Testing the Impact of Loss Aversion Messaging and Anticipated Regret for Inaction on Exercise Adherence in Older Adults: A Randomized Pilot Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 148
- 试验地点
- 1
- 主要终点
- Anticipated Regret of Inaction
研究概览
简要总结
The goal of this clinical trial is to learn if messages focused on not losing the functional benefits of exercise can help older adults with walking difficulty continue to exercise regularly. The main questions it aims to answer are:
Do these messages make people more likely to anticipate regretting it if they do not exercise? Does more anticipated regret make it more likely they will exercise more regularly?
Researchers will compare two versions of messages to see if the content of these one of these message types is more effective than the other.
Participants will complete a daily 5-minute at home exercise program for 4 months and complete regular online surveys to track their progress and report their feelings regarding regret.
详细描述
The goal of the proposed clinical trial is to identify strategies to blunt the effects of post-intervention decay in older adults with difficulty walking. While early improvements from exercise are large, they typically plateau and then decline post-intervention. This early improvement, however, creates an opportunity. Similar to daily interactions common with private companies, the investigators seek to increase the rate of conversion - that is, completing the task - while considering the improvements from engaging in exercise to be accumulated benefits. Drawing from behavioral economics, then, the investigators propose that the conversion rate to act (i.e., increase the likelihood of completing daily exercises) may be increased by using loss aversion (i.e., loss of accumulated benefits) in the form of messaging.
In this study the investigators will conduct a randomized trial among individuals (N=128) age 65 and over who have serious difficulty walking and have completed an at-home, brief strength training intervention, comparing 4 months of standard adherence reminders to standard adherence reminders supplemented with periodic loss aversion messages. The proposed trial aims to answer the questions: (1) Does the supplementation of loss aversion messaging increase anticipated regret for inaction among older adults previously enrolled in an at-home exercise program? (2) Does higher anticipated regret predict greater intention to exercise and exercise adherence post-intervention?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Completed 12 months of FAST intervention
排除标准
- •No planned surgeries within the upcoming 4 months
研究组 & 干预措施
Standard Adherence Messaging
Standard reminders to perform exercise will be delivered daily.
干预措施: Standard Adherence Reminder Messaging (Behavioral)
Loss Aversion Messaging
Standard reminders to perform exercise will be delivered daily. Loss aversion messages will be included with those messages in the experimental condition on a maximum of 3 out of the 7 days each week. There will be 3 themes (related to their performance of daily exercises) featured as topics for the loss aversion messages. The three themes are: 1) standing up from a chair (i.e., chair stands), 2) going up and down stairs (i.e., aerobic steps), and 3) walking longer distances (i.e., walking laps).
干预措施: Brief Daily At-Home Strength Training Program (Behavioral)
Loss Aversion Messaging
Standard reminders to perform exercise will be delivered daily. Loss aversion messages will be included with those messages in the experimental condition on a maximum of 3 out of the 7 days each week. There will be 3 themes (related to their performance of daily exercises) featured as topics for the loss aversion messages. The three themes are: 1) standing up from a chair (i.e., chair stands), 2) going up and down stairs (i.e., aerobic steps), and 3) walking longer distances (i.e., walking laps).
干预措施: Loss Aversion Messaging (Behavioral)
Loss Aversion Messaging
Standard reminders to perform exercise will be delivered daily. Loss aversion messages will be included with those messages in the experimental condition on a maximum of 3 out of the 7 days each week. There will be 3 themes (related to their performance of daily exercises) featured as topics for the loss aversion messages. The three themes are: 1) standing up from a chair (i.e., chair stands), 2) going up and down stairs (i.e., aerobic steps), and 3) walking longer distances (i.e., walking laps).
干预措施: Standard Adherence Reminder Messaging (Behavioral)
Standard Adherence Messaging
Standard reminders to perform exercise will be delivered daily.
干预措施: Brief Daily At-Home Strength Training Program (Behavioral)
结局指标
主要结局
Anticipated Regret of Inaction
时间窗: Baseline, Week 4, Week 8, Week 12, and Week 16
One is equivalent to definitely not anticipating regret and 8 indicates definitely anticipating regret.
次要结局
- Intention to Complete Exercise Program(Baseline, Week 4, Week 8, Week 12, and Week 16)
- Adherence to Exercise Program(Data collected daily, assessed over the 16 weeks of intervention.)
研究者
Jordan Kurth
Principal Investigator
Milton S. Hershey Medical Center