Implementation and evaluation of an incentivized Internet-mediated walking program for obese adults
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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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- Implementation and evaluation of an incentivized Internet-mediated walking program for obese adults
Translational Behavioral Medicine
Volume 3, Issue 4 , pp 357-369
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- Online ISSN
- Springer US
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- Author Affiliations
- 1. Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park, CA, USA
- 2. Division of General Medical Disciplines, Stanford University, Stanford, CA, USA
- 3. Health Services Research and Development Center for Clinical Management Research, Ann Arbor VA Medical Center, Ann Arbor, MI, USA
- 4. Jefferson Medical College, Philadelphia, PA, USA
- 5. School of Information, University of Michigan, Ann Arbor, MI, USA
- 6. Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
- 7. Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA