Many everyday decisions require trade-offs between immediate arid delayed b
enefits. Although much research has assessed discounting of delayed outcome
s by using hypothetical scenarios, little research has examined whether the
se discounting measures correspond to real-world behavior. Three studies ex
amined the relationship between scenario measures of time preference and pr
eventive health behaviors that require an upfront cost to achieve a long-te
rm benefit. Responses to time preference scenarios showed weak or no relati
onship to influenza vaccination, adherence to a medication regimen to contr
ol high blood pressure, and adherence to cholesterol-lowering medication. T
he finding that scenario measures of time preference have surprisingly litt
le relationship to actual behaviors exemplifying intertemporal trade-offs p
laces limits on the applications of time preference research to the promoti
on of preventive health behavior.