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CompletedNCT02154256Updated Sep 27, 2016

Incentive Disbursement Pattern

An interventional study of Increasing incentives and Decreasing incentives in Exercise, sponsored by University of Pennsylvania. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-09-27.

Sponsored by University of Pennsylvania · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
3,519
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will be a three-arm randomized, controlled trial that the investigators will run in 2014 with approximately 4,000 users of an app called Achievemint. AchieveMint rewards users with points (which can be redeemed for prizes) for every step they take. The investigators will be testing three different point-based programs designed to encourage users to build exercise habits over the course of a month: stable incentives, increasing incentives, and decreasing incentives. After the investigators' month-long intervention period, the investigators will observe users' step counts during a month-long follow-up period to test which of the investigators' habit-building programs leaves users with the best exercise habits (or the highest step counts) after they conclude.

The time frame of observation will be 8 months.

Read the detailed description

Past research has shown that paying people to exercise repeatedly can create exercise habits that last long after cash incentives are removed (Charness and Gneezy, 2009; Acland and Levy, 2013). the investigators' research will examine what kind of incentive programs build long-lasting habits most effectively. Specifically, the investigators will compare the long-term effects (based on step counts in the one month after the conclusion of the investigators' intervention) of three different interventions: (1) incentives for taking steps that remain stable over the course of a month (stable incentives); (2) incentives (of equal net value) for taking steps that start low and grow larger over the course of the month (increasing incentives); and (3) incentives (of equal net value) for taking steps that start high and decrease over the course of the month (decreasing incentives). For example, during the month-long intervention, users in group (1) will receive 6x their usual points every day for each step they take; users in group (2) will receive 2x the usual points for several days, then 3x the usual points, and so on up to 10x the usual number of points; finally, group (3) will have the same incentive schedule as group (2) but in reverse - starting with a 10x multiplier and declining. The question is this: Is it better to ease people into exercise when trying to help them form a lasting habit, to start them off intensively and then ease up the pressure, or to maintain steady, constant incentives to exercise? By examining the steps taken by members of the investigators' three experimental groups in the month following the investigators' intervention, the investigators will be able to assess whether increasing, decreasing, or stable incentives are ideal for creating lasting habits after incentives are removed. The anticipated output of this project is a published research paper.

The time frame of observation will be 8 months.

02

Conditions studied

  • Exercise

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Keywords

  • walking
  • incentives
  • exercise
  • habits
03

In context

Motor Activity

2,649 studies on the registry are indexed under Motor Activity; 1,205 are open to participants now.

This study's enrollment of 3,519 is above the median of 60 across 2,309 interventional studies indexed under Motor Activity.

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Lead sponsor

University of Pennsylvania is the lead sponsor of 1,664 studies on the registry; 236 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 107 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • all users of the Achievemint app will be eligible for inclusion

Exclusion criteria

Exclusion Criteria:

  • all users of the Achievemint app who are in the top 30 percentiles of activity levels will be excluded.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Single (Participant)
Enrollment
3,519 participants (actual)

Study arms

  • Experimental
    Increasing incentives

    The investigators will offer incentives to users that begin low, and get higher over time.

    Behavioral: Increasing incentives

  • Experimental
    Decreasing incentives

    The investigators will offer incentives to users that start high, and decrease over time.

    Behavioral: Decreasing incentives

  • Experimental
    Stable incentives

    The investigators will offer incentives that stay stable over time.

    Behavioral: stable incentives

  • No intervention
    Usual care control

    The investigators will offer incentives that are identical to the incentives normally offered by the investigators' partner company.

Interventions

  • BehavioralIncreasing incentives

    Offer incentives that increase over time.

  • BehavioralDecreasing incentives

    offer incentives that decrease over time

  • Behavioralstable incentives

    offer incentives that are stable over time, but higher than usual care

06

What researchers measure

Primary outcomes

  1. Steps walked

    Subjects will track steps walked with pedometers. The investigators will track how many steps they take for 8 months

    Time frame: 8 months

07

Study locations

1 site
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
08

References and documents

Publications

  • Bachireddy C, Joung A, John LK, Gino F, Tuckfield B, Foschini L, Milkman KL. Effect of Different Financial Incentive Structures on Promoting Physical Activity Among Adults: A Randomized Clinical Trial. JAMA Netw Open. 2019 Aug 2;2(8):e199863. doi: 10.1001/jamanetworkopen.2019.9863. PubMed 31441936 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 27, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02154256
Responsible party
Sponsor
First posted
Jun 3, 2014
Start date
Jun 2014
Primary completion
Aug 2014
Completion
Aug 2014
Last update
Sep 27, 2016

Study contacts

Katherine L Milkman, PhD
principal investigator · University of Pennsylvania

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

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