181584 Effect of team competitions on participation and adherence to an Internet-mediated physical activity program

Monday, October 27, 2008

Caroline R. Richardson, MD , Department of Family Medicine / Health Services Research and Development Center for Excellence, University of Michigan / Veterans Administration Medical Center, Ann Arbor, MI
Lorraine R. Buis, PhD , Department of Family Medicine / Health Services Research and Development Center for Excellence, University of Michigan / Veterans Administration Medical Center, Ann Arbor, MI
Timothy A. Poulton, BA, BS , University of Michigan Medical School, Ann Arbor, MI
Robert G. Holleman, MPH , Health Services Research and Development Center for Excellence, Veterans Administration Medical Center, Ann Arbor, MI
Ananda Sen, PhD , Department of Statistics, Center for Statistical Consultation and Research (CSCAR) / University of Michigan, Ann Arbor, MI
Paul J. Resnick, PhD , School of Information, University of Michigan, Ann Arbor, MI
David E. Goodrich, EdD , Health Services Research and Development Center for Excellence, Veterans Administration Medical Center, Ann Arbor, MI
LaVaughn M. Palma-Davis, MA , Health & Well-Being Services, University of Michigan, Ann Arbor, MI
Internet-mediated interventions aimed at increasing physical activity are becoming increasingly popular; however, little is known about their effectiveness. Active U is an eight-week automated Internet-mediated physical activity intervention that incorporates physical activity tracking, team competition, motivational emails, and goal setting to promote physical activity. Participants joined Active U as an individual or as a member of a competitive team. This study sought to determine whether or not participation on a team increased individual success with the program.

The Active U intervention recruited 7,520 graduate students, staff, and faculty members from the University of Michigan during the winter of 2007 through an intensive publicity campaign. Zero inflated Poisson regression models with two different outcomes were developed: the number of weeks that physical activity was entered into the Active U tracker and the number of weeks that physical activity goals were met.

Overall, 5,166 participants (69%) used the physical activity tracker at least once during the intervention. Individuals who joined competitive teams were more likely to use the physical activity tracker (IRR=1.27, p<.001). In addition, participants on competitive teams were less likely to never have met their weekly goals than those who did not join teams (OR=0.37, p<.001). Finally, individuals on teams with 10 to 14 members met their goals more often than participants on either smaller or larger teams (IRR=1.20, p=.012). Thus, individuals who participate in team competitions in an Internet-mediated physical activity program, particularly teams of 10 to 14 participants, have better outcomes than those participating individually.

Learning Objectives:
1) List the advantages of Internet-mediated interventions for physical activity promotion. 2) Describe the results of the Active U intervention, specifically the increase in data entry and goal attainment attributable to team participation.

Keywords: Physical Activity, Internet

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a practicing family physician and a health services researcher and assistant professor at the University of Michigan Medical School, Department of Family Medicine and a health services researcher at the Ann Arbor VA Health Services Research and Development Center of Excellence.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.