心血管疾患のリスクが高い患者の間で身体活動を増やすためのゲーム化,財政的インセンティブ,またはその両方による効果: BE ACTIVE ランダム化比較試験
Alexander C Fanaroff1,2,3,4,5, Mitesh S Patel6, Neel Chokshi1,4,5
1Department of Medicine, Perelman School of Medicine, (A.C.F., N.C., J.Z., T.K., K.G.M.V.), University of Pennsylvania, Philadelphia.
Circulation
|April 7, 2024
まとめ
ゲーム化や金銭的なインセンティブを含む 行動経済学の戦略は 12ヶ月間にわたって高リスクの心血管疾患の患者で 身体活動を大幅に増加させました ゲーミフィケーションとインセンティブの組み合わせは 日々の歩みを改善し 心血管疾患のリスクを減らす上で 最も持続的な効果を示しました
科学分野:
- 心血管医学
- 行動経済学
- デジタル・ヘルス
背景:
- 運動は心血管疾患のリスクを軽減しますが 推奨レベルに達する人はほとんどいません
- 行動経済学の戦略は 身体的活動を増加させる可能性を示していますが 長期的なデータは限られています
- この研究は,高リスクの個人の身体活動に対するゲーム化と金銭的インセンティブの長期的な効果を評価しています.
研究 の 目的:
- 行動的に設計されたゲーム化,損失枠の金融インセンティブ,またはその組み合わせが身体活動に与える影響を決定する.
- 12ヶ月の介入期間と6ヶ月のフォローアップ期間で,これらの介入を注意コントロールグループと比較する.
- 日々のステップへの影響を評価することが,主な成果の指標として考えられます.
主な方法:
- 実用的なランダム化臨床試験には,高リスクの心血管疾患の患者1062人が参加した (2019年5月〜2024年1月).
- 参加者は日常のステップを追跡するためにウェアラブルデバイスを使用し,制御,ゲーム化,金銭的インセンティブ,または組み合わせられた介入にランダムに割り当てられました.
- 主なアウトカムは,12ヶ月間の平均日歩の変化でした.
主要な成果:
- すべての介入群は12ヶ月後の対照群と比較して,日々のステップを大幅に増加させました.
- ゲーム化+金融インセンティブグループでは ステップ数が最大 (868.0歩/日) でした
- 6ヶ月のフォローアップ期間中,統合された介入群で身体活動の持続的な有意な増加が観察されました.
結論:
- 行動的にデザインされたゲーム化と 損失を伴う経済的インセンティブは 高いリスクの心血管疾患の患者で 身体活動を効果的に増加させます
- ゲーム化と金銭的インセンティブの組み合わせにより 身体活動の質が 持続的に向上しました
- これらの介入は,高リスク集団における心血管疾患のリスクを減らすための貴重な戦略です.
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