Way to Be Active III (Framing Incentives)

Study Overview
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Brief Summary
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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.

Official Title
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A Randomized Trial of Behavioral Economic Interventions to Improve Physical Activities: Framing Incentives

Conditions
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Sedentary Lifestyle

Intervention / Treatment
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* Behavioral: Financial Incentives
* Behavioral: Daily feedback


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age greater than 18. Participant will need an iPhone or Android smartphone to be able to use the Moves App for tracking steps Exclusion Criteria: 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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control<br>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<br> <br> |
| Experimental: Gain Framing<br>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 Incentives<br> <br> Behavioral: Daily feedback<br> <br> |
| Experimental: Loss Framing<br>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 Incentives<br> <br> Behavioral: Daily feedback<br> <br> |
| Experimental: Daily Lottery<br>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 Incentives<br> <br> Behavioral: Daily feedback<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Average Number of Steps Per Day | Secondary outcomes include average number of steps each individual takes per day throughout the 13-week intervention and additional 13-week follow-up periods. | Throughout the 6 month study | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Sedentary lifestyle, Pedometers, Obesity, Physical Activity, Financial Incentives, Behavioral Economics