Exercise Incentives for YMCA Based Exercise

Physical Inactivity Clinical Trial

Official title:

Empirical Testing of a Widely Available Insurance-based Monetary Incentive Program for Exercise: A Randomized Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05704712
• Other study ID #: R01CA262894
• Secondary ID: R01CA262894
• Status: Recruiting
• Phase: N/A
• Start date: March 16, 2023
• Est. completion date: June 30, 2026

Study information

• Verified date: June 2023
• Source: Brown University
• Contact: Lauren C Bohlen, Ph.D.
• Phone: 401-863-6559
• Email: exercise4good[@]brown.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The investigators will conduct a randomized controlled trial to test financial incentive programs (versus control) to promote physical activity among 330 adults who have a YMCA membership. Participants will have the opportunity to earn up to $100 or $200 (depending on the condition they are assigned to) for attending at least 50 sessions at the YMCA over 6 months. Participants will have two 6-month windows during which they will have the opportunity to earn the incentive. In addition to the incentives, participants will complete research assessments every 3 months.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 330
• Est. completion date: June 30, 2026
• Est. primary completion date: June 30, 2026
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. A current member, or willing to become a current member of one of the following branches of the YMCA:

1. Bayside Family YMCA (Barrington, RI)

2. Cranston YMCA (Cranston, RI)

3. East Side/Mt. Hope YMCA (Providence, RI)

4. Kent County YMCA (Warwick, RI)

5. Newman YMCA (Seekonk, MA)

6. South County YMCA (South Kingston, RI)

2. Age 18 years or older

3. Physically capable of engaging in exercise

Exclusion Criteria:

1. Not a current member, and unwilling to become a member of one of the above listed YMCA branches.

2. Under age 18.

3. Physically incapable of exercise

4. Doctor has recommended that you should not exercise because of a current health condition

Related Conditions & MeSH terms

• Physical Inactivity

Intervention

Behavioral:
• Monetary Incentives
Monetary incentives, provided in the form of pre-loaded Visa debit cards are provided to encourage exercise.

Locations

Country	Name	City	State
United States	Brown University	Providence	Rhode Island

Sponsors (2)

Lead Sponsor	Collaborator
Brown University	National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change in Self-Reported Habit of Physical Activity Questionnaire	Measures a person's habits regarding exercise, with a minimum value of 1 and a maximum value of 7, higher scores indicate a stronger habit.	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Anticipated Regret Questionnaire	Measures a person's anticipated feelings of remorse if they do not do exercise, or achieve the incentives, on a scale from 1-11, with higher scores indicating more anticipated regret.	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Opportunity Questionnaire	Measures a person's opportunity to do regular aerobic physical activity, with scores ranging from 1-7, and higher scores indicating more opportunity for physical activity.	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Capability Questionnaire	Measures a person's physical and psychological capability to do regular aerobic physical activity with scores ranging from 1-7, and higher scores indicating more capability for physical activity.	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Exercise Facility Use Questionnaire	Measures access and membership to fitness facilities.	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Physical Activity Hedonic/Reflective Motivation	Measures the extent to which a person's motivation for physical activity is rooted in reflective and/or hedonic processes. There are two subscales. The hedonic subscale ranges from 0-10, with higher scores indicating more hedonic motivation for physical activity. The reflective subscale ranges from 0-10 with higher scores indicating more reflective motivation for physical activity.	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Subjective Social Status	Measures a person's perception of their subjective social status	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Reward Responsiveness	Measures the extent to which a person is responsive to external rewards	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Consideration of Future Consequences	Measures the extent to which a person considers the future (delayed) consequences of their actions	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Delay Discounting	Measures the extent to which a person discounts future rewards and prioritizes immediate rewards	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Loss Aversion	Measures the extent to which a person chooses actions in an attempt to avoid experiencing losses	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Overall Health (SF-12 Survey)	Measures a person's perception of their overall health and quality of life, scores range from 1-5 with higher scores indicating poorer health outcomes.	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Quality of Life and Health Status (EQ-5D-5L)	The EQ-5D-5L comprises a short descriptive system questionnaire and a visual analogue scale (EQ VAS) that are cognitively undemanding, taking only a few minutes to complete. The questionnaire provides a simple descriptive profile of a respondent's health state. The EQ VAS provides an alternative way to elicit an individual's rating of their own overall current health. When the descriptive system profile is linked to a 'value set', a single summary index value for health status is derived that can be used in economic evaluations of health-care interventions. A value set provides values (weights) for each health state description according to the preferences of the general population of a country/region. Value sets for the EQ-5D-5L and 3L versions are available in a large and growing number of countries.	Measured at baseline, and months 3, 6, 9, and 12.
Other	Change in Absenteeism and Presenteeism	Measures the amount of time a person worked and was expected to work in the past 7-28 days; and their perceived job performance when at work	Measured at baseline, and months 3, 6, 9, and 12.
Primary	Change in Number of YMCA visits	Number of sessions (max 1 per day) a person signs into the YMCA	Baseline, 6 months, 12 months, 24 months
Secondary	Change in Accelerometry	Minutes of physical activity weighted by intensity, expressed in metabolic equivalent (MET) minutes per week as determined by accelerometers (Actigraph [model wGT3x-BT]) worn during one-week periods.	Measured at baseline, and months 3, 6, 9, and 12.
Secondary	Change in Self-report physical activity (Godin)	Self-reported minutes of leisure time physical activity (inside and outside the YMCA) per week weighted by intensity	Measured at baseline, and months 3, 6, 9, and 12.