Poster - IRMACS Centre - Simon Fraser University
Transcription
Poster - IRMACS Centre - Simon Fraser University
Acceptability of Financial Incentives to Increase Physical Activity among Older Adults 1,2 Stephanie A Maganja , 1Aging Meghan G 2 Donaldson , & Dawn C 1,2 Mackey and Population Health Lab, Simon Fraser University & 2Centre for Hip and Health Mobility, University of British Columbia Background Results guidelines1. 88% of Canadian seniors do not meet national physical activity Thus, new behaviour change strategies are needed. Financial incentive strategies have improved health behaviours in adults2-5. It is unknown whether such strategies are acceptable for older adults. Research Questions 11% 16% 21% 10% Financial Incentive Strategies 5% 11% 1. Which types of financial incentives strategies do older adults prefer? 2. Do older adults understand a variety of financial incentive strategies? 3. Would older adults participate in a study with financial incentives used to increase physical activity? Methods Recruited 14 community-dwelling, physically-inactive, older adults (≥ 65 yrs). Assessed 6 hypothetical financial incentive strategies for increasing physical activity based on: 1. Interest (ranking in order of preference) 2. Understanding (calculating how much they would gain or lose) 3. Willingness (to participate in a study using financial incentives) 32% 47% Fixed Payment Indexed Payment Commitment Contract Lottery Deposit Contract Escalating Rewards 47% Figure 2. Low Ranked Strategies How often strategies were ranked th th in the bottom two (5 or 6 ). Figure 1. Top Ranked Strategies How often strategies were ranked in the top two (1st or 2nd). Figure 3. All participants understood and were able to calculate the amount of money earned for each financial incentive strategy, except for Indexed Payment (12 of 14 understood). Results Table 1. Participant Characteristics Characteristic N = 14 Age, yrs 74 (5.4) Women, N(%) 10 (71.4) Greater than High School Education, N(%) 12 (85.7) BMI, kg/m2 28.1 (3.3) SPPB Score (out of 12) 400 m walk time (mm:ss) 11 (10-12)** “I believe people shouldn’t just do things for money. Do it for yourself.” “I like group exercises, I find it motivating.” - When asked what else motivates older adults Despite comments from some about the importance of intrinsic motivation, 100% of participants said they would participate in a study that used financial incentives as a form of motivation to increase physical activity. 6:19 (1:40) Functional Comorbidity Score (# out of 18) 2 (1.7) Montreal Cognitive Assessment Score (out of 30) 27 (2.2) “[I get to] earn some money for something I should be doing anyway.” “I’m aware I should be doing more.” Values are displayed as Mean (SD) unless otherwise noted. ** Median (Interquartile Range) References and Acknowledgments 1. Canadian Health Measures Survey: Directly measured physical activity of Canadians, 2012 and 2013. Statistics Canada Website.; 2. Charness G, Gneezy U. Econometrica, 2009;77(3):909-931.; 3. Mitchell MG, et al. Am J Prev Med, 2013;45(5):658-667.; 4. Volpp K, et al. JAMA, 2008;300(22):2631-2637.; 5.Volpp K, et al. N Engl J Med, 2009;360(7):699-709. Limitations & Future Research This was a pilot study with a small sample size. Future research should examine whether financial incentive strategies result in higher levels of physical activity among older adults. Conclusions The study was funded by a CIHR Randomized Controlled Trial Mentorship Program held by MG Donaldson. SA Maganja was supported by an SFU VPR USRA and the SFU LiVWELL Research Group. DC Mackey was supported by an MSFHR Scholar Award. Older adults were interested in financial incentive strategies for increasing physical activity and able to understand a variety of strategies.