Health Prompts Affect Consideration of Health but Not Intertemporal Preferences While Promoting Healthier Food Choices.

Diet-related diseases impact populations across the globe. While intertemporal preferences-a fundamental preference for the distribution of benefits across time-have been used to explain low-quality food choices, the recent literature proposes another cause: inattention to the future implications (or opportunity costs) of the options faced. Food choices tend to become habitual to conserve cognitive resources, rather than carefully modeling future health impacts. Both low discount rates for future benefits and attention to future health impacts predict healthier decisions. While intertemporal preferences are stable, attention may provide an opportunity to intervene in the decision process to promote healthier decisions. In this study, we test the impact of a simple message that highlights health during food choice on the healthiness of the foods chosen and on health consideration and intertemporal preferences. Our results show that actively considering health outcomes and lower discount rates lead to healthier food choices. We find that messaging increases the consideration of health outcomes during food choice but does not affect intertemporal preferences, suggesting that simple prompts may be an effective way to promote decisions balancing short- and long-term benefits by drawing attention to the overlooked opportunity costs of choices.

Role of temporal discounting in a conditional cash transfer (CCT) intervention to improve engagement in the prevention of mother-to-child transmission (PMTCT) cascade.

BACKGROUND: Temporal discounting, the tendency of individuals to discount future costs and benefits relative to the present, is often associated with greater engagement in risky behaviors. Incentives such as conditional cash transfers (CCTs) have the potential to counter the effects of high discount rates on health behaviors. METHODS: With data from a randomized trial of a CCT intervention among 434 HIV-positive pregnant women in the Democratic Republic of Congo, we used binomial models to assess interactions between discount rates (measured using a delay-discounting task) and the intervention. The analysis focused on two outcomes: 1) retention in HIV care, and 2) uptake of prevention of mother-to-child transmission (PMTCT) services. RESULTS: The effect of high discount rates on retention was small, and we did not observe evidence of interaction between high discount rates and CCT on retention. However, our findings suggest that CCT may mitigate the negative effect of high discount rates on uptake of PMTCT services (interaction contrast (IC): 0.18, 95% CI: - 0.09, 0.44). CONCLUSIONS: Our findings provide evidence to support the continued use of small, frequent incentives, to motivate improved uptake of PMTCT services, especially among women exhibiting high rates of temporal discounting. TRIAL REGISTRATION: Clinicaltrials.gov number NCT01838005 , April 23, 2013.

Are intertemporal preferences contagious? Evidence from collaborative decision making.

Prior research has provided substantial insight into individuals' intertemporal preferences (i.e., preferences about delayed rewards). In the present study, we instead investigated the preferences of small groups of individuals asked to express collective intertemporal decisions. The paradigm consisted of three phases. During the precollaboration and postcollaboration phases, participants completed an intertemporal decision task individually. During the collaboration phase, participants completed a similar task in small groups, reaching mutually-agreed-upon decisions. The results suggest that group preferences were systematically related to the mean of the group members' precollaboration preferences. In addition, collaborative decision making altered the group members' intertemporal preferences. Specifically, individuals' postcollaboration preferences converged toward the preferences of their respective groups. Furthermore, we found that individuals' postcollaboration preferences were independently related to both their precollaboration preferences and the preferences of the other group members, suggesting that individuals' postcollaboration preferences represented a revision of their precollaboration preferences based on the preferences observed in other group members. In Experiment 2, we demonstrated that similar patterns of results were found whether participants were making matching judgments or binary choices.