Altering micro-environments to change population health behaviour: towards an evidence base for choice architecture interventions
Altering micro-environments to change population health behaviour: towards an evidence base for choice architecture interventions
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DOI：
10.1186/1471-2458-13-1218
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发表时间：
2013-12-21
影响因子：
4.5
通讯作者：
Ogilvie, David
中科院分区：
文献类型：
--
作者：
Hollands, Gareth J.;Shemilt, Ian;Ogilvie, David
背景资料：通过改变人们做出选择的环境（选择结构），可以在人口一级影响行为，这一观点在政策界获得了广泛的支持。然而，支持这一观点的经验证据是有限的，特别是它在改变健康行为方面的应用。我们提出了一个基于证据的定义和类型的选择架构干预措施，已实施的小规模的微环境和评估其对四个关键的健康行为集的影响：饮食，体育活动，酒精和烟草的使用。讨论：我们认为，证据基础的局限性不仅仅是由于缺乏证据，而且还因为在将选择架构应用于公共卫生干预方面之前缺乏明确的定义和概念。这妨碍了对现有证据进行系统评估的可能性。通过寻求解决这个问题，我们展示了我们的定义和类型学如何使系统识别和初步映射的大量可用的证据选择架构干预的影响。我们讨论了进一步的主要研究，证据合成和概念发展，以支持设计和评估这样的interventions.Summary的关键影响：这个概念的基础提供了一个基础，为未来的研究，调查的有效性的选择架构内的微环境的干预措施，改变健康behaviors.Summary。我们使用的方法也可以作为一个模板，映射其他未充分探索的调查领域。
Background: The idea that behaviour can be influenced at population level by altering the environments within which people make choices (choice architecture) has gained traction in policy circles. However, empirical evidence to support this idea is limited, especially its application to changing health behaviour. We propose an evidence-based definition and typology of choice architecture interventions that have been implemented within small-scale micro-environments and evaluated for their effects on four key sets of health behaviours: diet, physical activity, alcohol and tobacco use.Discussion: We argue that the limitations of the evidence base are due not simply to an absence of evidence, but also to a prior lack of definitional and conceptual clarity concerning applications of choice architecture to public health intervention. This has hampered the potential for systematic assessment of existing evidence. By seeking to address this issue, we demonstrate how our definition and typology have enabled systematic identification and preliminary mapping of a large body of available evidence for the effects of choice architecture interventions. We discuss key implications for further primary research, evidence synthesis and conceptual development to support the design and evaluation of such interventions.Summary: This conceptual groundwork provides a foundation for future research to investigate the effectiveness of choice architecture interventions within micro-environments for changing health behaviour. The approach we used may also serve as a template for mapping other under-explored fields of enquiry.