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Erschienen in: Translational Behavioral Medicine 4/2013

01.12.2013 | Original Research

Implementation and evaluation of an incentivized Internet-mediated walking program for obese adults

verfasst von: Donna M Zulman, MD, MS, Laura J. Damschroder, MS, MPH, Ryan G Smith, BA, Paul J. Resnick, PhD, Ananda Sen, PhD, Erin L Krupka, PhD, Caroline R Richardson, MD

Erschienen in: Translational Behavioral Medicine | Ausgabe 4/2013

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ABSTRACT

In response to rising health care costs associated with obesity rates, some health care insurers are adopting incentivized technology-enhanced wellness programs. The purpose of this study is to evaluate the large-scale implementation of an incentivized Internet-mediated walking program for obese adults and to examine program acceptance, adherence, and impact. A mixed-methods evaluation was conducted to investigate program implementation, acceptance, and adherence rates, and physical activity rates among program participants. Program implementation was shaped by national and state policies, data security concerns, and challenges related to incentivizing participation. Among 15,397 eligible individuals, 6,548 (43 %) elected to participate in the walking program, achieving an average of 6,523 steps/day (SD 2,610 steps). Participants who uploaded step counts for 75 % of days for a full year (n = 2,885) achieved an average of 7,500 steps (SD 3,093). Acceptance and participation rates in this incentivized Internet-mediated walking program suggest that such interventions hold promise for engaging obese adults in physical activity.
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Literatur
1.
Zurück zum Zitat Finkelstein EA, Fiebelkorn IC, Wang G. State-level estimates of annual medical expenditures attributable to obesity. Obes Res. 2004;12:18-24.PubMedCrossRef Finkelstein EA, Fiebelkorn IC, Wang G. State-level estimates of annual medical expenditures attributable to obesity. Obes Res. 2004;12:18-24.PubMedCrossRef
2.
Zurück zum Zitat Sullivan PW, Ghushchyan V, Ben-Joseph RH. The effect of obesity and cardiometabolic risk factors on expenditures and productivity in the United States. Obesity. 2008;16:2155-2162.PubMedCrossRef Sullivan PW, Ghushchyan V, Ben-Joseph RH. The effect of obesity and cardiometabolic risk factors on expenditures and productivity in the United States. Obesity. 2008;16:2155-2162.PubMedCrossRef
3.
Zurück zum Zitat Wolf AM, Finer N, Allshouse AA, et al. PROCEED: prospective obesity cohort of economic evaluation and determinants: baseline health and healthcare utilization of the U.S. sample. Diabetes Obes Metab. 2008;10:1248-1260.PubMed Wolf AM, Finer N, Allshouse AA, et al. PROCEED: prospective obesity cohort of economic evaluation and determinants: baseline health and healthcare utilization of the U.S. sample. Diabetes Obes Metab. 2008;10:1248-1260.PubMed
4.
Zurück zum Zitat Field AE, Coakley EH, Spadano JL, et al. Impact of overweight on the risk of developing common chronic diseases during a 10-year period. Arch Intern Med. 2001;161:1581-1586.PubMedCrossRef Field AE, Coakley EH, Spadano JL, et al. Impact of overweight on the risk of developing common chronic diseases during a 10-year period. Arch Intern Med. 2001;161:1581-1586.PubMedCrossRef
5.
Zurück zum Zitat Calle EE, Kaaks R. Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer. 2004;4:579-591.PubMedCrossRef Calle EE, Kaaks R. Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer. 2004;4:579-591.PubMedCrossRef
8.
Zurück zum Zitat Baicker K, Cutler D, Song Z. Workplace wellness programs can generate savings. Health Aff (Millwood). 2010;29:304-311.CrossRef Baicker K, Cutler D, Song Z. Workplace wellness programs can generate savings. Health Aff (Millwood). 2010;29:304-311.CrossRef
9.
Zurück zum Zitat Kaiser Family Foundation and Health Research & Educational Trust. Employer Health Benefits 2010 Annual Survey: Wellness Programs, Health Risk Assessments, and Disease Management Programs. Available at http://ehbs.kff.org/2010.html. Accessed 7 November 2012. Kaiser Family Foundation and Health Research & Educational Trust. Employer Health Benefits 2010 Annual Survey: Wellness Programs, Health Risk Assessments, and Disease Management Programs. Available at http://​ehbs.​kff.​org/​2010.​html. Accessed 7 November 2012.
11.
Zurück zum Zitat Pelletier KR. A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: update VII 2004–2008. J Occup Environ Med. 2009;51:822-837.PubMedCrossRef Pelletier KR. A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: update VII 2004–2008. J Occup Environ Med. 2009;51:822-837.PubMedCrossRef
12.
Zurück zum Zitat Kroeze W, Werkman A, Brug J. A systematic review of randomized trials on the effectiveness of computer-tailored education on physical activity and dietary behaviors. Ann Behav Med. 2006;31:205-223.PubMedCrossRef Kroeze W, Werkman A, Brug J. A systematic review of randomized trials on the effectiveness of computer-tailored education on physical activity and dietary behaviors. Ann Behav Med. 2006;31:205-223.PubMedCrossRef
13.
Zurück zum Zitat Strecher V. Internet methods for delivering behavioral and health-related interventions (eHealth). Annu Rev Clin Psychol. 2007;3:53-76.PubMedCrossRef Strecher V. Internet methods for delivering behavioral and health-related interventions (eHealth). Annu Rev Clin Psychol. 2007;3:53-76.PubMedCrossRef
14.
Zurück zum Zitat Richardson CR, Buis LR, Janney AW, et al. An online community improves adherence in an Internet-mediated walking program. Part 1: results of a randomized controlled trial. J Med Internet Res. 2010;12:e71.PubMedCrossRef Richardson CR, Buis LR, Janney AW, et al. An online community improves adherence in an Internet-mediated walking program. Part 1: results of a randomized controlled trial. J Med Internet Res. 2010;12:e71.PubMedCrossRef
15.
Zurück zum Zitat Slootmaker SM, Chinapaw MJ, Schuit AJ, Seidell JC, Van Mechelen W. Feasibility and effectiveness of online physical activity advice based on a personal activity monitor: randomized controlled trial. J Med Internet Res. 2009;11:e27.PubMedCrossRef Slootmaker SM, Chinapaw MJ, Schuit AJ, Seidell JC, Van Mechelen W. Feasibility and effectiveness of online physical activity advice based on a personal activity monitor: randomized controlled trial. J Med Internet Res. 2009;11:e27.PubMedCrossRef
16.
Zurück zum Zitat Ware LJ, Hurling R, Bataveljic O, et al. Rates and determinants of uptake and use of an Internet physical activity and weight management program in office and manufacturing work sites in England: cohort study. J Med Internet Res. 2008;10:e56.PubMedCrossRef Ware LJ, Hurling R, Bataveljic O, et al. Rates and determinants of uptake and use of an Internet physical activity and weight management program in office and manufacturing work sites in England: cohort study. J Med Internet Res. 2008;10:e56.PubMedCrossRef
18.
Zurück zum Zitat Alegria M. AcademyHealth 25th Annual Research Meeting chair address: from a science of recommendation to a science of implementation. Health Serv Res. 2009;44:5-14.PubMedCrossRef Alegria M. AcademyHealth 25th Annual Research Meeting chair address: from a science of recommendation to a science of implementation. Health Serv Res. 2009;44:5-14.PubMedCrossRef
19.
Zurück zum Zitat Rubenstein LV, Pugh J. Strategies for promoting organizational and practice change by advancing implementation research. J Gen Intern Med. 2006;21:S58-S64.PubMedCrossRef Rubenstein LV, Pugh J. Strategies for promoting organizational and practice change by advancing implementation research. J Gen Intern Med. 2006;21:S58-S64.PubMedCrossRef
20.
Zurück zum Zitat Stetler CB, Legro MW, Wallace CM, et al. The role of formative evaluation in implementation research and the QUERI experience. J Gen Intern Med. 2006;21:S1-S8.PubMedCrossRef Stetler CB, Legro MW, Wallace CM, et al. The role of formative evaluation in implementation research and the QUERI experience. J Gen Intern Med. 2006;21:S1-S8.PubMedCrossRef
21.
Zurück zum Zitat Damschroder LJ, Hagedorn HJ. A guiding framework and approach for implementation research in substance use disorders treatment. Psychol Addict Behav. 2011;25:194-205.PubMedCrossRef Damschroder LJ, Hagedorn HJ. A guiding framework and approach for implementation research in substance use disorders treatment. Psychol Addict Behav. 2011;25:194-205.PubMedCrossRef
22.
Zurück zum Zitat Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.PubMedCrossRef Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.PubMedCrossRef
23.
Zurück zum Zitat Forman J, Damschroder LJ. Qualitative content analysis. In: Jacoby L, Siminoff L, eds. Empirical research for bioethics: a primer. Oxford, UK: Elsevier; 2008. Forman J, Damschroder LJ. Qualitative content analysis. In: Jacoby L, Siminoff L, eds. Empirical research for bioethics: a primer. Oxford, UK: Elsevier; 2008.
24.
Zurück zum Zitat Miles MB, Huberman AM. Qualitative data analysis: a sourcebook. Thousand Oaks: Sage Publications; 1994. Miles MB, Huberman AM. Qualitative data analysis: a sourcebook. Thousand Oaks: Sage Publications; 1994.
25.
Zurück zum Zitat Sandelowski M, Barroso J. Writing the proposal for a qualitative research methodology project. Qual Health Res. 2003;13:781-820.PubMedCrossRef Sandelowski M, Barroso J. Writing the proposal for a qualitative research methodology project. Qual Health Res. 2003;13:781-820.PubMedCrossRef
26.
Zurück zum Zitat Michigan Senate Bill. No 849, Sec 414b (2006). Michigan Senate Bill. No 849, Sec 414b (2006).
28.
Zurück zum Zitat Mello MM, Rosenthal MB. Wellness programs and lifestyle discrimination—the legal limits. N Engl J Med. 2008;359:192-199.PubMedCrossRef Mello MM, Rosenthal MB. Wellness programs and lifestyle discrimination—the legal limits. N Engl J Med. 2008;359:192-199.PubMedCrossRef
30.
Zurück zum Zitat Department of Justice. Americans with Disabilities Act: Title III technical assistance manual covering public accommodations and commercial facilities. Available at http://www.ada.gov/taman3.html. Accessed 14 December 2010. Department of Justice. Americans with Disabilities Act: Title III technical assistance manual covering public accommodations and commercial facilities. Available at http://​www.​ada.​gov/​taman3.​html. Accessed 14 December 2010.
33.
Zurück zum Zitat Wang YC, Coxson P, Shen YM, Goldman L, Bibbins-Domingo K. A penny-per-ounce tax on sugar-sweetened beverages would cut health and cost burdens of diabetes. Heal Aff. 2012;31:199-207.CrossRef Wang YC, Coxson P, Shen YM, Goldman L, Bibbins-Domingo K. A penny-per-ounce tax on sugar-sweetened beverages would cut health and cost burdens of diabetes. Heal Aff. 2012;31:199-207.CrossRef
34.
Zurück zum Zitat Tudor-Locke C, Hatano Y, Pangrazi RP, Kang M. Revisiting "how many steps are enough?". Med Sci Sports Exerc. 2008;40:S537-S543.PubMedCrossRef Tudor-Locke C, Hatano Y, Pangrazi RP, Kang M. Revisiting "how many steps are enough?". Med Sci Sports Exerc. 2008;40:S537-S543.PubMedCrossRef
35.
Zurück zum Zitat Charness G, Gneezy U. Incentives to exercise. Econometrica. 2009;77:909-931.CrossRef Charness G, Gneezy U. Incentives to exercise. Econometrica. 2009;77:909-931.CrossRef
36.
Zurück zum Zitat Volpp KG, Gurmankin Levy A, Asch DA, et al. A randomized controlled trial of financial incentives for smoking cessation. Cancer Epidemiol Biomarkers Prev. 2006;15:12-18.PubMedCrossRef Volpp KG, Gurmankin Levy A, Asch DA, et al. A randomized controlled trial of financial incentives for smoking cessation. Cancer Epidemiol Biomarkers Prev. 2006;15:12-18.PubMedCrossRef
37.
Zurück zum Zitat Volpp KG, Troxel AB, Pauly MV, et al. A randomized, controlled trial of financial incentives for smoking cessation. N Engl J Med. 2009;360:699-709.PubMedCrossRef Volpp KG, Troxel AB, Pauly MV, et al. A randomized, controlled trial of financial incentives for smoking cessation. N Engl J Med. 2009;360:699-709.PubMedCrossRef
38.
Zurück zum Zitat Gneezy U, Rustichini A. Pay enough or don't pay at all. Q J Econ. 2000;115:791-810.CrossRef Gneezy U, Rustichini A. Pay enough or don't pay at all. Q J Econ. 2000;115:791-810.CrossRef
40.
41.
Zurück zum Zitat Schmidt H, Gerber A, Stock S. What can we learn from German health incentive schemes? BMJ. 2009;339:b3504.PubMedCrossRef Schmidt H, Gerber A, Stock S. What can we learn from German health incentive schemes? BMJ. 2009;339:b3504.PubMedCrossRef
42.
Zurück zum Zitat Schmidt H, Voigt K, Wikler D. Carrots, sticks, and health care reform–problems with wellness incentives. N Engl J Med. 2010;362:e3.PubMedCrossRef Schmidt H, Voigt K, Wikler D. Carrots, sticks, and health care reform–problems with wellness incentives. N Engl J Med. 2010;362:e3.PubMedCrossRef
Metadaten
Titel
Implementation and evaluation of an incentivized Internet-mediated walking program for obese adults
verfasst von
Donna M Zulman, MD, MS
Laura J. Damschroder, MS, MPH
Ryan G Smith, BA
Paul J. Resnick, PhD
Ananda Sen, PhD
Erin L Krupka, PhD
Caroline R Richardson, MD
Publikationsdatum
01.12.2013
Verlag
Springer US
Erschienen in
Translational Behavioral Medicine / Ausgabe 4/2013
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-013-0211-6

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