The BWH Wellness Project

Not Applicable

Completed

• Conditions: Physical Activity
• Interventions: Behavioral: Financial Bonuses

• Registration Number: NCT02850094
• Lead Sponsor: Brigham and Women's Hospital

Brief Summary

The investigators propose a 24 week program to provide proof-of-principle evidence that financial incentives stimulate Brigham and Women's Hospital (BWH) employees to be more physically active.

Detailed Description

Participants wear a Fitbit Flex accelerometer for at least six months. During the first two weeks, they are paid simply for wearing the Fitbit. After that, they are regularly paid for either meeting CDC guidelines for moderate physical activity (PA) or increasing their PA by at least 10% from the preceding week. Moderate PA is defined as walking for at least 100 steps per minute for at least 10 minutes at a time. One minute of vigorous PA, over 175 steps/minute, counts as two minutes of moderate PA.

In addition to weekly bonuses, there are also bonuses for achieving all goals in 1 month, 3 month, and 6 month intervals. In cases where all three team members received a bonus, their bonuses are doubled. Individuals also fill out weekly questionnaires about their work attendance, as well as longer questionnaires at baseline, three months, and six months.

Study Timeline

• Study Start: 2014-07
• Primary Completion: 2015-06
• Study Completion: 2015-06
• Status Verified: 2016-07
• Study First Submitted: 2016-07-27
• Study First Submitted QC: 2016-07-27
• Last Update Submitted: 2016-07-27
• Study First Posted: 2016-07-29
• Last Update Posted: 2016-07-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 292

Inclusion Criteria

• Brigham and Women's Hospital employee
• Reported less than 30 minutes of exercise per week
• Use a computer daily at work or home
• Willing to wear a pedometer, undergo health screening, and complete occasional questionnaires

Exclusion Criteria

• Occupation: Physician, nurse or other clinician
• Self-reported pregnancy at baseline

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Financial Bonuses	Financial Bonuses	For two weeks following enrollment, subjects are monitored via their FitBit accelerometer to monitor their pre-intervention physical activity levels. For a twenty-four week period following the observational period, participants are eligible for financial bonuses based on their increased activity. Participants enroll as teams and are eligible for additional financial bonuses based on their team's performance.

Primary Outcome Measures

Name	Time	Method
Physical Activity	6 Months	Minutes of moderate to vigorous physical activity (greater than 100 steps/minute)

Secondary Outcome Measures

Name	Time	Method
Individuals Meeting CDC Guidelines	6 Months	Percentage of cohort that achieved 150 minutes of moderate PA per week
Fitbit Adherence	6 Months	Percentage of cohort that wore their Fitbit for four or more days per week for at least 20 out of 24 weeks