Evaluation of a Population‐Wide Mobile Health Physical Activity Program in 696 907 Adults in Singapore

Jiali Yao, Nicole Lim, Jeremy Tan, Andre Matthias Müller, Rob Martinus van Dam, Cynthia Chen, C. Tan, F. Müller-Riemenschneider
{"title":"Evaluation of a Population‐Wide Mobile Health Physical Activity Program in 696 907 Adults in Singapore","authors":"Jiali Yao, Nicole Lim, Jeremy Tan, Andre Matthias Müller, Rob Martinus van Dam, Cynthia Chen, C. Tan, F. Müller-Riemenschneider","doi":"10.1161/JAHA.121.022508","DOIUrl":null,"url":null,"abstract":"Background Evidence of scaled‐up physical activity interventions is scarce. This study evaluates the uptake, engagement, and effectiveness of one such intervention program. Methods and Results The program was open to individuals aged ≥17 years in Singapore. The main intervention components comprised device‐based daily physical activity recording paired with step count goals and financial rewards. According to the different reward opportunities, we divided the evaluation period (August 2017 to June 2018) into the baseline monitoring phase, the main challenge phase, and the maintenance phase. Uptake was assessed by the number of individuals registered, and engagement by the step recording duration after registration. The effectiveness was defined as changes in mean daily step count from baseline to the main challenge phase and the maintenance phase. A total of 696 907 participants registered, including more Singapore citizens (versus noncitizens), women, and younger (aged 17–39 years) individuals. The evaluation of engagement and effectiveness included 421 388 (60.5%) participants who provided plausible characteristic information and step count data. The median duration of engagement was 74 (IQR, 14–149) days. Compared with the baseline of 7509 (SD, 3467) steps, mean daily step count increased by 1579 (95% CI, 1564–1594) steps during the main challenge phase and 934 (95% CI, 916–952) steps during the maintenance phase. Greater engagement and activity increase were found in participants who are citizens, women, aged ≥40 years, non‐obese, and using separate wearables (versus smartphones). Conclusions Mobile health physical activity interventions can successfully reach a large population and be effective in increasing physical activity, despite declining program engagement over time.","PeriodicalId":17189,"journal":{"name":"Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease","volume":"123 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"6","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1161/JAHA.121.022508","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 6

Abstract

Background Evidence of scaled‐up physical activity interventions is scarce. This study evaluates the uptake, engagement, and effectiveness of one such intervention program. Methods and Results The program was open to individuals aged ≥17 years in Singapore. The main intervention components comprised device‐based daily physical activity recording paired with step count goals and financial rewards. According to the different reward opportunities, we divided the evaluation period (August 2017 to June 2018) into the baseline monitoring phase, the main challenge phase, and the maintenance phase. Uptake was assessed by the number of individuals registered, and engagement by the step recording duration after registration. The effectiveness was defined as changes in mean daily step count from baseline to the main challenge phase and the maintenance phase. A total of 696 907 participants registered, including more Singapore citizens (versus noncitizens), women, and younger (aged 17–39 years) individuals. The evaluation of engagement and effectiveness included 421 388 (60.5%) participants who provided plausible characteristic information and step count data. The median duration of engagement was 74 (IQR, 14–149) days. Compared with the baseline of 7509 (SD, 3467) steps, mean daily step count increased by 1579 (95% CI, 1564–1594) steps during the main challenge phase and 934 (95% CI, 916–952) steps during the maintenance phase. Greater engagement and activity increase were found in participants who are citizens, women, aged ≥40 years, non‐obese, and using separate wearables (versus smartphones). Conclusions Mobile health physical activity interventions can successfully reach a large population and be effective in increasing physical activity, despite declining program engagement over time.
对新加坡696 907名成年人的全民流动健康体育活动计划的评估
背景:大规模身体活动干预的证据很少。本研究评估了一个此类干预项目的吸收、参与和有效性。方法和结果:该项目对新加坡年龄≥17岁的个体开放。主要干预组件包括基于设备的每日身体活动记录,以及步数目标和经济奖励。根据奖励机会的不同,我们将评估期(2017年8月至2018年6月)分为基线监测阶段、主要挑战阶段和维护阶段。通过注册的个人数量来评估吸收程度,通过注册后的步骤记录持续时间来评估参与程度。有效性定义为从基线到主要挑战阶段和维持阶段的平均每日步数的变化。共有696 907名参与者注册,其中包括更多的新加坡公民(与非公民相比)、女性和年轻人(17-39岁)。参与和有效性评估包括421 388名(60.5%)参与者,他们提供了可信的特征信息和步数数据。参与时间的中位数为74天(IQR, 14-149)。与基线的7509 (SD, 3467)步相比,在主要挑战阶段平均每日步数增加了1579 (95% CI, 1564-1594)步,在维持阶段增加了934 (95% CI, 916-952)步。在公民、女性、年龄≥40岁、非肥胖、使用不同的可穿戴设备(与智能手机相比)的参与者中,参与度和活动量都有所增加。结论:移动健康身体活动干预可以成功地覆盖大量人群,并有效地增加身体活动,尽管随着时间的推移,项目参与度会下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信