在心血管事件的高风险患者中,游戏化,财务激励或两者的作用:BE ACTIVE随机对照试验
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
概括
行为经济学策略,包括游戏化和财务激励,在12个月内显著增加了高风险心血管患者的体力活动. 游戏化和激励措施的结合显示了改善日常步行和降低心血管风险的最持久效益.
科学领域:
- 心血管医学
- 行为经济学
- 数字健康
背景情况:
- 身体活动降低了心血管事件的风险,但很少达到建议水平.
- 行为经济学的策略表明增加体力活动是有前途的, 但长期数据有限.
- 这项研究评估了游戏化和财务激励对高风险个体体育活动的长期有效性.
研究的目的:
- 确定行为设计的游戏化,损失框架的财务激励,或它们的组合对身体活动的影响.
- 在12个月的干预和6个月的随访期间,将这些干预与注意力对照组进行比较.
- 评估对每日步骤的影响是主要的结果指标.
主要方法:
- 一项实用随机临床试验招募了1062名高风险心血管患者 (2019年5月至2024年1月).
- 参与者使用可穿戴设备来跟踪日常步骤,并随机进行控制,游戏化,财务激励或组合干预.
- 主要结局是12个月的平均每日步数与基线的变化.
主要成果:
- 与12个月的对照组相比,所有干预组的每日步骤都显著增加.
- 游戏化+金融激励群体的步数增长最快 (868.0步/天).
- 在6个月的随访期间,联合干预组的身体活动持续显著增加.
结论:
- 在高风险心血管患者中,行为设计的游戏化和损失框架的财务激励有效地增加了体力活动.
- 游戏化与金融激励的结合, 给体育活动带来了最实质和持续的改善.
- 这些干预措施是降低高危人群心血管风险的重要策略.
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