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N/A N=67 Randomized Single-blind Other

Behavioral Economics for Activity Motivation in Adolescents (BEAM)

Type 2 Diabetes · PreDiabetes · Insulin Resistance · Polycystic Ovary Syndrome

Enrolled (actual)
67
Serious AEs
0.0%
Results posted
Oct 2025
Primary outcome: Primary: Change in Moderate to Vigorous Physical Activity (MVPA) — 6.1; 7.1; 5.0; 8.2 minutes per day

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
1RLD (Behavioral); 1RLW (Behavioral); 1RGD (Behavioral); 1RGW (Behavioral); 2RLD (Behavioral); 2RLW (Behavioral); 2RGD (Behavioral); 2RGW (Behavioral); 1FLD (Behavioral); 1FLW (Behavioral); 1FGD (Behavioral); 1FGW (Behavioral); 2FLD (Behavioral); 2FLW (Behavioral); 2FGD (Behavioral); 2FGW (Behavioral)
Age
Pediatric, Adult · 13+ yrs
Sex
All
Sponsor
University of Pittsburgh
Primary completion
Oct 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Moderate to Vigorous Physical Activity (MVPA)
6.1; 7.1; 5.0; 8.2; 5.1; 8.2
SECONDARY
Change in Daily Step Count
962; 276; 1789; -551; 1266; -28
SECONDARY
Change in BMI Z-score
-0.02; -0.03; -0.009; -0.03; -0.03; -0.01
SECONDARY
Change in Plasma Glucose
0.006; 0.000000004; 0.000002; 0.00001; 0.000000002; 0.01
SECONDARY
Change in Insulin
0.00000002; 0.00003; 0.0000006; 0.000001; 0.005; 0.0000000001
SECONDARY
Change in Hemoglobin A1c
0.003; 0.00000002; 0.00000003; 0.002; 0.00001; 0.000004
SECONDARY
Change in Triglycerides
0.03; 0.00000005; 0.00001; 0.0001; 0.0006; 0.000002
SECONDARY
Change in Low-density Lipoprotein (LDL)
0.1; 0.2; 0.1; 0.2; 0.005; 5.7
SECONDARY
Change in High-density Lipoprotein (HDL)
0.0008; 0.002; 0.002; 0.001; 0.0005; 0.004
SECONDARY
Change in ALT
0.000000004; 0.00000002; 0.00002; 0; 0; 0.00002

Summary

There is an urgent need to engineer targeted physical activity interventions that are effective and scalable for obese adolescents and young adults (AYA) with type 2 diabetes (T2D), who often have very low levels of physical activity. The BEAM Trial is a mobile health (mHealth) intervention that uses behavioral economic-informed financial incentives and text messaging to promote physical activity in AYA with T2D and prediabetes.

Eligibility Criteria

Inclusion Criteria

  • 1) Males or females age 13 to 22 years.
  • 2) Overweight or obese (BMI ≥85th percentile for age/sex, or ≥25 kg/m2 for participants ≥18 years)
  • 3) Diagnosis with prediabetes or type 2 diabetes
  • 4) Consent (subjects 18 and older), Parental/guardian permission (subjects 13-17), assent (subjects 13-17)
  • 5) Willingness to wear Fitbit during waking hours daily for duration of run-in and intervention.
  • 6) Possession of a smartphone.

Exclusion Criteria

  • 1) Potential subject unable to speak or read in English
  • 2) Severe cognitive impairment
  • 3) Permanent or temporary physical disability that impairs ambulation or precludes engagement in MVPA
  • 4) Current pregnancy
  • 5) Previously-diagnosed or current restrictive or purging eating disorder
  • 6) Moderate to vigorous physical activity (MVPA) >30 minutes per day or Fitbit wear < 4 days during second week of 2-week run-in period
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04874415). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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