A study on exercise class attendance found that participants in competitive social network groups went to more classes than those in supportive social networks. The findings also suggest that individual incentives are equally effective as team-based ones for motivating people to exercise.
The University of Pennsylvania study, published in Preventive Medicine Reports, randomly assigned 790 university students participating in an exercise class program to 4 groups of experimental conditions. The control group did not socially connect the participants in any way, and at the end of the 11-week program the 10% of participants who attended the most classes were rewarded with a $20 gift card.
The “social comparison” arm of the study formed social network groups with 6 members each, allowing participants to compare themselves with the others in their team via competitive rankings based on attendance. It also rewarded the top 10% of highest-attending participants with $20 gift cards. The “social support” division allowed the 6-person teams to support and encourage one another through a chat tool. The rewards were based on the teams’ collective attendance levels, with every member in the top 10% of teams receiving a $20 gift card.
The “combined” group allowed for the same team-based incentives as the social support condition, but it also allowed participants to compare their team’s attendance statistics against those of 5 other teams. In all 3 of these socially-connected conditions, participants could see their team members’ attendance records and received real-time online notifications whenever a team member attended a class.
Members of the social comparison and combined groups had significantly higher mean attendance rates than the control group, and the social support group actually had lower attendance than the control. On average, social comparison increased attendance by 82%, equivalent to 0.97 classes per study participant. The mean class attendances per week were 38.5, 35.7, 20.3, and 16.8 for the combined, social comparison, control, and social support conditions, respectively.
The comparison and combined groups had an average of 5.1 and 5.5 people attend classes per day, compared to an average of 2.9 attendances per day in the control group and just 2.4 per day in the social support condition.
The close results in the comparison and combined groups, which both featured competitive rankings but differed by whether incentives were team-based or individual, indicated that the type of incentive did not determine the frequency of exercise. Instead, competition was the major factor in predicting class attendance.
“Exposing individuals to relevant reference points, whether those reference points were other individuals or other teams, increased responsiveness to the physical activity of their peers. As a result, attendance at exercise classes was greatest in conditions where individuals and teams were motivated to exercise through competitive social relationships,” the authors wrote.
In particular, the findings from the combined condition “suggest that the introduction of a minimal competitive reference point into an otherwise support-based environment can change ineffective health networks into highly motivating social resources.”
The study authors also suggested that social comparison may motivate patients in activities other than physical exercise, such as medication compliance, smoking cessation, or weight loss.
Social Network Competition, Not Support, Motivates More Frequent Exercise
A study on exercise class attendance found that participants in competitive social network groups went to more classes than those in supportive social networks. The findings also suggest that individual incentives are equally effective as team-based ones for motivating people to exercise.
A study on exercise class attendance found that participants in competitive social network groups went to more classes than those in supportive social networks. The findings also suggest that individual incentives are equally effective as team-based ones for motivating people to exercise.
The University of Pennsylvania study, published in Preventive Medicine Reports, randomly assigned 790 university students participating in an exercise class program to 4 groups of experimental conditions. The control group did not socially connect the participants in any way, and at the end of the 11-week program the 10% of participants who attended the most classes were rewarded with a $20 gift card.
The “social comparison” arm of the study formed social network groups with 6 members each, allowing participants to compare themselves with the others in their team via competitive rankings based on attendance. It also rewarded the top 10% of highest-attending participants with $20 gift cards. The “social support” division allowed the 6-person teams to support and encourage one another through a chat tool. The rewards were based on the teams’ collective attendance levels, with every member in the top 10% of teams receiving a $20 gift card.
The “combined” group allowed for the same team-based incentives as the social support condition, but it also allowed participants to compare their team’s attendance statistics against those of 5 other teams. In all 3 of these socially-connected conditions, participants could see their team members’ attendance records and received real-time online notifications whenever a team member attended a class.
Members of the social comparison and combined groups had significantly higher mean attendance rates than the control group, and the social support group actually had lower attendance than the control. On average, social comparison increased attendance by 82%, equivalent to 0.97 classes per study participant. The mean class attendances per week were 38.5, 35.7, 20.3, and 16.8 for the combined, social comparison, control, and social support conditions, respectively.
The comparison and combined groups had an average of 5.1 and 5.5 people attend classes per day, compared to an average of 2.9 attendances per day in the control group and just 2.4 per day in the social support condition.
The close results in the comparison and combined groups, which both featured competitive rankings but differed by whether incentives were team-based or individual, indicated that the type of incentive did not determine the frequency of exercise. Instead, competition was the major factor in predicting class attendance.
“Exposing individuals to relevant reference points, whether those reference points were other individuals or other teams, increased responsiveness to the physical activity of their peers. As a result, attendance at exercise classes was greatest in conditions where individuals and teams were motivated to exercise through competitive social relationships,” the authors wrote.
In particular, the findings from the combined condition “suggest that the introduction of a minimal competitive reference point into an otherwise support-based environment can change ineffective health networks into highly motivating social resources.”
The study authors also suggested that social comparison may motivate patients in activities other than physical exercise, such as medication compliance, smoking cessation, or weight loss.
Disparities in Multiple Myeloma Distress Screenings May Point to Care Gaps
March 20th 2025Patients who did not complete a distress screener were also less likely to receive autologous stem cell transplants.
Read More
Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
Listen
Estrogen Therapy May Increase Risk of 3 Skin Cancers
March 20th 2025Researchers of a Swedish study advise physicians to consult with their patients about these risks and take extra precautions, but did not recommend discontinuation of any of the drugs studied.
Read More
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
Listen
GLP-1 Receptor Agonists Unlikely to Increase Risk of Suicide-Related Events
March 20th 2025A meta-analysis finds no significant increase in suicide-related events with glucagon-like peptide-1 receptor agonists.
Read More
Trump Administration Extends Opioid Emergency as Overdoses Decline
March 20th 2025The extension of the emergency declaration, originally set to expire on March 21, continues to allocate funding to addressing the opioid crisis.
Read More
Disparities in Multiple Myeloma Distress Screenings May Point to Care Gaps
March 20th 2025Patients who did not complete a distress screener were also less likely to receive autologous stem cell transplants.
Read More
Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
Listen
Estrogen Therapy May Increase Risk of 3 Skin Cancers
March 20th 2025Researchers of a Swedish study advise physicians to consult with their patients about these risks and take extra precautions, but did not recommend discontinuation of any of the drugs studied.
Read More
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
Listen
GLP-1 Receptor Agonists Unlikely to Increase Risk of Suicide-Related Events
March 20th 2025A meta-analysis finds no significant increase in suicide-related events with glucagon-like peptide-1 receptor agonists.
Read More
Trump Administration Extends Opioid Emergency as Overdoses Decline
March 20th 2025The extension of the emergency declaration, originally set to expire on March 21, continues to allocate funding to addressing the opioid crisis.
Read More