Nudging to move: a scoping review of the use of choice architecture interventions to promote physical activity in the general population.
Behavioural insights
Behaviourally informed policy
Choice architecture
General population
Nudge
Physical activity
Journal
The international journal of behavioral nutrition and physical activity
ISSN: 1479-5868
Titre abrégé: Int J Behav Nutr Phys Act
Pays: England
ID NLM: 101217089
Informations de publication
Date de publication:
03 09 2019
03 09 2019
Historique:
received:
09
05
2019
accepted:
23
08
2019
entrez:
5
9
2019
pubmed:
5
9
2019
medline:
21
1
2020
Statut:
epublish
Résumé
Nudges are used to alter lifestyles and thus curb the rise of non-communicable diseases. Physical activity is a core prevention strategy to reduce the burden of non-communicable diseases. This paper aims to (1) give an overview of the scope of interventions using choice architecture techniques to promote physical activity at the population levels and (2) identify research gaps by analysing the different approaches in terms of class and type of intervention used. A systematic electronic database search was combined with snowball citation sampling of a starter set of publications to search for studies published through October 2018 reporting interventions to promote physical activity at the population level using choice architecture techniques. The methodology of the Joanna Briggs Institute for Scoping Reviews was applied. In all, 35 publications were included. Most of the interventions used point-of-choice prompts tested at railway stations, shopping malls and airports (N = 27). Eight studies were online studies. While all studies were aimed at the general population, details, if reported at all, were vague and basic. All studies focused on individual-level lifestyle behaviour. None of the studies attempted to alter population-based lifestyle behaviour. Online and "real-world" approaches were rarely combined. Neither, interventions targeting meso- and macro-level structures nor combinations of individual-level and specific meso- or macro-level interventions were found. Nudging is in principle an effective approach to promote physical activity within the general population. However, there are large gaps in research. Available opportunities have not yet been exhausted. Further research is needed that is explicitly based on behavioural insights and covering the full range of nudging approaches, particularly focussing on theoretical developments, practical feasibility tests and scale-up activities.
Sections du résumé
BACKGROUND
Nudges are used to alter lifestyles and thus curb the rise of non-communicable diseases. Physical activity is a core prevention strategy to reduce the burden of non-communicable diseases. This paper aims to (1) give an overview of the scope of interventions using choice architecture techniques to promote physical activity at the population levels and (2) identify research gaps by analysing the different approaches in terms of class and type of intervention used.
METHODS
A systematic electronic database search was combined with snowball citation sampling of a starter set of publications to search for studies published through October 2018 reporting interventions to promote physical activity at the population level using choice architecture techniques. The methodology of the Joanna Briggs Institute for Scoping Reviews was applied.
RESULTS
In all, 35 publications were included. Most of the interventions used point-of-choice prompts tested at railway stations, shopping malls and airports (N = 27). Eight studies were online studies. While all studies were aimed at the general population, details, if reported at all, were vague and basic. All studies focused on individual-level lifestyle behaviour. None of the studies attempted to alter population-based lifestyle behaviour. Online and "real-world" approaches were rarely combined. Neither, interventions targeting meso- and macro-level structures nor combinations of individual-level and specific meso- or macro-level interventions were found.
CONCLUSION
Nudging is in principle an effective approach to promote physical activity within the general population. However, there are large gaps in research. Available opportunities have not yet been exhausted. Further research is needed that is explicitly based on behavioural insights and covering the full range of nudging approaches, particularly focussing on theoretical developments, practical feasibility tests and scale-up activities.
Identifiants
pubmed: 31481090
doi: 10.1186/s12966-019-0844-z
pii: 10.1186/s12966-019-0844-z
pmc: PMC6724306
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
77Références
Ann Behav Med. 2014 Aug;48(1):92-9
pubmed: 24307474
Percept Mot Skills. 2000 Aug;91(1):55-61
pubmed: 11011871
Am J Prev Med. 2010 Feb;38(2 Suppl):S292-300
pubmed: 20117614
J Phys Act Health. 2012 Sep;9(7):954-61
pubmed: 22971886
Am J Public Health. 2001 Aug;91(8):1192-3
pubmed: 11499102
J Prim Prev. 2017 Dec;38(6):597-611
pubmed: 28936644
BMJ Open. 2019 Jan 23;9(1):e023687
pubmed: 30674487
Am J Public Health. 2001 Dec;91(12):2007-9
pubmed: 11726384
Eur J Public Health. 2010 Feb;20(1):100-2
pubmed: 19435797
J Epidemiol Community Health. 2012 Dec;66(12):1193-6
pubmed: 22766778
Soc Sci Med. 2014 May;108:74-80
pubmed: 24632051
Int J Environ Res Public Health. 2010 Aug;7(8):3063-70
pubmed: 20948947
Am J Bioeth. 2012;12(2):1-10
pubmed: 22304506
J Med Internet Res. 2011 Jul 13;13(3):e48
pubmed: 21749967
Obes Rev. 2017 Aug;18(8):852-868
pubmed: 28560794
Health Psychol Rev. 2014;8(3):286-95
pubmed: 25053215
Soc Sci Med. 2017 Nov;192:18-27
pubmed: 28950159
JMIR Serious Games. 2016 Jan 28;4(1):e1
pubmed: 26821955
Environ Health Prev Med. 2009 Jan;14(1):20-5
pubmed: 19568864
Diabetologia. 2016 Dec;59(12):2527-2545
pubmed: 27747395
BMJ Open. 2017 Nov 28;7(11):e012459
pubmed: 29183924
Br J Health Psychol. 2018 May;23(2):278-295
pubmed: 29178363
Prev Med. 2001 Nov;33(5):422-7
pubmed: 11676583
Prev Med. 2009 Oct;49(4):289-91
pubmed: 19632266
Perspect Public Health. 2017 Jan;137(1):38-44
pubmed: 28449616
Am J Health Promot. 2018 Sep;32(7):1602-1612
pubmed: 29366334
Prev Med. 2008 Apr;46(4):308-10
pubmed: 18155757
Syst Rev. 2018 Jan 25;7(1):21
pubmed: 29370831
Laeknabladid. 2013 Mar;99(3):129-34
pubmed: 23486685
BMJ. 2015 Jan 02;350:g7647
pubmed: 25555855
Ann Intern Med. 1998 Sep 1;129(5):363-9
pubmed: 9735063
JMIR Mhealth Uhealth. 2018 Sep 20;6(9):e178
pubmed: 30148712
BMJ. 2011 Jan 25;342:d228
pubmed: 21266441
Prev Med. 2018 Mar;108:93-110
pubmed: 29289643
J Phys Act Health. 2011 Nov;8(8):1044-56
pubmed: 22039123
Am J Lifestyle Med. 2015 Nov 15;12(1):51-82
pubmed: 30202382
Prim Health Care Res Dev. 2012 Jul;13(3):219-36
pubmed: 22336106
Obes Rev. 2018 Dec;19 Suppl 1:8-13
pubmed: 30511504
Hong Kong Med J. 2008 Oct;14(5 Suppl):36-9
pubmed: 18941273
Psychiatry Res. 2015 Dec 15;230(2):130-6
pubmed: 26500072
Am J Prev Med. 2012 Dec;43(6):e45-57
pubmed: 23159264
PLoS One. 2016 Apr 28;11(4):e0154335
pubmed: 27124611
Annu Rev Public Health. 2016;37:237-51
pubmed: 26735430
Int J Evid Based Healthc. 2015 Sep;13(3):141-6
pubmed: 26134548
PLoS One. 2017 Jul 10;12(7):e0180902
pubmed: 28700754
Lancet. 2012 Jul 21;380(9838):189-90
pubmed: 22818931
Br J Health Psychol. 2001 Nov;6(Part 4):397-405
pubmed: 12614513
Int J Environ Res Public Health. 2013 Jan 07;10(1):210-8
pubmed: 23296208
Int J Epidemiol. 2006 Oct;35(5):1286-90
pubmed: 16849368
Br J Nutr. 2016 Jun;115(12):2252-63
pubmed: 27185414
Br J Health Psychol. 2014 Nov;19(4):871-85
pubmed: 24417878
Am J Health Promot. 2019 Mar;33(3):448-451
pubmed: 30049225
J Epidemiol Community Health. 2000 Dec;54(12):942
pubmed: 11076994
Psychol Health. 2017 Aug;32(8):942-975
pubmed: 28554222
Health Res Policy Syst. 2008 Jul 09;6:7
pubmed: 18613961
BMC Public Health. 2018 Mar 27;18(1):418
pubmed: 29587686
Lancet. 2016 Oct 8;388(10053):1659-1724
pubmed: 27733284
Am J Psychiatry. 1980 Dec;137(12):1540-5
pubmed: 7435710
Perspect Public Health. 2018 Mar;138(2):100-110
pubmed: 28715989
Maturitas. 2018 Aug;114:34-40
pubmed: 29907244
Prog Cardiovasc Dis. 2015 Jan-Feb;57(4):356-67
pubmed: 25304047
Health Educ Res. 2010 Apr;25(2):343-54
pubmed: 19841041
Am J Public Health. 2017 Jul;107(7):1143-1149
pubmed: 28520493
Int J Behav Nutr Phys Act. 2019 Jan 14;16(1):5
pubmed: 30642352
Am J Health Promot. 2011 Nov-Dec;26(2):e74-85
pubmed: 22040399
BMC Public Health. 2013 Dec 21;13:1218
pubmed: 24359583
JAMA Intern Med. 2017 Nov 1;177(11):1586-1593
pubmed: 28973115
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
Perspect Public Health. 2016 May;136(3):132-42
pubmed: 26265733
J Phys Act Health. 2009 Nov;6(6):805-17
pubmed: 20101924
Obes Rev. 2018 Dec;19 Suppl 1:84-93
pubmed: 30511510
J Health Psychol. 2001 Sep;6(5):495-500
pubmed: 22049448
Am J Health Promot. 2007 Sep-Oct;22(1):38-44
pubmed: 17894262
Lancet Glob Health. 2018 Oct;6(10):e1077-e1086
pubmed: 30193830
BMJ. 1995 Jul 29;311(7000):289-90
pubmed: 7633234
Int J Obes (Lond). 2007 Jun;31(6):950-5
pubmed: 17310223
Scand J Public Health. 2010 Aug;38(6):633-8
pubmed: 20601438
Am J Prev Med. 2013 Nov;45(5):658-67
pubmed: 24139781
Health Promot Int. 2010 Jun;25(2):183-91
pubmed: 20190266
Eur J Public Health. 2017 Oct 1;27(5):912-920
pubmed: 28655176