A Paradigm Shift in Health Behavior Change: Understanding When and How Social Comparison Supports Healthy Behavior

健康行为改变的范式转变：了解社会比较何时以及如何支持健康行为

• 批准号: 10685733
• 负责人: Danielle Arigo
• 金额: $ 133.65万
• 依托单位: ROWAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10685733
• 关键词: Adult; Affect; Area; Award; Behavior; Behavioral Sciences; Chronic Disease; Engineering; Environment; Experimental Designs; Health Technology; Health behavior; Health behavior and outcomes; Health behavior change; Intervention; Life; Link; Methods; Pathway interactions; Persons; Physical activity; Public Health; Randomized; Research; Series; Testing; Theoretical model; Work; digital health; disorder prevention; evidence based guidelines; innovation; novel; novel strategies; social

Abstract Prompts to evaluate ourselves relative to others (i.e., social comparison) are increasingly engineered into our daily lives to promote specific behaviors, including in digital health technologies and health behavior change interventions. Despite its ubiquity, however, we do not yet understand how social comparison affects health behavior, including its demonstrated negative effects. Our poor understanding of the mechanistic pathway linking social comparison to health behavior limits the efficacy of many of our chronic disease prevention and intervention efforts. The proposed DP2 New Innovator Award will address the critical and overlooked opportunity to understand how social comparison affects health behavior, by introducing a new paradigm for research in this area. The traditional approach to studying the effects of social comparison uses methods that describe static differences between people, which cannot identify the nuances of what happens when comparison occurs in daily life. By assessing the complexities of social comparison and health behavior as they occur (using ambulatory, naturalistic assessment), and embedding a randomized experimental design, the proposed series of iterative studies will finally identify the unknown causal, mechanistic pathway(s) from social comparison to health behavior. This novel approach will be applied to the exemplar of physical activity leaderboards – a widely disseminated method for activating social comparison that has shown both positive and negative effects on physical activity – to understand how social comparison affects physical activity behavior among insufficiently active adults (total N = 300). This innovative approach will be guided by the PI’s new, detailed theoretical model of how social comparison affects health behaviors in the natural environment. Consequently, the proposed work will have a meaningful public health impact, by generating evidence- based recommendations for the optimal use of comparison to promote healthy behavior while minimizing its negative consequences. This work will also advance behavioral science and related fields by providing a roadmap for testing the effects of social comparison on other health behaviors and outcomes.

摘要 不愿意相对于他人来评价自己（即，社会比较）越来越多地被设计成 我们的日常生活，以促进特定的行为，包括在数字健康技术和健康行为 改变干预措施。尽管它无处不在，然而，我们还不明白社会比较是如何 影响健康行为，包括其表现出的负面影响。我们对 将社会比较与健康行为联系起来的机械途径限制了我们许多 慢性病预防和干预工作。DP 2创新奖将 解决关键和被忽视的机会，了解社会比较如何影响健康 行为，通过引入一个新的范式，在这一领域的研究。传统的学习方法 社会比较的影响使用描述人与人之间静态差异的方法， 无法识别日常生活中比较时发生的细微差别。通过评估 社会比较和健康行为的复杂性，因为它们发生（使用动态，自然 评估），并嵌入一个随机实验设计，建议的一系列迭代研究 将最终确定从社会比较到健康的未知因果机制路径 行为这种新的方法将被应用于身体活动排行榜的范例-一个广泛的 一种既有积极作用又有消极作用的激活社会比较的传播方法 身体活动-了解社会比较如何影响身体活动行为， 活动不足的成年人（总计N = 300）。这种创新的方法将由PI的新的， 社会比较如何影响自然环境中的健康行为的详细理论模型。 因此，拟议的工作将产生有意义的公共卫生影响，通过产生证据- 基于建议的最佳使用比较，以促进健康的行为，同时尽量减少 其负面后果。这项工作也将推动行为科学和相关领域， 为测试社会比较对其他健康行为和结果的影响提供了路线图。