Changing health behaviours in rheumatology: an introduction to behavioural economics
Changing health behaviours in rheumatology: an introduction to behavioural economics
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DOI：
10.1038/s41584-019-0336-1
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发表时间：
2020-01-01
影响因子：
33.7
通讯作者：
Asch, David A.
中科院分区：
文献类型：
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作者：
Ogdie, Alexis;Asch, David A.
尽管风湿性疾病患者的管理在过去20至30年中有了很大的发展，但生活方式的改变（如减轻体重，体力活动和药物依从性）仍然是改善患者结局的重要且未满足的挑战。行为经济学领域考虑了个人非理性行为的许多方式，并利用这些模式的可预测性来创造机会，以预测和避免或利用这些行为来改善患者的预后。在其他激励方法中，行为经济学的概念只是在过去10至15年才被应用于医疗保健。虽然很少有公开发表的例子应用行为经济学的概念在风湿性疾病患者的管理具体，这些概念已被应用于其他慢性疾病，这样的干预措施也可以适用于风湿病学。在这篇观点文章中，我们介绍了行为经济学中的六个原则（损失厌恶，框架效应，现在偏见，现状偏见，时间不一致性和社会规范化），讨论了这些概念如何在其他领域得到解决，并研究了它们在流变学中的潜在应用。以体力活动为例，我们描述了如何将这些概念应用于促进炎症性关节炎患者的健康行为。
Although the management of patients with rheumatic diseases has evolved substantially over the past 20 to 30 years, lifestyle changes (such as weight reduction, physical activity and medication adherence) remain an important and unmet challenge in improving patient outcomes. The field of behavioural economics considers the many ways that individuals behave irrationally and uses the predictability of these patterns to create opportunities to anticipate and avoid or harness these behaviours to improve patient outcomes. Existing among other motivational approaches, the concepts in behavioural economics have only been applied to health care in the past 10 to 15 years. Although few published examples have applied behavioural economic concepts in the management of patients with rheumatic diseases specifically, these concepts have been applied in other chronic diseases, and such interventions could also be applicable in rheumatology. In this Perspectives article, we introduce six principles in behavioural economics (loss aversion, framing effect, present bias, status quo bias, time inconsistency and social normalization), discuss how these concepts have been addressed in other fields and examine their potential application in rheumatology. Using physical activity as an example, we describe how these concepts could be applied to promote healthy behaviour in patients with inflammatory arthritis.