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A Hybrid Type 1 Effectiveness-Implementation Study of Social Incentives Strategies to Increase Physical Activity

增加身体活动的社会激励策略的混合 1 型有效性实施研究

基本信息

批准号：
10647727
负责人：
Karen Glanz
金额：
$ 75.02万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-01 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10647727
关键词：
Address Adoption Adult Age Behavior Body Weight decreased Cardiovascular Diseases Charities Cluster randomized trial Collaborations Communities Consolidated Framework for Implementation Research Cost Analysis Data Decision Making Dementia Diabetes Mellitus Dissemination and Implementation Economics Elderly Equipment Family Goals Health Health Benefit Hybrids Hypertension Impaired cognition Incentives Individual Intervention Intervention Studies Low income Measurable Mental Depression Mental Health Methods Minority Neighborhoods Obesity Participant Pattern Persons Phase Physical activity Procedures Psychology Public Health Practice Reaction Recommendation Reduce health disparities Research Design Risk Science Social Network Testing Time Training United States Walking Work arm behavioral economics community engagement community organizations community setting comparison control cost cost comparison cost-effectiveness ratio design effectiveness evaluation effectiveness measure effectiveness testing effectiveness trial effectiveness/implementation design effectiveness/implementation study financial incentive follow-up health disparity implementation intervention implementation process improved incentive strategies incentive-based intervention medication compliance mortality process evaluation programs scale up smoking cessation social tool treatment arm

项目摘要

PROJECT SUMMARY Higher levels of physical activity have been found to improve health and to reduce cognitive decline as adults become older, but more than half of all adults in the United States do not meet their activity goals. Regular physical activity is associated with numerous health benefits and one type of physical activity that is broadly applicable to people of all ages is walking. Programs to increase walking are both broadly feasible and safe, and do not require unique training or specialized equipment. Walking is also measurable, with clearly identifiable individual targets that are associated with health improvements. This study will use a Hybrid Type 1 effectiveness-implementation design to adapt, and test the effectiveness of, two successful social incentive-based interventions to increase physical activity. Social incentive-based interventions can harness and enhance an individual's social network to increase physical activity, and can be more sustainable and scalable than financial incentives. The two interventions are a gamification strategy and financial incentives donated to charity on the participant's behalf. Following an initial phase of community-participatory adaptation of the two proven social-incentive intervention strategies, a three-arm, cluster-randomized trial of 225 families will be conducted to evaluate the two social incentive interventions in the community. The study aims include: 1. To adapt our prior work to improve the implementation of interventions in the community among families that include at least one older adult. 2. To evaluate the effectiveness of two social-incentive interventions among families to increase physical activity relative to control families. 3. To conduct a robust process evaluation that will provide information on the implementation process. 4. To assess the cost of each of the interventions from a societal perspective and compare cost differences between each intervention and control relative to the effectiveness measured by incremental increases in physical activity. 5. To use findings from the effectiveness trial, process evaluation and cost analysis (Aims 2, 3 and 4) to scale-up and disseminate tools and products for use by community organizations locally and nationally. This study focuses on scalable approaches to address health disparities in physical activity by partnering with community organizations in low-income and minority neighborhoods, using behavioral economics to deploy low-cost social incentive interventions, and applying implementation science frameworks from the Consolidated Framework for Intervention Research (CFIR) to improve adoption and dissemination. An effectiveness-implementation study design will maximize contributions to science, public health practice, and reduction of health disparities.

项目概要研究发现，较高水平的体力活动可以改善健康并减少认知能力下降成年人会变老，但超过一半的美国成年人没有达到他们的活动目标。定期的体育活动与许多健康益处相关，其中一种体育活动是广泛适用于各个年龄段的人就是步行。增加步行的计划既广泛可行，又安全，不需要独特的培训或专门的设备。步行也可测量，并且清晰可见与健康改善相关的可识别的个人目标。本研究将使用混合 1 型有效性实施设计来适应并测试两项成功的基于社会激励的干预措施的有效性，以增加体力活动。社会的基于激励的干预措施可以利用和增强个人的社交网络，以提高身体素质活动，并且比财务激励更具可持续性和可扩展性。这两种干预措施是游戏化策略和代表参与者捐赠给慈善机构的经济奖励。继初始两种行之有效的社会激励干预策略的社区参与调整阶段将对225个家庭进行三组、整群随机试验，以评估两项社会激励措施对社区的干预。研究目的包括： 1. 调整我们之前的工作，改进社区干预措施的实施至少包括一名老年人的家庭。 2. 评估家庭中两种社会激励干预措施对提高身体素质的有效性相对于对照家庭的活动。 3. 进行强有力的过程评估，提供有关实施过程的信息。 4. 从社会角度评估每项干预措施的成本并比较成本每种干预措施和对照措施之间相对于通过以下方法衡量的有效性的差异体力活动逐渐增加。 5. 利用有效性试验、过程评估和成本分析（目标 2、3 和 4）的结果来扩大并传播工具和产品，供当地和全国社区组织使用。这项研究的重点是通过合作来解决体力活动健康差异的可扩展方法与低收入和少数族裔社区的社区组织合作，利用行为经济学部署低成本的社会激励干预措施，并应用来自干预研究综合框架（CFIR），以提高采用和传播。一个有效性实施研究设计将最大限度地对科学、公共卫生实践和减少健康差距。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Use of Community Engagement Studios to Adapt a Hybrid Effectiveness-Implementation Study of Social Incentives and Physical Activity for the STEP Together Study.

利用社区参与工作室对社会激励和体育活动的混合有效性实施研究进行调整，以用于 STEP Together 研究。

DOI：
10.1177/15248399221113863
发表时间：
2024
期刊：
Health promotion practice
影响因子：
1.9
作者：
Scheffey,Krista;Avelis,Jade;Patel,Mitesh;Oon,AiLeen;Evans,Chalanda;Glanz,Karen
通讯作者：
Glanz,Karen