Evaluating Whether Charity Incentives Motive Cancer Survivors to Increase Physical Activity
- Conditions
- IncentivesCancerPhysical Activity
- Interventions
- Behavioral: ControlBehavioral: Experimental
- Registration Number
- NCT03322059
- Lead Sponsor
- California Polytechnic State University-San Luis Obispo
- Brief Summary
The investigators propose to examine whether linking daily activity with charity-based incentives motivates cancer survivors to initiate and maintain physical activity. Linking daily physical activity goals with a cancer specific charity incentive may provide a uniquely salient motivator that promotes increased physical activity among cancer survivors. The investigators will examine whether using activity monitors in combination with charitable incentives leads to greater increases in physical activity compared to activity monitors alone. Target participants includes cancer survivors who are not already active. Physical activity (e.g., steps per day, time in moderate-intensity activity) will be examined at baseline and following a 12-week intervention period using an activPAL accelerometer. After the baseline assessment, both groups will receive a fitbit monitor and informational material designed to increase physical activity. Participants in the fitbit+charity group will have donations made in their name to a cancer charity if they meet daily step goals. Physical activity levels will be monitored using the fitbit device for 6-weeks following the formal intervention period.
- Detailed Description
The study is a Randomized Controlled Trial (RCT) of a 12-week physical activity intervention. Fifty cancer survivors will be recruited and allocated to one of two research arms: Fitbit+Only Group or Fitbit+Charity Incentives Group. Participants in both intervention arms will be asked to track their physical activities using Fitbit One, an activity monitor that monitors steps and physical activity and will receive basic educational materials about increasing physical activity. Those in the Fitbit+charity incentives Group will raise money for cancer charities if they meet weekly step targets.
The key outcome variable of the RCT is steps as measured by an activPAL accelerometer. Data will be collected at baseline and 12-weeks. Fitbit data will also be collected for the duration of the 12-week intervention and for 6-weeks following the end of the intervention period to have an initial examination of behavior change maintenance (total 18-weeks).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 51
- Adults ≥ 18 years and <50 y, with diagnosed Adolescent or Young Adult cancer (diagnosed between 15-39y of age);
- ≥ 6 months post-cancer treatment
- English speaking
- Participate in <60 minutes of MVPA/week
- Own a smartphone
- Have access to computer
- Participants must also pass a physical activity readiness questionnaire or receive medical clearance from their primary care physician or oncologist.
- Joint, cardiovascular, or respiratory problem(s) precluding physical activity
- Metastatic disease
- Planned elective surgery or pregnancy during intervention/follow-up that would interfere with participation (e.g., breast reconstructive surgery).
- Already using a wearable device >5 days per week
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Control The core intervention will include educational materials, access to a basic smartphone app and a Fitbit. Participants will receive a weekly email with a step goal that will increase 10% beyond the previous weeks values. Intervention Experimental The core intervention will include educational materials, access to a basic smartphone app and a Fitbit. Participants will receive a weekly email with a step goal that will increase 10% beyond the previous weeks values. Participants will be in the form of a charitable donation in their name to a cancer charity.
- Primary Outcome Measures
Name Time Method Daily steps 12 weeks - change from baseline to 12 weeks Daily steps as measured by activPAL
- Secondary Outcome Measures
Name Time Method Daily Steps baseline to 12 weeks Daily Steps as Measured by Fitbit
Sedentary time Change from baseline to 12 weeks Sedentary time as Measured by activPAL activity monitor
Fatigue Change from baseline to 12 weeks Patient-Reported Outcomes Measurement Information System Fatigue Short Form 8a (Total Score range 8-40). higher score is more fatigue.
Depression Change from baseline to 12 weeks Patient-Reported Outcomes Measurement Information System Depression Short Form 8a. Total score range 8-40. Higher score is more depressed.
Behavioral Regulation in Exercise Questionnaire Change from baseline to 12 weeks Behavioral Regulation in Exercise Questionnaire -3. Contains 6 subscales Amotivation, external regulation, introjected regulation, identified regulation, integrated regulation, intrinsic regulation, each range from 0-16, higher values indicate more motivation in that domain.
Exercise Goal Setting Change from baseline to 12 weeks 10-item total score. Ranged from 10 to 50, higher score means more goal setting. Exercise Goal-Setting Scale.
Participant retention 12 weeks Proportion of participants retained of those randomized
Moderate-vigorous intensity physical activity (MVPA) time Change from baseline to 12 weeks MVPA time as Measured by activPAL
Attitudes Toward Charitable Giving Change from baseline to 12 weeks Attitudes Toward Charitable Giving Scale. Total of 20 questions with scores from 1-5, there are five domains higher score is more of a particular attitude. 1.) Inefficiency of Charitable Giving 2.) Efficiency of Charitable Giving 3.) Cynical Giving 4.) Altruistic Giving 5.) Purpose of Charity
Barriers Self-efficacy Scale Change from baseline to 12 weeks Barriers Self-efficacy Scale. 15 items, total score range 0-1500. Higher indicated more self-efficacy
Physical Activity Enjoyment Change from baseline to 12 weeks Physical Activity Enjoyment Scale. 18-item scale with 7-point bipolar rating. Total score range 18-126. Higher scores reflect greater levels of enjoyment.
Intervention Maintenance 12-18 weeks % of weeks adhered to step goal as measured by fitbit during 6-week follow-up period
Duration wore Fitbit 12-18 weeks Duration wore Fitbit during during 6-week follow-up period
Exercise outcome expectations Change from baseline to 12 weeks Multidimensional Outcome Expectations for Exercise Scale. Total score (range 15-75), higher score means more multidimensional outcome expectations.
Stepping time Change from baseline to 12 weeks Stepping time as Measured by activPAL
Intervention Reach Baseline Proportion of individuals who agree to participate of those who express an interest in participation
Step goal adherence 1-12 weeks Proportion of weeks meeting physical activity goal as measured by fitbit
Sleep baseline to 12 weeks Sleep as Measured by Fitbit
Standing time Change from baseline to 12 weeks Standing time as Measured by activPAL
Sedentary breaks/patterns Change from baseline to 12 weeks Sedentary breaks/patterns as Measured by activPAL
Physical Function Change from baseline to 12 weeks Patient-Reported Outcomes Measurement Information System Physical Function Short Form 20a. Total score (range 20-100). Higher score is worse physical function
Pittsburg Sleep Quality Questionnaire Change from baseline to 12 weeks Pittsburg Sleep Quality Questionnaire. Total score. Greater than 5 indicated poor sleep quality.
Exercise Self-efficacy Scale Change from baseline to 12 weeks Exercise Self-efficacy Scale. 6 items total score. Range 0-600, higher is more self-efficacy
Sleep disturbance Change from baseline to 12 weeks Patient-Reported Outcomes Measurement Information System Sleep Disturbance Form. Total score range 8-40. Higher score is more disturbance.
Trial Locations
- Locations (1)
California Polytechnic State University
🇺🇸San Luis Obispo, California, United States