ArticlePDF Available

Abstract and Figures

Current mobility patterns over-rely on transport modes that do not benefit sustainable and healthy lifestyles. To explore the potential for active mobility, we conducted a randomized experiment aimed at increasing regular commuter cycling in cities. In designing the experiment, we teamed up with developers of the “Cyclers” smartphone app to improve the effectiveness of the app by evaluating financial and non-financial motivational features. Participants in the experiment were recruited among new users of the app, and were randomly assigned to one of four different motivational treatments (smart gamification, two variants of a financial reward, and a combination of smart gamification and a financial reward) or a control group (no specific motivation). Our analysis suggests that people can be effectively motivated to engage in more frequent commuter cycling with incentives via a smartphone app. Offering small financial rewards seems to be more effective than smart gamification. A combination of both motivational treatments—smart gamification and financial rewards—may work the same or slightly better than financial rewards alone. We demonstrate that small financial rewards embedded in smartphone apps such as “Cyclers” can be effective in nudging people to commute by bike more often.
Content may be subject to copyright.
Int. J. Environ. Res. Public Health 2020, 17, 6033; doi:10.3390/ijerph17176033 www.mdpi.com/journal/ijerph
Article
Incentivizing Commuter Cycling by Financial and
Non-Financial Rewards
Vojtěch Máca
1,
*, Milan Ščasný
1
, Iva Zvěřinová
1
, Michal Jakob
2
and Jan Hrnčíř
3
1
Environment Centre, Charles University, 162 00 Prague, Czech Republic; milan.scasny@czp.cuni.cz (M.Š.);
iva.zverinova@czp.cuni.cz (I.Z.)
2
FEE, Artificial Intelligence Center, Czech Technical University in Prague, 121 35 Prague, Czech Republic;
michal.jakob@fel.cvut.cz
3
Umotional s.r.o., 120 00 Prague, Czech Republic; jan.hrncir@umotional.com
* Correspondence: vojtech.maca@czp.cuni.cz; Tel.: +420-220-199-478
Received: 30 June 2020; Accepted: 18 August 2020; Published: 19 August 2020
Abstract: Current mobility patterns over-rely on transport modes that do not benefit sustainable
and healthy lifestyles. To explore the potential for active mobility, we conducted a randomized
experiment aimed at increasing regular commuter cycling in cities. In designing the experiment, we
teamed up with developers of the “Cyclers” smartphone app to improve the effectiveness of the
app by evaluating financial and non-financial motivational features. Participants in the experiment
were recruited among new users of the app, and were randomly assigned to one of four different
motivational treatments (smart gamification, two variants of a financial reward, and a combination
of smart gamification and a financial reward) or a control group (no specific motivation). Our
analysis suggests that people can be effectively motivated to engage in more frequent commuter
cycling with incentives via a smartphone app. Offering small financial rewards seems to be more
effective than smart gamification. A combination of both motivational treatments—smart
gamification and financial rewards—may work the same or slightly better than financial rewards
alone. We demonstrate that small financial rewards embedded in smartphone apps such as
“Cyclers” can be effective in nudging people to commute by bike more often.
Keywords: active mobility; randomized experiment; behavioral change; incentives; smartphone
app
1. Introduction
1.1. Study Context
Cycling is very popular in the Czech Republic, including in larger cities, where the experiment
conducted in this study took place. However, with the exception of several ‘flat’ cities in which
cycling accounts for up to 20% of commuter journeys in the city (the so-called ‘modal share’), bikes
are mostly used for sport or recreation. In Prague, for instance, the modal share of cycling in regular
commuting is a mere 1–2%; although households possess 2.5 bikes on average, they only possess 1.5
at their Prague place of residence. At the policy level, there is a clearly stated intention to also foster
the role of cycling for commuting. The National Cycling Strategy [1] has set the goal of increasing the
percentage of travelers using cycling as a mode of transport to 10% by 2020, and the Updated Concept
of the Development of Prague Cycling [2] aims to increase the number of cycling residents, equalizing
cycling as a regular means of transport and extending the cycling network by 200–500 km by 2020.
The development of cycling infrastructure, however, lags behind policy commitments, partly due to
other priorities, a complicated regulatory framework, and insufficient funding. Therefore, our
Int. J. Environ. Res. Public Health 2020, 17, 6033 2 of 14
research may be of value for providing evidence of motivational measures that may be effective in
increasing commuter cycling, long before a well-connected cycling infrastructure will be completed.
This study—a randomized controlled trial—examines whether smart gamification and/or
financial incentives are effective in stimulating regular commuter cycling (compared to no
incentives), which of these two incentives is more effective, and whether there is an extra benefit of
combining these incentives. In addition, this study aims to distinguish the effects per stage of
behavioral change, as proposed by contemporary theoretical models, e.g., [3]. Ultimately, our aim is
threefold: (1) To foster the app’s effectiveness in supporting behavioral change; (2) to examine the
potential effect of different interventions on different segments of users; and (3) to add to the existing
knowledge of app-based interventions aimed at increasing physical activity.
1.2. Research Rationale
The overarching rationale for this randomized experiment stems from limited (and/or
ambiguous) evidence on the effectiveness of incentives for commuter cycling (or physical activity in
general) communicated through a smartphone app in changing routine behaviors. In their review,
Stewart et al. [4] found little robust evidence of effective interventions for increasing commuter
cycling, with the reason for this being that many studies do not use appropriate control groups or
have high rates of loss to follow-up. The external validity of these studies has also been limited due
to their focus on specific groups of users. Zuckerman et al. [5] reported very similar findings on the
effectiveness of gamification for increasing physical activity (such as virtual rewards and social
comparisons), and they only found a few rigorously-evaluated studies that yielded contradictory
findings.
Interventions using biking apps are also scarce. Wunsch et al. [6] explored three persuasive
strategies (a frequent biking challenge, a virtual bike tutorial, and a bike buddy program), Wunsch
et al. [7] tested gamification incorporated in a biking campaign, and Bopp et al. [8] tested a multi-
strategy intervention using an app alongside a social marketing component and social media
campaign. It is worth mentioning that the merits of multi-component interventions are also not
entirely warranted. While a review by Baker et al. [9] found no support for the hypothesis that multi-
component community-wide interventions effectively increase physical activity, Schoeppe et al.’s
[10] review concluded that multi-component interventions appear to be more effective than a stand-
alone app, whilst noting that further research is needed.
Furthermore, the evidence on the effectiveness of app-based interventions is rather ambiguous.
A systematic review by Baker et al. [9] concluded that while numerous studies on physical activity
apps have been undertaken, there is a noticeable inconsistency in the findings, in part confounded
by serious methodological issues. Direito et al. [11], in a systematic review and meta-analysis of 21
intervention randomized control trials (RCTs) using mobile technologies to aid public health
practices (mHealth), only found a small to moderate, but statistically non-significant, effect on the
level of physical activity (PA). Milne-Ives and colleagues [12] systematically reviewed 52 RCT studies
and found no strong evidence for the effectiveness of mobile apps because few studies found
significant differences between the app and control groups. Han and Lee [13] found that the use of
mobile health applications has a positive impact on health-related behaviors and clinical health
outcomes.
Zhao et al. [14] reviewed studies on health behavioral change using mobile phone apps and
found that of 23 studies in total (all conducted in high-income countries), 17 studies reported
statistically significant effects in the direction of targeted behavioral change, while six studies
reported using behavioral change theories. Self-monitoring was the most common behavioral change
technique applied (in 12 studies). Payne et al. [15] reviewed 24 studies—primarily feasibility and pilot
studies—and called for large sample studies using mobile phone apps for a more rigorous evaluation
of efficacy and establishing evidence for best practices.
A review by Yang et al. [16] observes that contemporary physical activity apps have
implemented a limited number of behavioral change techniques (BCTs), with the most frequent being
social support, information about others’ approval, instructions on how to perform a behavior,
Int. J. Environ. Res. Public Health 2020, 17, 6033 3 of 14
feedback on behavior, goal setting, and prompts/cues. In their review of 25 studies, McDermott et al.
[17] aimed to identify BCTs associated with changes in intention and behavior, and reported
medium-to-large effects on intentions and small-to-medium effects on behavior, but failed to produce
evidence on how to facilitate behavioral change through a change in intention.
In contrast, personal financial incentives have been shown to be effective in increasing the
attainment of target levels of health-related behavioral change (although weakening over time, cf.,
[18]). Still, the incentives reviewed by Mantzari and colleagues [18] differed widely in their nature,
with direct monetary payments or quasi-monetary lottery tickets, such as gift certificates or vouchers;
in the modality of rewards, i.e., lump-sum payments, payments or deposits released per unit of
achievement; and in the certainty of rewards, i.e., lottery vs. certainty. Furthermore, there are not
many rigorous evaluations of existing fiscal incentives for commuter cycling, such as the study by de
Kruijf et al. [19] on e-cycling. This is somewhat surprising given that various incentives are provided
on a broad scale to employees, including cycling allowances in Belgium, the tax-free provision of
bikes in the Netherlands and the UK, and direct rewards for cycling to work recently introduced in
Bari, Italy.
2. Materials and Methods
2.1. Study Design
Randomized controlled trials are considered the most rigorous way of determining whether a
cause–effect relationship exists between a treatment and outcome [20]. By randomizing subjects into
groups, we eliminated potential selection bias and allowed for statistical analyses to be conducted for
comparable independent groups [21]. Our randomized experiment features two motivation
incentives: Smart social gamification and financial rewards. However, the design is more complex,
with five arms in total (labeled as T0 to T4 in Figure 1), in order to elucidate the extra benefits of a
combination of incentives and examine rewards varying in terms of the financing profile (cf. flow
diagram in Figure 1). Each participant is attributed to one of the five groups at random.
The smart social gamification of participants in treatment arms T1 and T2 consists of the app’s
built-in system of points, badges, leader-boards, and challenges, combined with personalized push
and in-app notifications.
Financial rewards are offered to participants assigned to any of the T2-T4 treatment arms. There
were two distinctive profiles of reward rates: A flat-rate and a decreasing block rate. In the flat rate
profile, participants were rewarded CZK 1 for every kilometre cycled to work/school (and capped at
CZK 500, i.e., approx. €20). In the decreasing block rate, each subsequent 100 kilometres traveled was
rewarded at a lower rate (ranging from CZK 3/km for 1 to 100 km to CZK 0.2/km for 401 to 500 km,
and the maximum reward was capped at CZK 670, approx. €26). These rewards were paid in cash
(effectively sent to participants’ accounts) after completing the final questionnaire, including
providing necessary account details.
It has been repeatedly emphasized in the literature that interventions should be based on a more
thorough understanding of the psychological processes underlying a behavioral change, i.e., viewing
it as a transition through a sequence of different discrete stages [3,22,23]. This has practical
consequences in that, instead of one single intervention designed for all people, specific intervention
packages should be matched to the needs and barriers of people in specific stages. Examples of such
models are the stage model of self-regulated behavioral change [22,24] or various modifications of
the Transtheoretical Model of Behavioural Change (TTM), such as the model of action phases [25].
Practical examples of these developments include Bopp et al. [8] combining TTM and social
cognitive theory targeting behavioral constructs of self-efficacy, self-regulation, outcome
expectations, and processes of change. Thigpen et al. [3], using the Model of Action Phases, found
that travel attitudes matter more to progression toward regular commuter cycling than travel
attributes, thus tentatively supporting the efficacy of soft policies focused on changing travel
attitudes.
Int. J. Environ. Res. Public Health 2020, 17, 6033 4 of 14
Figure 1. Flow diagram of the study.
In our study, a set of questions adapted from Thigpen et al. [3] was used to distinguish the
individual stage-of-change of each participant (Table 1).
T0: control group
(no incentives)
T1: social smart
gamification
T4: financial
reward (decreasing
rate)
T2: social smart
gamification +
financial rewards
(flat rate)
Randomization
participant randomly
assigned to 1 of 5
treatments:
T3: financial
reward (flat rate)
Introductory questionnaire:
life satisfaction + IPAQ
commuting intention
transportation patterns
biking experiences and intentions
(incl. stage-of-change questions)
Recruitment
Cyclers app download from
Google Play (new user)
Participation in the
experiment: informed
consent (n = 1101)
Experiment: 4 weeks
Final questionnaire (n = 482):
Life satisfaction, IPAQ,
travel behaviour (public transport pass, driving
licence, car accessibility),
biking experiences (skills, accidents, vandalism),
modes of transport for daily activities,
preferred improvement in respondent‘s city,
Cyclers app experience
User login
[after 4 weeks]
info on completion of the
experiment and invitation to
fill in the final questionnaire
Contact info for financial
reward payoff
Int. J. Environ. Res. Public Health 2020, 17, 6033 5 of 14
Table 1. Stages-of-change classification.
Survey Question Stage Allocation
Did you go to
work/school last
week at least once
on a bike?
Did not bike in past
week
Did not bike in
past week
Did not
bike in past
week
Biked at
least once
in past
week
Biked at least
once in past
week
Biked at least
once in past
week
What mode of
transport do you
usually use to
travel to
work/school?
Other Other Other Other Bike <any>
Have you
thought
about biking to
work/school?
No Yes Yes Not asked
Not asked Not asked
How likely are
you to go to
work/school at
least once by bike
in the next 4
weeks?
Not likely Somewhat
likely Very likely (very)
likely (very) likely Not likely
Stage of change Pre-contemplation Contemplation Preparation Action Maintenance Disappointment
Subsequently, the in-app notifications were adapted to broadly reflect the stage of change of
participants. The following types of prompts were sent (by treatment arms):
- To those who registered for the experiment, but did not record any ride within two (three) days
after the registration (T1 + T2):
o Infrequent bikers—messages promoting the benefits of regular biking, and
o frequent bikers—messages promoting the gamification features of Cyclers;
- First (third) ride recorded (T1 + T2)—congratulations for recording the first ride;
- First badge (T1 + T2)—congratulations for the first badge (after 10 rides);
- Weekly summary information (T2–T4):
o If at least one ride recorded—message detailing the amount of financial reward secured so
far and the number of days to the end of the experiment, and
o if no rides recorded—message reminding the user about the financial reward awarded per
kilometre and the number of days to the end of the experiment.
No notifications were sent to participants in the control group, and only weekly summary
information was sent to participants in T3 and T4 treatments. After 4 weeks, all participants
(including those in the control group) were invited to complete the final on-line questionnaire by an
in-app notification and e-mail.
This particular setup of the experiment was tailored to allow us to discern what incentives are
effective in which stage-of-change, i.e., to suggest when, how, and to whom such incentives can be
effectively targeted and what effects may be expected.
In the final questionnaire, we asked questions already included in the short introductory
questionnaire on the participant’s life satisfaction and level of physical activity (using a short form of
the International Physical Activity Questionnaire (IPAQ)). We asked questions about regular travel
behavior (transport modes used for specific purposes, such as commuting to work or school, for
shopping, and for leisure activities), possession of a public transport pass, possession of a driver’s
license, and car availability. We also asked respondents about their cycling experiences (skills,
accidents, and vandalism), perceived barriers to cycling, and what kind of improvement(s) for cyclists
they want implemented in their city the most. In addition, we asked about their mode of use of the
Cyclers app and the user experience of the app.
Int. J. Environ. Res. Public Health 2020, 17, 6033 6 of 14
2.2. Recruitment of Participants and Data Collection
Cyclers is a cycling smartphone application developed to promote regular biking in cities. It
focuses on facilitating and motivating self-regulated behavioral change by providing various
planning tools, feedback, rewards, and experience sharing. Its key features include a cycling route
planner (as of now with full coverage of Europe and North and South America); turn-by-turn
navigation that allows for combining biking with public transport; and route tracking that is linked
to a system of badges, challenges, and rewards andcommunity experience sharing. The routing
engine is based on state-of-the-art artificial intelligence algorithms that allow users to set preferences
for various route optimization criteria, including safety, comfort, and physical exercise. In Czechia,
the app is also linked to the country-wide Bike-to-Work campaign that targets employees and offers
several competition categories, including the number and total length of bike trips. In short, Cyclers
is an app that focuses on facilitating and motivating self-regulated behavioral change. To that end,
the users’ exposure to active mobility/physical activity and nature-contact is increased and
habitualized.
The Cyclers app was adapted to the RCT design described above, both in the app’s frontend
(screen features) and backend (database). Once the programming was completed, a thorough pre-
testing of the modified app and data transfers from the app to the final questionnaire were conducted.
Upon her/his agreement to participate, each participant was given a unique ID that subsequently
featured in a link to the final questionnaire that the participant was asked to complete. Once the
participant opened the final questionnaire, a call was sent to the Application Programming Interface
(API) of the Cyclers app using the unique ID. The response to this API call was a set of data from the
app database consisting of the user’s nickname, email, treatment group, number of rides, kilometres
traveled, and financial reward accumulated (except for T0 and T1, where no financial rewards were
offered).
Participants in the experiment were recruited from among those who downloaded the Czech
version of the Cyclers app from the Google Play store (new users), and upon their consent to
participate in the experiment, they were randomly assigned to one of the treatment arms (i.e., either
to one of the treatment groups or the control group). Initially, no specific promotion of the experiment
was planned, but due to the very low conversion rate observed (i.e., enrolment in the experiment),
an invitation to download the app and participate in a scientific project was posted to several websites
and Facebook groups. All instructions related to participation in the experiment (along with informed
consent) were contained in the app. The study received ethical approval from the Institutional
Review Board of the Charles University Environment Centre.
We estimated the optimal sample size for an experiment with five treatment arms with a
conservative assumption of a small effect (d < 0.15), but conditional on how many participants we
effectively managed to recruit in the given time frame of the study. Given the low conversion rate
(i.e., the ratio between those who downloaded the app and who subsequently enrolled in the
experiment) that we encountered in the summer/autumn of 2018 and the remaining time frame for
data collection during spring 2019, we aimed to obtain a minimum sample size (still sufficient for
disentangling an effect of size d = 0.16) of about one hundred participants per treatment arm, i.e., 500
participants in total.
2.3. Statistical Methods
Our primary goal was to determine whether any of the motivational features induce more
commuter cycling. To do so, we took the number of rides to work or school recorded by each
participant in the app during the experiment as the explained variable (i.e., outcome) and the
treatment variant as the explanatory variable. As some of the participants may have no commute
rides recorded, while others will have more than 20 rides, a model for count data allowing for over-
dispersion should be used in such an analysis. Therefore, we opted for the negative binomial
regression model as our initial model.
The basic model equation may be described as
Int. J. Environ. Res. Public Health 2020, 17, 6033 7 of 14
 =  + 
( = )+ 
( =  +
)+ 
( = )+ 
( = )
, (1)
where the outcome (i.e., the number of rides recorded by a participant) is predicted with a linear
combination of variants of treatment: sGam is T1 (smart gamification), sGam + flRate is T2 (smart
gamification with a flat rate financial reward), fRate is T3 (flat rate financial reward), and dRate is T4
(decreasing block rate financial reward). Taking the control group (T0) as a reference, we estimated
one coefficient for each treatment (b’s in the formula). The effects of treatments in the model are
additive to the reference, so if any of the coefficients are statistically significant, it captures the effect
of this particular motivational feature (or their combination).
To take into account that a certain number of participants did not record any ride in the
experiment, we further used a regression structure that considered participants with zero rides
through a different generation process compared to positive counts (rides). In our case, the zero-
inflated negative binomial regression model simultaneously ran two equations: A binary equation to
model the zeros in the outcome variable and a count data estimation to model the positive count of
rides.
3. Results
3.1. Study Characteristics
Table 2 summarizes the descriptive characteristics of the participants in the experiment. Overall,
there is a marked overrepresentation of male participants (63%), with a high education (38%) and
employed (69%), but this clearly reflects that urban cycling is more frequent among males and that
we targeted people who commute by bike to work or school. On average, our participants were about
38 years old and lived in a household comprising three members, with one being a child under the
age of 18.
Table 2. Descriptive statistics of study participants (n = 482).
Indicator Mean (SD) or Pct.
Age 37.7 (9.4)
Gender
- Female 37%
-
Male
63%
Education level
- Low 26.8%
- Middle 35.3%
-
High
37.8%
Household size 3.1 (1.2)
Children in household 0.9 (1.0)
Economic activity
-
Employed
69%
- Self-employed 4%
- Student 5.5%
- Other/not disclosed 21.5%
Participation in Bike-to-Work
35.7%
Figure 2 depicts the allocation of participants to respective stage-of-change classes. Since one
fifth of our sample (n = 99) did not record any ride, we report stage allocation separately for those
who did not record any ride (“no rides”), those who recorded at least one ride (“any ride”), and all
participants together (“all”).
Int. J. Environ. Res. Public Health 2020, 17, 6033 8 of 14
Figure 2. Classification of participants according to the stage-of-change. “noSoC” denotes participants
who provided insufficient information for stage-of-change allocation.
3.2. Effectiveness of Incentives
Figure 3 provides summary statistics on the number of rides to work or school recorded during
the experiment, total kilometres cycled, and rewards earned per treatment variant. In T1 (smart
gamification treatment), the mean and median number of rides recorded was 11.2 and 3.5; in T2
(smart gamification with a financial reward), 20.7 and 16; in T3 (flat rate financial reward), 19 and
17.5; and in T4 (decreasing block rate reward), 14.1 and 11. In the control group (T0), the mean number
of rides was 11.2 (and the median was 5). The total sum of kilometres cycled to and from work or
school during the experiment was the highest in T2 (mean 244 km, median 168 km) and T3 (mean 210
km, median 134 km), and the lowest in the control group (mean 127 km, median 25) and T1 (mean
88.7 km, median 31 km). The reward earned per participant (relevant in T2, T3, and T4) was the
highest in T4 (mean CZK 285, median CZK 279), followed by T2 (mean CZK 197, median CZK 165),
and comparatively the lowest in T3 (mean CZK 169, median CZK 134).
Figure 3. Summary statistics on the number of rides, total length of rides in kilometres, and total
financial rewards in CZK per participant. Note: sGam is T1 (smart gamification), sGam + flRate is T2
(smart gamification with a flat rate financial reward), fRate is T3 (flat rate financial reward), and dRate
is T4 (decreasing block rate financial reward).
To further analyse the effect of treatments, we estimated the negative binomial regression model
described earlier. Figure 4 shows the estimated coefficients, along with their 95% confidence
intervals, in order to document the effect of treatment vis-à-vis the control group (dashed line at 1).
The most effective incentivization is obtained in the treatment with combined smart gamification and
flat rate rewards (T2), which has almost doubled the number of commuter cycle rides. The provision
of flat rate rewards (T3) is predicted to increase the number of rides by two thirds. The provision of
decreasing block rate rewards (T4) leads to a small increase in the number of rides, but the effect is
not statistically significant (for a commonly used 5% level of significance). Finally, smart gamification
treatment (T1) is predicted to slightly reduce the number of rides compared to no treatment, but
again, this effect is not statistically significant.
Int. J. Environ. Res. Public Health 2020, 17, 6033 9 of 14
Figure 4. Predicted probabilities of the frequency of rides (vs. control group T0).
Due to the substantial number of participants with zero rides, we further estimated a zero-
inflated negative binomial regression model (cf. Table 3), in which we also controlled for participation
in the Bike-to-Work campaign (Bike2Work).
Table 3. Zero-inflated negative binomial regression model for rides to work/school recorded in the
experiment (dependent variable: number of rides to work or school recorded in the app during the
experiment).
Variable Estimate Std. Error z-Value
Count model (rides > 0)
Constant 2.305*** 0.389 5.933
SoC: contemplation −0.509 0.432 −1.178
SoC: preparation −0.453 0.411 −1.104
SoC: action 0.201 0.424 0.475
SoC: maintenance 0.385 0.388 0.993
SoC: disappointment 0.268 0.526 0.510
SoC: missing
−0.116
0.413
−0.282
treatment: sGam
−0.048
0.145
−0.333
treatment: sGam + fRate 0.339* 0.141 2.403
treatment: fRate
0.253*
0.124
2.033
treatment: dRate 0.049 0.130 0.379
SoC: precontemplation × Bike2Work 0.295 0.612 0.482
SoC: contemplation × Bike2Work 1.416*** 0.344 4.114
SoC: preparation × Bike2Work 1.149*** 0.207 5.547
SoC: action × Bike2Work
0.328
0.287
1.145
SoC: maintenance × Bike2Work 0.414*** 0.118 3.507
SoC: disappointment × Bike2Work
0.431
0.680
0.635
SoC: unidentified × Bike2Work 0.882*** 0.257 3.426
Log(θ) 0.512*** 0.089 5.746
Zero-inflation model (rides = 0)
Constant
1.215.
0.693
1.754
SoC: contemplation −1.086 0.795 −1.366
SoC: preparation −1.653* 0.807 −2.049
SoC: action −2.303* 0.904 −2.546
SoC: maintenance −1.918** 0.709 −2.707
SoC: disappointment
−1.523
1.140
−1.337
SoC: unidentified −0.694 0.746 −0.93
treatment: sGam 0.360 0.367 0.979
treatment: sGam + fRate −1.770** 0.618 −2.863
treatment: fRate −1.382** 0.457 −3.021
treatment: dRate
−1.674***
0.481
−3.481
Bike2Work −3.473*** 0.811 −4.282
Notes: SoC—Stage-of-Change. Signif. codes: ***, <0.001; **, <0.01; *, <0.05; and “.”, <0.1.
Int. J. Environ. Res. Public Health 2020, 17, 6033 10 of 14
This model fits the data better than a simple negative binomial model
2
test p < 0.001), reflecting
a substantial proportion of participants with zero recorded rides. In addition, the logarithm of θ (an
inverse of alpha) is significant, confirming the overdispersion. The inflated coefficients that are
significant suggest that those respondents who were participating in Bike-to-Work were much more
likely to record a nonzero number of rides to school or work in the Cyclers app during the experiment
(which is a rather trivial but assuring observation), while those who were attributed to preparation,
action, and maintenance stages of change were more likely to record some rides, as well as those who
were allocated to any of the three experimental treatments with financial rewards (flat rate, flat rate
with smart gamification, and decreasing block rate).
In the negative binomial regression part, the model suggests that both experimental treatments
with flat rate rewards (i.e., flat rate and flat rate with smart gamification) statistically significantly
increase the number of recorded rides. The interaction terms of stage-of-change with engagement in
Bike-to-Work are significant and positive for four classes of stage-of-change: Contemplation,
preparation, maintenance, and unidentified. This is in line with our expectation that the participants
in Bike-to-Work are either occasional or regular commuter cyclists. We would expect the same to be
true for participants attributed to the action stage, where the coefficient is also positive, but not
significant, perhaps due to the small number of those attributed to this stage.
3.3. Enablers of and Barriers to Commuter Cycling
In the final survey, we explored what “enablers” may alleviate the pursuit of more frequent
commuter cycling. Our respondents (as shown in Figure 5) indicated that the provision of facilities
such as showers and dressing rooms at work, better cycling infrastructure, and financial incentives
for the purchase of new bikes would increase their likelihood to engage in frequent commuter
cycling.
Figure 5. Perceived enablers of more frequent commuter cycling.
Among the various barriers, the respondents were particularly concerned with exposure to bad
weather (64% deemed it likely or very likely); the need to accomplish more tasks during the day (36%
deemed it likely or very likely); a need to carry along more belongings (27% deemed it likely or very
likely); and to a somewhat lesser degree, the risk of being involved in a traffic accident (15% deemed
it likely or very likely).
4. Discussion
This study fits into a growing stream of mHealth research aimed at influencing physical activity
and sedentary behavior. Daily commuting to work (or school) is a prominent candidate for such an
intervention, which may not only improve one’s health, but also has a potential to improve the
liveability of cities by reducing car use and ownership.
Using a randomized experimental design, we compared the effects of the provision of monetary
and non-monetary incentives on the frequency of commuter cycling. The strength of our study stems
Int. J. Environ. Res. Public Health 2020, 17, 6033 11 of 14
from its rigorous approach of a randomized experimental design and use of convenient and, to a
large extent, unobtrusive, data collection through a smartphone app, without any need for a face-to-
face encounter between researchers and study participants.
In this respect, we demonstrate that a smartphone app can be used as a means of intervention,
despite the fact that we observed similar difficulties to previous studies, such as a rather low rate of
participants’ enrollment and substantial drop out of participants from the study, e.g., [8,26,27].
The key finding of this study is that small monetary rewards for each kilometre cycled to work
(or school) can effectively motivate one to significantly increase the frequency of cycling. While this
finding may be warmly welcomed in Bari and other cities pondering the incentivization of cycling
by monetary rewards, the limited scope and duration of the experiment prevent the inference of any
long-term effect or persistence of an effect after incentive cessation. Nevertheless, a similar study
aimed at switching car commuting to e-bikes in the Netherlands using monetary incentives found
not only a significant positive effect after one month, but also a further increase in cycling after six
months [19]. Our results also provide a useful insight into a rewards structure in that a reward with
a relatively modest flat rate outperforms a decreasing block rate that starts several times higher.
We found a modest increase in the ride frequency among participants in the treatment group
with both financial and nonfinancial incentives compared to the treatment group with only a financial
incentive. Even though the combination of financial and non-financial incentives may not be
considered a real multi-component intervention, it is a finding that is rather supportive of the
observation in Schoeppe et al. that multicomponent interventions appear more effective [10]. This is
also evident from the unintentional concurrence with the Bike-to-Work campaign in May 2019 that
increased the number of rides even more than our experimental incentives (but also in a short time-
span). All of this, in conjunction with the importance of various enablers of and barriers to more
frequent cycling reported by our respondents, clearly shows that the effective promotion of
commuter cycling is a multifaceted endeavor that requires an integrated package of many different
complementary interventions [28].
In contrast to financial incentives, we found no effect of smart gamification on the frequency of
commuter cycling. This seems to corroborate findings from a similar gamification study [5] that
warns against the simple assumption that gamification is always an effective approach for promoting
opportunistic physical activity. As gamification often encompasses different elements (points,
badges, leader-boards, and challenges in our case), it may be worthwhile to evaluate each of these
elements separately.
Although the arbitrariness of stage-of-change boundaries has been widely discussed [29], the
allocation of participants to slightly adapted stages proves useful in explaining active participation
in the experiment (i.e., non-zero number of rides) and also in disentangling the contributing effect of
the Bike-to-Work campaign, only pronounced in occasional and regular cyclers and not among those
in pre-contemplation and disappointment stages. This clearly points to a need for interventions and
incentives tailored for respective groups that will enable them to move further along the stage-of-
change path.
Nevertheless, the limitations of the study are clear. First and foremost, it suffers from a limited
scope and short duration, and therefore, the observed effect on commuting behavior is only a short-
term effect. Acknowledging the limited sample size and its non-representativeness, the findings are
rather tentative, and with a larger sample, it would definitely benefit from more elaborate analyses,
e.g., controlling for various sociodemographic, socio-economic, and other contextual factors that have
been shown to influence commuting behavior, such as gender, age, family and occupational status,
bike availability, biking skills, and perceived safety [30–32]. Both of these limitations point to a
challenge for future research: These studies should examine potential long-term effects, the
persistence of an effect after incentive cessation, and additional means to habitualize induced
behavioral change.
Int. J. Environ. Res. Public Health 2020, 17, 6033 12 of 14
5. Conclusions
Smartphone-based interventions in the public health domain are still a rather novel approach
and their potential has not been fully developed. While we have demonstrated that these
interventions can be used with relatively limited resources for a short period of time, it is crucial to
explore long-term consequences of such efforts. Many daily tasks, commuting included, are
habitualized and short-term interventions may not break these routines. In addition, it would be
beneficial to compare alternative modes of intervention delivery (e.g., via social networks or regular
phone calls).
Thanks to the ubiquity of smartphones and people’s attachment to them, particularly among the
younger population, it is rather easy to transfer and scale-up such an app-based intervention to
different cities and/or countries. There is, however, a ‘mode-of-delivery’ question to consider, i.e.,
how this can be done most effectively. One way is to use dedicated niche apps (such as Cyclers) and
to motivate the broader public to install and use them; another is to embed motivational features into
apps already used by a large part of the population (such as Google Maps or Facebook).
In terms of possible transferability hurdles, bicycle availability and the ability to cycle might be
obstacles, perhaps more so among people with a lower socioeconomic status. One option here is to
build upon the growing availability of shared bikes, and to combine rewards with some form of bike-
sharing programme subscription (or include a bike-sharing option in a public transport pass).
Ultimately, a crucial question for policymakers to resolve relates to what the role of smart ‘pull’
incentives (such as financial incentives for commuter cycling) should be in the entire policy mix
aimed at redesigning our urban transport systems into healthy, carbon-free, and affordable ones.
Placing the promotion of cycling at the top of this agenda has been demonstrated to pay off not only
in terms of improved public health, urban environments, and sustainable mobility, but also in terms
of green jobs [33].
Author Contributions: Conceptualization, V.M., M.Š., I.Z. and M.J.; methodology, V.M., M.Š. and I.Z.; software,
J.H. and M.J.; formal analysis, V.M.; investigation, V.M. and J.H.; resources, V.M. and J.H.; writing—original
draft preparation, V.M.; writing—review and editing, V.M., M.Š., I.Z., M.J. and J.H.; visualization, V.M.;
supervision, M.Š. and M.J.; funding acquisition, M.Š. All authors have read and agreed to the published version
of the manuscript.
Funding: This case study was conducted as part of the INHERIT project (www.inherit.eu) funded by the
European Union’s Horizon 2020 research and innovation programme under grant agreement No. 667364. Data
analysis was supported by the FE3M project funded by the EXPRO programme of the Grant Agency of the Czech
Republic under grant agreement No. 19-26812X.
Acknowledgments: The authors would like to thank Jan Nykl and Pavol Žilecký from Umotional Ltd. for their
collaboration on data collection, Ruth Bell from the Institute of Health Equity at University College London for
helpful comments on the study design and earlier manuscript draft, Martin Kryl for programming the final
questionnaire, and accountants at the Rectorate of Charles University for processing the payments of financial
rewards.
Conflicts of Interest: The authors declare no conflicts of interest. The funders had no role in the design of the
study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to
publish the results.
References
1. MoT. The National Cycling Development Strategy of the Czech Republic for 2013–2020 (Národní strategie rozvoje
cyklistické dopravy České republiky pro léta 2013 až 2020); Ministry of Transport: Prague, Czech Republic, 2013.
2. Prague Municipality. Update of the Concept of Development of Cycling and Recreational Cycling in Prague
(Aktualizace Koncepce Rozvoje Cyklistické Dopravy a Rekreační Cyklistiky v hl. m. Praze do Roku 2020); Prague
Municipality: Prague, Czech Republic, 2014.
3. Thigpen, C.G.; Driller, B.K.; Handy, S.L. Using a stages of change approach to explore opportunities for
increasing bicycle commuting. Transp. Res. Part. D Transp. Environ. 2015, 39, 44–55,
doi:10.1016/j.trd.2015.05.005.
Int. J. Environ. Res. Public Health 2020, 17, 6033 13 of 14
4. Stewart, G.; Anokye, N.K.; Pokhrel, S. What interventions increase commuter cycling? A systematic review.
BMJ Open 2015, 5, e007945, doi:10.1136/bmjopen-2015-007945.
5. Zuckerman, O.; Gal-Oz, A. Deconstructing gamification: Evaluating the effectiveness of continuous
measurement, virtual rewards, and social comparison for promoting physical activity. Pers. Ubiquitous
Comput. 2014, 18, 1705–1719, doi:10.1007/s00779-014-0783-2.
6. Wunsch, M.; Stibe, A.; Millonig, A.; Seer, S. What makes you bike? Exploring persuasive strategies to encourage
low-energy mobility. In Proceedings of the Persuasive 2015: Persuasive Technology, Chicago, IL, USA, 3–5 June
2015; MacTavish, T., Basapur, S., Eds.; Springer International Publishing: Cham, Switzerland, 2015; Volume 9072,
pp. 53–64.
7. Wunsch, M.; Stibe, A.; Millonig, A.; Seer, S.; Chin, R.C.C.; Schechtner, K. Gamification and social dynamics:
Insights from a corporate cycling campaign. In Proceedings of the DAPI 2016, Toronto, ON, Canada, 17–22
July 2016; Streitz, N., Markopoulos, P., Eds.; Springer International Publishing: Cham, Switzerland, 2016;
Volume 9749, pp. 494–503.
8. Bopp, M.; Sims, D.; Matthews, S.A.; Rovniak, L.S.; Poole, E.; Colgan, J. Development, implementation, and
evaluation of active lions: A campaign to promote active travel to a university campus. Am. J. Health Promot.
2018, 32, 536–545, doi:10.1177/0890117117694287.
9. Baker, P.R.; Francis, D.P.; Soares, J.; Weightman, A.L.; Foster, C. Community wide interventions for
increasing physical activity. In Cochrane Database of Systematic Reviews; Baker, P.R., Ed.; John Wiley & Sons,
Ltd: Chichester, UK, 2015.
10. Schoeppe, S.; Alley, S.; Van Lippevelde, W.; Bray, N.A.; Williams, S.L.; Duncan, M.J.; Vandelanotte, C.
Efficacy of interventions that use apps to improve diet, physical activity and sedentary behaviour: A
systematic review. Int. J. Behav. Nutr. Phys. Act. 2016, 13, 127, doi:10.1186/s12966-016-0454-y.
11. Direito, A.; Carraça, E.; Rawstorn, J.; Whittaker, R.; Maddison, R. mHealth technologies to influence
physical activity and sedentary behaviors: Behavior change techniques, systematic review and meta-
analysis of randomized controlled trials. Ann. Behav. Med. 2016, 1–14, doi:10.1007/s12160-016-9846-0.
12. Milne-Ives, M.; LamMEng, C.; De Cock, C.; van Velthoven, M.H.; Ma, E.M.; Lam, C.; De Cock, C.; van
Velthoven, M.H.; Meinert, E. Mobile apps for health behavior change in physical activity, diet, drug and
alcohol use, and mental health: Systematic review. JMIR mHealth uHealth 2020, 8, e17046, doi:10.2196/17046.
13. Han, M.; Lee, E. Effectiveness of mobile health application use to improve health behavior changes: A
systematic review of randomized controlled trials. Healthc. Inform. Res. 2018, 24, 207,
doi:10.4258/hir.2018.24.3.207.
14. Zhao, J.; Freeman, B.; Li, M. Can mobile phone apps influence people’s health behavior change? An
evidence review. J. Med. Internet Res. 2016, 18, e287, doi:10.2196/jmir.5692.
15. Payne, H.E.; Lister, C.; West, J.H.; Bernhardt, J.M. Behavioral functionality of mobile apps in health
interventions: A systematic review of the literature. JMIR mHealth uHealth 2015, 3, e20,
doi:10.2196/mhealth.3335.
16. Yang, C.-H.; Maher, J.P.; Conroy, D.E. Implementation of behavior change techniques in mobile
applications for physical activity. Am. J. Prev. Med. 2015, 48, 452–455, doi:10.1016/j.amepre.2014.10.010.
17. McDermott, M.S.; Oliver, M.; Iverson, D.; Sharma, R. Effective techniques for changing physical activity
and healthy eating intentions and behaviour: A systematic review and meta-analysis. Br. J. Health Psychol.
2016, 21, 827–841, doi:10.1111/bjhp.12199.
18. Mantzari, E.; Vogt, F.; Shemilt, I.; Wei, Y.; Higgins, J.P.T.; Marteau, T.M. Personal financial incentives for
changing habitual health-related behaviors: A systematic review and meta-analysis. Prev. Med. 2015, 75,
75–85, doi:10.1016/j.ypmed.2015.03.001.
19. De Kruijf, J.; Ettema, D.; Kamphuis, C.B.M.; Dijst, M. Evaluation of an incentive program to stimulate the
shift from car commuting to e-cycling in the Netherlands. J. Transp. Health 2018, 10, 74–83,
doi:10.1016/J.JTH.2018.06.003.
20. Sibbald, B.; Roland, M. Understanding controlled trials: Why are randomised controlled trials important?
BMJ 1998, 316, 201, doi:10.1136/bmj.316.7126.201.
21. Tai, S.S.; Iliffe, S. Considerations for the design and analysis of experimental studies in physical activity
and exercise promotion: Advantages of the randomised controlled trial. Br. J. Sports Med. 2000, 34, 220–224,
doi:10.1136/BJSM.34.3.220.
22. Bamberg, S. Understanding and promoting bicycle use—Insights from psychological research. In Cycling
and Sustainability; Springer: Dordrecht, The Netherlands, 2012; pp. 219–246, ISBN 978-1-78052-298-2.
Int. J. Environ. Res. Public Health 2020, 17, 6033 14 of 14
23. Gatersleben, B.; Appleton, K.M. Contemplating cycling to work: Attitudes and perceptions in different
stages of change. Transp. Res. Part. A Policy Pract. 2007, 41, 302–312, doi:10.1016/j.tra.2006.09.002.
24. Bamberg, S. Changing environmentally harmful behaviors: A stage model of self-regulated behavioral
change. J. Environ. Psychol. 2013, 34, 151–159, doi:10.1016/j.jenvp.2013.01.002.
25. Gollwitzer, P.M. Implementation intentions: Strong effects of simple plans. Am. Psychol. 1999, 54, 493–503,
doi:10.1037/0003-066X.54.7.493.
26. Fyhri, A.; Fearnley, N. Effects of e-bikes on bicycle use and mode share. Transp. Res. Part D Transp. Environ.
2015, 36, 45–52.
27. Ooms, L.; Veenhof, C.; de Bakker, D.H. The Start2Bike program is effective in increasing health-enhancing
physical activity: A controlled study. BMC Public Health 2017, 17, 606.
28. Pucher, J.; Dill, J.; Handy, S. Infrastructure, programs, and policies to increase bicycling: An international
review. Prev. Med. 2010, 50, S106–S125.
29. Brug, J.; Conner, M.; Harré, N.; Kremers, S.; McKellar, S.; Whitelaw, S. The transtheoretical model and
stages of change: A critique: observations by five commentators on the paper by Adams, J. and White, M.
(2004) Why don’t stage-based activity promotion interventions work? Health Educ. Res. 2004, 20, 244–258.
30. Biehl, A.; Ermagun, A.; Stathopoulos, A. Utilizing multi-stage behavior change theory to model the process
of bike share adoption. Transp. Policy 2019, 77, 30–45.
31. Handy, S.; van Wee, B.; Kroesen, M. Promoting cycling for transport: Research needs and challenges.
Transp. Rev. 2014, 34, 4–24.
32. Dill, J.; McNeil, N. Four types of cyclists? Transp. Res. Rec. J. Transp. Res. Board 2013, 2387, 129–138.
33. Scotini, R.; Skinner, I.; Racioppi, F.; Fusé, V.; Bertucci, J.; Tsutsumi, R. Supporting active mobility and green
jobs through the promotion of cycling. Int. J. Environ. Res. Public Health 2017, 14, 1603,
doi:10.3390/ijerph14121603.
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access
article distributed under the terms and conditions of the Creative Commons Attribution
(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
... Unless behavioral change, technology, and changes in the built environment can decouple transport emissions from economic activity and population growth, emissions in the transport sector will keep growing (Creutzig et al., 2014). Monetary incentives have been shown to reduce externalities associated with mobility (Hintermann et al., 2024;Tarduno, 2021;Kreindler, 2023) and to promote biking (Máca et al., 2020;Ciccone et al., 2021) as well as public transport use (Gravert and Olsson Collentine, 2021). Standard behavioral interventions like information provision, however, seem to be largely ineffective in this domain (Kristal and Whillans, 2020;Rosenfield et al., 2020;Hintermann et al., 2024). ...
Article
Full-text available
Mobile applications hold promise to foster sustainable mobility behavior, but evaluations of their effectiveness are subject to a number of empirical challenges. We conduct a randomized controlled trial with three distinctive features: unobtrusive tracking of the control group, limited sample attrition, and a representative sample. In our study, 410 participants track their mobility behavior over a 5 week period. After 1 week, the treatment group engages with the user interface of the “Swiss Climate Challenge App”. The user interface combines information on individual CO2\hbox {CO}_2 CO 2 emissions with gamification features. We find a treatment effect that implies a 9.8%9.8\% 9.8 % reduction in emissions caused by access to the mobile application. While we lack the statistical power to exclude a zero average effect, we find statistically significant emission reductions in the second half of the intervention period, among subjects in medium population density areas, and among men. Our findings suggest that mobile applications could generate considerable net benefits, but larger studies will be needed for validation.
... The two sub-themes encompassed in the study are as follows: (i) financial and non-financial sub-theme; and (ii) professional training sub-theme. This study contributed to the existing literature on reward systems by corroborating or augmenting the findings of previous studies (Budhathoki, 2020;Máca et al., 2020). The study lists numerous incentive system identification approaches. ...
Chapter
The current study examines employees’ perspectives on reward systems in a governmental organisation called Ghana Revenue Authority (GRA). The analysis draws on the findings collected an ethnographic study, which included interviews, observation and document reviews. Results showed that income is mostly seen as a motivator, not a reward, and that participants prefer individual wage systems over group-based salary payments. The study suggests that individual wage systems are more effective in alleviating negative emotions, such as envy and backbiting. The study identified themes that add to the understanding of reward systems, including their influence on employee conduct, their impact on employer-employee relationships, as well as financial and non-financial benefits.
... This is proven by the t-test results; the tcount is 4.799, and the t- This proves that the higher financial rewards obtained when working in banking can increase the interest of Sharia banking students in pursuing a career in the banking sector. The banking world has prepared various forms of financial rewards that will be offered to its employees, such as salaries and allowances, which are quite attractive (Máca et al., 2020). ...
Article
Full-text available
The large number of graduates of the Sharia Banking Study Program who need to be more absorbed in the world of work according to their field of expertise is the core problem in this research. This research intends to analyze in depth the factors that influence students’ interest in pursuing a career in Sharia banking, a study on students of the Sharia Banking Study Program at UIN K.H. Abdurrahman Wahid Pekalongan. The method used in this research is a quantitative approach with an associative type. This research was conducted in the Sharia Banking Department, Faculty of Islamic Economics and Business, UIN K.H. Abdurrahman Wahid Pekalongan. This research will take place in 2023. The population of this research is active students of the Sharia Banking Department, UIN K.H. Abdurrahman Wahid, class of 2018-2020, with a total of 408 students. Sampling used a purposive sampling technique. The sample criteria selected were active students from Class 2018-2020, Department of Sharia Banking, UIN K.H. Abdurrahman Wahid Pekalongan, who have carried out Field Experience Practices at Sharia Financial Institutions totaling 80 students. The data collection technique uses a questionnaire. Data analysis methods use instrument tests (validity tests and reliability tests), classical assumption tests (data normality tests and multicollinearity tests), heteroscedasticity tests, multiple linear regression tests, and hypothesis tests (t-test (partial); f test (simultaneous); and determinant coefficient test (R2)). This research concludes that partial self-efficacy, financial appreciation, and social values positively and significantly affect students’ interest in pursuing a career in Sharia banking. Job market considerations partially do not have a positive and significant effect on students’ interest in pursuing a career in sharia banking. Based on the results of the F test, it is stated that the variables of self-efficacy, financial rewards, and job market considerations simultaneously have a positive and significant effect on students’ interest in pursuing a career in Sharia banking.
Article
Aim Gamification may be an effective tool in motivating sustained behaviour change. This study aimed to explore perspectives of Australian‐based healthcare professionals, including dietitians, towards gamification in their practice when assisting patients/clients to achieve health‐related goals. Methods Semi‐structured online interviews were conducted with healthcare professionals. Data was audio‐recorded, transcribed verbatim, de‐identified and thematically analysed to identify key themes and inform the creation of personas. Results Six dietitians, two psychologists, two exercise physiologists, one medical specialist, with 1–24 years of work experience, participated. Most participants ( n = 7, 64%) were unable to articulate a definition of gamification, however, when offered more context, they could identify examples. Overall, participants were positive towards gamification, regardless of prior experience/exposure. Three themes emerged; (1) Variable familiarity with gamification , (2) Context matters , (3) Barriers hinder engagement/adoption . Stage of career rather than profession influenced participants' views of gamification, as reflected in three characterising personas; ‘Joel: Early‐Career, Progressive’, ‘Bella: Mid‐Career, Stable’ and ‘Sam: Advanced‐Career, Expert’. Conclusions Findings suggest that gamification is not widely used in health practice in Australia. Concerns about participation costs and data privacy are adoption barriers. Promotion of the effectiveness of gamification as a valuable adjunct tool to encourage behaviour change needs support from peak bodies. Embedding gamification in university curricula could better prepare graduates to engage with gamification in future practice. Further research capturing more diverse healthcare professionals' perspectives is required to fully understand the potential of gamification to change health behaviours, and to design feasible gamified solutions.
Article
Full-text available
In previous studies, many travel-behavior-change strategies often relied on single behavior determinants or psychological theories, overlooking the incorporation of sociopsychological theories for guidance in their design. Integrating these theories could offer consistent guidance for program developers and enhance intervention effectiveness. This paper systematically reviews interventions targeting travel-behavior change, with a focus on self-determination theory and its principles of satisfying individuals’ competence, autonomy, and relatedness needs for enacting change. Additionally, experiment design methods, including randomized controlled trials and quasi-experimental designs, are reviewed and discussed. Key findings highlight the effectiveness of personalized interventions and integrating feedback with goal-setting strategies. Given the limited direct references to sociopsychological theories in existing studies, we explore relevant sociopsychological theories applicable to travel-behavior-change programs to provide examples of how strategies could be designed based on them. This review contributes valuable insights into the development of strategies for changing travel behavior, offering a theoretical framework for researchers and practitioners to guide intervention design, experimentation, and evaluation. Leveraging these theories not only facilitates reproducibility but also provides a standardized approach for transportation demand management program developers.
Preprint
Full-text available
We investigate the impact of a gamified experiment designed to promote sustainable mobility among students and staff members of a Swiss higher-education institution. Despite transportation being a major contributor to domestic CO2 emissions, achieving behavioral change remains challenging. In our two-month mobility competition, structured as a randomized controlled trial with a 3x3 factorial design, neither monetary incentives nor norm-based nudging significantly influences mobility behavior. Our (null) results suggest that there is no "gamified quick fix" for making mobility substantially more sustainable. Also, we provide some lessons learned on how not to incentivize sustainable mobility by addressing potential shortcomings of our mobility competition.
Article
Full-text available
Addressing the threat of climate change requires effective environmental regulation to induce pro-environmental behavior. While various policy interventions already exist, combining different policies may offer greater effectiveness in dealing with market failures, multiple environmental objectives, and mitigating the regressive effects of single policies. In this meta-study, we investigate the potential synergies between policy interventions by rigorously assessing their comparative effectiveness when used individually versus in combination. We focus on experimental studies providing comparable findings from controlled settings to facilitate an empirically grounded understanding of climate policy synergies. Our analysis reveals negative synergy effects, indicating that, on average, the analyzed policy mixes are less effective than the sum of their individual intervention effects. However, we also find that policy mixes can offset the negative effects of single policies. Notably, combinations involving nudges and monetary incentives prove particularly effective in promoting pro-environmental behavior. Lastly, behavioral changes induced by policy mixes tend to wane faster compared to single interventions once the policies are removed. Our study provides important scientific and policy-relevant insights regarding the performance of policy mixes.
Article
Full-text available
Background: With a growing focus on patient interaction with health management, mobile apps are increasingly used to deliver behavioral health interventions. The large variation in these mobile health apps-their target patient group, health behavior, and behavioral change strategies-has resulted in a large but incohesive body of literature. Objective: This systematic review aimed to assess the effectiveness of mobile apps in improving health behaviors and outcomes and to examine the inclusion and effectiveness of behavior change techniques (BCTs) in mobile health apps. Methods: PubMed, EMBASE, CINAHL, and Web of Science were systematically searched for articles published between 2014 and 2019 that evaluated mobile apps for health behavior change. Two authors independently screened and selected studies according to the eligibility criteria. Data were extracted and the risk of bias was assessed by one reviewer and validated by a second reviewer. Results: A total of 52 randomized controlled trials met the inclusion criteria and were included in the analysis-37 studies focused on physical activity, diet, or a combination of both, 11 on drug and alcohol use, and 4 on mental health. Participant perceptions were generally positive-only one app was rated as less helpful and satisfactory than the control-and the studies that measured engagement and usability found relatively high study completion rates (mean 83%; n=18, N=39) and ease-of-use ratings (3 significantly better than control, 9/15 rated >70%). However, there was little evidence of changed behavior or health outcomes. Conclusions: There was no strong evidence in support of the effectiveness of mobile apps in improving health behaviors or outcomes because few studies found significant differences between the app and control groups. Further research is needed to identify the BCTs that are most effective at promoting behavior change. Improved reporting is necessary to accurately evaluate the mobile health app effectiveness and risk of bias.
Article
Full-text available
Objectives The purpose of this study was to examine the effectiveness of mobile health applications in changing health-related behaviors and clinical health outcomes. Methods A systematic review was conducted in this study. We conducted a comprehensive bibliographic search of articles on health behavior changes related to the use of mobile health applications in peer-reviewed journals published between January 1, 2000 and May 31, 2017. We used databases including CHINAHL, Ovid-Medline, EMBASE, and PubMed. The risk of bias assessment of the retrieved articles was examined using the Scottish Intercollegiate Guidelines Network. Results A total of 20 articles met the inclusion criteria. Sixteen among 20 studies reported that applications have a positive impact on the targeted health behaviors or clinical health outcomes. In addition, most of the studies, which examined the satisfaction of participants, showed health app users have a statistically significant higher satisfaction. Conclusions Despite the high risk of bias, such as selection, performance, and detection, this systematic review found that the use of mobile health applications has a positive impact on health-related behaviors and clinical health outcomes. Application users were more satisfied with using mobile health applications to manage their health in comparison to users of conventional care.
Article
Full-text available
This article is a summary of the main findings of the study "Riding towards the green economy: cycling and green jobs", which was developed in the context of the Transport, Health and Environment pan-European Programme (THE PEP). It builds on previous work under THE PEP, which demonstrated the job creation potential of cycling and of green and healthy transport more generally. The report summarized in this article collected data on jobs associated with cycling directly from city authorities and analysed these to re-assess previous estimates of the job creation potential of cycling. It concluded that the number of cycling-related jobs in the pan-European Region could increase by 435,000 in selected major cities if they increased their cycling share to that of the Danish capital Copenhagen. The implications and potential role of municipal and sub-national authorities in facilitating cycling while supporting economic development are then discussed. These findings indicate that investment in policies that promote cycling could deliver not only important benefits for health, the environment and the quality of urban life, but could also contribute to a sizable creation of job opportunities. Authorities need to be proactive in promoting cycling in order to deliver these benefits.
Article
Full-text available
Abstract Background The sports club is seen as a new relevant setting to promote health-enhancing physical activity (HEPA) among inactive population groups. Little is known about the effectiveness of strategies and activities implemented in the sports club setting on increasing HEPA levels. This study investigated the effects of Start2Bike, a six-week training program for inactive adults and adult novice cyclers, on HEPA levels of participants in the Netherlands. Methods To measure physical activity, the Short QUestionnaire to ASsess Health-enhancing physical activity was used (SQUASH). Start2Bike participants were measured at baseline, six weeks and six months. A matched control group was measured at baseline and six months. The main outcome measure was whether participants met the Dutch Norm for Health-enhancing Physical Activity (DNHPA: 30 min of moderate-intensity activity on five days a week); Fit-norm (20 min of vigorous-intensity activity on three days a week); and Combi-norm (meeting the DNHPA and/or Fit-norm). Other outcome measures included: total minutes of physical activity per week; and minutes of physical activity per week per domain and intensity category. Statistical analyses consisted of McNemar tests and paired t-tests (within-group changes); and multiple logistic and linear regression analyses (between-group changes). Results In the Start2Bike group, compliance with Dutch physical activity norms increased significantly, both after six weeks and six months. Control group members did not alter their physical activity behavior. Between-group analyses showed that participants in the Start2Bike group were more likely to meet the Fit-norm at the six-month measurement compared to the control group (odds ratio = 2.5; 95% confidence interval (CI) = 1.1–5.8, p = 0.03). This was due to the Start2Bike participants spending on average 193 min/week more in vigorous-intensity activities (b = 193; 95% CI = 94–293, p
Article
Full-text available
Purpose: To outline the development, implementation, and evaluation of a multistrategy intervention to promote active transportation, on a large university campus. Design: Single group pilot study. Setting: A large university in the Northeastern United States. Participants: University students (n = 563), faculty and staff (employees, n = 999) were included in the study. Intervention: The Active Lions campaign aimed to increase active transportation to campus for all students and employees. The campaign targeted active transport participation through the development of a smartphone application and the implementation of supporting social marketing and social media components. Measures: Component-specific measures included app user statistics, social media engagement, and reach of social marketing strategies. Overall evaluation included cross-sectional online surveys preintervention and postintervention of student and employee travel patterns and campaign awareness. Analysis: Number of active trips to campus were summed, and the percentage of trips as active was calculated. T tests compared the differences in outcomes from preintervention to postintervention. Results: Students had a higher percentage of active trips postintervention (64.2%) than preintervention (49.2%; t = 3.32, P = .001), although there were no differences for employees (7.9% and 8.91%). Greater awareness of Active Lions was associated with greater active travel. Conclusion: This multistrategy approach to increase active transportation on a college campus provided insight on the process of developing and implementing a campaign with the potential for impacting health behaviors among campus members.
Article
Full-text available
Background Health and fitness applications (apps) have gained popularity in interventions to improve diet, physical activity and sedentary behaviours but their efficacy is unclear. This systematic review examined the efficacy of interventions that use apps to improve diet, physical activity and sedentary behaviour in children and adults. Methods Systematic literature searches were conducted in five databases to identify papers published between 2006 and 2016. Studies were included if they used a smartphone app in an intervention to improve diet, physical activity and/or sedentary behaviour for prevention. Interventions could be stand-alone interventions using an app only, or multi-component interventions including an app as one of several intervention components. Outcomes measured were changes in the health behaviours and related health outcomes (i.e., fitness, body weight, blood pressure, glucose, cholesterol, quality of life). Study inclusion and methodological quality were independently assessed by two reviewers. ResultsTwenty-seven studies were included, most were randomised controlled trials (n = 19; 70%). Twenty-three studies targeted adults (17 showed significant health improvements) and four studies targeted children (two demonstrated significant health improvements). Twenty-one studies targeted physical activity (14 showed significant health improvements), 13 studies targeted diet (seven showed significant health improvements) and five studies targeted sedentary behaviour (two showed significant health improvements). More studies (n = 12; 63%) of those reporting significant effects detected between-group improvements in the health behaviour or related health outcomes, whilst fewer studies (n = 8; 42%) reported significant within-group improvements. A larger proportion of multi-component interventions (8 out of 13; 62%) showed significant between-group improvements compared to stand-alone app interventions (5 out of 14; 36%). Eleven studies reported app usage statistics, and three of them demonstrated that higher app usage was associated with improved health outcomes. Conclusions This review provided modest evidence that app-based interventions to improve diet, physical activity and sedentary behaviours can be effective. Multi-component interventions appear to be more effective than stand-alone app interventions, however, this remains to be confirmed in controlled trials. Future research is needed on the optimal number and combination of app features, behaviour change techniques, and level of participant contact needed to maximise user engagement and intervention efficacy.
Article
Full-text available
Background: Globally, mobile phones have achieved wide reach at an unprecedented rate, and mobile phone apps have become increasingly prevalent among users. The number of health-related apps that were published on the two leading platforms (iOS and Android) reached more than 100,000 in 2014. However, there is a lack of synthesized evidence regarding the effectiveness of mobile phone apps in changing people's health-related behaviors. Objective: The aim was to examine the effectiveness of mobile phone apps in achieving health-related behavior change in a broader range of interventions and the quality of the reported studies. Methods: We conducted a comprehensive bibliographic search of articles on health behavior change using mobile phone apps in peer-reviewed journals published between January 1, 2010 and June 1, 2015. Databases searched included Medline, PreMedline, PsycINFO, Embase, Health Technology Assessment, Education Resource Information Center (ERIC), and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Articles published in the Journal of Medical Internet Research during that same period were hand-searched on the journal's website. Behavior change mechanisms were coded and analyzed. The quality of each included study was assessed by the Cochrane Risk of Bias Assessment Tool. Results: A total of 23 articles met the inclusion criteria, arranged under 11 themes according to their target behaviors. All studies were conducted in high-income countries. Of these, 17 studies reported statistically significant effects in the direction of targeted behavior change; 19 studies included in this analysis had a 65% or greater retention rate in the intervention group (range 60%-100%); 6 studies reported using behavior change theories with the theory of planned behavior being the most commonly used (in 3 studies). Self-monitoring was the most common behavior change technique applied (in 12 studies). The studies suggest that some features improve the effectiveness of apps, such as less time consumption, user-friendly design, real-time feedback, individualized elements, detailed information, and health professional involvement. All studies were assessed as having some risk of bias. Conclusions: Our results provide a snapshot of the current evidence of effectiveness for a range of health-related apps. Large sample, high-quality, adequately powered, randomized controlled trials are required. In light of the bias evident in the included studies, better reporting of health-related app interventions is also required. The widespread adoption of mobile phones highlights a significant opportunity to impact health behaviors globally, particularly in low- and middle-income countries.
Article
Full-text available
BackgroundmHealth programs offer potential for practical and cost-effective delivery of interventions capable of reaching many individuals. PurposeTo (1) compare the effectiveness of mHealth interventions to promote physical activity (PA) and reduce sedentary behavior (SB) in free-living young people and adults with a comparator exposed to usual care/minimal intervention; (2) determine whether, and to what extent, such interventions affect PA and SB levels and (3) use the taxonomy of behavior change techniques (BCTs) to describe intervention characteristics. MethodsA systematic review and meta-analysis following PRISMA guidelines was undertaken to identify randomized controlled trials (RCTs) comparing mHealth interventions with usual or minimal care among individuals free from conditions that could limit PA. Total PA, moderate-to-vigorous intensity physical activity (MVPA), walking and SB outcomes were extracted. Intervention content was independently coded following the 93-item taxonomy of BCTs. ResultsTwenty-one RCTs (1701 participants—700 with objectively measured PA) met eligibility criteria. SB decreased more following mHealth interventions than after usual care (standardised mean difference (SMD) −0.26, 95 % confidence interval (CI) −0.53 to −0.00). Summary effects across studies were small to moderate and non-significant for total PA (SMD 0.14, 95 % CI −0.12 to 0.41); MVPA (SMD 0.37, 95 % CI −0.03 to 0.77); and walking (SMD 0.14, 95 % CI −0.01 to 0.29). BCTs were employed more frequently in intervention (mean = 6.9, range 2 to 12) than in comparator conditions (mean = 3.1, range 0 to 10). Of all BCTs, only 31 were employed in intervention conditions. Conclusions Current mHealth interventions have small effects on PA/SB. Technological advancements will enable more comprehensive, interactive and responsive intervention delivery. Future mHealth PA studies should ensure that all the active ingredients of the intervention are reported in sufficient detail.
Article
This paper studies bike share adoption decisions as a dynamic change process from early contemplation to consolidated user status. This runs counter to the typical representation of mode adoption decisions as an instantaneous shift from pre to post usage. A two-level nested logit model that draws from the stage-of-change framework posited by the Transtheoretical Model is developed to study the adoption process. Using survey data collected from an online U.S. sample (n = 910), the model illustrates how personal, psychosocial, and community-oriented factors influence the probability of transitioning between different levels of readiness to participate in a bike share scheme. The findings suggest that encouraging forward movement in the contemplation-use ladder requires tailored, stage-specific interventions that are likely be overlooked if instead a one-size-fits-all psychological theory is applied to investigate travel behavior. In particular, the intermediate stages encapsulate more flexible (i.e. less habitual) orientation among respondents. Among the explanatory variables, the pronounced elasticities for active travel identity formation and norm integration are especially significant for crafting policies that influence bike share membership decisions. This paper adds to the nascent literature on the behavioral foundations of shared mobility adoption. The findings are translated to practical interventions, from operations to design and community-initiatives to guide practitioners seeking to promote bike share. The stage-based adoption representation helps to align interventions across the spectrum of user readiness to translate intention into behavior.
Article
This paper reports on the effects of an e-cycling incentive program in the province of North-Brabant, The Netherlands, in which commuters could earn monetary incentives when using their e-bike. The study used a longitudinal design allowing to observe behaviour change and mode shifts. The program appeared to be highly effective in stimulating e-bike use, as one month after the start of the program, the share of commute trips made by e-bike increased from 0% to 68%, with an increase up to 73% after half a year of participating. The environmental, congestion and health benefits of this shift are however mixed. Half of the e-bike trips substitute car trips, with positive effects on environment, congestion and health. The other half substitutes conventional cycling trips, implying fever health benefits. Our analyses further suggest that distance is an important factor for adopting e-cycling, where e-bike has a larger acceptable distance than a conventional bike. Nevertheless, we observed that the likelihood to use the e-bike decreased as commuting distance increased. Multivariate analyses suggest that a shift to e-cycling is affected by age, gender, physical condition, car ownership and household composition. Our study did find support for the hypothesis that having a strong car-commuting habit decreases the probability of mode shift to a new mode alternative. In contrast, multimodality may increase the likelihood of e-bike use as a result of openness to other travel options and a more deliberate mode choice. Lastly, dissatisfaction with the current travel mode positively influences mode shift towards the e-bike. Our results imply that stimulating e-cycling may be a promising way of stimulating physical activity, but that it will be most effective if targeted at specific groups who are not currently engaging in active travel.