Way to Be Active V (Framing vs. Forgiveness)

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 vs. Forgiveness

Conditions
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Sedentary Lifestyle

Intervention / Treatment
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* Behavioral: Feedback compared to 75th percentile
* Behavioral: Forgiveness
* Behavioral: Financial Incentive
* 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: Pregnant or lactating Participating 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: Feedback 50th Percentile<br>At the end of each week, participants will be told (by email or text, based on the participant's preference) the team's average daily step count for the previous week based on all 7 days. They will also be told the average for the 50th percentile in their arm. If the team's average daily step count is ≥ 7000 steps, the team will be eligible for the weekly lottery. | Behavioral: Financial Incentive<br>* For the first three months of the study, a weekly lottery will be held. Teams whose average daily step count for that week is ≥ 7000 will be eligible to collect their lottery winnings. Teams whose average daily step count is less than 7000 will receive messages about how much they would have won had the team met its goal.<br>Behavioral: Daily Feedback<br>* Participants will be given daily feedback on whether or not they walked 7000 steps or more the day before.<br>|
| Experimental: Feedback 75th Percentile<br>At the end of each week, participants will be told (by email or text, based on the participant's preference) the team's average daily step count for the previous week based on all 7 days. They will also be told the average for the 75th percentile in their arm. If the team's average daily step count is ≥ 7000 steps, the team will be eligible for the weekly lottery. | Behavioral: Feedback compared to 75th percentile<br> <br> Behavioral: Financial Incentive<br>* For the first three months of the study, a weekly lottery will be held. Teams whose average daily step count for that week is ≥ 7000 will be eligible to collect their lottery winnings. Teams whose average daily step count is less than 7000 will receive messages about how much they would have won had the team met its goal.<br>Behavioral: Daily Feedback<br>* Participants will be given daily feedback on whether or not they walked 7000 steps or more the day before.<br>|
| Experimental: Feedback 50th Percentile + Forgiveness<br>At the end of each week, participants will be told (by email or text, based on the participant's preference) the average team's average daily step count for the previous week based on the best 5 of 7 days. They will also be told the average for the 50th percentile in their arm. If the team's average daily step count (best 5 of 7 days) is ≥ 7000 steps, the team will be eligible for the weekly lottery. | Behavioral: Forgiveness<br> <br> Behavioral: Financial Incentive<br>* For the first three months of the study, a weekly lottery will be held. Teams whose average daily step count for that week is ≥ 7000 will be eligible to collect their lottery winnings. Teams whose average daily step count is less than 7000 will receive messages about how much they would have won had the team met its goal.<br>Behavioral: Daily Feedback<br>* Participants will be given daily feedback on whether or not they walked 7000 steps or more the day before.<br>|
| Experimental: Feedback 75th Percentile + Forgiveness<br>At the end of each week, participants will be told (by email or text, based on the participant's preference) the team's average daily step count for the previous week based on the best 5 of 7 days. They will also be told the average for the 75th percentile in their arm. If the team's average daily step count (best 5 of 7 days) is ≥ 7000 steps, the team will be eligible for the weekly lottery. | Behavioral: Feedback compared to 75th percentile<br> <br> Behavioral: Forgiveness<br> <br> Behavioral: Financial Incentive<br>* For the first three months of the study, a weekly lottery will be held. Teams whose average daily step count for that week is ≥ 7000 will be eligible to collect their lottery winnings. Teams whose average daily step count is less than 7000 will receive messages about how much they would have won had the team met its goal.<br>Behavioral: Daily Feedback<br>* Participants will be given daily feedback on whether or not they walked 7000 steps or more the day before.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of days an individual walks 7000 steps or more | 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. | End of study - 6 months after enrollment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Average number of steps per day and week | Secondary outcomes include average number of steps per day and week during the intervention (first 3 months) and follow-up (second 3 months) periods. | End of study- 6 months after enrollment | 

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