Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Texas, USA.
Internal Medicine Residency Program, University of Washington Boise, Boise, Idaho, USA.
Popul Health Manag. 2022 Aug;25(4):487-500. doi: 10.1089/pop.2021.0269. Epub 2022 Mar 28.
The coronavirus disease (COVID-19) pandemic has highlighted the link between individual behavior and public health, along with the importance of evidence-based efforts to promote prosocial individual behavior. Insights from behavioral science can inform the design of effective behavior change techniques, or nudges, to influence individual behavior. The MINDSPACE framework organizes 9 behavioral science principles that can be used to guide policy design: Messenger, Incentives, Norms, Defaults, Salience, Priming, Affect, Commitments, and Ego. Using MINDSPACE as an organizing framework, this article provides a review of the literature on nudges to influence prosocial behaviors relevant during a pandemic: handwashing, avoidance of social gatherings, self-isolation and social distancing, and sharing public health messages. Additionally, empirical evidence on the use of nudges during the first several months of the COVID-19 pandemic in 2020 is summarized. Recommendations regarding the use of nudges to achieve public health policy goals during pandemics are provided. Organizational leaders, policymakers, and practitioners can use nudges to promote public health when mandates are not politically feasible or enforceable.
冠状病毒病(COVID-19)大流行凸显了个人行为与公共卫生之间的联系,以及基于证据的努力促进亲社会个人行为的重要性。行为科学的见解可以为设计有效的行为改变技术(或推动因素)提供信息,以影响个人行为。MINDSPACE 框架组织了 9 个行为科学原则,可用于指导政策设计:信息传递者、激励措施、规范、默认设置、凸显度、启动、情感、承诺和自我。本文使用 MINDSPACE 作为组织框架,回顾了有关在大流行期间影响亲社会行为的推动因素的文献:洗手、避免社交聚会、自我隔离和社会隔离以及分享公共卫生信息。此外,还总结了 2020 年 COVID-19 大流行最初几个月期间使用推动因素的经验证据。提供了在大流行期间使用推动因素实现公共卫生政策目标的建议。当强制命令在政治上不可行或不可执行时,组织领导者、政策制定者和从业者可以使用推动因素来促进公共卫生。
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