Service Delivery

Technology‐based versus in‐person deposit contract treatments for promoting physical activity

Stedman‐Falls et al. (2020) · Journal of Applied Behavior Analysis 2020
★ The Verdict

An app-based deposit contract works as well as meeting in person and is preferred by clients.

✓ Read this if BCBAs writing fitness plans for adult clients who dislike office visits.
✗ Skip if Practitioners serving clients who cannot pay upfront deposits or lack smartphones.

01Research in Context

01

What this study did

Stedman-Falls et al. (2020) compared two ways to run a deposit contract. One group met a coach in person each week. The other used a phone app to pledge money and log steps. Both groups lost money if they missed their daily step goal. The researchers flipped the two treatments every week to see which worked better.

Adults carried a step counter. The study did not say how many people joined.

02

What they found

Both the app and the face-to-face contract raised daily steps about the same amount. People told the researchers they liked the app more because it saved time and travel.

03

How this fits with other research

McCullen et al. (2025) extends this work. They added reinforcement thinning to deposit contracts. Steps shot up while the plan was on, but counts fell back once the contract ended. Their finding warns us that the boost Stedman-Falls saw might fade without extra maintenance tricks.

Erath et al. (2022) looks like a contradiction at first. They used remote tech, too, but only two of six adults walked more. The difference is the contract type. Stedman-Falls made people risk their own money. Erath simply paid bonus dollars for steps. Losing your own cash appears to be the stronger motivator.

Wysocki et al. (1979) is the grandparent study. College students handed over valued items to earn aerobic points. The idea of collateral for exercise is the same; Stedman-Falls just swapped items for dollars and added a smartphone.

04

Why it matters

You can move your deposit contract to an app without losing power. Clients keep the same step gains and like the format more. Pair the tech contract with thinning or booster checks, as McCullen showed, to help gains stick after the program ends.

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Load a simple step goal and pledge amount into a free contract app, then review weekly data remotely.

02At a glance

Intervention
token economy
Design
alternating treatments
Sample size
12
Population
not specified
Finding
positive

03Original abstract

Deposit contracts involve participants depositing their own money and earning it back contingent on behavior change. Deposit contracts are empirically supported treatments for promoting health behavior, but they have a history of poor uptake. We compared the effectiveness and acceptability of technology-based versus in-person deposit contracts for promoting physical activity with 12 individuals. Participants' daily step counts were monitored using Fitbits across 6 weeks, and treatment preferences were assessed at the end of the study. The 2 types of treatments were equally effective in increasing physical activity, but the technology-based deposit contracts were preferred by most participants. Most participants also reported that their preference was related to convenience. Technology-based implementation may be one way to improve deposit contract uptake, while maintaining similar effectiveness compared to in-person procedures.

Journal of Applied Behavior Analysis, 2020 · doi:10.1002/jaba.776