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| Name | Class |
|---|---|
| Psi Chi | OTHER |
| Qualtrics | UNKNOWN |
| American College of Sports Medicine | OTHER |
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This study will evaluate the main effects of daily vs. weekly feedback and contingent vs. non-contingent incentives for increasing walking behavior among overweight and obese adults.
Approximately 68% of adults are overweight or obese, which is associated with increased risk for health conditions, including cardiovascular disease, type 2 diabetes, and cancer. These individuals are more often sedentary than the general population, which compounds the risk for these same conditions. While the benefits of engaging in physical activity are well-established, few individuals are able to successfully increase activity to recommended levels. Existing intervention programs, often derived from theories such as social cognitive theory or related theories, have had limited success. Behavioral economics offers a promising alternative, suggesting that engagement in any behavior is based on the maximizing utility and happiness (i.e., weighing the cost and benefit of the behavior). Interventions based on this theory aim to increase the immediate benefit of engaging in physical activity, often using a financial incentive.
This study will last for 8 weeks. All participants will have the use of a FitBit for ongoing self-monitoring and a personalized step-count goal designed to help increase daily steps. Participants will receive feedback on reaching their goals either daily or weekly.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-contingent incentives and weekly feedback | Experimental | Participants will receive payment for participating in the study (regardless of goal attainment) and will receive weekly updates about their performance. |
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| Non-contingent incentives and daily feedback | Experimental | Participants will receive payment for participating in the study (regardless of goal attainment) and will receive daily updates about their performance. |
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| Contingent incentives and weekly feedback | Experimental | Participants will receive payment for meeting their daily goals and will receive weekly updates about their performance. |
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| Contingent incentives and daily feedback | Experimental | Participants will receive payment for meeting their daily goals and will receive daily updates about their performance. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non-contingent incentives | Behavioral | Incentives are provided for participation |
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| Measure | Description | Time Frame |
|---|---|---|
| Step counts | Average daily step counts | Change from baseline to end of 6-week intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Step counts | Average daily step counts | Change from end of intervention to end of 2-week follow-up |
| Step counts | Daily change during 6-week intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Drexel University | Philadelphia | Pennsylvania | 19104 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33601334 | Derived | Kerrigan SG, Forman EM, Williams D, Patel M, Loyka C, Zhang F, Crosby RD, Butryn ML. Project Step: A Randomized Controlled Trial Investigating the Effects of Frequent Feedback and Contingent Incentives on Physical Activity. J Phys Act Health. 2021 Mar 1;18(3):247-253. doi: 10.1123/jpah.2020-0198. Epub 2021 Feb 17. |
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| Contingent incentives | Behavioral | Incentives are provided for attaining daily goals |
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| Weekly feedback | Behavioral | Text message feedback is delivered weekly summarizing the past week's progress |
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| Daily feedback | Behavioral | Text message feedback is delivered daily summarizing the current day's progress |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D057185 | Sedentary Behavior |
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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