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Physical ActivityFIT-FAMNCT02516345

Randomized Controlled Trial of an Incentive-based Physical Activity Program Targeting Both Children and Adults (FIT-FAM)

A study testing Fitbit and Incentives in people with Physical Activity, run by Duke-NUS Graduate Medical School at 1 site in Singapore.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aims to test whether incentives can motivate children to promote increased physical activity of a working parent while also increasing their own activity levels. Read more about this study

Who is it for?
Ages 7 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Physical Activity
What is being tested?
Fitbit and Incentives
Could I receive a placebo?
No, everyone receives an active treatment
How many people
644 participants
Where
1 siteSingapore
Study dates
25 Nov 2015to 3 Jun 2018
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 7 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Child must be aged 7 - 11 years
  • Parent must be aged 25 - 65 years
  • Parent must be full-time employee at the time of enrolment
  • Parent should be Singaporean citizen or permanent resident
  • Parent and child must provide at least 4 valid days of accelerometer data (3 weekday days and 1 weekend day of at least 10 hours of wear time each day)

Who cannot join

  • Difficulty walking up 10 stairs without stopping (for parents)
  • Having any medical condition that may limit their ability to walk as a means of physical activity (for parents)
  • Pregnant (for parents)
  • Are unwilling to wear a wireless pedometer for 12 months (for parents and children)
  • Are unwilling to wear an accelerometer for 1 week at baseline, month 6, and month 12 assessments (for parents and children)
  • Conditional Eligibility Criteria:
Show all 12Show fewer
  • If parents meet the following criteria, they will be required to provide an approval note from a physician to be able to participate in the study-
  • Self-reported medical conditions such as hypertension or diabetes that limit the ability to walk
  • Answer 'YES' to any Physical Activity Readiness (PAR-Q) question
  • Family history of heart conditions
  • BMI>40kg/m2
  • Children on whose behalf parents answer 'YES' to any PAR-Q question will be permitted to enrol only if they provide written approval from a medical doctor

Trial locations and contacts

1 site in 1 country.

Singapore1 site
  • Duke-NUS Medical School

    Singapore, 169857

Other trials in Singapore

About this study

This study aims to test whether incentives can motivate children to promote increased physical activity of a working parent while also increasing their own activity levels.

Read the detailed description

There is overwhelming evidence that sustained physical activity reduces the risk of many common diseases. Yet, data reveal low levels of physical activity among working age adults and their children in Singapore. One strategy that has been successfully employed to influence behaviours of parents is to use their children as an intermediary. This strategy has a successful track record in public health, where children have helped their parents quit smoking and wear seatbelts.

In this study, the investigators propose to test whether children can promote increased physical activity of a working parent at the same time that they increase their own activity level. This proposal is an extension of a prior study where the investigators showed that modest financial incentives can increase physical activity levels among children. The investigators now propose to conduct a follow-on trial where the reward is tied not only to the child's own steps, but to that of a parent. Rewards will be based on step activity measured through a state-of-the-art wireless step counter worn on the wrist or hip. Just as children were motivated to increase their own activity levels in efforts to achieve the incentive, the investigators hypothesize that they will also be effective advocates for increasing the activity levels of their parents.

Specifically, the investigators propose to conduct a 12 month two-arm randomized controlled trial (RCT) to evaluate the efficacy of the family based incentive scheme on working parents' physical activity as measured via accelerometry. The investigators hypothesize that parents in the family-based incentive arm (FBI) will show a greater number of daily steps at the interim 6 month assessment and the final 12 month assessment point compared to parents in the child based incentive (CBI) arm, as measured by accelerometry. Secondary aims test the effects of the intervention on parent's and child's MVPA bout minutes per week, MVPA minutes, and other physical activity endpoints measured by accelerometry, child's steps, parent's and child's activity levels throughout the intervention period measured by the pedometer, and on health outcomes and health-related quality of life of parents at follow-up.

Being tested
Fitbit, Incentives
Keywords
Physical activity, Financial incentives, Children, Parents, RCT, Wireless pedometer
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FitbitDevice

    Also called Fitbit Zip, Fitbit Flex, wireless pedometer, physical activity tracker

    Fitbit devices are wireless pedometers that track the steps of participants, and will be offered in conjunction with a tailored website with customized information for participants.

  • IncentivesBehavioural

    Also called Rewards, gift vouchers

    Incentives will be awarded to participating children for meeting step targets as measured by the Fitbit pedometer.

Study groups in NCT02516345
Study groupRoleWhat they receive
Child-based Incentive (CBI)Active comparatorChildren earn rewards each week (with the week beginning on Monday and ending on Sunday) that they log 10,000 daily steps on the Fitbit according to the schedule below and their matched parent logs at least 2,000 steps on ≥4 of 7 days each week (regardless of which 4 of the 7 days they wear it). Incentives are tied, in addition to child's activity, to parent's Fitbit wear so that the investigators are better able to capture parent's activity in this arm. Step Targets for Children in CBI arm: * Months 1 - 3: ≥10,000 daily steps on ≥4 out of 7 days each week * Months 4 - 6: ≥10,000 daily steps on ≥5 out of 7 days each week * Months 7 - 12: ≥10,000 daily steps on ≥6 out of 7 days each week
Receives: Device: Fitbit; Behavioral: Incentives
Family-based Incentive (FBI)ExperimentalChildren earn rewards each week that they log daily steps on the Fitbit according to the schedule below but only if their matched parent also logs 10,000 steps according to the schedule below. Otherwise, children earn no incentive for that week. Step targets for children and parents in FBI arm: * Months 1 - 3: ≥10,000 daily steps on ≥4 out of 7 days each week * Months 4 - 6: ≥10,000 daily steps on ≥5 out of 7 days each week * Months 7 - 12: ≥10,000 daily steps on ≥6 out of 7 days each week
Receives: Device: Fitbit; Behavioral: Incentives

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in step count of parents from baseline to month 6, and month 12.

    Step counts of parents will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

Secondary outcomes (24)
  1. Changes in step count of children from baseline to month 6, and month 12.

    Step counts of children will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  2. Changes in moderate to vigorous physical activity (MVPA) bout minutes of parents from baseline to month 6, and month 12.

    MVPA will be assessed via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, 6 months, and 12 months. MVPA bout minutes are defined as a total of 10 or more consecutive minutes above the vector magnitude cutoff point of 2690 counts per min, with allowance for interruptions of 1-2 min at a magnitude less than the cutoff point.

    Measured: Baseline, 6 months and 12 months

  3. Changes in moderate to vigorous physical activity (MVPA) bout minutes of children from baseline to month 6, and month 12.

    MVPA will be assessed via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, 6 months, and 12 months. MVPA bout minutes are defined as a total of 10 or more consecutive minutes above the vector magnitude cutoff point of 2690 counts per min, with allowance for interruptions of 1-2 min at a magnitude less than the cutoff point.

    Measured: Baseline, 6 months and 12 months

  4. Changes in moderate to vigorous physical activity (MVPA) minutes of parents from baseline to month 6, and month 12.

    Total MVPA minutes (including those not in bouts of 10 minutes) during each assessment period at baseline, month 6, and month 12. This will be assessed via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day).

    Measured: Baseline, 6 months and 12 months

  5. Changes in moderate to vigorous physical activity (MVPA) minutes of children from baseline to month 6, and month 12.

    Total MVPA minutes (including those not in bouts of 10 minutes) during each assessment period at baseline, month 6, and month 12. This will be assessed via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day).

    Measured: Baseline, 6 months and 12 months

  6. Changes in total volume of physical activity of parents from baseline to month 6 and month 12.

    Average daily volume of physical activity will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  7. Changes in total volume of physical activity of children from baseline to month 6 and month 12.

    Average daily volume of physical activity will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  8. Changes in sedentary behaviour of parents from baseline to month 6, and month 12.

    Average daily minutes of sedentary behaviour will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  9. Changes in sedentary behaviour of children from baseline to month 6, and month 12.

    Average daily minutes of sedentary behaviour will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  10. Changes in light minutes of parents from baseline to month 6, and month 12.

    Average daily light minutes will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  11. Changes in light minutes of children from baseline to month 6, and month 12.

    Average daily light minutes will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  12. Changes in total moderate minutes of parents from baseline to month 6 and month 12.

    Average daily moderate minutes will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  13. Changes in total moderate minutes of children from baseline to month 6 and month 12.

    Average daily moderate minutes will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  14. Changes in total vigorous minutes of parents from baseline to month 6, and month 12.

    Average daily vigorous minutes will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  15. Changes in total vigorous minutes of children from baseline to month 6, and month 12.

    Average daily vigorous minutes will be measured via the ActiGraph GT-3X+ accelerometer worn for a one-week period (with a minimum of 3 weekday days and 1 weekend day of at least 10 hours of wear time each day) at baseline, month 6, and month 12.

    Measured: Baseline, 6 months and 12 months

  16. Changes in daily average steps of parents over the 12 month study duration.

    Daily average steps will be calculated based on data captured by the Fitbit wireless pedometer.

    Measured: Daily from months 1 - 12

  17. Changes in daily average steps of children over the 12 month study duration.

    Daily average steps will be calculated based on data captured by the Fitbit wireless pedometer.

    Measured: Daily from months 1 - 12

  18. Changes in percentage of parents meeting weekly step targets over the 12 month study duration.

    Percentage meeting weekly step targets will be calculated based on data captured by the Fitbit wireless pedometer.

    Measured: Daily from months 1 - 12

  19. Changes in percentage of children meeting weekly step targets over the 12 month study duration.

    Percentage meeting weekly step targets will be calculated based on data captured by the Fitbit wireless pedometer.

    Measured: Daily from months 1 - 12

  20. Changes in percentage of parent-child dyads meeting weekly step targets over the 12 month study duration.

    Percentage meeting weekly step targets will be calculated based on data captured by the Fitbit wireless pedometer.

    Measured: Daily from months 1 - 12

  21. Change in weight of parents from baseline to month 6, and month 12.

    Weight of parents will be measured at baseline, month 6, and month 12, and the difference will be calculated.

    Measured: Baseline, 6 months and 12 months

  22. Change in systolic blood pressure of parents from baseline to month 6 and month 12.

    Systolic blood pressure of parents will be measured at baseline, month 6, and month 12, and the difference will be calculated.

    Measured: Baseline, 6 months and 12 months

  23. Change in cardiorespiratory fitness of parents from baseline to month 6, and month 12.

    VO2max of parents will be measured at baseline, month 6, and month 12, and the difference will be calculated.

    Measured: Baseline, 6 months and 12 months

  24. Change in health-related quality of life of parents from baseline to month 6, and month 12.

    Health-related quality of life of parents at baseline, month 6, and month 12 will be measured via the EQ-5D-5L questionnaire.

    Measured: Baseline, months and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2015 (estimated)
  2. Study start25 Nov 2015
  3. Primary completion28 May 2018
  4. Study completion3 Jun 2018

Resources

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
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Factorial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
644 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02516345
Sponsor's protocol ID
HSRG13may010
Acronym
FIT-FAM
Status last verified
Jul 2018
First submitted
27 Apr 2015
Last updated
10 Jul 2018
Results posted
No
Data monitoring committee
No

Publications

  • Finkelstein EA, Lim RSM, Ward DS, Evenson KR. Leveraging family dynamics to increase the effectiveness of incentives for physical activity: the FIT-FAM randomized controlled trial. Int J Behav Nutr Phys Act. 2020 Sep 10;17(1):113. doi: 10.1186/s12966-020-01018-2.

    PubMed 32912260

Questions about this trial

What is this clinical trial studying?

A study testing Fitbit and Incentives in people with Physical Activity, run by Duke-NUS Graduate Medical School at 1 site in Singapore.

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 5 inclusion and 12 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 10 Jul 2018. 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 Singapore. 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?

Changes in step count of parents from baseline to month 6, and month 12. (time frame: Baseline, 6 months and 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02516345, which also lists 1 linked publication.

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 10 Jul 2018.

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