Original Investigation

Financial Incentives to Increase Diversity of Older Participants in a Memory Concerns Registry

JAMA Health Forum 10.1001/jamahealthforum.2025.2273

August 22, 2025 at 11:00 AM EDT

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Can financial incentives increase enrollment of primarily low-income, racially and ethnically diverse patients from a county health system into a memory concerns registry?In this randomized clinical trial including 44 844 adults 50 years and older, relative to an invitation message alone, a message with the offer of a $25 financial incentive increased enrollment, while a message with a $2500 prize incentive with 1 in 100 odds of award did not affect enrollment into the memory concerns registry.Small financial incentives can increase enrollment of low-income patients into clinical research studies.

Corresponding Author: Mireille Jacobson, PhD, Leonard Davis School of Gerontology, University of Southern California, 3715 McClintock Ave, Los Angeles, CA 90089 (mireillj@usc.edu).

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