Back to History

Fields Changed

Registration

Field Before After
Last Published July 28, 2018 03:32 PM November 16, 2023 10:33 AM
Study Withdrawn No
Intervention Completion Date June 30, 2013
Data Collection Complete Yes
Final Sample Size: Number of Clusters (Unit of Randomization) 1725 individuals
Was attrition correlated with treatment status? No
Final Sample Size: Total Number of Observations 1512 individuals (at endline)
Final Sample Size (or Number of Clusters) by Treatment Arms No commitment contract group (n=512); Fixed commitment contract group (n=500); Flexible commitment contract group (n=500).
Public Data URL https://doi.org/10.7910/DVN/MKRCFU
Is there a restricted access data set available on request? No
Program Files Yes
Program Files URL https://doi.org/10.7910/DVN/MKRCFU
Data Collection Completion Date July 31, 2013
Is data available for public use? Yes
Keyword(s) Health Health
Building on Existing Work No
Back to top

Papers

Field Before After
Paper Abstract Self-control problems constitute a potential explanation for the underinvestment in preventive health in low-income countries. Behavioral economics offers a tool to solve such problems: commitment devices. We conduct a field experiment to evaluate the effectiveness of different types of theoretically motivated commitment contracts in increasing preventive doctor visits by hypertensive patients in rural India. Despite achieving high take-up of such contracts in some treatment arms, we find no effects on actual doctor visits or individual health outcomes. A substantial number of individuals pay for commitment but fail to follow through on the doctor visit, losing money without experiencing health benefits. We develop and structurally estimate a prespecified model of consumer behavior under present bias with varying levels of naiveté. The results are consistent with a large share of individuals being partially naive about their own self-control problems: sophisticated enough to demand some commitment but overly optimistic about whether a given level of commitment is sufficiently strong to be effective. The results suggest that commitment devices may in practice be welfare diminishing, at least in some contexts, and serve as a cautionary tale about their role in health care.
Paper Citation Liang Bai, Benjamin Handel, Edward Miguel, Gautam Rao; Self-Control and Demand for Preventive Health: Evidence from Hypertension in India. The Review of Economics and Statistics 2021; 103 (5): 835–856.
Paper URL https://doi.org/10.1162/rest_a_00938
Back to top