Takebayashi Masaki, Mizota Yuri, Namba Mira, Kaneda Yudai, Takebayashi Kurenai, Shibutani Hirohide, Koyama Tatsuya
Sociology, Aomori University, Aomori, JPN.
Public Health, Shizuoka Graduate University of Public Health, Shizuoka, JPN.
Cureus. 2024 Sep 23;16(9):e70032. doi: 10.7759/cureus.70032. eCollection 2024 Sep.
Purpose Follow-up examinations after health check-ups are important for early detection of noncommunicable diseases among workers. Nudging can serve as an effective intervention for individuals who avoid follow-up examinations due to cognitive biases. This study aims to evaluate the interest in nudge-based notification for follow-up examinations, targeting occupational health staff and undiagnosed workers in a randomized controlled trial. Methods Participants were randomly assigned to either a control group (receiving a text-based notification without nudges) or a nudge group (receiving a notification that modified the control group based on Easy-type nudges). An anonymous web survey was administered. Results Occupational health staff (n = 425) rated all items significantly higher, including "willingness to use the notification" which scored 2.22 for the control group vs. 3.62 for the nudge group on a 1- to 5-point scale (P < 0.001). Among undiagnosed workers (n = 871), there was no significant difference in "willingness to apply for the follow-up examinations" (3.01 vs. 3.09; P = 0.272), but all other items were rated significantly higher in the nudge group (P < 0.05). Conclusion Based on these findings, we suggest that occupational health staff should use nudge-based notifications. However, increasing the willingness of undiagnosed workers to undergo follow-up examinations remains challenging. To achieve this goal, it is necessary to incorporate multiple nudge elements into notifications.
目的 健康检查后的随访对于早期发现工人中的非传染性疾病很重要。推动可作为一种有效的干预措施，针对因认知偏差而避免随访的个体。本研究旨在通过一项随机对照试验，评估职业健康工作人员和未确诊工人对基于推动的随访检查通知的兴趣。方法 将参与者随机分为对照组（接收无推动的基于文本的通知）或推动组（接收基于简易型推动对对照组进行修改的通知）。进行了一项匿名网络调查。结果 职业健康工作人员（n = 425）对所有项目的评分均显著更高，包括“使用通知的意愿”，在1至5分的量表上，对照组得分为2.22，推动组得分为3.62（P < 0.001）。在未确诊工人（n = 871）中，“申请随访检查的意愿”没有显著差异（3.01对3.09；P = 0.272），但推动组在所有其他项目上的评分均显著更高（P < 0.05）。结论 根据这些发现，我们建议职业健康工作人员应使用基于推动的通知。然而，提高未确诊工人接受随访检查的意愿仍然具有挑战性。为实现这一目标，有必要在通知中纳入多种推动元素。
