Using Behavioral Economics to Improve Mobility for Adults With Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Daily step counts
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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)
排除标准
- •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
研究组 & 干预措施
Control arm
Participants will wear the Fitbit device and record their daily step counts during the baseline and 8 week intervention period. Participants will complete study surveys at baseline and the end of the 8 week intervention.
Gamification arm
Participants will wear the Fitbit device and record their daily step counts during the baseline and 8 week intervention period. Participants will have a weekly step goal they are encouraged to meet. Participants will engage in a social incentive-based gamification based on points and levels that leverages loss aversion, which has been demonstrated to motivate behavior change more effectively with losses than gains. Participants will receive daily feedback for the step counts and weekly feedback for levels. Participants will be asked to identify a support partner, who will receive weekly reports with the the participant's points and levels balance.
干预措施: Gamification with social incentives (Behavioral)
结局指标
主要结局
Daily step counts
时间窗: Intervention weeks 1-8
Change in mean daily steps from baseline
次要结局
- Daily step counts(Intervention weeks 1-8)