Impact of Loss Aversion Messaging and Anticipated Regret for Inaction on Exercise Adherence in Older Adults

Официальное название

Testing the Impact of Loss Aversion Messaging and Anticipated Regret for Inaction on Exercise Adherence in Older Adults: A Randomized Pilot Trial

Обзор

The goal of this clinical trial is to learn if messages focused on not losing the functional benefits of exercise can help older adults with walking difficulty continue to exercise regularly. The main questions it aims to answer are: Do these messages make people more likely to anticipate regretting it if they do not exercise? Does more anticipated regret make it more likely they will exercise more regularly? Researchers will compare two versions of messages to see if the content of these one of these message types is more effective than the other. Participants will complete a daily 5-minute at home exercise program for 4 months and complete regular online surveys to track their progress and report their feelings regarding regret.

Подробное описание

The goal of the proposed clinical trial is to identify strategies to blunt the effects of post-intervention decay in older adults with difficulty walking. While early improvements from exercise are large, they typically plateau and then decline post-intervention. This early improvement, however, creates an opportunity. Similar to daily interactions common with private companies, the investigators seek to increase the rate of conversion - that is, completing the task - while considering the improvements from engaging in exercise to be accumulated benefits. Drawing from behavioral economics, then, the investigators propose that the conversion rate to act (i.e., increase the likelihood of completing daily exercises) may be increased by using loss aversion (i.e., loss of accumulated benefits) in the form of messaging.

In this study the investigators will conduct a randomized trial among individuals (N=128) age 65 and over who have serious difficulty walking and have completed an at-home, brief strength training intervention, comparing 4 months of standard adherence reminders to standard adherence reminders supplemented with periodic loss aversion messages. The proposed trial aims to answer the questions: (1) Does the supplementation of loss aversion messaging increase anticipated regret for inaction among older adults previously enrolled in an at-home exercise program? (2) Does higher anticipated regret predict greater intention to exercise and exercise adherence post-intervention?

Вмешательства

• Поведенческое Brief Daily At-Home Strength Training Program
  FAST is a brief, daily, at-home exercise program designed for older adults with difficulty walking. The program includes 5 exercises performed for 30 seconds each, during which time participants try to complete as many repetitions as they can, followed by 30 seconds of rest. The 5 exercises are: chair stands, countertop pushups, aerobic steps, resistance band rows, and walking laps. Participants are sent daily reminders and links for self-monitoring their performance.
• Поведенческое Loss Aversion Messaging
  Loss aversion messages will be included with those messages in the experimental condition on a maximum of 3 out of the 7 days each week. There will be 3 themes (related to their performance of daily exercises) featured as topics for the loss aversion messages. The three themes are: 1) standing up from a chair (i.e., chair stands), 2) going up and down stairs (i.e., aerobic steps), and 3) walking longer distances (i.e., walking laps).
• Поведенческое Standard Adherence Reminder Messaging
  Standard reminders to perform exercise will be delivered daily.

Первичные конечные точки

• Anticipated Regret of Inaction [Срок оценки: Baseline, Week 4, Week 8, Week 12, and Week 16]

Вторичные конечные точки (2)

• Intention to Complete Exercise Program [Срок оценки: Baseline, Week 4, Week 8, Week 12, and Week 16]
• Adherence to Exercise Program [Срок оценки: Data collected daily, assessed over the 16 weeks of intervention.]

Критерии участия

Критерии включения

• Completed 12 months of FAST intervention

Критерии исключения

• No planned surgeries within the upcoming 4 months

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Тройное слепое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Penn State College of Medicine — Hershey

Идентификаторы

NCT: NCT07540052 · STUDY00028949

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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