Way to Walk

The effects of financial incentives, donations to charity, and the combined effects of both interventions on older adults’ uptake and retention of increased levels of walking

Kristin A. Harkins, MPH
Investigator
Jeffrey T. Kullgren, MD, MS, MPH
Investigator

Background and Aim

Despite evidence that regular physical activity confers health benefits, physical activity rates among older adults remain low. Both personal and social goals may enhance older adults’ motivation to become active. This study tested the effects of financial incentives, donations to charity, and the combined effects of both interventions on older adults’ uptake and retention of increased levels of walking.

Intervention and Design

Ninety-four adults aged ≥65 years from Philadelphia-area retirement communities enrolled in the study. All participants received digital pedometers, walking goals of a 50% increase in daily steps, and weekly feedback on goal attainment.

Intervention - Participants were randomized to one of four groups: (1) Control: received weekly feedback only; (2) Financial Incentives: received payment of $20 each week walking goals were met; (3) Social Goals: received donation of $20 to a charity of choice each week walking goals were met; and (4) Combined: received $20 each week walking goals were met that could be received by participant, donated to a charity of choice, or divided between the participant and charity.

Main Outcomes and Measures - Mean proportion of days walking goals were met during the 16-week intervention and 4-week follow-up period.

Way to Health Use

  • Study Enrollment: Enroll and randomize participants in study

  • Feedback Messaging: Send participants automated feedback-messages through text

  • Financial Incentives: Provide participants with payments for adherence

  • Device Integration: Collect step data from participants’ pedometers

Findings and Conclusions

After adjusting for baseline walking, the proportion of days step goals were met during the 16-week intervention period was higher in all intervention groups versus controls (relative risk, 3.71; 95% CI=1.37, 10.01). During the 4-week follow up period, the proportion of days step goals were met did not differ in intervention groups compared to control (relative risk, 2.91; 95% CI=0.62, 13.64).

Incentive schemes that use donations to a charity of choice, personal financial incentives, or a combination of the two can each increase older adults’ initial uptake of increased levels of walking.

Publications


A Trial of Financial and Social Incentives to Increase Older Adults’ Walking