Clinical trial NCT05736484: Randomized Clinical Trial to Improve Mobility After Hospitalization
Official title: The MOVE ON Trial: A Randomized Trial of Gamification and Coaching to Improve Mobility After Hospitalization
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Hypertension
Diabetes
Heart Failure
Ambulatory Difficulty
Mobility Limitation
Keywords: Gamification
Physical Activity
Behavioral Economics
Social Support
Mobility
Lead sponsor: University of Pennsylvania
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
First posted: 2023-02-21
Enrollment: 350
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This is a 2-arm randomized control trial over 26 weeks with 26 weeks follow-up (total of 52 weeks) that compares a control group wearing a wearable activity tracker to the intervention group that uses the same device and receives a supportive social incentive-based gamification intervention.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The objective of this study is to test the feasibility of using behavioral economic interventions (gamification with social incentives) to increase physical activity after hospital discharge to reduce incident mobility disability among older adults.

Detailed description: MOVE ON is a 2-arm, randomized trial enrolling older adults 50 years or older with a recent hospitalization for hypertension, diabetes, and mild-moderate heart failure. The 52 week trial compares a control group wearing a wearable activity tracker to the intervention group that uses the same device and receives a supportive social incentive-based gamification intervention. The primary goal is to increase physical activity after discharge from the hospital to reduce incident mobility disability associated with acute illness and to reduce acute and post-acute care utilization.

Eligibility criteria: Inclusion Criteria:

* Age 50 years or older
* Admitted to the University of Pennsylvania Health System acute care hospital (Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital, Lancaster General Health, Chester County Hospital, or Penn Medicine Princeton Medical Center) and discharged to home
* Able to ambulate independently

Exclusion Criteria:

* Inability to provide informed consent
* Does not have daily access to a smartphone compatible with the wearable device and is not willing to use a device that the investigators can provide participants' with
* Already enrolled in another physical activity study
* Low mobility score indicating that the patient is not able to walk distances greater than 1000 steps/day independently
* Any other medical conditions that would prohibit participation in a 6-month physical activity program
* Unable to complete the baseline period (must have at least 4 out of 7 days of step data with minimum step count of 1000 steps/day)
* Not willing to use the wearable device for the full duration of the study
* Enrolled in hospice

Primary outcomes:
measure: Change in mean daily step count from baseline to the end of the 26 week intervention period.
timeFrame: Baseline to 26 week intervention period (Weeks 1-26)
Secondary outcomes:
measure: Change in mean daily step count from baseline to the end of the 26 week follow-up period.
timeFrame: Baseline to 52 weeks- end of the study (Weeks 1-52)
measure: Participants' mobility disability throughout the entire study (Baseline to end of study [52 weeks]).
timeFrame: Baseline to 26 and 52 weeks- end of the study (Weeks 1-52)
measure: Participants' acute care utilization throughout the entire study (Baseline to end of study [52 weeks]).
timeFrame: Baseline to 26 and 52 weeks- end of the study (Weeks 1-52)
Other outcomes:
Locations:
city: Philadelphia
country: United States
facility: Blockley Hall
state: Pennsylvania
Study officials:
affiliation: University of Pennsylvania
name: Ryan Greysen, MD, MHS, MA
role: PRINCIPAL_INVESTIGATOR
References: