A systematic review of nudge theories and strategies used to influence adult health behaviour and outcome in diabetes management
| Autor: | Truls Østbye, C.W. Huang, T.Y. Cheng, Yu Heng Kwan, Julian Thumboo, L.Y.C. Ho, Sungwon Yoon, Eng-Hui Chew, Lian Leng Low |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism Reminder Systems Health Behavior Psychological intervention 030209 endocrinology & metabolism 030204 cardiovascular system & hematology Choice Behavior Medication Adherence 03 medical and health sciences 0302 clinical medicine Endocrinology Games Recreational Diabetes management Diabetes mellitus Internal Medicine Diabetes Mellitus Medicine Humans Peer Influence Exercise Adult health Social influence Blood glucose monitoring medicine.diagnostic_test business.industry Blood Glucose Self-Monitoring Economics Behavioral General Medicine Delivery mode medicine.disease Self Efficacy Choice architecture Diet Self Care Family medicine Quality of Life business Delivery of Health Care |
| Zdroj: | Diabetesmetabolism. 46(6) |
| ISSN: | 1878-1780 |
| Popis: | Background Diabetes is a chronic disease associated with a variety of complications, and nudging may be a potential solution to improve diabetes control. Since nudging is a new concept, no review of literature on nudging diabetic patients into improving their health behaviour has been done. Therefore, we aim to collate a list of nudge intervention and determine the context in which nudging is successful. Methods We adopted a two-arm search strategy comprising the search of literature databases and snowballing using relevant search terms. We summarized patient characteristics, the nudge intervention, according to nudging strategies, delivery mode and their outcomes. The conditions present in effective nudge interventions were assessed and reported. Results We retrieved 11,494 studies from our searches and included 33. An additional five studies were added through snowballing. Studies included utilized framing (n = 5), reminders (n = 10), gamification (n = 2), social modelling (n = 5) and social influence (n = 16). Studies on reminders and gamification were more likely to have a statistically significant outcome. The targeted health behaviours identified were medication adherence, physical activity, diet, blood glucose monitoring, foot care, self-efficacy, HbA1c and quality of life. Of these, studies with adherence to medication, foot care practice and quality of life as targeted health behaviours were more likely to show a statistically significant outcome. Conclusion Nudging has shown potential in changing health behaviour of patients with diabetes in specific context. We identified two possible factors (delivery mode and patient characteristics) that may affect the effectiveness of nudge intervention. |
| Databáze: | OpenAIRE |
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