Stroke
Conditions
Keywords
physical activity, wearable, gamification
Brief summary
In this pilot, randomized controlled trial, the investigators will compare the preliminary effectiveness of a gamification with social incentives 8 week intervention to increase physical activity for adults with stroke.
Detailed description
In this 2 arm randomized trial, the investigators will compare the preliminary effectiveness of a social incentive-based gamification intervention to increase physical activity relative to a control arm among adults with stroke. All participants will use a Fitbit wearable device to establish a baseline step count, select a step goal increase of 33% to 50% above their baseline and then participate in an 8 week intervention. The gamification arm will be entered into a game with points and levels designed using insights from behavioral economics. They will be asked to select a social support partner who will receive weekly updates on their progress in the game.
Interventions
BEHAVIORALGamification with social incentives
Participants will select a step goal that is 33%, 40%, or 50% above their baseline step value. Participants in this group will participate in a game with points and levels to help motivate participants to meet their daily step goal. Additionally, all participants will identify a support partner to receive weekly updates on their performance and offer positive encouragement to help the participant meet their step goal.
Sponsors
University of Pennsylvania
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* History of ischemic or hemorrhagic stroke (confirmed with ICD-10 or DRG code) at least 3 months prior to enrollment * Ability to provide informed consent * Life Space Assessment mobility level 3 * Ability to ambulate outside of their home (self-reported) * Owns a smartphone or tablet compatible with required applications for the wearable tracking device * Sufficient cognitive ability to participate (5-minute Montreal Cognitive Assessment Score ≥ 11 points)
Exclusion criteria
* Inability to provide informed consent, illiteracy or inability to speak, read, and write English * Self-reported history of falls within the last 3 months * Severe cognitive impairment (MoCA score ≤ 10 points) * Medical condition that may limit participation in physical activity program (e.g. metastatic cancer, end-stage renal disease) * Currently institutionalized in skilled nursing or long-term care facility * Baseline step count \> 7500/day * Currently receiving physical therapy services
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Daily step counts | Intervention weeks 1-8 | Change in mean daily steps from baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Daily step counts | Intervention weeks 1-8 | Proportion of days participants in the gamification arm met their daily step goal |
Countries
United States
Outcome results
None listed