title: Development of the Health Incentive Program Questionnaire (HIP-Q) in a cardiac rehabilitation population.
abstract: The purpose of this study was to develop a questionnaire to facilitate the design of acceptable financial health incentive programs. A multiphase psychometric questionnaire development method was used. Theoretical and literature reviews and three focus groups generated a pool of content areas and items. New items were developed to ensure adequate content coverage. Field testing was conducted with a convenience sample of cardiac rehabilitation (CR) patients (n = 59) to establish face and construct validity (p = 0.021) and reliability (intraclass coefficients = 0.42-0.87). The final questionnaire is comprised of 23 items. This questionnaire builds on previous attempts to explore acceptability by sampling a wider range of instrumental and affective attitudes and by measuring the effect of program features on the likelihood of incentive program participation. Future research is now needed to examine whether tailoring incentives to preferences assessed by the questionnaire improves uptake and effectiveness.
authors.affiliation: Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord St., Toronto, ON M5S 2W6 Canada ; Institute for Clinical Evaluative Sciences, Toronto, ON Canada.
authors.forename: Marc S
authors.initials: MS
authors.lastname: Mitchell
authors.affiliation: Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord St., Toronto, ON M5S 2W6 Canada.
authors.forename: Jack M
authors.initials: JM
authors.lastname: Goodman
authors.affiliation: Institute for Clinical Evaluative Sciences, Toronto, ON Canada.
authors.forename: David A
authors.initials: DA
authors.lastname: Alter
authors.affiliation: Toronto Rehabilitation Institute, University Health Network, Toronto, ON Canada.
authors.forename: Paul I
authors.initials: PI
authors.lastname: Oh
authors.affiliation: Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord St., Toronto, ON M5S 2W6 Canada.
authors.forename: Guy E J
authors.initials: GE
authors.lastname: Faulkner
keywords: Cardiac rehabilitation; Exercise; Incentives; Motivation; Prevention