Use and effectiveness of behavioural economics in interventions for lifestyle risk factors of non-communicable diseases: a systematic review with policy implications.

Use and effectiveness of behavioural economics in interventions for lifestyle risk factors of non-communicable diseases: a systematic review with policy implications.
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DOI:
10.1177/1757913917720233
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发表时间:
2018-03
影响因子:
5.8
通讯作者:
Chereches RM
Chereches RM
中科院分区:
医学4区
文献类型:
--
作者:
Blaga OM;Vasilescu L;Chereches RM

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关于哪些行为经济学策略是有效的,并可用于为旨在减少暴饮暴食、过度饮酒、吸烟和缺乏体育活动的非传染性疾病(NCDs)提供信息的公共卫生政策,证据有限。这项综述的目的是检验行为经济学观点在减少非传染性疾病生活方式风险因素方面的使用和有效性的证据。检索Medline、Embase、PhycINFO和Econlit在2002年1月至2016年7月发表的研究报告,这些研究报告了通过使用行为经济学的观点来降低至少一个非传染性疾病生活方式风险因素的经验性、非药理学、干预性研究。我们在综述中纳入了117项研究;67项研究的偏倚风险较低,被归类为强或极强,37项为中等,13项为弱。我们根据非传染性疾病的危险因素对研究进行分组,并进行叙述性综合。最常见的行为经济学概念是使用激励、框架和选择架构。我们发现,行为经济学的见解在减少非传染性疾病生活方式风险因素方面的有效性结果喜忧参半。从行为经济学的角度来看,大多数针对烟草消费、体力活动水平和饮食行为的研究都有令人振奋的结果,可能会对非传染性疾病的健康政策产生影响。我们建议未来的研究在现实生活环境中实施,并对来自不同人群的大样本进行研究。
There is limited evidence on what behavioral economics strategies are effective and can be used to inform non-communicable diseases (NCDs) public health policies designed to reduce overeating, excessive drinking, smoking, and physical inactivity. The aim of the review is to examine the evidence on the use and effectiveness of behavioral economics insights on reducing NCDs lifestyle risk factors. Medline, Embase, PhycINFO, and EconLit were searched for studies published between Jan 2002 and July 2016 and reporting empirical, non-pharmacological, interventional research focusing on reducing at least one NCDs lifestyle risk factor by employing a behavioral economics perspective. We included 117 studies in the review; 67 studies had a low risk of bias and were classified as strong or very strong, 37 were moderate, and 13 were week. We grouped studies by NCDs risk factors and conducted a narrative synthesis. The most frequent behavioral economics concepts were use of incentives, framing, and choice architecture. We found mixed results for effectiveness of behavioral economics insights on reducing NCDs lifestyle risk factors. Most studies targeting tobacco consumption, physical activity levels, and eating behaviors from a behavioral economics perspective had promising results with potential impact on NCDs health policies. We recommend future studies to be implemented in real-life settings and on large samples from diverse populations.
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