards experiment. Health Affairs, 37(3), 438–446. doi:https://​doi.​org/​10.​1377/​hlthaff.​2017.​1271.
go back to reference Edin, K., & Shaefer, H. L. (2015). $2.00 a day: Living on almost nothing in America. Boston: Houghton Mifflin Harcourt. Edin, K., & Shaefer, H. L. (2015). $2.00 a day: Living on almost nothing in America. Boston: Houghton Mifflin Harcourt.
go back to reference Eyberg, S., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory-revised: Professional manual. Odessa: Psychological Assessment Resources. Eyberg, S., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory-revised: Professional manual. Odessa: Psychological Assessment Resources.
go back to reference Fernald, L. C. H., Kagawa, R. M. C., Knauer, H. A., Schnaas, L., Guerra, A. G., & Neufeld, L. M. (2017). Promoting child development through group-based parent support within a cash transfer program: Experimental effects on children’s outcomes. Developmental Psychology, 53, 222–236.CrossRefPubMed Fernald, L. C. H., Kagawa, R. M. C., Knauer, H. A., Schnaas, L., Guerra, A. G., & Neufeld, L. M. (2017). Promoting child development through group-based parent support within a cash transfer program: Experimental effects on children’s outcomes. Developmental Psychology, 53, 222–236.CrossRefPubMed
go back to reference Gross, D., Garvey, C., Julion, W., & Fogg, L. (2007). Preventive parent training with low-income ethnic minority parents of preschoolers. In J. M. Briesmeister & C. E. Schaefer (Eds.), Handbook of parent training: Helping parents prevent and solve problem behaviors (3rd ed.) (pp. 5–24). New York: John Wiley & Sons. Gross, D., Garvey, C., Julion, W., & Fogg, L. (2007). Preventive parent training with low-income ethnic minority parents of preschoolers. In J. M. Briesmeister & C. E. Schaefer (Eds.), Handbook of parent training: Helping parents prevent and solve problem behaviors (3rd ed.) (pp. 5–24). New York: John Wiley & Sons.
go back to reference Gross, D., Johnson, T., Ridge, A., Garvey, C., Julion, W., Treysman, A., … Fogg, L. (2011). Cost-effectiveness of childcare discounts on parent participation in preventive parent training in low-income communities. The Journal of Primary Prevention, 32(5), 283–298. doi:https://doi.org/10.1007/s10935-011-0255-7. Gross, D., Johnson, T., Ridge, A., Garvey, C., Julion, W., Treysman, A., … Fogg, L. (2011). Cost-effectiveness of childcare discounts on parent participation in preventive parent training in low-income communities. The Journal of Primary Prevention, 32(5), 283–298. doi:https://​doi.​org/​10.​1007/​s10935-011-0255-7.
go back to reference Gross, D., Breitenstein, S., Eisbach, S., Hoppe, E., & Harrison, J. (2014). Promoting mental health in early childhood programs: Serving low-income ethnic minority families. In M. Weist, N. Lever, C. Bradshaw, & J. Owens (Eds.), Handbook of school mental health (2nd ed., pp. 109–130). New York: Springer. Gross, D., Breitenstein, S., Eisbach, S., Hoppe, E., & Harrison, J. (2014). Promoting mental health in early childhood programs: Serving low-income ethnic minority families. In M. Weist, N. Lever, C. Bradshaw, & J. Owens (Eds.), Handbook of school mental health (2nd ed., pp. 109–130). New York: Springer.
go back to reference Gross, D., Belcher, H., Budhathoki, C., Ofonedu, M. E., Dutrow, D., Uveges, M. K., & Slade, E. (in press). Reducing preschool behavior problems in an urban mental health clinic: A pragmatic, non-inferiority trial. Journal of the American Academy of Child and Adolescent Psychiatry. Gross, D., Belcher, H., Budhathoki, C., Ofonedu, M. E., Dutrow, D., Uveges, M. K., & Slade, E. (in press). Reducing preschool behavior problems in an urban mental health clinic: A pragmatic, non-inferiority trial. Journal of the American Academy of Child and Adolescent Psychiatry.
go back to reference Haff, N., Patel, M. S., Lim, R., Zhu, J., Troxel, A. B., Asch, D. A., & Volpp, K. G. (2015). The role of behavioral economic incentive design and demographic characteristics in financial incentive-based approaches to changing health behaviors: A meta-analysis. American Journal of Health Promotion, 29, 314–323. https://doi.org/10.4278/ajhp.140714-LIT-333.CrossRefPubMed Haff, N., Patel, M. S., Lim, R., Zhu, J., Troxel, A. B., Asch, D. A., & Volpp, K. G. (2015). The role of behavioral economic incentive design and demographic characteristics in financial incentive-based approaches to changing health behaviors: A meta-analysis. American Journal of Health Promotion, 29, 314–323. https://​doi.​org/​10.​4278/​ajhp.​140714-LIT-333.CrossRefPubMed
go back to reference IBM. (2016). SPSS statistics for Windows. Version 23. Armonk: IBM Corp. IBM. (2016). SPSS statistics for Windows. Version 23. Armonk: IBM Corp.
go back to reference Mammen, S., & Lawrence, F. C. (2006). How rural working families use the earned income tax credit: A mixed methods analysis. Financial Counseling and Planning, 17, 51–63. Mammen, S., & Lawrence, F. C. (2006). How rural working families use the earned income tax credit: A mixed methods analysis. Financial Counseling and Planning, 17, 51–63.
go back to reference Marr, C., Huang, C., Sherman, A., & DeBot, B. (2015). EITC and child tax credit promote work, reduce poverty, and support children’s development, research finds. Washington, DC: Center on Budget and Policy Priorities. Marr, C., Huang, C., Sherman, A., & DeBot, B. (2015). EITC and child tax credit promote work, reduce poverty, and support children’s development, research finds. Washington, DC: Center on Budget and Policy Priorities.
go back to reference National Academies of Sciences, Engineering, and Medicine. (2016). Parenting matters: Supporting parents of children ages (pp. 0–8). Washington, D.C: The National Academies Press. National Academies of Sciences, Engineering, and Medicine. (2016). Parenting matters: Supporting parents of children ages (pp. 0–8). Washington, D.C: The National Academies Press.
go back to reference Patterson, G. R. (1982). Coercive family process. Eugene, Or: Castalia Publ. Patterson, G. R. (1982). Coercive family process. Eugene, Or: Castalia Publ.
go back to reference Romich, J. L., & Weisner, T. (2000). How families view and use the EITC: Advance payment versus lump sum delivery. National Tax Journal, 53, 1245–1264.CrossRef Romich, J. L., & Weisner, T. (2000). How families view and use the EITC: Advance payment versus lump sum delivery. National Tax Journal, 53, 1245–1264.CrossRef
go back to reference Sutherland, K., Christianson, J., & Leatherman, S. (2008). Impact of targeted financial incentives on personal health behavior; a review of the literature. Medical Care Research and Review, 65, 78S.CrossRef Sutherland, K., Christianson, J., & Leatherman, S. (2008). Impact of targeted financial incentives on personal health behavior; a review of the literature. Medical Care Research and Review, 65, 78S.CrossRef
Metadata
Title
Financial Incentives for Promoting Participation in a School-Based Parenting Program in Low-Income Communities
Authors
Deborah Gross
Amie F. Bettencourt
Publication date
01-05-2019
Publisher
Springer US
Published in
Prevention Science / Issue 4/2019
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-019-0977-y

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