Parkinson John A, Gould Ashley, Knowles Nicky, West Jonathan, Goodman Andrew M
Wales Centre for Behaviour Change, Department of Psychology, Bangor University, Gwynedd LL57 2AS, UK.
Behavioural Science Unit, Public Health Wales, Cardiff CF10 4BZ, UK.
Behav Sci (Basel). 2025 Mar 21;15(4):403. doi: 10.3390/bs15040403.
Traditional approaches to changing health behaviours have primarily focused on education and raising awareness, assuming that increased knowledge leads to better decisions. However, evidence suggests these methods often fail to result in sustained behavioural change. The dual-process theory of decision-making highlights that much of our behaviour is driven by automatic, intuitive processes, which educational interventions typically overlook. Compounding this challenge, behavioural research is often conducted on small groups, making it difficult to scale insights into broader societal issues, where behaviour is influenced by complex, interconnected factors. This review advocates for integrating behavioural science with systems approaches (including systems thinking and approaches to complex adaptive systems) as a more effective approach to resolving complex societal issues, such as public health, sustainability, and social equity. Behavioural science provides insights into individual decision-making, while systems approaches offer ways of understanding, and working with, the dynamic interactions and feedback loops within complex systems. The review explores the commonalities and differences between these two approaches, highlighting areas where they complement one another. Design thinking is identified as a useful structure for bridging behavioural science and systems thinking, enabling a more holistic approach to problem-solving. Though some ideological challenges remain, the potential for creating more effective, scalable solutions is significant. By leveraging the strengths of both behavioural science and systems thinking, one can create more comprehensive strategies to address the "wicked problems" that shape societal health and well-being.
传统的改变健康行为的方法主要集中在教育和提高意识上,认为知识的增加会带来更好的决策。然而,有证据表明这些方法往往无法带来持续的行为改变。决策的双过程理论强调,我们的许多行为是由自动的、直观的过程驱动的,而教育干预通常会忽略这些过程。更具挑战性的是,行为研究通常在小群体中进行,因此很难将研究结果推广到更广泛的社会问题中,因为在这些问题中,行为受到复杂的、相互关联的因素的影响。本综述主张将行为科学与系统方法(包括系统思维和复杂适应系统方法)相结合,作为解决复杂社会问题(如公共卫生、可持续性和社会公平)的更有效方法。行为科学提供了对个体决策的见解,而系统方法则提供了理解复杂系统内动态相互作用和反馈回路并与之合作的方式。本综述探讨了这两种方法的异同,突出了它们相互补充的领域。设计思维被认为是连接行为科学和系统思维的有用架构,能够以更全面的方式解决问题。尽管仍然存在一些意识形态上的挑战,但创造更有效、可扩展的解决方案的潜力是巨大的。通过利用行为科学和系统思维的优势,可以制定更全面的策略来应对那些影响社会健康和福祉的“棘手问题”。