Effect of Goal-Setting Approaches Within a Gamification Intervention to Increase Physical Activity Among Economically Disadvantaged Adults at Elevated Risk for Major Adverse Cardiovascular Events
| Autor: | Chethan Bachireddy, Joseph D Harrison, Christopher K. Snider, Kevin G. Volpp, Tory O. Harrington, Dylan S. Small, Ai Leen Oon, Mitesh S. Patel, Charles A. L. Rareshide |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Health Behavior Psychological intervention Vulnerable Populations Body Mass Index law.invention Randomized controlled trial law Intervention (counseling) Humans Medicine Adverse effect Exercise Original Investigation Retrospective Studies Framingham Risk Score business.industry Incidence Middle Aged Social Participation Gamification United States Test (assessment) Health promotion Cardiovascular Diseases Physical therapy Female Cardiology and Cardiovascular Medicine business Goals Body mass index Follow-Up Studies |
| Zdroj: | JAMA Cardiol |
| ISSN: | 2380-6583 |
| Popis: | IMPORTANCE: Health promotion efforts commonly communicate goals for healthy behavior, but the best way to design goal setting among high-risk patients has not been well examined. OBJECTIVE: To test the effectiveness of different ways to set and implement goals within a behaviorally designed gamification intervention to increase physical activity. DESIGN, SETTING, AND PARTICIPANTS: Evaluation of the Novel Use of Gamification With Alternative Goal-setting Experiences was conducted from January 15, 2019, to June 1, 2020. The 24-week randomized clinical trial included a remotely monitored 8-week introductory intervention period, 8-week maintenance intervention period, and 8-week follow-up period. A total of 500 adults from lower-income neighborhoods in and around Philadelphia, Pennsylvania, who had either an atherosclerotic cardiovascular disease (ASCVD) condition or a 10-year ASCVD risk score greater than or equal to 7.5% were enrolled. Participants were paid for enrolling in and completing the trial. INTERVENTIONS: All participants used a wearable device to track daily steps, established a baseline level, and were then randomly assigned to an attention control or 1 of 4 gamification interventions that varied only on how daily step goals were set (self-chosen or assigned) and implemented (immediately or gradually). MAIN OUTCOME MEASURES: The primary outcome was change in mean daily steps from baseline to the 8-week maintenance intervention period. Other outcomes included changes in minutes of moderate to vigorous physical activity. All randomly assigned participants were included in the intention-to-treat analysis. RESULTS: Of the 500 participants, 331 individuals (66.2%) were Black, 114 were White (22.8%), and 348 were women (69.6%). Mean (SD) age was 58.5 (10.8) years and body mass index was 33.2 (7.8). A total of 215 participants (43.0%) had an ASCVD condition. Compared with the control arm, participants with self-chosen and immediate goals had significant increases in the number of daily steps during the maintenance intervention period (1384; 95% CI, 805-1963; P |
| Databáze: | OpenAIRE |
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