Financial incentives and wearable activity monitors to increase ambulation after cystectomy: A randomized controlled trial

Strother, Marshall; Koepsell, Kristen; Song, Lihai; Faerber, Jennifer; Bernard, J; Guzzo, Thomas J.; Tasian, Gregory E.

doi:10.1016/j.urolonc.2020.11.035

Cited by 11 publications

(13 citation statements)

References 32 publications

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“… 37 , 49 , 82 The duration of the interventions ranged from 2 weeks to 12 months. 34 studies had an intervention duration less than 12 weeks, 39 – 41 , 43 , 46 , 48 , 49 , 52 , 53 , 58 , 59 , 61 – 64 , 71 – 74 , 77 , 79 , 82 , 84 – 86 , 89 , 92 , 94 , 95 , 100 , 105 while 35 studies used interventions longer than 12 weeks. 37 , 38 , 42 , 44 , 45 , 47 , 50 , 51 , 54 – 57 , 60 , 65 , 66 , 70 , 75 , 76 , …”

Section: Resultsmentioning

confidence: 99%

“…Among the 69 studies included, there were 10 treatments. The interventions had main components included WAT (n = 19), 37 , 39 , 41 , 42 , 44 , 45 , 49 , 52 , 53 , 77 81 , 87 , 93 , 94 96 , 97 , 100 , 101 , 105 E&MH (n = 6), 65 , 80 , 86 , 90 , 91 , 93 SEP (n = 10), 38 , 40 , 47 , 50 , 55 , 60 , 61 , 75 , 82 , 98 FI (n = 5), 91 – 93 , 95 , 99 WAT + E&MH (n = 17), 39 , 41 , 42 , 48 , 51 , 53 , 54 , 56 , 62 , 63 ,…”

Section: Resultsmentioning

confidence: 99%

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Comparative effectiveness of interventions on promoting physical activity in older adults: A systematic review and network meta-analysis

Wu,

Li,

Shi

et al. 2024

DIGITAL HEALTH

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Background Despite the well-established health benefits of physical activity, a large population of older adults still maintain sedentary life style or physical inactivity. This network meta-analysis (NMA) aimed to compare the effectiveness of wearable activity tracker-based intervention (WAT), electronic and mobile health intervention (E&MH), structured exercise program intervention (SEP), financial incentive intervention (FI) on promoting physical activity and reducing sedentary time in older adults. Methods The systematic review based on PRISMA guidelines, a systematic literature search of PubMed, Web of Science, Google Scholar, EMbase, Cochrane Library, Scopus were searched from inception to December 10th 2022. The randomized controlled trials (RCT) were included. Two reviewers independently conducted study selection, data extraction, risk of bias and certainty of evidence assessment. The effect measures were standard mean differences (SMD) and 95% confidence interval (CI) in daily steps, moderate-to-vigorous physical activity (MVPA) and sedentary time. Results A total of 69 studies with 14,120 participants were included in the NMA. Among these included studies, the results of daily steps, MVPA and sedentary time was reported by 55, 25 and 15 studies, respectively. The NMA consistency model analysis suggested that the following interventions had the highest probability (surface under the cumulative ranking, SUCRA) of being the best when compared with control: FI + WAT for daily steps (SUCRA = 96.6%; SMD = 1.32, 95% CI:0.77, 1.86), WAT + E&MH + SEP for MVPA (SUCRA = 91.2%; SMD = 0.94, 95% CI: 0.36, 1.52) and WAT + E&MH + SEP for sedentary time (SUCRA = 80.3%; SMD = −0.50, 95% CI: −0.87, −0.14). The quality of the evidences of daily steps, MVPA and sedentary time was evaluated by very low, very low and low, respectively. Conclusions In this NMA, there's low quality evidence that financial incentive combined with wearable activity tracker is the most effective intervention for increasing daily steps of older adults, wearable activity tracker combined with electronic and mobile health and structured exercise program is the most effective intervention to help older adults to increase MVPA and reduce sedentary time.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Comparative effectiveness of interventions on promoting physical activity in older adults: A systematic review and network meta-analysis

Wu,

Li,

Shi

et al. 2024

DIGITAL HEALTH

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“…Although financial incentives of similar magnitude have been successfully utilized to encourage weight loss, 4 these may be inadequate in the setting of postoperative pain and a cancer diagnosis. 16 Future research could focus on determining the appropriate incentive, monetary or not, for different populations and clinical contexts. In the appropriate context, a nonmonetary, intrinsic incentive may be a more effective driver of behavioral change.…”

Section: Discussionmentioning

confidence: 99%

“…Strother et al also used present bias via financial incentives in an attempt to promote postoperative ambulation in adults who underwent a radical cystectomy. 16 Patients received $1.50 per day for meeting their daily step goal and were enrolled in a larger lottery if their efforts were consistently sustained for 1 month; unfortunately, the trial ultimately demonstrated no differences between groups.…”

Section: Discussionmentioning

confidence: 99%

Behavioral Economics in Urology: A Scoping Review

et al. 2022

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Purpose:Behavioral economics is the study of human behavior in the context of irrationality, self-control and self-interest. It has been leveraged in a variety of ways in health care, including efforts to decrease smoking, encourage weight loss and promote medication adherence. Concepts from this field can be used to help urologists better understand and improve behavior-dependent clinical outcomes. Our objective in this scoping review was to assess the current state of behavioral economics in the urological literature.Materials and Methods:We conducted a scoping review of behavioral economic research in urology by performing a broad search in MEDLINE®, Embase® and Scopus® databases from inception to August 30, 2021. Abstracts were screened, assessed for relevancy and selected for full-text review. A qualitative synthesis of selected manuscripts was then performed.Results:A total of 1,855 articles were identified. Sixty-one articles were selected for full-text review. Of those, 13 were selected for qualitative synthesis. The selected articles included reports of prospective trials (6), ongoing prospective trial methods (1), abstracts without a published manuscript (4) and commentaries (2). A variety of topics were covered: prostate cancer (5), resident education (2), hematuria (1), incontinence (1), surgical costs (1), care pathways (1), nephrolithiasis (1) and bladder cancer (1).Conclusions:There is a very limited number of articles, and even fewer trials, in urology that leverage behavioral economic concepts. Given this, and the successful application of behavioral economics in other medical disciplines, there is a need for behavioral economic informed urological interventions and well-designed trials to evaluate behavioral economics outcomes in urology.

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“…Key study characteristics for eligible articles in urologic malignancies are presented in Table 1. For the seven studies focused on urologic malignancies, three were small feasibility pilot studies, 9,11,13 and two were larger randomized trials. 10,12 One article 14 presented findings from a large prospective cohort study.…”

Section: Study Characteristics-urologic Malignanciesmentioning

confidence: 99%

Integrative review of remote patient monitoring in gynecologic and urologic surgical oncology

Pérez

Nolde

Crane

et al. 2023

Journal of Surgical Oncology

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Patients with cancer facing complex and invasive urologic and gynecologic cancer surgery often experience symptoms and rapid declines in functional capacity postoperatively. Remote patient monitoring that leverages patient‐generated health data is a potential approach to assess and promote postoperative recovery. This integrative review aims to provide an overview of the current literature and research on remote patient monitoring in gynecologic and urologic surgical oncology.

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Financial incentives and wearable activity monitors to increase ambulation after cystectomy: A randomized controlled trial

Cited by 11 publications

References 32 publications

Comparative effectiveness of interventions on promoting physical activity in older adults: A systematic review and network meta-analysis

Comparative effectiveness of interventions on promoting physical activity in older adults: A systematic review and network meta-analysis

Behavioral Economics in Urology: A Scoping Review

Integrative review of remote patient monitoring in gynecologic and urologic surgical oncology

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