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Reinforcement Schedule for Mobile Application to Promote Physical Activity: An Investigation into the Initial Magnitude and Escalating Rate of Reinforcement

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2020, v.25 no.1, pp.33-56
https://doi.org/10.17315/kjhp.2020.25.1.003


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Abstract

While mobile applications, a type of mobile health (mHealth), have been widely used for achieving physical and mental health objectives, evidence on the effectiveness of mobile applications is limited. This study aimed to examine the effectiveness, cost-effectiveness, and durability of three reinforcement systems that are applicable to mHealth applications. For this purpose, a total of 66 college students (16 males and 50 females) were randomly assigned to the following three groups: the big initial magnitude-10% escalating rate group (Group 1), the moderate initial magnitude-25% escalating rate group (Group 2), and the small initial magnitude-100% escalating rate (Group 3). After 66 days of intervention, the results showed that participants in Group 2 had significantly increased walking behavior compared to participants in Group 1 and significantly increased total physical activity compared to participants in Group 3. In terms of cost-effectiveness, participants in Group 2 and Group 3 showed significantly increased walking behavior per provided reinforcer amount compared to participants in Group 1. In addition, durability of the effects on walking behavior in all groups was found at 66 days after the intervention, but durability of the effects on self-reported total physical activity and walking was not found. Implications and limitations are further discussed.

keywords
mHealth, application, reinforcement schedule, initial magnitude of reinforcement, escalating rate of reinforcement, walking, physical activity, mHealth, 애플리케이션, 강화계획, 강화물의 초기값, 강화물의 증가율, 걷기, 신체활동

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