trips4health: a single-blinded randomised controlled trial incentivising adult public transport use for physical activity gain
Abstract Background Public transport users tend to accumulate more physical activity than non-users; however, whether physical activity is increased by financially incentivising public transport use is unknown. The trips4health study aimed to determine the impact of an incentive-based public transpo...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12966-023-01500-7 |
| _version_ | 1797556365118406656 |
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| author | Jack. T. Evans Oliver Stanesby Leigh Blizzard Kim Jose Melanie J. Sharman Kylie Ball Stephen Greaves Andrew J. Palmer Katie Cooper Seana L. Gall Verity J. Cleland |
| author_facet | Jack. T. Evans Oliver Stanesby Leigh Blizzard Kim Jose Melanie J. Sharman Kylie Ball Stephen Greaves Andrew J. Palmer Katie Cooper Seana L. Gall Verity J. Cleland |
| author_sort | Jack. T. Evans |
| collection | DOAJ |
| description | Abstract Background Public transport users tend to accumulate more physical activity than non-users; however, whether physical activity is increased by financially incentivising public transport use is unknown. The trips4health study aimed to determine the impact of an incentive-based public transport intervention on physical activity. Methods A single-blinded randomised control trial of a 16-week incentive-based intervention involved Australian adults who were infrequent bus users (≥ 18 years; used bus ≤ 2 times/week) split equally into intervention and control groups. The intervention group were sent weekly motivational text messages and awarded smartcard bus credit when targets were met. The intervention group and control group received physical activity guidelines. Accelerometer-measured steps/day (primary outcome), self-reported transport-related physical activity (walking and cycling for transport) and total physical activity (min/week and MET-min/week) outcomes were assessed at baseline and follow-up. Results Due to the COVID pandemic, the trial was abandoned prior to target sample size achievement and completion of all assessments (N = 110). Steps/day declined in both groups, but by less in the intervention group [-557.9 steps (-7.9%) vs.-1018.3 steps/week (-13.8%)]. In the intervention group, transport-related physical activity increased [80.0 min/week (133.3%); 264.0 MET-min/week (133.3%)] while total physical activity levels saw little change [35.0 min/week (5.5%); 25.5 MET-min/week (1.0%)]. Control group transport-related physical activity decreased [-20.0 min/week (-27.6%); -41.3 MET-min/week (-17.3%)], but total physical activity increased [260.0 min/week (54.5%); 734.3 MET-min/week (37.4%)]. Conclusion This study found evidence that financial incentive-based intervention to increase public transport use is effective in increasing transport-related physical activity These results warrant future examination of physical activity incentives programs in a fully powered study with longer-term follow-up. Trial registration This trial was registered with the Australian and New Zealand Clinical Trials Registry August 14th, 2019: ACTRN12619001136190; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377914&isReview=true |
| first_indexed | 2024-03-10T17:00:44Z |
| format | Article |
| id | doaj.art-520a8741f57c4f4aa26388ec3819a4cf |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-03-10T17:00:44Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-520a8741f57c4f4aa26388ec3819a4cf2023-11-20T10:57:26ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682023-08-0120111110.1186/s12966-023-01500-7trips4health: a single-blinded randomised controlled trial incentivising adult public transport use for physical activity gainJack. T. Evans0Oliver Stanesby1Leigh Blizzard2Kim Jose3Melanie J. Sharman4Kylie Ball5Stephen Greaves6Andrew J. Palmer7Katie Cooper8Seana L. Gall9Verity J. Cleland10Menzies Institute for Medical Research, University of TasmaniaMenzies Institute for Medical Research, University of TasmaniaMenzies Institute for Medical Research, University of TasmaniaMenzies Institute for Medical Research, University of TasmaniaMenzies Institute for Medical Research, University of TasmaniaInstitute for Physical Activity and Nutrition, Deakin UniversityInstitute of Transport and Logistics Studies, University of SydneyMenzies Institute for Medical Research, University of TasmaniaMetro TasmaniaMenzies Institute for Medical Research, University of TasmaniaMenzies Institute for Medical Research, University of TasmaniaAbstract Background Public transport users tend to accumulate more physical activity than non-users; however, whether physical activity is increased by financially incentivising public transport use is unknown. The trips4health study aimed to determine the impact of an incentive-based public transport intervention on physical activity. Methods A single-blinded randomised control trial of a 16-week incentive-based intervention involved Australian adults who were infrequent bus users (≥ 18 years; used bus ≤ 2 times/week) split equally into intervention and control groups. The intervention group were sent weekly motivational text messages and awarded smartcard bus credit when targets were met. The intervention group and control group received physical activity guidelines. Accelerometer-measured steps/day (primary outcome), self-reported transport-related physical activity (walking and cycling for transport) and total physical activity (min/week and MET-min/week) outcomes were assessed at baseline and follow-up. Results Due to the COVID pandemic, the trial was abandoned prior to target sample size achievement and completion of all assessments (N = 110). Steps/day declined in both groups, but by less in the intervention group [-557.9 steps (-7.9%) vs.-1018.3 steps/week (-13.8%)]. In the intervention group, transport-related physical activity increased [80.0 min/week (133.3%); 264.0 MET-min/week (133.3%)] while total physical activity levels saw little change [35.0 min/week (5.5%); 25.5 MET-min/week (1.0%)]. Control group transport-related physical activity decreased [-20.0 min/week (-27.6%); -41.3 MET-min/week (-17.3%)], but total physical activity increased [260.0 min/week (54.5%); 734.3 MET-min/week (37.4%)]. Conclusion This study found evidence that financial incentive-based intervention to increase public transport use is effective in increasing transport-related physical activity These results warrant future examination of physical activity incentives programs in a fully powered study with longer-term follow-up. Trial registration This trial was registered with the Australian and New Zealand Clinical Trials Registry August 14th, 2019: ACTRN12619001136190; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377914&isReview=truehttps://doi.org/10.1186/s12966-023-01500-7CommutingExercisePublic healthTransportationTranslational medical researchBehaviour |
| spellingShingle | Jack. T. Evans Oliver Stanesby Leigh Blizzard Kim Jose Melanie J. Sharman Kylie Ball Stephen Greaves Andrew J. Palmer Katie Cooper Seana L. Gall Verity J. Cleland trips4health: a single-blinded randomised controlled trial incentivising adult public transport use for physical activity gain International Journal of Behavioral Nutrition and Physical Activity Commuting Exercise Public health Transportation Translational medical research Behaviour |
| title | trips4health: a single-blinded randomised controlled trial incentivising adult public transport use for physical activity gain |
| title_full | trips4health: a single-blinded randomised controlled trial incentivising adult public transport use for physical activity gain |
| title_fullStr | trips4health: a single-blinded randomised controlled trial incentivising adult public transport use for physical activity gain |
| title_full_unstemmed | trips4health: a single-blinded randomised controlled trial incentivising adult public transport use for physical activity gain |
| title_short | trips4health: a single-blinded randomised controlled trial incentivising adult public transport use for physical activity gain |
| title_sort | trips4health a single blinded randomised controlled trial incentivising adult public transport use for physical activity gain |
| topic | Commuting Exercise Public health Transportation Translational medical research Behaviour |
| url | https://doi.org/10.1186/s12966-023-01500-7 |
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