Division of Primary Care, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina; Duke-Robert J. Margolis, MD, Center for Health Policy, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina; Duke Sanford School of Public Policy, Durham, North Carolina.
Center for Cognitive Neuroscience, Duke University, Levine Science Research Center, Durham, North Carolina.
J Adolesc Health. 2021 Jul;69(1):17-25. doi: 10.1016/j.jadohealth.2020.10.007. Epub 2020 Dec 4.
Each day, adolescents and young adults (AYAs) choose to engage in behaviors that impact their current and future health. Behavioral economics represents an innovative lens through which to explore decision-making among AYAs. Behavioral economics outlines a diverse set of phenomena that influence decision-making and can be leveraged to develop interventions that may support behavior change. Up to this point, behavioral economic interventions have predominantly been studied in adults. This article provides an integrative review of how behavioral economic phenomena can be leveraged to motivate health-related behavior change among AYAs. We contextualize these phenomena in the physical and social environments unique to AYAs and the neurodevelopmental changes they undergo, highlighting opportunities to intervene in AYA-specific contexts. Our review of the literature suggests behavioral economic phenomena leveraging social choice are particularly promising for AYA health. Behavioral economic interventions that take advantage of AYA learning and development have the potential to positively impact youth health and well-being over the lifespan.
每天,青少年和年轻人(AYAs)都会选择参与影响其当前和未来健康的行为。行为经济学是一种创新的视角,可以用来探索 AYAs 的决策制定。行为经济学概述了一系列影响决策的现象,可以利用这些现象来制定干预措施,以支持行为改变。到目前为止,行为经济学干预措施主要在成年人中进行研究。本文综合回顾了如何利用行为经济学现象来激励 AYAs 进行与健康相关的行为改变。我们将这些现象置于 AYAs 独特的生理和社会环境以及他们所经历的神经发育变化中进行背景化处理,突出了在 AYA 特定环境中进行干预的机会。我们对文献的回顾表明,利用社会选择的行为经济学现象对 AYA 健康特别有希望。利用 AYA 学习和发展优势的行为经济学干预措施有可能在整个生命周期内对青年的健康和幸福产生积极影响。