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Charity-based incentives motivate young adult cancer survivors to increase physical activity: a pilot randomized clinical trial
Journal of Behavioral Medicine ( IF 2.8 ) Pub Date : 2021-04-07 , DOI: 10.1007/s10865-021-00218-w
Sarah Kozey Keadle 1 , Leah Meuter 1 , Suzanne Phelan 1 , Siobhan M Phillips 2
Affiliation  

To determine the feasibility, acceptability and preliminary efficacy of an eHealth intervention with charity-based incentives to increase physical activity (PA) among young adult cancer survivors. Participants were randomized into two groups: PA (N = 25; Fitbit, step goal, electronic weekly newsletter) or PA + Charity (N = 26; same as PA plus charity donation if step goal achieved). At baseline and 12 weeks, steps/day were assessed using an activPAL. Motivation (e.g., BREQ-3) and patient reported outcomes (e.g., sleep quality, fatigue) were self-reported. The mean age was 36.8 years, 56.9% were Non-Hispanic White. We retained 82% (42/51) of participants. The PA + Charity vs. PA group had significantly higher satisfaction with intervention experience (100% vs 85%), greater increases in steps/day (1689 vs 516) and increases in overall self-determination score (13.5 vs 2.2). Both groups significantly improved sleep quality and reduced fatigue. A low-intensity eHealth intervention with charity-based incentives was feasible, acceptable, increased PA and self-determination.

Trial registration Clinicaltrials.gov NCT03322059.



中文翻译:

基于慈善的激励措施激励年轻的成年癌症幸存者增加体育锻炼:一项试点随机临床试验

确定电子医疗干预的可行性、可接受性和初步效果,该干预具有基于慈善的激励措施,以增加年轻癌症幸存者的身体活动 (PA)。参与者被随机分为两组:PA(N = 25;Fitbit,步数目标,每周电子通讯)或 PA + Charity(N = 26;如果实现步数目标,则与 PA 加慈善捐赠相同)。在基线和 12 周时,使用 activPAL 评估步数/天。动机(例如,BREQ-3)和患者报告的结果(例如,睡眠质量、疲劳)是自我报告的。平均年龄为 36.8 岁,56.9% 是非西班牙裔白人。我们保留了 82% (42/51) 的参与者。PA + Charity vs. PA 组对干预体验的满意度显着更高(100% 对 85%),步数/天的增加(1689 对 516)和整体自决得分的增加(13.5 对 2.2)。两组都显着改善了睡眠质量并减少了疲劳。以慈善为基础的激励措施的低强度电子健康干预是可行的、可接受的、增加的 PA 和自决权。

试验注册Clinicaltrials.gov NCT03322059。

更新日期:2021-04-08
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