Effects of group communication norms on daily steps in a team-based financial incentive mobile phone intervention in Shanghai, China

Abstract Background Mobile technology offers great potential for physical activity promotion, especially by facilitating online communication, however, the impact of group communication norms on intervention effectiveness remains unclear. This study aimed to evaluate the effect on daily steps of a t...

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Main Authors: Yingnan Jia, Yingcheng Xiao, Hao Chen, Klaus Gebel, Chengshu Li, Shuangyuan Sun, Qinping Yang, Siyuan Wang, Li Zhang, Jing Wang, Minna Cheng, Dantong Gu, Yan Shi, Ding Ding
Format: Article
Language:English
Published: BMC 2025-01-01
Series:International Journal of Behavioral Nutrition and Physical Activity
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Online Access:https://doi.org/10.1186/s12966-025-01707-w
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author Yingnan Jia
Yingcheng Xiao
Hao Chen
Klaus Gebel
Chengshu Li
Shuangyuan Sun
Qinping Yang
Siyuan Wang
Li Zhang
Jing Wang
Minna Cheng
Dantong Gu
Yan Shi
Ding Ding
author_facet Yingnan Jia
Yingcheng Xiao
Hao Chen
Klaus Gebel
Chengshu Li
Shuangyuan Sun
Qinping Yang
Siyuan Wang
Li Zhang
Jing Wang
Minna Cheng
Dantong Gu
Yan Shi
Ding Ding
author_sort Yingnan Jia
collection DOAJ
description Abstract Background Mobile technology offers great potential for physical activity promotion, especially by facilitating online communication, however, the impact of group communication norms on intervention effectiveness remains unclear. This study aimed to evaluate the effect on daily steps of a team-based social norms-related intervention using a mobile application. Methods The 13-week quasi-experimental study was conducted in Shanghai, China, from September to November 2019, involving 2,985 employees from 32 worksites. For the intervention group (n = 2,049), participants set a goal of 10,000 steps per day. The teams and individual members would receive points for meeting the daily goal, contributing to team-based rankings and financial rewards for the teams and their members. In addition, the intervention teams created dedicated WeChat groups to facilitate communication, which were also used to collect group chat messages. The communication type in these groups was classified into four types: (1) nudging – encouraging team members to be more active, (2) sharing – exchanging the completion of daily step goals, (3) feedback – providing responses or suggestions to team members, and (4) other -diverse topics that could not be classified otherwise. The control group only tracked their steps online. Results The weekly average steps of the intervention group increased by 2,523 steps, while the control group increased by 470 steps. In the first 3 weeks of follow-up, the frequency of nudging of 7–18 times/week had a positive cumulative effect on the step counts. Sharing more than 3 times/week had a positive cumulative effect. Over 6 and 13 weeks of follow-up, nudging 19 times/week or more had a positive cumulative effect while sharing and feedback at any frequency negatively affected average weekly steps. Conclusions Communication types within a team affected team-based step counts in a financial incentive intervention. The team-level social norms related to communications might have different cumulative effects on team-level physical activity. ‘nudging’ messages had a significant association with the change in individual-level step counts in the medium or long term. Trial registration Pilot Project of the application of walking incentive technology in occupational groups, 2019, ChiCTR1900023813. Registered 13 June 2019,  https://www.chictr.org.cn/showproj.html?proj=39858 .
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publishDate 2025-01-01
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series International Journal of Behavioral Nutrition and Physical Activity
spelling doaj-art-52d573483ce64b0c8f0c5c28e5bfe4e02025-01-19T12:39:03ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682025-01-0122111410.1186/s12966-025-01707-wEffects of group communication norms on daily steps in a team-based financial incentive mobile phone intervention in Shanghai, ChinaYingnan Jia0Yingcheng Xiao1Hao Chen2Klaus Gebel3Chengshu Li4Shuangyuan Sun5Qinping Yang6Siyuan Wang7Li Zhang8Jing Wang9Minna Cheng10Dantong Gu11Yan Shi12Ding Ding13Key Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan UniversityKey Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan UniversityKey Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan UniversitySchool of Public Health, Faculty of Health, University of Technology SydneyKey Lab of Public Health Safety of the Ministry of Education, School of Public Health, Fudan UniversityShanghai Municipal Center for Disease Control and PreventionShanghai Municipal Center for Disease Control and PreventionShanghai Municipal Center for Disease Control and PreventionPudong New Area Center for Disease Control and PreventionPudong New Area Center for Patriotic Sanitation Campaign and Health Promotion CounselShanghai Municipal Center for Disease Control and PreventionInstitute of Otolaryngology, Clinical Research Center, Eye and ENT Hospital, Fudan UniversityShanghai Municipal Center for Disease Control and PreventionPrevention Research Collaboration, Sydney School of Public Health, Faculty of Medicine and Health, The University of SydneyAbstract Background Mobile technology offers great potential for physical activity promotion, especially by facilitating online communication, however, the impact of group communication norms on intervention effectiveness remains unclear. This study aimed to evaluate the effect on daily steps of a team-based social norms-related intervention using a mobile application. Methods The 13-week quasi-experimental study was conducted in Shanghai, China, from September to November 2019, involving 2,985 employees from 32 worksites. For the intervention group (n = 2,049), participants set a goal of 10,000 steps per day. The teams and individual members would receive points for meeting the daily goal, contributing to team-based rankings and financial rewards for the teams and their members. In addition, the intervention teams created dedicated WeChat groups to facilitate communication, which were also used to collect group chat messages. The communication type in these groups was classified into four types: (1) nudging – encouraging team members to be more active, (2) sharing – exchanging the completion of daily step goals, (3) feedback – providing responses or suggestions to team members, and (4) other -diverse topics that could not be classified otherwise. The control group only tracked their steps online. Results The weekly average steps of the intervention group increased by 2,523 steps, while the control group increased by 470 steps. In the first 3 weeks of follow-up, the frequency of nudging of 7–18 times/week had a positive cumulative effect on the step counts. Sharing more than 3 times/week had a positive cumulative effect. Over 6 and 13 weeks of follow-up, nudging 19 times/week or more had a positive cumulative effect while sharing and feedback at any frequency negatively affected average weekly steps. Conclusions Communication types within a team affected team-based step counts in a financial incentive intervention. The team-level social norms related to communications might have different cumulative effects on team-level physical activity. ‘nudging’ messages had a significant association with the change in individual-level step counts in the medium or long term. Trial registration Pilot Project of the application of walking incentive technology in occupational groups, 2019, ChiCTR1900023813. Registered 13 June 2019,  https://www.chictr.org.cn/showproj.html?proj=39858 .https://doi.org/10.1186/s12966-025-01707-wPhysical activityWalkingFinancial incentiveM-healthMobile phone interventionSocial norms
spellingShingle Yingnan Jia
Yingcheng Xiao
Hao Chen
Klaus Gebel
Chengshu Li
Shuangyuan Sun
Qinping Yang
Siyuan Wang
Li Zhang
Jing Wang
Minna Cheng
Dantong Gu
Yan Shi
Ding Ding
Effects of group communication norms on daily steps in a team-based financial incentive mobile phone intervention in Shanghai, China
International Journal of Behavioral Nutrition and Physical Activity
Physical activity
Walking
Financial incentive
M-health
Mobile phone intervention
Social norms
title Effects of group communication norms on daily steps in a team-based financial incentive mobile phone intervention in Shanghai, China
title_full Effects of group communication norms on daily steps in a team-based financial incentive mobile phone intervention in Shanghai, China
title_fullStr Effects of group communication norms on daily steps in a team-based financial incentive mobile phone intervention in Shanghai, China
title_full_unstemmed Effects of group communication norms on daily steps in a team-based financial incentive mobile phone intervention in Shanghai, China
title_short Effects of group communication norms on daily steps in a team-based financial incentive mobile phone intervention in Shanghai, China
title_sort effects of group communication norms on daily steps in a team based financial incentive mobile phone intervention in shanghai china
topic Physical activity
Walking
Financial incentive
M-health
Mobile phone intervention
Social norms
url https://doi.org/10.1186/s12966-025-01707-w
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