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Can simple psychological interventions increase preventive health investment?

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Anett John & Kate Orkin

  • April 1, 2019
  • 5:12 am

SECTOR

Behavioral Research and Academic Engagements

PROJECT TYPE

Field experiment

DOI

Location

East and Southern Africa

BEHAVIORAL THEME

Preventive health | Water chlorination
OVERVIEW

Behavioral constraints may explain part of low demand for preventive health products. We test the effects of two light-touch psychological interventions on water chlorination and related health and economic outcomes using a randomized controlled
trial among 3750 women in rural Kenya. One intervention encourages participants to visualize alternative realizations of the future; one builds participants’ ability to make concrete plans. After 12 weeks, visualization increases objectively measured chlorination, reduces diarrhea episodes among children, and increases savings. Effects on chlorination and savings persist after almost three years.

THEMATIC AREAS

Effects of the planning intervention are weaker and largely insignificant. Analysis of mechanisms suggests
both interventions increase self-efficacy – beliefs about one’s ability to achieve desired outcomes. Visualization also increases participants’ skill in forecasting their future utility (Gabaix and Laibson 2017). The interventions do not differentially affect beliefs and knowledge about chlorination. Results suggest simple psychological interventions can increase future-oriented behaviors, including use of preventive health technologies.

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