A Randomized Trial of Social Comparison Feedback and Financial Incentives to Increase Physical Activity

Abstract

Purpose:

To compare the effectiveness of different combinations of social comparison feedback and financial incentives to increase physical activity.

Design:

Randomized trial (Clinicaltrials.gov number, NCT02030080).

Setting:

Philadelphia, Pennsylvania.

Participants:

Two hundred eighty-six adults.

Interventions:

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.

Measures:

Mean proportion of participant-days achieving the 7000-step goal during the 13-week intervention.

Analysis:

Generalized linear mixed models adjusting for repeated measures and clustering by team.

Results:

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).

Conclusion:

Social comparison to the 50th percentile with financial incentives was most effective for increasing physical activity.