Body WeightRoutinesNCT02346799
Creating Exercise Habits Through Incentives for Routines
A study testing Workout Window Reminders, Individual Workout Incentive Payment and Lump Incentive Payments in people with Body Weight, run by University of Pennsylvania at 1 site in United States.
Trial summary
The purpose of this study is to determine whether healthy habits can be formed more effectively when people are rewarded for repeated engagement in a given healthy behavior at a specific, routinized time each day rather than at any time. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Body Weight
- What is being tested?
- Workout Window Reminders, Individual Workout Incentive Payment and Lump Incentive Payments
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,702 participants
- Where
- 1 siteUnited States
- Study dates
- Jan 2015to Feb 2016
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Participants must be full-time employees of partner company
Who cannot join
- N/A
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
About this study
The purpose of this study is to determine whether healthy habits can be formed more effectively when people are rewarded for repeated engagement in a given healthy behavior at a specific, routinized time each day rather than at any time.
Read the detailed description
The investigators seek to examine the effect of incentives for routine exercise on the development of persistent exercise habits. Specifically, the purpose of this study is to determine whether healthy habits can be formed more effectively when people are rewarded for repeated engagement in a given healthy behavior at a specific, routinized time each day rather than at any time. Through a partnership with a Fortune-500 company, the investigators plan to run a large-scale, randomized field controlled trial with approximately 3,000-4,000 participants aimed at increasing exercise rates (as measured by gym visits). During an incentivized four week intervention period, the investigators will encourage participants to select a two-hour window during the day when they feel they are most willing and able to exercise. Depending on condition, participants will [a] receive no further instruction or incentives (control condition), [b] receive a $3 or $7 bonus for each day they exercise during the incentive period (flexible incentive condition), or [c] receive a $3 or $7 bonus for each day they exercise if and only if they exercise within their specified "workout window" (routine incentive condition). Additionally, participants in a fourth condition, the social routine incentive condition, will face the same incentives as those in the routine incentive condition, but will be required to coordinate the workout window they select with a partner in their office. The investigators predict that the less flexible incentives will lead to greater habit formation than flexible incentives, producing larger and longer-lasting increases in exercise post-intervention. The investigators further predict that coordinating with a workout partner will produce even stronger habit formation. The investigators will collect and analyze data from participants' worksite gyms, which track gym entries and exits, as well as pedometer data when available.
Our experiment will recruit employees at a Fortune-500 company who wish to exercise more. Recruitment will be done through an email and poster campaign. The registration stage will take approximately four weeks. All employees at all offices with on-site gyms will be eligible to enroll and upon enrollment will be asked to select a partner who works in the same office and who is also enrolling. Enrolling employees will also be asked to indicate their preferred daily workout time (a two hour "workout window") and to provide basic demographic and exercise-related information (e.g., gender, age, height, weight, number of gym visits per week). If registration exceeds the target sample size (4,000 employees), priority for enrollment will be given to employees who do not already exercise regularly (at least twice a week). The remaining participants will be assigned to a "holdout control" condition. Once registration is closed, participants will be assigned randomly (at the pairs level) to one of the four experimental conditions.
- Conditions
- Body Weight
- Being tested
- Workout Window Reminders, Individual Workout Incentive Payment, Lump Incentive Payments, Partner Assignment
- Medical subject headings
- Body Weight
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Workout Window RemindersBehavioural
Participants will receive emails at prespecified times reminding them to exercise, either during a specific two hour window or at any time during the day.
Individual Workout Incentive PaymentBehavioural
Participants will be paid $3 or $7 for each workout completed during the appropriate times.
Lump Incentive PaymentsBehavioural
Participants will receive $20 payments for completing post treatment survey.
Partner AssignmentBehavioural
Participants will be required to have same "workout window" as partners.
| Study group | Role | What they receive |
|---|---|---|
| Control | Experimental | Participants in the control group will not receive any additional treatment, apart from receiving daily emails 15 minutes before the start of their self-reported workout window. This is to control for reminder effects that may be present in the other treatment conditions. Participants in this condition will also receive a lump payment upon completion of an exit survey at the end of the intervention to equalize overall compensation. Receives: Behavioral: Workout Window Reminders; Behavioral: Lump Incentive Payments |
| Flexible Incentive | Experimental | Participants in the flexible incentive condition will be paid $3 or $7 for each workout they complete during the treatment period (with a limit of one incentivized workout per day, and twelve incentivized workouts during the four-week treatment period). These participants will receive daily emails 15 minutes before the start of their self-reported workout window, but they can work out anytime of the day and still receive their incentive payment. Receives: Behavioral: Workout Window Reminders; Behavioral: Individual Workout Incentive Payment |
| Routine Incentive | Experimental | Participants assigned to the routine incentive condition will receive the same treatment as those in the flexible incentive condition except that, in order to receive their incentive payment, they must begin their workout within their two-hour workout window. For instance, if an employee chooses a 2pm to 4pm workout window, she will receive a reminder to exercise at 1:45 pm and must swipe into the gym between 2pm and 4pm in order to receive the $3 or $7 incentive payment. Receives: Behavioral: Workout Window Reminders; Behavioral: Individual Workout Incentive Payment |
| Social Routine Incentive | Experimental | Participants assigned to this condition will have an identical experience to those in the routine incentive except that both partners who sign up for the study will be required to coordinate and select a common workout window. Thus, both partners will receive their daily reminders at the same time (and will be incentivized for working out at the same time). The incentive payment, however, will not be linked to whether or not a participant's partner completes a workout - only to the participant's own exercise decision. Receives: Behavioral: Workout Window Reminders; Behavioral: Individual Workout Incentive Payment; Behavioral: Partner Assignment |
| Holdout Control | No intervention | If experimental enrollment exceeds target, exercise data will be collected for these additional participants, but they will receive no intervention of any kind. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Average weekly number of 30+ minute visits to company gym
Number of times per week participants enter the company gym and exit at least 30 minutes later
Measured: Up to one year
Duration of habit
Length of time that weekly gym visits takes to return to baseline level
Measured: Up to one year
Secondary outcomes (1)
Activity level as measured by Fitbit pedometers
Number of steps taken during workouts, as measured by Fitbit pedometers
Measured: Up to one year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jan 2015 (estimated)
- Study startJan 2015
- Primary completionFeb 2016
- Study completionFeb 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Body WeightStudies of the same condition, open and under way.
- More trials run by University of PennsylvaniaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 2,702 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Pennsylvania
- Sponsor type
- University, hospital or other
- Collaborators
- Harvard University, National Bureau of Economic Research, Inc.
- Responsible party
- Sponsor
- Investigators
- Katherine L Milkman, PhD, Principal investigator, University of Pennsylvania
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02346799
- Sponsor's protocol ID
- 821291
- Acronym
- Routines
- Status last verified
- Aug 2016
- First submitted
- 5 Jan 2015
- Last updated
- 22 Aug 2016
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Aug 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Creating Exercise Habits Through Incentives for Routines
- ClinicalTrials.gov ID
- NCT02346799
- Acronym / sponsor ID
- Routines / 821291
- Conditions
- Body Weight
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,702 participants (actual)
- Lead sponsor
- University of PennsylvaniaUniversity, hospital or other
- Collaborators
- Harvard University, National Bureau of Economic Research, Inc.
- Study start
- Jan 2015
- Primary completion
- Feb 2016 (actual)
- Study completion
- Feb 2016 (actual)
- First posted
- 27 Jan 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether healthy habits can be formed more effectively when people are rewarded for repeated engagement in a given healthy behavior at a specific, routinized time each day rather than at any time.
Detailed description
The investigators seek to examine the effect of incentives for routine exercise on the development of persistent exercise habits. Specifically, the purpose of this study is to determine whether healthy habits can be formed more effectively when people are rewarded for repeated engagement in a given healthy behavior at a specific, routinized time each day rather than at any time. Through a partnership with a Fortune-500 company, the investigators plan to run a large-scale, randomized field controlled trial with approximately 3,000-4,000 participants aimed at increasing exercise rates (as measured by gym visits). During an incentivized four week intervention period, the investigators will encourage participants to select a two-hour window during the day when they feel they are most willing and able to exercise. Depending on condition, participants will [a] receive no further instruction or incentives (control condition), [b] receive a $3 or $7 bonus for each day they exercise during the incentive period (flexible incentive condition), or [c] receive a $3 or $7 bonus for each day they exercise if and only if they exercise within their specified "workout window" (routine incentive condition). Additionally, participants in a fourth condition, the social routine incentive condition, will face the same incentives as those in the routine incentive condition, but will be required to coordinate the workout window they select with a partner in their office. The investigators predict that the less flexible incentives will lead to greater habit formation than flexible incentives, producing larger and longer-lasting increases in exercise post-intervention. The investigators further predict that coordinating with a workout partner will produce even stronger habit formation. The investigators will collect and analyze data from participants' worksite gyms, which track gym entries and exits, as well as pedometer data when available.
Our experiment will recruit employees at a Fortune-500 company who wish to exercise more. Recruitment will be done through an email and poster campaign. The registration stage will take approximately four weeks. All employees at all offices with on-site gyms will be eligible to enroll and upon enrollment will be asked to select a partner who works in the same office and who is also enrolling. Enrolling employees will also be asked to indicate their preferred daily workout time (a two hour "workout window") and to provide basic demographic and exercise-related information (e.g., gender, age, height, weight, number of gym visits per week). If registration exceeds the target sample size (4,000 employees), priority for enrollment will be given to employees who do not already exercise regularly (at least twice a week). The remaining participants will be assigned to a "holdout control" condition. Once registration is closed, participants will be assigned randomly (at the pairs level) to one of the four experimental conditions.
Study design
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Control | Experimental | Behavioral: Workout Window Reminders, Behavioral: Lump Incentive PaymentsParticipants in the control group will not receive any additional treatment, apart from receiving daily emails 15 minutes before the start of their self-reported workout window. This is to control for reminder effects that may be present in the other treatment conditions. Participants in this condition will also receive a lump payment upon completion of an exit survey at the end of the intervention to equalize overall compensation. |
| Flexible Incentive | Experimental | Behavioral: Workout Window Reminders, Behavioral: Individual Workout Incentive PaymentParticipants in the flexible incentive condition will be paid $3 or $7 for each workout they complete during the treatment period (with a limit of one incentivized workout per day, and twelve incentivized workouts during the four-week treatment period). These participants will receive daily emails 15 minutes before the start of their self-reported workout window, but they can work out anytime of the day and still receive their incentive payment. |
| Routine Incentive | Experimental | Behavioral: Workout Window Reminders, Behavioral: Individual Workout Incentive PaymentParticipants assigned to the routine incentive condition will receive the same treatment as those in the flexible incentive condition except that, in order to receive their incentive payment, they must begin their workout within their two-hour workout window. For instance, if an employee chooses a 2pm to 4pm workout window, she will receive a reminder to exercise at 1:45 pm and must swipe into the gym between 2pm and 4pm in order to receive the $3 or $7 incentive payment. |
| Social Routine Incentive | Experimental | Behavioral: Workout Window Reminders, Behavioral: Individual Workout Incentive Payment, Behavioral: Partner AssignmentParticipants assigned to this condition will have an identical experience to those in the routine incentive except that both partners who sign up for the study will be required to coordinate and select a common workout window. Thus, both partners will receive their daily reminders at the same time (and will be incentivized for working out at the same time). The incentive payment, however, will not be linked to whether or not a participant's partner completes a workout - only to the participant's own exercise decision. |
| Holdout Control | No intervention | –If experimental enrollment exceeds target, exercise data will be collected for these additional participants, but they will receive no intervention of any kind. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Participants must be full-time employees of partner company
Key exclusion criteria (1 listed)
- N/A
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Workout Window RemindersParticipants will receive emails at prespecified times reminding them to exercise, either during a specific two hour window or at any time during the day. | Behavioural | Control, Flexible Incentive, Routine Incentive, Social Routine Incentive |
| Individual Workout Incentive PaymentParticipants will be paid $3 or $7 for each workout completed during the appropriate times. | Behavioural | Flexible Incentive, Routine Incentive, Social Routine Incentive |
| Lump Incentive PaymentsParticipants will receive $20 payments for completing post treatment survey. | Behavioural | Control |
| Partner AssignmentParticipants will be required to have same "workout window" as partners. | Behavioural | Social Routine Incentive |
Primary outcome
Average weekly number of 30+ minute visits to company gym
Time frame: Up to one year
Number of times per week participants enter the company gym and exit at least 30 minutes later
Duration of habit
Time frame: Up to one year
Length of time that weekly gym visits takes to return to baseline level
1 secondary outcome
Activity level as measured by Fitbit pedometers
Time frame: Up to one year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Aug 2016.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Katherine L Milkman, PhD principal investigator
University of Pennsylvania
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Workout Window Reminders, Individual Workout Incentive Payment and Lump Incentive Payments in people with Body Weight, run by University of Pennsylvania at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 22 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Average weekly number of 30+ minute visits to company gym (time frame: Up to one year). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Aug 2016.