##Aim To compare the effectiveness of different combinations of social comparison feedback and financial incentives to increase physical activity.
Intervention and Design:
Two hundred eighty-six adults enrolled in the randomized trial.
Intervention - Twenty-six weeks of weekly feedback on team performance compared to the 50th percentile (n = 100) or the 75th percentile (n = 64) and 13 weeks of weekly lottery-based financial incentive plus feedback on team performance compared to the 50th percentile (n = 80) or the 75th percentile (n = 44) followed by 13 weeks of only performance feedback.
Main Measures - Mean proportion of participant-days achieving the 7000-step goal during the 13-week intervention.
Way to Health Use
Study Enrollment: Enroll and randomize participants in the study
Device Integration: Collect step data from participants’ devices
Lottery: Financial incentives based on lottery win for participants
Findings and Conclusions
Compared to the 75th percentile without incentives during the intervention period, the mean proportion achieving the 7000-step goal was significantly greater for the 50th percentile with incentives group (0.45 vs 0.27, difference: 0.18, 95% confidence interval [CI]: 0.04 to 0.32; P = .012) but not for the 75th percentile with incentives group (0.38 vs 0.27, difference: 0.11, 95% CI: −0.05 to 0.27; P = .19) or the 50th percentile without incentives group (0.30 vs 0.27, difference: 0.03, 95% CI: −0.10 to 0.16; P = .67).
Social comparison to the 50th percentile with financial incentives was most effective for increasing physical activity.