- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04304872
Improving Physical Activity and Cardiac Rehabilitation Attendance Using Technology and Behavioral Economics (IMPACT-CR)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19104
- Perelman Center for Advanced Medicine
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age greater than 18;
- Ability to consent;
- Patients with diagnosis of stable angina, chronic systolic heart failure, post- percutaneous coronary intervention, post-coronary artery bypass grafting surgery, post-acute myocardial infarction, and post-valvular repair who were discharged after an inpatient admission within the last 12 months;
- Smartphone or tablet compatible with application for the wearable activity tracking device;
- Independence Blue Cross health insurance coverage.
Exclusion Criteria:
- Conditions that would make participation infeasible such as inability to provide informed consent, illiteracy or inability to speak, read, and write English;
- Already enrolled in another study targeting physical activity;
- Medical condition preventing participation in a physical activity program;
- Prior or ongoing enrollment in cardiac rehabilitation;
- Baseline step count > 7,500 steps per day
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Gamification Intervention
Participants sign a pledge agreeing to try their best to meet their goals. Participants are entered into a game. Each week they receive 70 points. Each day, they are told their step count and points. If the step goal was met they keep their points, but if not, they lose 10 points. At the end of the week if they have at least 40 points they move up a level, but if not, they drop a level. Participants start in the middle of 5 levels. Participants choose a support partner who receives a weekly email with the participant's progress. The study group will hold a 3-way phone call with the participant and supportive sponsor to discuss ways they can help the participant meet their goal. At 6 weeks, the study group will have a follow up call if the participant is stuck in a lower level and restart them back at the middle level. |
Participants sign a pledge agreeing to try their best to meet their goals. Participants are entered into a game. Each week they receive 70 points. Each day they're told their step count and points. If the step goal was met they keep their points, but if not, they lose 10 points. At the end of the week if they have at least 40 points they move up a level, but if not, they drop a level. Participants start in the middle of 5 levels. Participants choose a support partner who gets a weekly email with the participant's progress. We hold a 3-way phone call with the participant and supportive sponsor to discuss ways they can help the participant meet their goal. At 6 weeks, we have a follow up call if the participant is stuck in a lower level and restart them back at the middle level. |
Experimental: Loss-Framed Financial Incentive Intervention
Participants are informed that each week that $14 is placed in a virtual account for them.
Each day, the participant is informed of their step count on the prior day.
If the step goal was achieved, the balance remains.
Each day the goal is not achieved, the participant is informed that $2 was taken away.
|
Participants are informed that each week $14 is placed in a virtual account for them.
Each day the participant is informed of their step count on the prior day.
If the step goal was achieved, the balance remains.
Each day the goal is not achieved, the participant is informed that $2 was taken away.
|
Experimental: Gamification and Loss-Framed Financial Incentive Intervention
Participants receive both of the interventions described in the Gamification Intervention arm and the Financial Incentive Intervention arm.
|
Participants sign a pledge agreeing to try their best to meet their goals. Participants are entered into a game. Each week they receive 70 points. Each day they're told their step count and points. If the step goal was met they keep their points, but if not, they lose 10 points. At the end of the week if they have at least 40 points they move up a level, but if not, they drop a level. Participants start in the middle of 5 levels. Participants choose a support partner who gets a weekly email with the participant's progress. We hold a 3-way phone call with the participant and supportive sponsor to discuss ways they can help the participant meet their goal. At 6 weeks, we have a follow up call if the participant is stuck in a lower level and restart them back at the middle level.
Participants are informed that each week $14 is placed in a virtual account for them.
Each day the participant is informed of their step count on the prior day.
If the step goal was achieved, the balance remains.
Each day the goal is not achieved, the participant is informed that $2 was taken away.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of cardiac rehabilitation sessions attended during intervention
Time Frame: Baseline to 12-week intervention period
|
The primary outcome is the number of CR sessions attended during the 12-week intervention period.
|
Baseline to 12-week intervention period
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of patients that attend 30 of the 36 cardiac rehabilitation sessions during intervention
Time Frame: Baseline to 12-week intervention period
|
The secondary outcome includes the proportion of patients that attend at least 30 of the 36 CR sessions during the 12-week intervention period.
|
Baseline to 12-week intervention period
|
Change in mean daily step counts from baseline to 12-week period
Time Frame: Baseline to 12-week intervention period
|
The secondary outcomes include the change in daily step counts from baseline to the 12-week intervention period.
|
Baseline to 12-week intervention period
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of participants that identified a support partner
Time Frame: Baseline to 12-week intervention period
|
We will explore measures of intervention acceptability and feasibility including the proportion of participants that identified a support partner.
|
Baseline to 12-week intervention period
|
Proportion of participants that completed the entire study
Time Frame: Baseline to 12-week intervention period
|
We will explore measures of intervention acceptability and feasibility including the proportion of participants that completed the entire study.
|
Baseline to 12-week intervention period
|
Proportion of days that wearable device was used
Time Frame: Baseline to 12-week intervention period
|
We will explore measures of intervention acceptability and feasibility including the proportion of days that the wearable device was used.
|
Baseline to 12-week intervention period
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Neel Chokshi, MD, MBA, University of Pennsylvania
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 833631
- 2P30AG034546-11 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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