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Relationship Between Affective Responses And Adherence To High Intensity Interval Training In Obese African-American Women: 881 Board #60 May 31 3

Social impact bonds (SIBs) are a relatively new financial model which suggests the entry of private investors into the public sector, in fields which are under the responsibility of government establishments. The private investor goal is to initiate a social program agreed upon together with the government. The investor will receive payment only according to the program’s success in achieving its objectives. The growing rate in obesity and related chronic diseases calls for new creative and innovative solutions. PURPOSE: To assess the applicability of SIB in preventive medicine and health promotion programs. METHODS: Reviewing of all the available academic and governmental publications on existing SIBs and analyzing the reasons for their success and failure. RESULTS: Sixty SIBs were launched between 2010-2016 in 15 countries mainly UK, USA, Australia, and Israel focusing on issues of: education, prisoners’ rehabilitation, unemployment, health and family care. Out of 22 projects whose data has been delivered, 21 show a very positive outcome. The first SIB ever launched was to reduce recidivism. The project matured in 2016 was declared a success and returned in full the investors’ capital. CONCLUSIONS: The SIB is a novel model that has the potential to make a dramatic change in the strategy of funding health promotion programs (e.g., obesity epidemic). The model is applicable in preventive medicine and health promotion programs given that a clear and fair contract is signed between the public authority and the private investor. To note, SIBs can be a primary catalyzer in health promotion programs, but cannot substitute government’s responsibility for permanent solutions.