Manchester Centre for Health Psychology, Division of Psychology and Mental Health, The University of Manchester, Manchester, United Kingdom.
JMIR Public Health Surveill. 2024 Feb 21;10:e46638. doi: 10.2196/46638.
Improving the environment is an important upstream intervention to promote population health by influencing health behaviors such as physical activity, smoking, and social distancing. Examples of promising environmental interventions include creating high-quality green spaces, building active transport infrastructure, and implementing urban planning regulations. However, there is little robust evidence to inform policy and decision makers about what kinds of environmental interventions are effective and for which populations. In this viewpoint, we make the case that this evidence gap exists partly because health behavior research is dominated by obtrusive methods that focus on studying individual behavior and that are less suitable for understanding environmental influences. In contrast, unobtrusive observation can assess how behavior varies in different environmental contexts. It thereby provides valuable data relating to how environments affect the behavior of populations, which is often useful knowledge for effectively and equitably tackling population health challenges such as obesity and noncommunicable diseases. Yet despite a long history, unobtrusive observation methods are currently underused in health behavior research. We discuss how developing the use of video technology and automated computer vision techniques can offer a scalable solution for assessing health behaviors, facilitating a more thorough investigation of how environments influence health behaviors. We also reflect on the important ethical challenges associated with unobtrusive observation and the use of these emerging video technologies. By increasing the use of unobtrusive observation alongside other methods, we strongly believe this will improve our understanding of the influences of the environment on health behaviors.
改善环境是促进人口健康的一项重要上游干预措施,可通过影响体育活动、吸烟和社交距离等健康行为来实现。有前途的环境干预措施的例子包括创建高质量的绿色空间、建设积极的交通基础设施和实施城市规划法规。然而,几乎没有确凿的证据可以为政策制定者和决策者提供有关哪些环境干预措施有效以及针对哪些人群的信息。在本观点中,我们认为这一证据差距的部分原因是健康行为研究主要由侵入性方法主导,这些方法侧重于研究个人行为,而不太适合理解环境影响。相比之下,非侵入性观察可以评估行为在不同环境背景下的变化。因此,它提供了有关环境如何影响人群行为的有价值的数据,这些数据对于有效和公平地解决肥胖和非传染性疾病等人口健康挑战通常是有用的知识。尽管历史悠久,但非侵入性观察方法在健康行为研究中目前仍未得到充分利用。我们讨论了如何开发使用视频技术和自动化计算机视觉技术为评估健康行为提供可扩展的解决方案,从而更彻底地研究环境如何影响健康行为。我们还反思了与非侵入性观察和使用这些新兴视频技术相关的重要伦理挑战。通过增加非侵入性观察与其他方法的使用,我们坚信这将提高我们对环境对健康行为的影响的理解。