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Integrating health geography and behavioral economic principles to strengthen context-specific behavior change interventions

Barber, Brittany Victoria; Kephart, George; Martin-Misener, Ruth; Vallis, Michael; Matthews, Stephen; Atkins, Lou; Cassidy, Christine; ... Rainham, Daniel; + view all (2023) Integrating health geography and behavioral economic principles to strengthen context-specific behavior change interventions. Translational Behavioral Medicine , Article ibad065. 10.1093/tbm/ibad065. (In press). Green open access

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Abstract

The long-term economic viability of modern health care systems is uncertain, in part due to costs of health care at the end of life and increasing health care utilization associated with an increasing population prevalence of multiple chronic diseases. Control of health care spending and sustaining delivery of health care services will require strategic investments in prevention to reduce the risk of disease and its complications over an individual's life course. Behavior change interventions aimed at reducing a range of harmful and risky health-related behaviors including smoking, physical inactivity, excess alcohol consumption, and excess weight, are one approach that has proven effective at reducing risk and preventing chronic disease. However, large-scale efforts to reduce population-level chronic diseases are challenging and have not been very successful at reducing the burden of chronic diseases. A new approach is required to identify when, where, and how to intervene to disrupt patterns of behavior associated with high-risk factors using context-specific interventions that can be scaled. This paper introduces the need to integrate theoretical and methodological principles of health geography and behavioral economics as opportunities to strengthen behavior change interventions for the prevention of chronic diseases. We discuss how health geography and behavioral economics can be applied to expand existing behavior change frameworks and how behavior change interventions can be strengthened by characterizing contexts of time and activity space.

Type: Article
Title: Integrating health geography and behavioral economic principles to strengthen context-specific behavior change interventions
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/tbm/ibad065
Publisher version: https://doi.org/10.1093/tbm/ibad065
Language: English
Additional information: © The Author(s) 2023. Published by Oxford University Press on behalf of the Society of Behavioral Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
Keywords: activity space, behavior change interventions, behavioral economics, health geography, prevention chronic disease, temporal patterns
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10179941
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