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
大幅提高文件上传限制,最高150M (2024-4-1)

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
liwai发布了新的文献求助10
1秒前
大秀子完成签到,获得积分10
2秒前
哈哈哈完成签到 ,获得积分10
4秒前
晓晓完成签到,获得积分10
6秒前
6秒前
6秒前
8秒前
8秒前
10秒前
10秒前
Lucas应助anlikek采纳,获得10
10秒前
zym发布了新的文献求助10
10秒前
11秒前
lysixsixsix完成签到,获得积分10
11秒前
11秒前
华凯发布了新的文献求助20
12秒前
WY呀发布了新的文献求助10
14秒前
14秒前
14秒前
Gg发布了新的文献求助10
14秒前
15秒前
jiajia发布了新的文献求助20
16秒前
17秒前
炙热的振家完成签到,获得积分10
17秒前
17秒前
四七发布了新的文献求助10
20秒前
不配.应助亓大大采纳,获得10
24秒前
24秒前
呼吸发布了新的文献求助10
24秒前
25秒前
25秒前
kk完成签到,获得积分10
26秒前
27秒前
27秒前
28秒前
30秒前
PPSlu发布了新的文献求助10
30秒前
WY呀完成签到,获得积分20
30秒前
31秒前
充电宝应助潘榆采纳,获得10
32秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Smart but Scattered: The Revolutionary Executive Skills Approach to Helping Kids Reach Their Potential (第二版) 1000
Very-high-order BVD Schemes Using β-variable THINC Method 830
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
热门求助领域 (近24小时)
化学 医学 生物 材料科学 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 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3247606
求助须知:如何正确求助?哪些是违规求助? 2890926
关于积分的说明 8265247
捐赠科研通 2559191
什么是DOI,文献DOI怎么找? 1387904
科研通“疑难数据库(出版商)”最低求助积分说明 650658
邀请新用户注册赠送积分活动 627495