Integrating health geography and behavioral economic principles to strengthen context-specific behavior change interventions.

Autor: Barber BV; School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada., Kephart G; Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada., Martin-Misener R; School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada., Vallis M; Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada., Matthews S; Department of Geography, The Pennsylvania State University, University Park, PA, USA., Atkins L; Center for Behaviour Change, University College London, London, UK., Cassidy C; School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada., Curran J; School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada., Rainham D; School of Health and Human Performance, Dalhousie University, Halifax, Nova Scotia, Canada.
Jazyk: angličtina
Zdroj: Translational behavioral medicine [Transl Behav Med] 2024 Apr 29; Vol. 14 (5), pp. 257-272.
DOI: 10.1093/tbm/ibad065
Abstrakt: The long-term economic viability of modern health care systems is uncertain, in part due to costs of health care at the end of life and increasing health care utilization associated with an increasing population prevalence of multiple chronic diseases. Control of health care spending and sustaining delivery of health care services will require strategic investments in prevention to reduce the risk of disease and its complications over an individual's life course. Behavior change interventions aimed at reducing a range of harmful and risky health-related behaviors including smoking, physical inactivity, excess alcohol consumption, and excess weight, are one approach that has proven effective at reducing risk and preventing chronic disease. However, large-scale efforts to reduce population-level chronic diseases are challenging and have not been very successful at reducing the burden of chronic diseases. A new approach is required to identify when, where, and how to intervene to disrupt patterns of behavior associated with high-risk factors using context-specific interventions that can be scaled. This paper introduces the need to integrate theoretical and methodological principles of health geography and behavioral economics as opportunities to strengthen behavior change interventions for the prevention of chronic diseases. We discuss how health geography and behavioral economics can be applied to expand existing behavior change frameworks and how behavior change interventions can be strengthened by characterizing contexts of time and activity space.
(© The Author(s) 2023. Published by Oxford University Press on behalf of the Society of Behavioral Medicine.)
Databáze: MEDLINE