游戏化,金融激励或两者的成本效益,以增加心血管疾病风险较高的患者的身体活动
Louise B Russell1,2,3, Kevin G M Volpp1,2,3,4,5, Mitesh S Patel6
1Department of Medical Ethics and Health Policy (L.B.R., K.G.M.V., L.N., J.Z., T.K.).
Circulation. Cardiovascular quality and outcomes
|June 17, 2025
概括
增加日常步骤的游戏化干预措施对于降低心血管疾病风险具有高度的成本效益. 这些策略为每人不到5万美元的收入提供了显著的生命年数,这使得它们对公共卫生计划具有价值.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 行为科学 行为科学
背景情况:
- BE ACTIVE试验评估了诸如游戏化和经济激励等干预措施,以促进心血管疾病高风险人群的身体活动 (每日步骤/天).
- 增加每日步骤与延长预期寿命相关,但成本效益数据对于广泛实施至关重要.
研究的目的:
- 评估游戏化,财务激励和综合方法与增加体育活动的注意力控制的终身成本效益.
- 为了比较每个干预臂的成本效益,包括注意力控制,与没有干预.
主要方法:
- 使用概率马尔科夫模型来估计从干预中获得的寿命年和质量调整寿命年.
- 模拟了三个持久性场景 (乐观,中间,悲观),以解释干预后增加步骤/天的未知长期影响.
主要成果:
- 与注意力控制相比,游戏化干预成本为938美元/参与者,成本效益在每年261美元至30550美元之间.
- 仅靠游戏化,与没有干预相比,在所有耐用性场景中,每年生命周期的成本效益总是低于5万美元,与没有干预相比.
- 金融激励措施主要由其他干预措施主导,游戏化+金融激励措施只有在乐观和中间情景中才具有成本效益.
结论:
- 游戏化干预措施是增加体育活动和改善预期寿命的高价值策略,与既定的成本效益值保持一致.
- 这些发现支持将游戏化整合到预防心血管疾病的公共卫生战略中,因为它具有有利的经济价值.
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