Social Incentives to Increase Mobility

NCT03321279 | Completed

• 1 other identifier: 826974
• Study Type: interventional
• Target: 233
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to assess the effectiveness of a social incentive-based gamification intervention to increase physical activity in the 3 months after hospital discharge.

Conditions

Pneumonia; Diabetes; Congestive Heart Failure; Chronic Obstructive Pulmonary Disease

Outcome Measures

Primary Outcomes (1)

• Change in mean daily step count from the baseline period to the intervention period, using a wearable pedometer (Nokia Steel) to measure step count.

  The primary outcome variable is the change in mean daily step count from the baseline period (week 1 post-discharge) to the intervention period (weeks 2-13 post-discharge). This will be measured using the Nokia Steel wearable device. .

  13 weeks

Secondary Outcomes (2)

• 30-day hospital readmission post-discharge, using the state's hospital database

  13 weeks

• Functional decline from admission to 3 months post-discharge, measured using validated survey assessments.

  13 weeks

Study Arms (2)

Control

NO INTERVENTION

Participants' daily step counts will be for weeks 2-13 after hospital discharge. Participants will be asked to complete surveys at 5, 9 and 13 weeks post-discharge.

Intervention

EXPERIMENTAL

Participants' daily step counts will be monitored for weeks 2-13 after hospital discharge. Participants will have a weekly step goal that increases from baseline by 10% each week of the intervention (12 weeks). 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.

Behavioral: Social Incentive

Interventions

Social Incentive BEHAVIORAL

Participants in the intervention arm will receive social incentives as part of the intervention. See arm descriptions for more detail.

Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 or older
• Admitted to medicine or oncology floor in the hospital

You may not qualify if:

• Inability to provide informed consent
• Does not have daily access to a smartphone compatible with the wearable device
• Already enrolled in another physical activity program
• Inpatient mobility score of 0 or 1 indicating that physical activity is not appropriate for the patient
• Any other medical conditions that would prohibit participation in a 3-month physical activity program
• Unable to complete the run-in phases (e.g. not discharged from the hospital within 60 days of enrolling; not willing to use the wearable device for the 3-month post-discharge intervention).

Sponsors & Collaborators

• University of Pennsylvania: lead

Study Sites (1)

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (4)

• Willinger CM, Waddell KJ, Arora V, Patel MS, Ryan Greysen S. Patient-reported sleep and physical function during and after hospitalization. Sleep Health. 2024 Apr;10(2):249-254. doi: 10.1016/j.sleh.2023.12.001. Epub 2023 Dec 26.

  PMID: 38151376 DERIVED

• Greysen SR, Waddell KJ, Patel MS. Exploring Wearables to Focus on the "Sweet Spot" of Physical Activity and Sleep After Hospitalization: Secondary Analysis. JMIR Mhealth Uhealth. 2022 Apr 27;10(4):e30089. doi: 10.2196/30089.

  PMID: 35476034 DERIVED

• Greysen SR, Changolkar S, Small DS, Reale C, Rareshide CAL, Mercede A, Snider CK, Greysen HM, Trotta R, Halpern SD, Patel MS. Effect of Behaviorally Designed Gamification With a Social Support Partner to Increase Mobility After Hospital Discharge: A Randomized Clinical Trial. JAMA Netw Open. 2021 Mar 1;4(3):e210952. doi: 10.1001/jamanetworkopen.2021.0952.

  PMID: 33760089 DERIVED

• Greysen HM, Reale C, Mercede A, Patel MS, Small D, Snider C, Rareshide C, Halpern SD, Greysen SR. Mobility and outcomes for validated evidence - Incentive trial (MOVE IT): Randomized clinical trial study protocol. Contemp Clin Trials. 2020 Feb;89:105911. doi: 10.1016/j.cct.2019.105911. Epub 2019 Dec 12. No abstract available.

  PMID: 31838257 DERIVED

MeSH Terms

Conditions

Pneumonia; Diabetes Mellitus; Heart Failure; Pulmonary Disease, Chronic Obstructive

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Heart Diseases; Cardiovascular Diseases; Lung Diseases, Obstructive; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Ryan Greysen, MD, MHS, MA

  University of Pennsylvania

  PRINCIPAL INVESTIGATOR

• Mitesh Patel, MD, MBA, MS

  University of Pennsylvania

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 4, 2017
• First Posted: October 25, 2017
• Study Start: January 11, 2018
• Primary Completion: September 9, 2019
• Study Completion: September 9, 2019
• Last Updated: July 30, 2020

Record last verified: 2020-07

Locations

US (1)