Effectiveness of Behaviorally Designed Gamification Interventions With Social Incentives for Increasing Physical Activity Among Overweight and Obese Adults Across the United States

心理干预 超重 医学 物理疗法 激励 随机对照试验 体质指数 干预(咨询) 老年学 护理部 外科 病理 经济 微观经济学
作者
Mitesh S. Patel,Dylan S. Small,Joseph D. Harrison,Michael Fortunato,Ai Leen Oon,Charles A. L. Rareshide,Gregory Reh,Gregory Szwartz,James Guszcza,David Steier,Pameljit Kalra,Victoria Hilbert
出处
期刊:JAMA Internal Medicine [American Medical Association]
卷期号:179 (12): 1624-1624 被引量:118
标识
DOI:10.1001/jamainternmed.2019.3505
摘要

Importance

Gamification, the use of game design elements in nongame contexts, is increasingly being used in workplace wellness programs and digital health applications. However, the best way to design social incentives in gamification interventions has not been well examined.

Objective

To assess the effectiveness of support, collaboration, and competition within a behaviorally designed gamification intervention to increase physical activity among overweight and obese adults.

Design, Setting, and Participants

This 36-week randomized clinical trial with a 24-week intervention and 12-week follow-up assessed 602 adults from 40 states with body mass indexes (calculated as weight in kilograms divided by height in meters squared) of 25 or higher from February 12, 2018, to March 17, 2019.

Interventions

Participants used a wearable device to track daily steps, established a baseline, selected a step goal increase, were randomly assigned to a control (n = 151) or to 1 of 3 gamification interventions (support [n = 151], collaboration [n = 150], and competition [n = 150]), and were remotely monitored. The control group received feedback from the wearable device but no other interventions for 36 weeks. The gamification arms were entered into a 24-week game designed using insights from behavioral economics with points and levels for achieving step goals. No gamification interventions occurred during follow-up.

Main Outcomes and Measures

The primary outcome was change in mean daily steps from baseline through the 24-week intervention period.

Results

A total of 602 participants (mean [SD] age, 39 [10] years; mean [SD] body mass index, 30 [5]; 427 [70.9%] male) were included in the study. Compared with controls, participants had a significantly greater increase in mean daily steps from baseline during the intervention in the competition arm (adjusted difference, 920; 95% CI, 513-1328;P < .001), support arm (adjusted difference, 689; 95% CI, 267-977;P < .001), and collaboration arm (adjusted difference, 637; 95% CI, 258-1017;P = .001). During follow-up, physical activity remained significantly greater in the competition arm than in the control arm (adjusted difference, 569; 95% CI, 142-996;P = .009) but was not significantly greater in the support (adjusted difference, 428; 95% CI, 19-837;P = .04) and collaboration (adjusted difference, 126; 95% CI, −248 to 468;P = .49) arms than in the control arm.

Conclusions and Relevance

All 3 gamification interventions significantly increased physical activity during the 24-week intervention, and competition was the most effective. Physical activity was lower in all arms during follow-up and only remained significantly greater in the competition arm than in the control arm.

Trial Registration

ClinicalTrials.gov identifier:NCT03311230
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
顾矜应助犹豫靖儿采纳,获得10
1秒前
1秒前
ding应助Hunter采纳,获得10
3秒前
3秒前
3秒前
CHENXIN532完成签到,获得积分10
5秒前
5秒前
5秒前
liuxl完成签到,获得积分10
5秒前
李世民发布了新的文献求助10
6秒前
6秒前
wang发布了新的文献求助10
6秒前
9秒前
某都有只小白猫完成签到 ,获得积分10
10秒前
Orange应助qq采纳,获得10
10秒前
阿西吧发布了新的文献求助10
10秒前
10秒前
10秒前
10秒前
11秒前
虎牙发布了新的文献求助10
11秒前
catyew发布了新的文献求助10
12秒前
13秒前
Astoria发布了新的文献求助30
13秒前
14秒前
14秒前
14秒前
14秒前
14秒前
15秒前
科研通AI2S应助krsL采纳,获得10
15秒前
15秒前
15秒前
akiyy发布了新的文献求助10
18秒前
星辰大海应助xiaozhao采纳,获得10
18秒前
看不了一点文献给自由的紫青的求助进行了留言
18秒前
2jz发布了新的文献求助10
18秒前
19秒前
hhhhhhh发布了新的文献求助10
19秒前
高高完成签到,获得积分10
19秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 1000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 310
The Moiseyev Dance Company Tours America: "Wholesome" Comfort during a Cold War 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3980224
求助须知:如何正确求助?哪些是违规求助? 3524191
关于积分的说明 11220260
捐赠科研通 3261653
什么是DOI,文献DOI怎么找? 1800792
邀请新用户注册赠送积分活动 879296
科研通“疑难数据库(出版商)”最低求助积分说明 807232