Social Incentives To Encourage Physical Activity and Understand Predictors

NCT ID: NCT03311230

Last Updated: 2020-03-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

602 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-30

Study Completion Date

2019-03-18

Brief Summary

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This study tests the effectiveness of three social incentive-based gamification interventions to increase physical activity using a 24-week intervention period with a 12-week follow-up.

Detailed Description

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This is a four-arm randomized, controlled trial with a 24-week intervention period and 12-week follow-up period. Participants are considered ready to be randomized once they have completed all surveys, established a baseline step count, and selected a step goal increase.Participants in the control arm will receive no other interventions during the 24-week intervention period or the 12-week follow-up period. Participants randomized to the one of the three intervention arms will have a 4-week ramp up towards their step goal. The participant will then be asked to maintain their goal during the 20-week "maintenance period" and the 12-week "follow-up period." Participants in arms 2-4 will be entered into an intervention approach that has points and levels designed to incorporate insights from behavioral economics. Participants in the supportive social incentive arm will be asked to identify a family member or friend to be their support sponsor. This sponsor will be encouraged to support the participant in their progress during the study. Participants in the competitive social incentive arm will be in a group of three total participants.At the end of each week the participants will receive notification that ranks them on their cumulative points in the study thus far and also displays their level.This feedback may help to induce participants to compete for the top spot among the group. Participants in the collaborative social incentive arm will be in a group of three total participants as a team. Each day one of the members of the group will be randomly selected to represent their team for that day. In this design, each person is accountable to the others on the team and this may induce a collaborative effort to meet their daily goals.

Conditions

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Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Control

Participants in this arm will receive no other interventions during the 9 month study period

Group Type NO_INTERVENTION

No interventions assigned to this group

Supportive social incentive

Participants will identify a family member or friend to support them during a gamification intervention.

Group Type EXPERIMENTAL

Supportive social incentive

Intervention Type BEHAVIORAL

A family member or friend will be used as a support person in this study, to receive updates and support the participant in their progress.

Competitive social incentive

Participants will compete in a gamification intervention in groups of three.

Group Type EXPERIMENTAL

Competitive social incentive

Intervention Type BEHAVIORAL

Participants in this intervention will be competing against each other in the game.

Collaborative social incentive

Participants will collaborate in groups of three in a gamification intervention

Group Type EXPERIMENTAL

Collaborative social incentive

Intervention Type BEHAVIORAL

Participants in this intervention will be working with each other in the game.

Interventions

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Supportive social incentive

A family member or friend will be used as a support person in this study, to receive updates and support the participant in their progress.

Intervention Type BEHAVIORAL

Competitive social incentive

Participants in this intervention will be competing against each other in the game.

Intervention Type BEHAVIORAL

Collaborative social incentive

Participants in this intervention will be working with each other in the game.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Age 18 years or older;
2. ability to read and provide informed consent to participate in the study;
3. Self-reported body mass index (BMI) of 25 or greater.
4. Smartphone or tablet compatible with application for the wearable activity tracking device.

Exclusion Criteria

1. Conditions that would make participation infeasible such as inability to provide informed consent, illiteracy or inability to speak, read, and write English;
2. conditions that would make participation unsafe such as pregnancy or being told by a physician not to exercise;
3. already enrolled in another study targeting physical activity;
4. any other medical conditions or reasons he or she is unable to participate in a physical activity study for 36 weeks.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Deloitte

INDUSTRY

Sponsor Role collaborator

University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Mitesh Patel

Mitesh S. Patel, Director, Penn Medicine Nudge Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mitesh Patel, MD, MBA, MS

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Lewey J, Murphy S, Zhang D, Putt ME, Elovitz MA, Riis V, Patel MS, Levine LD. Effectiveness of a Text-Based Gamification Intervention to Improve Physical Activity Among Postpartum Individuals With Hypertensive Disorders of Pregnancy: A Randomized Clinical Trial. JAMA Cardiol. 2022 Jun 1;7(6):591-599. doi: 10.1001/jamacardio.2022.0553.

Reference Type DERIVED
PMID: 35442393 (View on PubMed)

Rewley J, Guszcza J, Dierst-Davies R, Steier D, Szwartz G, Patel M. Loss Aversion Explains Physical Activity Changes in a Behavioral Gamification Trial. Games Health J. 2021 Dec;10(6):430-436. doi: 10.1089/g4h.2021.0130.

Reference Type DERIVED
PMID: 34860130 (View on PubMed)

Patel MS, Small DS, Harrison JD, Fortunato MP, Oon AL, Rareshide CAL, Reh G, Szwartz G, Guszcza J, Steier D, Kalra P, Hilbert V. Effectiveness of Behaviorally Designed Gamification Interventions With Social Incentives for Increasing Physical Activity Among Overweight and Obese Adults Across the United States: The STEP UP Randomized Clinical Trial. JAMA Intern Med. 2019 Dec 1;179(12):1624-1632. doi: 10.1001/jamainternmed.2019.3505.

Reference Type DERIVED
PMID: 31498375 (View on PubMed)

Harrison JD, Jones JM, Small DS, Rareshide CAL, Szwartz G, Steier D, Guszcza J, Kalra P, Torio B, Reh G, Hilbert V, Patel MS. Social incentives to encourage physical activity and understand predictors (STEP UP): Design and rationale of a randomized trial among overweight and obese adults across the United States. Contemp Clin Trials. 2019 May;80:55-60. doi: 10.1016/j.cct.2019.04.001. Epub 2019 Apr 4.

Reference Type DERIVED
PMID: 30954675 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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827508

Identifier Type: -

Identifier Source: org_study_id

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