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Nudging Interventions on Stair Use: A Scoping Review.
Alexandros Tzikas1, George Koulierakis2, Konstantinos Athanasakis3
1Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece. alextzikas@uniwa.gr.
Journal of Prevention (2022)
|June 14, 2024
Summary
Nudges effectively encourage stair use, a simple physical activity promoting health. Public health interventions using these subtle prompts can increase physical activity and improve health outcomes.
Area of Science:
- Public Health
- Behavioral Science
- Physical Activity Promotion
Background:
- Stair use is an accessible physical activity with significant health benefits.
- Nudges are cost-effective tools increasingly used in public health to promote healthy behaviors.
- Promoting stair use can increase daily physical activity levels in the general population.
Purpose of the Study:
- To investigate the effectiveness and characteristics of nudging interventions designed to promote stair use.
- To synthesize evidence on how nudges influence the choice between stairs and elevators/escalators.
- To identify key features of successful nudges for increasing stair usage.
Main Methods:
- A scoping review of literature published between January 2009 and May 2022.
- Searches conducted in PubMed, Cochrane Library, Mendeley, and Google Scholar.
- Inclusion of original studies targeting healthy adults, reporting nudging interventions, and comparing stair use to elevators/escalators.
Main Results:
- Out of 118 initial publications, 27 articles were included in the final analysis.
- The majority of nudging interventions demonstrated a significant positive effect on stair use across various settings.
- Nudges were found to be effective in encouraging individuals to choose stairs over elevators or escalators.
Conclusions:
- Nudging interventions are a viable strategy for promoting physical activity through increased stair usage.
- Integrating nudges into public health initiatives can effectively encourage healthier lifestyle choices.
- Emphasis on preventive measures like stair use promotion can lead to improved population health outcomes.

