Behavioral Economics and Mobility After Stroke (BE Mobile)

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-16

Study Completion Date

2021-07-12

Brief Summary

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In this pilot, randomized controlled trial, the investigators will compare the preliminary effectiveness of a gamification with social incentives 8 week intervention to increase physical activity for adults with stroke.

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Detailed Description

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In this 2 arm randomized trial, the investigators will compare the preliminary effectiveness of a social incentive-based gamification intervention to increase physical activity relative to a control arm among adults with stroke. All participants will use a Fitbit wearable device to establish a baseline step count, select a step goal increase of 33% to 50% above their baseline and then participate in an 8 week intervention. The gamification arm will be entered into a game with points and levels designed using insights from behavioral economics. They will be asked to select a social support partner who will receive weekly updates on their progress in the game.

Conditions

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Stroke

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 arm

Participants will wear the Fitbit device and record their daily step counts during the baseline and 8 week intervention period. Participants will complete study surveys at baseline and the end of the 8 week intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Gamification arm

Participants will wear the Fitbit device and record their daily step counts during the baseline and 8 week intervention period. Participants will have a weekly step goal they are encouraged to meet. Participants will engage in a social incentive-based gamification based on points and levels that leverages loss aversion, which has been demonstrated to motivate behavior change more effectively with losses than gains. Participants will receive daily feedback for the step counts and weekly feedback for levels. Participants will be asked to identify a support partner, who will receive weekly reports with the the participant's points and levels balance.

Group Type EXPERIMENTAL

Gamification with social incentives

Intervention Type BEHAVIORAL

Participants will select a step goal that is 33%, 40%, or 50% above their baseline step value. Participants in this group will participate in a game with points and levels to help motivate participants to meet their daily step goal. Additionally, all participants will identify a support partner to receive weekly updates on their performance and offer positive encouragement to help the participant meet their step goal.

Interventions

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Gamification with social incentives

Participants will select a step goal that is 33%, 40%, or 50% above their baseline step value. Participants in this group will participate in a game with points and levels to help motivate participants to meet their daily step goal. Additionally, all participants will identify a support partner to receive weekly updates on their performance and offer positive encouragement to help the participant meet their step goal.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* History of ischemic or hemorrhagic stroke (confirmed with ICD-10 or DRG code) at least 3 months prior to enrollment
* Ability to provide informed consent
* Life Space Assessment mobility level 3
* Ability to ambulate outside of their home (self-reported)
* Owns a smartphone or tablet compatible with required applications for the wearable tracking device
* Sufficient cognitive ability to participate (5-minute Montreal Cognitive Assessment Score ≥ 11 points)

Exclusion Criteria

* Inability to provide informed consent, illiteracy or inability to speak, read, and write English
* Self-reported history of falls within the last 3 months
* Severe cognitive impairment (MoCA score ≤ 10 points)
* Medical condition that may limit participation in physical activity program (e.g. metastatic cancer, end-stage renal disease)
* Currently institutionalized in skilled nursing or long-term care facility
* Baseline step count \> 7500/day
* Currently receiving physical therapy services

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No