Journal of Behavioral Medicine

, Volume 41, Issue 1, pp 74–86 | Cite as

Adaptive step goals and rewards: a longitudinal growth model of daily steps for a smartphone-based walking intervention

  • Elizabeth V. Korinek
  • Sayali S. Phatak
  • Cesar A. Martin
  • Mohammad T. Freigoun
  • Daniel E. Rivera
  • Marc A. Adams
  • Pedja Klasnja
  • Matthew P. Buman
  • Eric B. Hekler
Article

Abstract

Adaptive interventions are an emerging class of behavioral interventions that allow for individualized tailoring of intervention components over time to a person’s evolving needs. The purpose of this study was to evaluate an adaptive step goal + reward intervention, grounded in Social Cognitive Theory delivered via a smartphone application (Just Walk), using a mixed modeling approach. Participants (N = 20) were overweight (mean BMI = 33.8 ± 6.82 kg/m2), sedentary adults (90% female) interested in participating in a 14-week walking intervention. All participants received a Fitbit Zip that automatically synced with Just Walk to track daily steps. Step goals and expected points were delivered through the app every morning and were designed using a pseudo-random multisine algorithm that was a function of each participant’s median baseline steps. Self-report measures were also collected each morning and evening via daily surveys administered through the app. The linear mixed effects model showed that, on average, participants significantly increased their daily steps by 2650 (t = 8.25, p < 0.01) from baseline to intervention completion. A non-linear model with a quadratic time variable indicated an inflection point for increasing steps near the midpoint of the intervention and this effect was significant (t2 = −247, t = −5.01, p < 0.001). An adaptive step goal + rewards intervention using a smartphone app appears to be a feasible approach for increasing walking behavior in overweight adults. App satisfaction was high and participants enjoyed receiving variable goals each day. Future mHealth studies should consider the use of adaptive step goals + rewards in conjunction with other intervention components for increasing physical activity.

Keywords

Adaptive goals Walking behavior mHealth Personalized behavior change 

Notes

Acknowledgements

Funding was provided by National Science Foundation (Grant Number IIS-1449751).

Compliance with ethical standards

Conflict of interest

Elizabeth V. Korinek, Sayali S. Phatak, Cesar A. Martin, Mohammad T. Freigoun, Daniel E. Rivera, Marc A. Adams, Pedja Klasnja, Matthew P. Buman, and Eric B. Hekler declare that they have no conflicts of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Elizabeth V. Korinek
    • 1
  • Sayali S. Phatak
    • 1
  • Cesar A. Martin
    • 2
    • 3
  • Mohammad T. Freigoun
    • 2
  • Daniel E. Rivera
    • 2
  • Marc A. Adams
    • 1
  • Pedja Klasnja
    • 4
    • 5
  • Matthew P. Buman
    • 1
  • Eric B. Hekler
    • 1
  1. 1.School of Nutrition and Health PromotionArizona State UniversityPhoenixUSA
  2. 2.Control Systems Engineering Laboratory, School for Engineering of Matter, Transport, and EnergyArizona State UniversityTempeUSA
  3. 3.Facultad de In-genier´ıa en Electricidad y ComputacionEscuela Superior Politecnica del Litoral, ESPOLGuayaquilEcuador
  4. 4.Group Health Research InstituteSeattleUSA
  5. 5.University of MichiganAnn ArborUSA

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