Encouraging Walking in Older Adults
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Pennsylvania
- Enrollment
- 92
- Locations
- 2
- Primary Endpoint
- mean proportion of days that step per day goals were attained
Study Overview
Brief Summary
The goal of this pilot randomized controlled trial is to evaluate whether financial incentives and peer networks delivered through a novel computer platform utilizing a digital pedometer-internet interface can effectively encourage sustained increases in walking among older adults.
Detailed Description
This pilot study is a randomized controlled trial of incentive schemes delivered through a novel internet-based platform to promote walking in older adults. The four arms consist of the following: financial incentives, peer network, combined arm (financial incentive & peer network), and control.
Participation in the study will last approximately 26 weeks, including the 2-week run-in period, 4-month intervention period, and 2-month follow-up period.
The primary goals of the study are:
- To test the effects of financial incentives on older adults uptake and retention of increased levels of walking.
Hypothesis1a: Participants receiving financial incentives will increase their number of steps per day more than participants not receiving financial incentives. 2. To test the effects of connection to a new peer network on older adults uptake and retention of increased levels of walking.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult 65 years of age or older
- •Communicates primarily in English
- •Personal computer with high-speed internet connection and functional Universal Serial Bus (USB) port
- •Able to walk 1/4 mile (i.e., 2 to 3 blocks) without stopping
- •Currently engaging in less than 150 minutes moderate intensity exercise & less than 75 minutes vigorous intensity exercise each week
- •No pedometer use in last 30 days
- •Planning to stay in area for study duration
Exclusion Criteria
- •Myocardial infarction, stroke, transient ischemic attack, major cardiovascular surgery, deep venous thrombosis, or pulmonary embolus in the last 6 months
- •New York Heart Association Class III or IV heart failure; severe aortic stenosis; history of cardiac arrest, use of cardiac defibrillator; or severe angina
- •Hip fracture, total hip replacement, total knee replacement or spinal surgery in the last 6 months
- •Uncontrolled hypertension
- •Lung disease requiring supplemental oxygen
- •Diabetes mellitus requiring insulin therapy
- •Severe osteoarthritis or rheumatoid arthritis
- •End stage renal disease requiring hemodialysis
- •Movement disorder (e.g., Parkinson's disease)
- •Dementia (e.g., Alzheimers Disease, Lewy-Body Dementia, Multi-Infarct Dementia, Picks Disease, Binswangers Disease, Frontotemporal Dementias, Parkinsons Disease Dementia, Huntingtons Disease, Dementia in HIV/AIDS, Wernicke-Korsakoff syndrome, Creutzfeldt-Jakob disease)
- •Major psychiatric disorder (e.g., schizophrenia or bipolar disorder)
- •Current consumption of ≥ 14 alcoholic drinks per week
Outcomes
Primary Outcomes
mean proportion of days that step per day goals were attained
Time Frame: 16 weeks
Secondary Outcomes
- mean number of steps per day(16 weeks)
- mean proportion of days that step per day goals were attained during follow-up(8 weeks)