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Completed

NCT Number: NCT03321279

Social Incentives to Increase Mobility

This study aims to assess the effectiveness of a social incentive-based gamification intervention to increase physical activity in the 3 months after hospital discharge.

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Key information

Conditions

Pneumonia Cardiovascular Diseases Chronic Disease Chronic Obstructive Pulmonary Disease Congestive Heart Failure Diabetes Diabetes Mellitus Disease Attributes Endocrine System Diseases Glucose Metabolism Disorders Heart Diseases Heart Failure Infections Lung Diseases Lung Diseases, Obstructive Metabolic Diseases Nutritional and Metabolic Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Pulmonary Disease, Chronic Obstructive Respiratory Tract Diseases Respiratory Tract Infections

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

About this study

This study aims to assess the effectiveness of a social incentive-based gamification intervention to increase physical activity in the 3 months after hospital discharge. To do this, the investigators will conduct a two-arm randomized, controlled trial during the 3-months after hospital discharge comparing a control group that uses a wearable device to track physical activity to an intervention group that uses the same wearable devices and receives a supportive social incentive-based gamification intervention to adhere to a step goal program. Patients will be enrolled during hospitalization from medicine and oncology floors into three phases. In phase 1 (hospitalization), patients inpatient step counts will be monitored. In phase 2 (week 1 post-discharge), patients will have a baseline step count estimated. In phase 3 (weeks 2-13 post-discharge), patients will be randomly assigned to the control or intervention group. Patients will be considered enrolled in the trial if they complete the run-in periods (phases 1 and 2) and then are randomized into phase 3.

The enrollment phase will be part of another randomized trial which evaluates the impact of three recruitment strategies on patient enrollment. This trial will be completed and unmasked to patients before they begin the phase 1 of our study.

The investigators will also explore patients' physical activity while in the hospital and if that differs across floors that have or have not deployed a nursing mobility protocol. Changes in patient functional decline and 30-day hospital readmission will also be explored.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 or older
  • Admitted to medicine or oncology floor in the hospital

Exclusion criteria

  • Inability to provide informed consent
  • Does not have daily access to a smartphone compatible with the wearable device
  • Already enrolled in another physical activity program
  • Inpatient mobility score of 0 or 1 indicating that physical activity is not appropriate for the patient
  • Any other medical conditions that would prohibit participation in a 3-month physical activity program
  • Unable to complete the run-in phases (e.g. not discharged from the hospital within 60 days of enrolling; not willing to use the wearable device for the 3-month post-discharge intervention).

Treatment and study plan

Social Incentive

Behavioral

Participants in the intervention arm will receive social incentives as part of the intervention. See arm descriptions for more detail.

Primary outcomes

  1. Change in mean daily step count from the baseline period to the intervention period, using a wearable pedometer (Nokia Steel) to measure step count.

    Time frame: 13 weeks

    The primary outcome variable is the change in mean daily step count from the baseline period (week 1 post-discharge) to the intervention period (weeks 2-13 post-discharge). This will be measured using the Nokia Steel wearable device. .

Secondary outcomes

  1. 30-day hospital readmission post-discharge, using the state's hospital database

    Time frame: 13 weeks

    A secondary outcome variable is 30-day hospital readmission post-discharge, which will be obtained from the state-based registry.

  2. Functional decline from admission to 3 months post-discharge, measured using validated survey assessments.

    Time frame: 13 weeks

    A secondary outcome variable is functional decline from admission to 3 months post-discharge, which will be obtained from information collected through validated survey assessments.

Sponsors and collaborators

Lead sponsor

University of Pennsylvania

Other

Registry information

Official study title

Social Incentives to Increase Mobility Among Hospitalized Patients: The MOVE IT Randomized Trial

Acronym: MOVE IT

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Oct 25, 2017
Registry last updated
Jul 30, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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