减少金融健康激励和改变体力活动的变化
Sean Spilsbury1, Piotr Wilk2, Carolyn Taylor3
1School of Kinesiology, Faculty of Health Sciences, Western University, London, Ontario, Canada.
JAMA network open
|November 8, 2023
概括
对体力活动的经济激励可能是昂贵的. 减少这些激励措施导致安大略省的步数减少,但不具有临床意义,这表明公共卫生倡议的可持续模式.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 卫生经济学 卫生经济学
背景情况:
- 财政激励用于促进体育活动,但人口规模的计划可能很昂贵.
- 对于健康行为干预,需要可持续的模型.
- 了解减少激励措施的影响对于计划设计至关重要.
研究的目的:
- 评估不完整的经济激励撤回与体力活动之间的关联.
- 探索影响戒断结果的参与者特征.
- 评估激励减少对健康行为的长期影响.
主要方法:
- 一个案例控制研究与前后准实验设计.
- 包括加拿大三个省份 (2018-2019) 政府资助的健康应用程序的用户.
- 在安大略省和对照省撤销激励计划之前和之后,客观评估的每日步数变化.
主要成果:
- 其中包括超过584,000名参与者.
- 与对照组相比,安大略省的使用者经历了统计学上显著的,但适度的,每天步数减少 (每天198到-274步).
- 在安大略省,身体不活跃的用户在戒断后的身体活动没有下降.
结论:
- 不完整的财政激励退出导致了统计学上显著但适度的体力活动下降.
- 这些下降可能是可以接受的,因为节省了大量的项目成本.
- 结果表明,在预算限制范围内,健康激励计划的潜在可持续模式.
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