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Social Goals and Individual Incentives to Promote Walking in Older Adults

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01643538
First Posted: July 18, 2012
Last Update Posted: March 5, 2014
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
Robert Wood Johnson Foundation
Information provided by (Responsible Party):
University of Pennsylvania
  Purpose
The goal of this randomized and controlled trial is to test whether a financial incentive of a donation to achieve a social goal is more effective to motivate and sustain a daily walking habit than the same dollar value given to an older adult. The investigators will achieve this using a novel computer platform utilizing a digital pedometer-internet interface.

Condition Intervention
Physical Activity Behavioral: Financial incentive Behavioral: Social Goal Behavioral: Personal financial incentives & social goals Behavioral: daily pedometer use and weekly feedback

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Social Goals and Individual Incentives to Promote Walking in Older Adults (Way to Walk II)

Further study details as provided by University of Pennsylvania:

Primary Outcome Measures:
  • mean proportion of days that step per day goals were attained [ Time Frame: 16 weeks ]

Secondary Outcome Measures:
  • mean number of steps per day [ Time Frame: 16 weeks ]
  • mean proportion of days that step per day goals were attained during follow-up [ Time Frame: 4 weeks ]

Enrollment: 94
Study Start Date: August 2012
Study Completion Date: September 2013
Primary Completion Date: July 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Control Arm

Daily use of pedometer for 5 months. Walking goal set based on level of walking during 2-week run-in period. Weekly feedback provided on meeting walking goal - defined as achieving goal number of steps for 5 of 7 days per week.

Subjects in the Control Group will only receive pedometers and weekly feedback on their performance through the same mechanisms and with the same frequency as participants in the other three study arms. There will be no financial incentives or charity donations in this group.

Behavioral: daily pedometer use and weekly feedback
Daily use of pedometer for 5 months. Walking goal set based on level of walking during 2-week run-in period. Weekly feedback provided on meeting walking goal - defined as achieving goal number of steps for 5 of 7 days per week.
Experimental: Personal Financial Incentives Arm
Daily use of pedometer for 5 months. Walking goal set based on level of walking during 2-week run-in period. Weekly feedback provided on meeting walking goal - defined as achieving goal number of steps for 5 of 7 days per week. Each week, if pedometer is used and walking goal is met for 5 out of 7 days, participant will receive $20. Financial incentive is terminated after 4 months. Daily use of pedometer continues for an additional 4 weeks.
Behavioral: Financial incentive
Participants will receive a direct financial incentive in the amount of $20 for each week when their daily pedometer step count equals or exceeds their goal at least 5 out of 7 days.
Behavioral: daily pedometer use and weekly feedback
Daily use of pedometer for 5 months. Walking goal set based on level of walking during 2-week run-in period. Weekly feedback provided on meeting walking goal - defined as achieving goal number of steps for 5 of 7 days per week.
Experimental: Social Goals Arm
Daily use of pedometer for 5 months. Walking goal set based on level of walking during 2-week run-in period. Weekly feedback provided on meeting walking goal - defined as achieving goal number of steps for 5 of 7 days per week. Each week participants will be asked to designate which charity should receive a donation if they meet or exceed their goal. If they meet the goal, they will be notified that a donation of $20 in their name has been sent to the charity. Charity donation is terminated after 4 months. Daily use of pedometer continues for an additional 4 weeks.
Behavioral: Social Goal
Participants will be asked to identify a charity to which they would like to donate the payment for reaching their walking goal. Each week they will be asked to designate which charity should receive a donation if they meet or exceed their goal. If they meet the goal, they will be notified that a donation of $20 in their name has been sent to the charity.
Behavioral: daily pedometer use and weekly feedback
Daily use of pedometer for 5 months. Walking goal set based on level of walking during 2-week run-in period. Weekly feedback provided on meeting walking goal - defined as achieving goal number of steps for 5 of 7 days per week.
Experimental: Combined Financial Incentives & Social Goals Arm
Daily use of pedometer for 5 months. Walking goal set based on level of walking during 2-week run-in period. Weekly feedback provided on meeting walking goal - defined as achieving goal number of steps for 5 of 7 days per week. Each week, the participant will be asked to choose whether to keep, give, or split the reward, if they meet or exceed their goal. If they choose to send some of the money to charity, they will be asked to identify a charity to which they would like to donate the payment. If they meet their goal, they will receive money and/or be notified that a donation of the selected amount has been sent to the charity, depending on their selected preference. Incentives are terminated after 4 months. Daily use of pedometer continues for an additional 4 weeks.
Behavioral: Personal financial incentives & social goals
Participants will be able to allocate their reward for reaching their walking goal: the $20 reward can be divided between personal financial incentive and a charitable donation. Each week, the participant will be asked to choose whether to keep, give, or split the reward, if they meet or exceed their goal. If they choose to send some of the money to charity, they will be asked to identify a charity to which they would like to donate the payment. If they meet their goal, they will be notified by email or mail (based on their preference), that a donation of the selected amount has been sent to the charity.
Behavioral: daily pedometer use and weekly feedback
Daily use of pedometer for 5 months. Walking goal set based on level of walking during 2-week run-in period. Weekly feedback provided on meeting walking goal - defined as achieving goal number of steps for 5 of 7 days per week.

  Eligibility

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult 65 years of age and older
  • Can read and speak English
  • Access to a personal computer with high-speed internet connection and functional Universal Serial Bus (USB) port for the study duration
  • Able to walk 1/4 mile (i.e., 2 to 3 blocks) without stopping
  • No pedometer use in last 30 days

Exclusion Criteria:

Major medical conditions including:

  • serious heart and lung diseases
  • diabetes requiring insulin therapy
  • severe arthritis
  • neurologic disorders
  • dementia
  • heavy alcohol use
  • recent knee or spinal surgery
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01643538


Locations
United States, Pennsylvania
University of Pennsylvania
Philadelphia, Pennsylvania, United States, 19104
Sponsors and Collaborators
University of Pennsylvania
Robert Wood Johnson Foundation
Investigators
Principal Investigator: Karen Glanz, PhD, MPH University of Pennsylvania
Principal Investigator: Jason Karlawish, MD University of Pennsylvania
  More Information

Responsible Party: University of Pennsylvania
ClinicalTrials.gov Identifier: NCT01643538     History of Changes
Other Study ID Numbers: 69924
First Submitted: July 16, 2012
First Posted: July 18, 2012
Last Update Posted: March 5, 2014
Last Verified: February 2014

Keywords provided by University of Pennsylvania:
physical activity
adults age 65 and older
financial incentives