Vitzthum Miriam Alice, Krüger Karsten, Weyh Christopher
Department of Exercise Physiology and Sports Therapy, Justus-Liebig-University Giessen, Kugelberg 62, 35394 Giessen, Germany.
J Occup Health. 2024 Jan 4;66(1). doi: 10.1093/joccuh/uiae048.
The global increase in physical inactivity is progressively evolving into a significant health challenge. Alongside the promotion of more active leisure pursuits, elevating physical activity in the workplace has come into focus. Financial incentives are not only a popular but also a promising tool in this regard. According to behavioral economics, they are able to initiate physical activity and thus create the basis for behavioral change.
The present systematic review was prepared according to the current PRISMA guidelines and with reference to the Cochrane Handbook. A systematic literature search of 6 electronic databases and 3 study registers was conducted to identify relevant literature. Both randomized controlled trials (RCTs) as well as non-RCTs were included. The Cochrane Risk-of-Bias Tool and the ROBINS-I Tool were used to assess the risk of bias of individual studies, whereas the GRADE approach was used to evaluate the quality of evidence for all studies related to physical activity outcomes. A narrative synthesis was conducted.
Six studies were included in the review. Among the total of 2646 participants, the average age ranged from 35.5 to 43.3 years, and women accounted for between 48.6% and 88%. Risk of bias was rated as "high" in 3 studies, "moderate" in 2, and "low" in 1. The quality of evidence was assessed as "moderate." Four of the 6 studies reported positive effects on physical activity during the incentive period.
Workplace health promotion incorporating financial incentives has the potential to positively impact the physical activity levels of employees.
全球身体活动不足的情况日益严重，逐渐演变成一项重大的健康挑战。除了推广更多积极的休闲活动外，提高工作场所的身体活动水平也受到了关注。经济激励不仅是一种流行的手段，也是这方面一种很有前景的工具。根据行为经济学，它们能够引发身体活动，从而为行为改变创造基础。
本系统评价按照当前的PRISMA指南并参考Cochrane手册进行编写。对6个电子数据库和3个研究登记库进行了系统的文献检索，以识别相关文献。纳入了随机对照试验（RCT）和非RCT。使用Cochrane偏倚风险工具和ROBINS - I工具评估单个研究的偏倚风险，而采用GRADE方法评估与身体活动结果相关的所有研究的证据质量。进行了叙述性综合分析。
该评价纳入了6项研究。在总共2646名参与者中，平均年龄在35.5岁至43.3岁之间，女性占48.6%至88%。3项研究的偏倚风险被评为“高”，2项为“中”，1项为“低”。证据质量被评估为“中等”。6项研究中有4项报告了在激励期间对身体活动有积极影响。
纳入经济激励的工作场所健康促进有可能对员工的身体活动水平产生积极影响。
