UCLA Clinical Translational Science Institute Research Associates Program, UCLA Health.
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA).
Curr Opin Pediatr. 2022 Aug 1;34(4):326-333. doi: 10.1097/MOP.0000000000001126. Epub 2022 Jul 5.
Behavioral economics (BE) concepts have become well studied tools in addressing patient issues, such as weight loss, smoking cessation, and medication adherence. Although predominantly studied in adult populations, emerging literature has shown BE's utility for adolescent/young adult (AYA) populations, offering a practical framework to safeguard AYA health and influence healthy decision making.
We identified substantive areas in which BE concepts have been applied in AYA populations (e.g., substance use) and outline how these concepts have been used as a tool to identify individuals at risk for poor outcomes and to leverage behavioral insights to improve health behaviors.
BE research holds significant promise as a tool for clinicians and researchers to encourage healthy decision making in AYA populations. Yet, there are opportunities for BE research to expand further into current trends impacting adolescent health, such as electronic nicotine delivery systems, social media apps, and coronavirus disease 2019 vaccinations. Furthermore, the full degree of BE utility remains to be explored, as few studies demonstrate the translation of associative findings into direct interventions. Additional work is needed to formalize BE techniques into best practices that clinicians can implement in their daily practice.
目的综述:行为经济学(BE)概念已成为解决患者问题(如减肥、戒烟和药物依从性)的重要研究工具。尽管主要在成年人群体中进行研究,但新兴文献表明 BE 对青少年/年轻成年人(AYA)群体也具有实用性,为保护 AYA 健康和影响健康决策提供了实用框架。
最新发现:我们确定了 BE 概念在 AYA 群体中应用的实质性领域(例如,物质使用),并概述了如何将这些概念用作工具来识别有不良结局风险的个体,并利用行为洞察力来改善健康行为。
总结:BE 研究有望成为鼓励 AYA 人群做出健康决策的临床医生和研究人员的重要工具。然而,BE 研究还有机会进一步扩展到当前影响青少年健康的趋势,例如电子尼古丁输送系统、社交媒体应用程序和 2019 年冠状病毒病疫苗。此外,BE 效用的全部程度仍有待探索,因为很少有研究将关联发现转化为直接干预措施。需要进一步开展工作,将 BE 技术正式确立为临床医生可以在日常实践中实施的最佳实践。