An Engagement Engine for Fitness Trackers

Due to the growing interest in tracking personal health and wellness information, the use of
wearable fitness trackers is becoming a necessary tool in providing the tracking data.
However, the potential benefits of the tool can be fully realized only if the adoption and
use of the tracker is sustained.

The decision to engage in physical activity (or not) is complex, and therefore, the
investigators attempt to engage people in a physical activity program will consider adopting
an individualized approach to barrier management which takes into account personal beliefs
and perceptions regarding physical activity, setting goals in addition to using an
"engagement engine" designed specifically for this study. The primary objective of the phase
2 of this study is to test an "engagement engine" that will support successful and sustained
engagement with health trackers thereby increasing physical activity.

The study will be recruiting a total of 138 participants from the general public via
Massachusetts General Hospital (MGH) research broadcast e-serve list, the study website,
flyers and study informational tables at MGH-affiliated health clinics. Participants can
enroll in the study by consenting remotely where the screening and consenting will take place
online through the study website.

After the consenting process, enrolled participants will be instructed on how to download the
FitBit smartphone application and provide the study staff authorization to collect step data
from their tracker. The enrollment process will involve completing a set of enrollment
questions related to general health, barriers to physical activity, exercise regulation,
Prochaska's stage of change, demographics and technology use via a web link on the study
website. Next a research analyst will mail a copy of the consent form, wearable activity
tracker (Fitbit Charge) and device instructions via traceable mail to the research
participants. For participants who enroll from the informational tables, the research analyst
will provide them the FitBit in person. Once confirmed that participants have received their
device, the participant will be contacted by the Partners Connected Health (PCH) study staff
to conduct a brief phone interview to determine a personalized goal that can be used for
targeted, personalized messages as needed.

Participants will be enrolled in the study for (24 weeks) and for the first week the
engagement engine will calculate the average step count and use data from the enrollment
questionnaire to recommend a physical activity goal. During the study, the engagement engine
will recommend a daily physical activity goal and will assess the user's levels of engagement
with the activity tracker. At week 12, participants will be sent a midpoint questionnaire and
at week 24 the closeout questionnaire will be sent to the participant.

The investigators do not foresee any significant risks for study participants and
participants may not directly benefit from this the study. It is hoped that data collected
from this study will allow the investigators to assess the engagement engine that could
potentially be used to help individuals remain engaged with their physical activity tracker
thereby sustaining regular physical activity.

The risk for potential inadvertent release of Protected Health Information is taken very
seriously. Investigators have taken several steps to minimize this risk as much as possible.
Data collected on paper will be stored in a locked cabinet at PCH, accessible only to
research staff. For the purposes of this study, participants will be asked to authorize the
PCH database to access and store activity data from the activity tracker server. This is done
using a secure, OAUTH procedure in which participants will be asked to enter their account
username and password. The OAUTH process does not store this information on the PCH/study
website, making this a secure and confidential method for participants to enable the PCH
study staff to have access to their activity data.

Activity data retrieved from the FitBit app will be stored on password protected server
maintained by PCH Information Systems. At the conclusion of the study participants can change
their account user settings on the study website and revoke PCH study database access to
their account and data. Participants will be instructed on this process at the close-out of
the study.

Inclusion Criteria:

- Ages 18+ years of age

- Body Mass Index (BMI) 25-40 kg/m2

- Interest in using a fitness tracker for the duration of the study (24 weeks)

- Possess a smartphone, tablet or computer with the FiBit app

- Consent to undergo a phone interview with a member of the study staff

- Ability to receive text messages on their phone

- Fluency in English

Exclusion Criteria:

- Self-reported eating disorder and/or other psychiatric disorders

- Pregnancy or plans to get pregnant within 6 months of enrollment

- Disability, dementia or neurological deficits, and other medical or surgical
conditions preventing participants from engaging in physical activity

- Serious co-morbid conditions (e.g., terminal cancers, end-stage renal disease) that
preclude safe participation in moderate levels of physical activity