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成年人身体活动的财政激励:系统审查和元分析更新

Babac Salmani¹, Harry Prapavessis¹, Leigh M Vanderloo²

¹School of Kinesiology, Faculty of Health Sciences, Western University, London, ON, Canada.

Preventive medicine

|January 27, 2025

概括

财务激励 (FI) 有效地促进成人体力活动 (PA),特别是在短期内,临床上显著增加每天超过1000步. 激励措施撤销后的长期影响和影响需要进一步调查.

科学领域:

行为科学行为科学
公共卫生公共卫生
运动科学运动科学

背景情况:

身体活动 (PA) 对成人健康至关重要.
金融激励 (FI) 越来越多地被探索以促进PA.
关于FI对PA有效性的证据需要定期更新.

研究的目的:

系统地审查和综合证据对经济激励对成年人体育活动的影响.
评估FI干预的短期,长期和后续影响.
确定可能缓解FI对PA影响的因素.

主要方法:

在2018年6月至2024年3月期间发表的随机对照试验 (RCT) 和试点RCT的九个数据库中进行系统的文献搜索.
进行元分析 (投票计数和随机效应),以评估不同时间点 (短期,长期,后续) 的FI影响.
进行元回归分析,探索调节变量,如研究长度,激励规模和可穿戴设备的使用.

主要成果:

包括29项涉及9604名参与者的研究.
短期FI干预表明对PA有适度的积极影响 (SMD=0.52).
在取消激励措施后的随访期间观察到一个小的积极效应 (SMD = 0.20),临床上显著的每日步骤增加 (≥1000步/天).

结论:

短期的财务激励是有效的增加成人体育活动.
对每日步数的积极影响具有临床意义.
研究长度,激励规模,可穿戴技术和目标设定似乎适度干预的有效性,而长期和后续证据仍然有限.

关键词:

改变行为行为.运动运动运动.金融激励金融激励健康行为健康行为.促进健康促进健康身体活动身体活动奖励奖励奖励奖励

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