CTSA UL1TR000003 from the National Center for Advancing Translational Science

Increasing physical activity to decrease post-operative morbidity

Principal Investigators: Gregory Tasian, MD and Thomas Guzzo, MD

In this application, we propose a pilot randomized, controlled trial to estimate the effect size of financial incentives on achieving a daily goal of 2000 steps in the hospital and post-discharge for 1 month following radical cystectomy. Secondary outcomes include step count, composite morbidity, and functional decline. Thirty adults with bladder cancer undergoing radical cystectomy at the Hospital of the University of Pennsylvania will be randomized to either control (education of step goal with monitoring and daily feedback) or a gain financial incentive ($1.50 for each day the goal was achieved) combined with a lottery incentive if they achieve 75% of the daily goals during the study period. We will use Fitbit Zips to measure step counts for all participants. This proposal will provide the preliminary data needed to design future, larger trials that will test the effect of financial incentives to increase ambulation on post-operative complications, readmissions, and functional decline.