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. 2021 May 24;4(5):e2110255. doi: 10.1001/jamanetworkopen.2021.10255

Table 2. Adjusted Differences in Outcome Measuresa.

Outcome Mean (SD)
Control Gamification
With support With collaboration With competition
Physical activity, steps per day, No.
Baseline 4410 (2263) 4353 (2439) 4122 (2817) 4681 (2893)
Months 1-6 4202 (2185) 4854 (2539) 4445 (2669) 5066 (2882)
Difference relative to control (95% CI) NA 691 (267 to 1115) 468 (43 to 892) 639 (204 to 1074)
P value NA .001 .03 .004
Months 1-12 4196 (2017) 4655 (2355) 4257 (2388) 5007 (2733)
Difference relative to control (95% CI) NA 503 (103 to 903) 280 (−115 to 674) 606 (201 to 1011)
P value NA .01 .16 .003
Weight, kg
Baseline 106.8 (22.5) 103.4 (18.2) 110.8 (21.4) 108.3 (20.7)
Month 6 104.4 (22.9) 99.9 (17.6) 108.1 (21.4) 106.6 (21.3)
Difference relative to control (95% CI) NA −1.4 (−3.0 to 0.3) 0.0 (−1.6 to 1.6) 0.7 (−1.0 to 2.4)
P value NA .11 1.00 .43
Month 12 105.1 (22.9) 99.7 (17.7) 107.5 (21.0) 105.4 (21.0)
Difference relative to control (95% CI) NA −1.9 (−4.2 to 0.3) −1.5 (−3.8 to 0.9) −1.1 (−3.5 to 1.3)
P value NA .09 .22 .36
Hemoglobin A1c level, %
Baseline 9.5 (1.5) 9.5 (1.5) 9.9 (1.7) 9.7 (1.6)
Month 6 8.8 (1.7) 9.1 (1.7) 8.7 (1.8) 8.8 (1.6)
Difference relative to control (95% CI) NA 0.31 (−0.36 to 0.98) −0.24 (−0.80 to 0.31) −0.14 (−0.80 to 0.53)
P value NA .35 .38 .68
Month 12 8.8 (1.7) 8.9 (1.7) 8.8 (2.1) 8.7 (1.8)
Difference relative to control (95% CI) NA 0.05 (−0.56 to 0.65) −0.14 (−0.80 to 0.52) −0.32 (−0.91 to 0.27)
P value NA .88 .68 .28
LDL-C level, mg/dL
Baseline 99.9 (31.2) 101.7 (41.8) 97.9 (32.4) 90.0 (38.7)
Month 6 93.6 (33.0) 96.2 (36.1) 89.7 (32.2) 87.5 (34.6)
Difference relative to control (95% CI) NA 1.1 (−10.5 to 12.7) −0.6 (−10.9 to 9.7) 1.1 (−7.2 to 9.5)
P Value NA .85 .91 .79
Month 12 100.5 (31.8) 96.8 (31.0) 91.9 (28.5) 94.2 (32.9)
Difference relative to control (95% CI) NA −4.6 (−18.6 to 9.4) −8.2 (−24.7 to 8.2) −3.9 (−18.1 to 10.4)
P value NA .50 .29 .57

Abbreviations: LDL-C, low-density lipoprotein cholesterol; NA, not applicable.

SI conversion factors: To convert hemoglobin A1c to proportion of total hemoglobin, multiply by 0.01; LDL-C to millimoles per liter, multiply by 0.0259.

a

Adjusted models used imputed data and adjusted for baseline outcome measure, calendar month, and study arm to report differences relative to controls.