A Randomized Trial of Social Comparison Feedback and Financial Incentives to Increase Physical Activity.

نویسندگان

  • Mitesh S Patel
  • Kevin G Volpp
  • Roy Rosin
  • Scarlett L Bellamy
  • Dylan S Small
  • Michele A Fletcher
  • Rosemary Osman-Koss
  • Jennifer L Brady
  • Nancy Haff
  • Samantha M Lee
  • Lisa Wesby
  • Karen Hoffer
  • David Shuttleworth
  • Devon H Taylor
  • Victoria Hilbert
  • Jingsan Zhu
  • Lin Yang
  • Xingmei Wang
  • David A Asch
چکیده

PURPOSE To compare the effectiveness of different combinations of social comparison feedback and financial incentives to increase physical activity. DESIGN Randomized trial (Clinicaltrials.gov number, NCT02030080). SETTING Philadelphia, Pennsylvania. PARTICIPANTS Two hundred eighty-six adults. INTERVENTIONS Twenty-six weeks of weekly feedback on team performance compared to the 50th percentile (n = 100) or the 75th percentile (n = 64) and 13 weeks of weekly lottery-based financial incentive plus feedback on team performance compared to the 50th percentile (n = 80) or the 75th percentile (n = 44) followed by 13 weeks of only performance feedback. MEASURES Mean proportion of participant-days achieving the 7000-step goal during the 13-week intervention. ANALYSIS Generalized linear mixed models adjusting for repeated measures and clustering by team. RESULTS Compared to the 75th percentile without incentives during the intervention period, the mean proportion achieving the 7000-step goal was significantly greater for the 50th percentile with incentives group (0.45 vs 0.27, difference: 0.18, 95% confidence interval [CI]: 0.04 to 0.32; P = .012) but not for the 75th percentile with incentives group (0.38 vs 0.27, difference: 0.11, 95% CI: -0.05 to 0.27; P = .19) or the 50th percentile without incentives group (0.30 vs 0.27, difference: 0.03, 95% CI: -0.10 to 0.16; P = .67). CONCLUSION Social comparison to the 50th percentile with financial incentives was most effective for increasing physical activity.

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عنوان ژورنال:
  • American journal of health promotion : AJHP

دوره 30 6  شماره 

صفحات  -

تاریخ انتشار 2016