Obesity Clinical Trial
Official title:
Project Step: Evaluating Deposit Contracts and Daily Feedback to Promote Walking in Overweight and Obese Adults
The purpose of this study is to test whether deposit contracts, wherein individuals invest their own money with the study to serve as the incentive, with or without daily feedback about progress help individuals to increase step counts and more often meet a step goal compared to self-monitoring only.
Approximately 68% of adults are overweight or obese, which is associated with increased risk
for health conditions, including cardiovascular disease, type 2 diabetes, and cancer. These
individuals are more often sedentary than the general population, which compounds the risk
for these same conditions. While the benefits of engaging in physical activity are
well-established, few individuals are able to successfully increase activity to recommended
levels. Existing intervention programs, often derived from theories such as social cognitive
theory or related theories, have had limited success. Behavioral economics offers a promising
alternative, suggesting that engagement in any behavior is based on the maximizing utility
and happiness. Interventions based on this theory aim to increase the immediate benefit of
engaging in physical activity, often using a financial incentive.
This study will last for 16 weeks. Each participant will invest $42 with the study, and be
exposed to to each of three interventions. All participants will have the use of a FitBit for
ongoing self-monitoring and a step-count goal of 10,000 steps per day. In one condition,
these will be the only interventions you receive. In one condition, you will receive a
monetary consequence for meeting or not meeting the goal. Each day during the incentive
conditions, you will be eligible to lose $0.75 of your own money for not meeting the goal, or
to earn back $0.75 of your money plus $0.75 from the study (i.e., a total of $1.50) for
meeting the goal. In the third condition, you will have daily feedback mid-afternoon about
your distance from the goal and the money you stand to gain or lose. You will be made aware
of what condition you are in.
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