Effects of Streak-Based Versus Tally-Based Feedback on Daily Lesson Completion During a 30-Day Digital Health Challenge (Streaks)

University of Pennsylvania

Status: Completed

Conditions: Preventive Health Care

Treatments: Behavioral: Interventions for increasing engagement with a target behavior

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT07220044

DBSR-11288

P30AG034546-16 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The study will test two interventions for increasing engagement with a target behavior, delivered via a digital web application that participants can access using their phones or computers. For example, in the streak group, users would see how many consecutive days they have completed daily lessons and will be encouraged to extend their streak. In the tally group, participants will see how many cumulative days they have completed daily lessons and will be encouraged to extend their tally.

Full description

The objective of this study is to determine whether tracking people's streak of behavior increases their engagement in that behavior. To test this, the investigators are designing a web application that participants can access daily using their phones or computers. Our previous work suggests that streaks may be useful in motivating people to be more productive. In this study, the investigators change how the investigators operationalize streaks and test streaks in a field context. Because most previous streak research is on how others perceive someone who has a streak, this work is novel because it examines how encouraging someone to achieve and keep a streak affects behavior in a field context. The study will test two interventions for increasing engagement with a target behavior, delivered via a digital web application that participants can access using their phones or computers. For example, in the streak group, users would see how many consecutive days they have completed daily lessons and will be encouraged to extend their streak. In the tally group, participants will see how many cumulative days they have completed daily lessons and will be encouraged to extend their tally. The investigators are interested in whether people complete more daily lessons when a 30-day health challenge app provides daily feedback on their consecutive lessons (each comprising two multiple-choice questions) completed (i.e., "streaks") vs. when it provides feedback on their cumulative lessons completed (i.e., "tallies").

Enrollment: 7,004 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Our target population is 18 and older adults in the United States who have a valid U.S. phone number and who are willing to make an account on our web application for use during the duration of the study.

Exclusion criteria

• Children under 18 years of age and adults without a valid U.S. phone number

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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7,004 participants in 2 patient groups

Streaks

Experimental group

Description:

In the streak group, participants would see how many consecutive days they have completed daily lessons and will be encouraged to extend their streak

Treatment:

Behavioral: Interventions for increasing engagement with a target behavior

Tally

Experimental group

Description:

In the tally group, participants will see how many cumulative days they have completed daily lessons and will be encouraged to extend their tally.

Treatment:

Behavioral: Interventions for increasing engagement with a target behavior