PDF(Pubmed)
Abstract：
OBJECTIVE: Prior research has implied that promoting sustaining physical activity through nudges is challenging and boosting health literacy is important for the long-term establishment of behaviors. This study aimed to investigate the effects of commitment-based health application on step count and health literacy.
METHODS: A control experiment was conducted involving employees from companies located in Shizuoka Prefecture, Japan. Participants were divided into three groups: the commitment app group (utilizing a commitment-based application \"Minchalle,\" where teams of around five members were randomly assigned to declare a target step count and report daily step count with pictures), the self-commitment group (individuals declaring a target step count and endeavoring on their own), and the control group (no intervention). Changes in step count and health literacy were examined over one month.
RESULTS: A total of 109 employees from 7 companies participated. The changes in step count were an increase of 893 steps for the commitment app group, 243 steps for the self-commitment group, and 178 steps for the control group, with a significant increase in the commitment app group compared to the control group. Regarding health literacy measures, there was significant progress in four items out of five for the commitment app group compared to the control group, and significant progress in one item for the self-commitment group compared to the control group.
CONCLUSIONS: Communication within the app teams, such as commitment, sharing photos of their goal achievements and provide encouraging comments to others, functioned as social nudges, suggesting the potential for an immediate increase in step count and long-term behavioral reinforcement through improved health literacy.
METHODS: A control experiment was conducted involving employees from companies located in Shizuoka Prefecture, Japan. Participants were divided into three groups: the commitment app group (utilizing a commitment-based application \"Minchalle,\" where teams of around five members were randomly assigned to declare a target step count and report daily step count with pictures), the self-commitment group (individuals declaring a target step count and endeavoring on their own), and the control group (no intervention). Changes in step count and health literacy were examined over one month.
RESULTS: A total of 109 employees from 7 companies participated. The changes in step count were an increase of 893 steps for the commitment app group, 243 steps for the self-commitment group, and 178 steps for the control group, with a significant increase in the commitment app group compared to the control group. Regarding health literacy measures, there was significant progress in four items out of five for the commitment app group compared to the control group, and significant progress in one item for the self-commitment group compared to the control group.
CONCLUSIONS: Communication within the app teams, such as commitment, sharing photos of their goal achievements and provide encouraging comments to others, functioned as social nudges, suggesting the potential for an immediate increase in step count and long-term behavioral reinforcement through improved health literacy.
摘要：
目标：先前的研究暗示，通过轻推促进持续的身体活动具有挑战性，提高健康素养对于长期建立行为很重要。本研究旨在调查基于承诺的健康应用对步数和健康素养的影响。
方法：进行了一项对照实验，涉及来自静冈县公司的员工，日本。参与者分为三组：承诺应用程序组(利用基于承诺的应用程序“Minchalle，\“其中，大约五名成员的团队被随机分配以声明目标步数，并报告带有图片的每日步数），自我承诺组(个人宣布目标步数并自己努力)，对照组（无干预）。在一个月内检查了步数和健康素养的变化。
结果：共有来自7家公司的109名员工参加。步数的变化增加了承诺应用程序组的893步，自我承诺组的243步，和对照组的178步，与对照组相比，承诺应用组显着增加。关于健康素养措施，与对照组相比，承诺应用程序组五分之四的项目有显著进步，与对照组相比，自我承诺组的一项显着进步。
结论：应用程序团队内部的沟通，如承诺，分享他们目标成就的照片，并向他人提供令人鼓舞的评论，作为社会推动，表明通过提高健康素养立即增加步数和长期行为强化的潜力。
方法：进行了一项对照实验，涉及来自静冈县公司的员工，日本。参与者分为三组：承诺应用程序组(利用基于承诺的应用程序“Minchalle，\“其中，大约五名成员的团队被随机分配以声明目标步数，并报告带有图片的每日步数），自我承诺组(个人宣布目标步数并自己努力)，对照组（无干预）。在一个月内检查了步数和健康素养的变化。
结果：共有来自7家公司的109名员工参加。步数的变化增加了承诺应用程序组的893步，自我承诺组的243步，和对照组的178步，与对照组相比，承诺应用组显着增加。关于健康素养措施，与对照组相比，承诺应用程序组五分之四的项目有显著进步，与对照组相比，自我承诺组的一项显着进步。
结论：应用程序团队内部的沟通，如承诺，分享他们目标成就的照片，并向他人提供令人鼓舞的评论，作为社会推动，表明通过提高健康素养立即增加步数和长期行为强化的潜力。
