NCT02030119

Brief Summary

Employers are increasingly looking for opportunities to motivate sedentary employees to become more physically active. Workplace walking programs have had mixed success and typically show most improvement among participants that are already fairly active at a baseline. The goal of this study is to determine whether a financial incentive program can motivate sedentary employees to increase the number of steps they walk per day to meet a minimum threshold. The primary outcome measure is the proportion of days a minimum activity of 7000 steps or more is achieved. Outcomes will be assessed each week for 3 months using incentives followed by 3 months of follow-up without incentives. Secondary outcomes will include the average steps walked per day.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
281

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2014

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 20, 2013

Completed
19 days until next milestone

First Posted

Study publicly available on registry

January 8, 2014

Completed
24 days until next milestone

Study Start

First participant enrolled

February 1, 2014

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2014

Completed
3.3 years until next milestone

Results Posted

Study results publicly available

December 2, 2017

Completed
Last Updated

December 2, 2017

Status Verified

September 1, 2017

Enrollment Period

7 months

First QC Date

December 20, 2013

Results QC Date

September 21, 2017

Last Update Submit

October 26, 2017

Conditions

Keywords

Sedentary lifestylePedometersObesityPhysical ActivityFinancial IncentivesBehavioral Economics

Outcome Measures

Primary Outcomes (1)

  • Proportion of Days Each Individual Walks 7000 Steps Per Day or More

    The primary outcome measure is the mean proportion of participant-days a minimum activity of 7000 steps or more is achieved. Outcomes will be assessed each week for 3 months using incentives followed by 3 months of follow-up without incentives.

    Throughout the 6 month study

Secondary Outcomes (1)

  • Average Number of Steps Per Day

    Throughout the 6 month study

Study Arms (4)

Control

ACTIVE COMPARATOR

The participant will receive either an email or text message (based on the participant's preference) stating whether the participant achieved their goal for the prior day.

Behavioral: Daily feedback

Gain Framing

EXPERIMENTAL

Participants will be told that they will earn money for each day they walk at least 7000 steps. Each participant will receive either an email or text message (based on the participant's preference) stating whether or not he/she achieved the goal for the prior day and can collect the earnings. Non-adherent participants will receive messages about how much they would have earned had they met their target step goal.

Behavioral: Financial IncentivesBehavioral: Daily feedback

Loss Framing

EXPERIMENTAL

The participants will be told that their account has been credited a certain amount of money for the upcoming 30 days. However, for each day they do not meet their goal of at least 7000 steps, they will lose a small portion of that money. The participant will receive either an email or text message (based on the participant's preference) stating whether the participant achieved the goal for the prior day. Non-adherent participants will receive messages about how much the participant would have kept had they met the target step goal.

Behavioral: Financial IncentivesBehavioral: Daily feedback

Daily Lottery

EXPERIMENTAL

Each participant will be entered into a lottery daily, but participants will only be eligible to collect their winnings if they walked at least 7000 steps the day before. Participants will receive either an email or text message (based on the participant's preference) stating whether or not they won the lottery and if they met their target step goal. If both occur, the participant will be told how much money he or she won. Non-adherent participants will receive messages about how much they would have won had they met the target step goal.

Behavioral: Financial IncentivesBehavioral: Daily feedback

Interventions

Daily LotteryGain FramingLoss Framing
Daily feedbackBEHAVIORAL
ControlDaily LotteryGain FramingLoss Framing

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age greater than 18.
  • Participant will need an iPhone or Android smartphone to be able to use the Moves App for tracking steps

You may not qualify if:

  • A score of "high" on the International Physical Activity Questionnaire (IPAQ) activity level scale
  • BMI less than 27
  • Pregnant or lactating
  • Participation in another physical activity study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Pennsylvania

Philadelphia, Pennsylvania, 09104, United States

Location

Related Publications (1)

  • Patel MS, Asch DA, Rosin R, Small DS, Bellamy SL, Heuer J, Sproat S, Hyson C, Haff N, Lee SM, Wesby L, Hoffer K, Shuttleworth D, Taylor DH, Hilbert V, Zhu J, Yang L, Wang X, Volpp KG. Framing Financial Incentives to Increase Physical Activity Among Overweight and Obese Adults: A Randomized, Controlled Trial. Ann Intern Med. 2016 Mar 15;164(6):385-94. doi: 10.7326/M15-1635. Epub 2016 Feb 16.

MeSH Terms

Conditions

Sedentary BehaviorObesityMotor Activity

Condition Hierarchy (Ancestors)

BehaviorOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Limitations and Caveats

Subjects were from single Philadelphia employer; ppts were required to have a smartphone, and their physical activity was not tracked when they did not have smartphone on them; we did not collect baseline data for step counts.

Results Point of Contact

Title
Dr. Mitesh S. Patel
Organization
Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania

Study Officials

  • Kevin M Volpp, MD, PhD

    University of Pennsylvania

    PRINCIPAL INVESTIGATOR
  • Mitesh Patel, MD, MBA

    University of Pennsylvania

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 20, 2013

First Posted

January 8, 2014

Study Start

February 1, 2014

Primary Completion

September 1, 2014

Study Completion

September 1, 2014

Last Updated

December 2, 2017

Results First Posted

December 2, 2017

Record last verified: 2017-09

Locations