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Related Experiment Video

Updated: Jun 25, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
04:13

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

Estimating older adults' preferences for walking programs via conjoint analysis.

Derek S Brown1, Eric A Finkelstein, David R Brown

  • 1Research Triangle Institute, Research Triangle Park, North Carolina, USA. dsbrown@rti.org

American Journal of Preventive Medicine
|February 14, 2009
PubMed
Summary
This summary is machine-generated.

Structured walking programs are more effective for older adults when they are informal and offer financial incentives. A modest weekly cash incentive significantly increased participation likelihood in sedentary older adults.

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Area of Science:

  • Gerontology
  • Public Health
  • Behavioral Science

Background:

  • Physical inactivity is a significant contributor to health issues, particularly in older adults.
  • Structured walking programs aim to increase physical activity, but their optimal design is not well understood.
  • Understanding program characteristics is crucial for enhancing physical activity interventions in seniors.

Purpose of the Study:

  • To assess preferences for specific walking program characteristics among inactive older adults.
  • To determine the impact of program features like duration, frequency, group setting, and financial incentives on participation likelihood.
  • To test the hypothesis that cash incentives increase acceptability and effectiveness, while group requirements may be burdensome.

Main Methods:

  • A conjoint-analysis survey was administered to 501 inactive adults aged 50 years and older.
  • Participants' preferences for walking program attributes (minutes/day, days/week, group vs. individual, cash incentive) were measured.
  • Data were analyzed to predict participation likelihood based on program design.

Main Results:

  • The most preferred walking program involved three 20-minute walks per week.
  • Participants showed a strong preference for individual or informal group settings over formal group structures.
  • A weekly cash incentive of $9 ( $468/year) was predicted to increase participation by 31%.

Conclusions:

  • Program characteristics, particularly the group setting, substantially influence perceived acceptability and participation likelihood in older adults.
  • Modest financial incentives, independent of other attributes, can significantly boost program participation among sedentary older adults.
  • Financial incentives represent a viable strategy to enhance the effectiveness of walking programs for improving physical activity in seniors.