A new study shows that Discovery’s Vitality incentives, combined with Apple Watch, deliver dramatic and sustained improvements in physical activity levels.

Incentives and Physical Activity, the largest behaviour tech study based on verified data, found an average 34% increase in activity levels for participants using Vitality Active Rewards with Apple Watch, compared to those without these incentives. This equates to nearly a week of extra activity per month (4,8 extra days of activity), which Vitality estimates translates into two extra years of life.

The study examined the behaviours of over 400 000 people in the UK, US and South Africa.

“This landmark study contributes to a deeper understanding of how people can be incentivised to live fitter and healthier lives,” said Discovery chief executive and Vitality founder, Adrian Gore. “The significance for individuals, the insurance industry and wider society is profound.”

He adds: “For more than 20 years, Vitality has taken a shared-value approach to health improvement by creating interventions that change people’s behaviour for the better.

“Our innovative use of Apple Watch opens the way to a proper understanding of how people can be incentivised to live fitter and healthier lives – and how we are leading the way in transforming how people are insured.”

The RAND Europe study examined the effect of Vitality Active Rewards with Apple Watch on participants’ long-term physical activity levels.

The programme makes use of a comprehensive behavioural science toolkit, encompassing short and long-term incentives such as loss aversion and pre-commitment. Short-term incentives create a sense of immediacy, with members rewarded on a weekly basis for reaching their weekly goals. For a minimal upfront activation fee, members can reduce their monthly Apple Watch payments to zero by meeting their physical activity goals, including daily exercise and active calorie burn.

The two components reinforce each other and create an ecosystem of behaviour change.

* Participants using Apple Watch saw an average 34% sustained increase in activity – 4,8 extra days of activity per month – across UK, US and South African participants.

* Activity increased across the full spectrum of Vitality participants, regardless of health status, age or gender.

* ‘At-risk’ participants with a high body mass index [BMI], although less likely to take up the benefit, showed greater improvements in activity than other groups, with increases in activity of 200% in the US, 160% in the UK, and 109% in South Africa.

* South Africa saw the largest increase in high-intensity activity days of 71%, followed by the US at 52%, and 37% in the UK.

* With these sustained increases in activity, Vitality estimates that within a year, participants with Active Rewards with Apple Watch achieved numerous health benefits, including improvements in blood pressure, cholesterol, and cardiorespiratory fitness along with lowered healthcare costs.

“Apple Watch has become an essential part of many people’s lives, and these results are a tangible example of the way Apple Watch can help users take control of improving their health,” says Jeff Williams, Apple’s chief operating officer. “Vitality and RAND’s results are an exciting indicator of how much more can be achieved.”

“Our research suggests that incentivising physical activity can lead to better activity levels and the Vitality Active Rewards with Apple Watch benefit bears that finding out,” says Hans Pung, president of RAND Europe. “Given RAND Europe’s fact-driven, evidenced-based research and analysis, we are pleased that our work has helped to deepen understanding of what works in designing health and wellness programmes.

“The rigorous study encompassed large sample sizes over long periods and captured people’s activity levels before and after the introduction of incentives linked to Apple Watch, while controlling for population characteristics. It has major implications for health policy around the world,” he adds.