Using Behavioral Economics to Improve Mobility for Adults With Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- University of Pennsylvania
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Daily step counts
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
In this pilot, randomized controlled trial, the investigators will compare the preliminary effectiveness of a gamification with social incentives 8 week intervention to increase physical activity for adults with stroke.
Detailed Description
In this 2 arm randomized trial, the investigators will compare the preliminary effectiveness of a social incentive-based gamification intervention to increase physical activity relative to a control arm among adults with stroke. All participants will use a Fitbit wearable device to establish a baseline step count, select a step goal increase of 33% to 50% above their baseline and then participate in an 8 week intervention. The gamification arm will be entered into a game with points and levels designed using insights from behavioral economics. They will be asked to select a social support partner who will receive weekly updates on their progress in the game.
Investigators
Eligibility Criteria
Inclusion Criteria
- •History of ischemic or hemorrhagic stroke (confirmed with ICD-10 or DRG code) at least 3 months prior to enrollment
- •Ability to provide informed consent
- •Life Space Assessment mobility level 3
- •Ability to ambulate outside of their home (self-reported)
- •Owns a smartphone or tablet compatible with required applications for the wearable tracking device
- •Sufficient cognitive ability to participate (5-minute Montreal Cognitive Assessment Score ≥ 11 points)
Exclusion Criteria
- •Inability to provide informed consent, illiteracy or inability to speak, read, and write English
- •Self-reported history of falls within the last 3 months
- •Severe cognitive impairment (MoCA score ≤ 10 points)
- •Medical condition that may limit participation in physical activity program (e.g. metastatic cancer, end-stage renal disease)
- •Currently institutionalized in skilled nursing or long-term care facility
- •Baseline step count \> 7500/day
- •Currently receiving physical therapy services
Outcomes
Primary Outcomes
Daily step counts
Time Frame: Intervention weeks 1-8
Change in mean daily steps from baseline
Secondary Outcomes
- Daily step counts(Intervention weeks 1-8)