Challenges and opportunities for developing and implementing incentives to improve health-related behaviors in older adults.
Challenges and opportunities for developing and implementing incentives to improve health-related behaviors in older adults.
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DOI：
10.1111/j.1532-5415.2010.03030.x
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发表时间：
2010-09
影响因子：
6.3
通讯作者：
Karlawish J
中科院分区：
文献类型：
--
作者：
Klein E;Karlawish J
人们对利用病人导向的激励措施来改变与健康有关的行为越来越感兴趣。激励计划的倡导者提出了一个雄心勃勃的研究议程，以推动患者激励计划向前发展。老年人可能会对这样的研究议程构成挑战。这一人群的认知和心理特征，特别是与年龄相关的情绪调节、执行功能和认知能力的变化，以及对协作决策的偏好，引发了对这些项目（特别是当前经济激励结构）是否适合老年人的质疑。在设计和实施财政激励计划时，需要考虑到老年人在决策方面的差异。针对老年人口特点量身定制的财政激励计划可能更有可能改善老年人的生活，并使为他们服务的计划取得经济上的成功。
There is growing interest in using patient-directed incentives to change health-related behaviors. Advocates of incentive programs have proposed an ambitious research agenda for moving patient incentive programs forward. Older adults may pose a challenge to such a research agenda. The cognitive and psychological features of this population, in particular, age-related changes in emotional regulation, executive function and cognitive capacities, and a preference for collaborative decision-making raise questions about the suitability of these programs, particularly the structure of current financial incentives, to older adults. Differences in decision-making in older adults need to be accounted for in the design and implementation of financial incentive programs. Financial incentive programs tailored to characteristics of older adult populations may be more likely to improve the lives of older persons and the economic success of programs that serve them.