Loss‐Framed Financial Incentives and Personalized Goal‐Setting to Increase Physical Activity Among Ischemic Heart Disease Patients Using Wearable Devices: The ACTIVE REWARD Randomized Trial
Autor: | Charles A. L. Rareshide, Jordyn H Feingold, Neel P. Chokshi, Victoria Hilbert, Marta Lynch, Srinath Adusumalli, Mitesh S. Patel, Dylan S. Small, Alexander Morris, Yoonhee P. Ha |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
business.industry Physical activity Disease 030204 cardiovascular system & hematology Behavioral economics law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Financial incentives Randomized controlled trial law Medicine 030212 general & internal medicine Cardiology and Cardiovascular Medicine business Ischemic heart Goal setting Wearable technology |
Zdroj: | Journal of the American Heart Association. 7 |
ISSN: | 2047-9980 |
Popis: | Background Regular physical activity reduces the risk of cardiovascular events, but most ischemic heart disease ( IHD ) patients do not obtain enough. Methods and Results ACTIVE REWARD (A Clinical Trial Investigating Effects of a Randomized Evaluation of Wearable Activity Trackers with Financial Rewards) was a 24‐week home‐based, remotely monitored, randomized trial with a 16‐week intervention (8‐week ramp‐up incentive phase and 8‐week maintenance incentive phase) and an 8‐week follow‐up. Patients used wearable devices to track step counts and establish a baseline. Patients in control received no other interventions. Patients in the incentive arm received personalized step goals and daily feedback for all 24 weeks. In the ramp‐up incentive phase, daily step goals increased weekly by 15% from baseline with a maximum of 10 000 steps and then remained fixed. Each week, $14 was allocated to a virtual account; $2 could be lost per day for not achieving step goals. The primary outcome was change in mean daily steps from baseline to the maintenance incentive phase. Ischemic heart disease patients had a mean ( SD ) age of 60 (11) years and 70% were male. Compared with control, patients in the incentive arm had a significantly greater increase in mean daily steps from baseline during ramp‐up (1388 versus 385; adjusted difference, 1061 [95% confidence interval, 386–1736]; P P P Conclusions Loss‐framed financial incentives with personalized goal setting significantly increased physical activity among ischemic heart disease patients using wearable devices during the 16‐week intervention, and effects were sustained during the 8‐week follow‐up. Clinical Trial Registration URL : https://www.clinicaltrials.gov . Unique identifier: NCT 02531022. |
Databáze: | OpenAIRE |
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