基于行为经济学的运动行为干预策略在老年人中应用的范围综述

doi:10.3761/j.issn.0254-1769.2026.13.018

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (13): 1854-1859.DOI: 10.3761/j.issn.0254-1769.2026.13.018

基于行为经济学的运动行为干预策略在老年人中应用的范围综述

任媛¹(), 胡慧秀², 赵雅洁³, 谢兰英¹, 付旭雯¹, 吴金铃², 郝雨晴², 孙超²^,^*()

¹ 北京中医药大学护理学院北京市 100029
² 北京医院（国家老年医学中心）护理部，老年疾病国家临床医学研究中心，国家卫生健康委老年医学重点实验室，中国医学科学院老年医学研究院，北京市 100730
³ 北京医院（国家老年医学中心）心内科，老年疾病国家临床医学研究中心，国家卫生健康委老年医学重点实验室，中国医学科学院老年医学研究院，北京市 100730

收稿日期:2025-10-17 出版日期:2026-07-10 发布日期:2026-07-01
*通讯作者: 孙超，E-mail：bjyysci@126.com
作者简介:任媛：女，本科（硕士在读），护士，E-mail：1810123279@qq.com
第一联系人：作者贡献声明
任媛：文献检索、整理与分析，论文撰写；胡慧秀：选题设计、研究指导、论文修改及审阅；赵雅洁：论文修改；谢兰英、付旭雯：文献检索；吴金铃、郝雨晴：整理分析；孙超：研究指导、论文审阅、基金支持
基金资助:
国家自然科学基金项目(72474032)

The application of behavioral economics-based exercise behavior intervention strategies in older adults：a scoping review

REN Yuan¹(), HU Huixiu², ZHAO Yajie³, XIE Lanying¹, FU Xuwen¹, WU Jinling², HAO Yuqing², SUN Chao²^,^*()

¹ School of Nursing， Beijing University of Chinese Medicine， Beijing 100029， China
² Department of Nursing，Beijing Hospital，National Center of Gerontology；National Clinical Research Center for Gerontology；the Key Laboratory of Geriatrics of NHC；Institute of Geriatric Medicine， Chinese Academy of Medical Sciences， Beijing 100730，China
³ Department of Cardiology，Beijing Hospital， National Center of Gerontology；National Clinical Research Center for Gerontology；the Key Laboratory of Geriatrics of NHC；Institute of Geriatric Medicine， Chinese Academy of Medical Sciences，Beijing 100730， China

Received:2025-10-17 Online:2026-07-10 Published:2026-07-01
* Corresponding author: SUN Chao，E-mail：bjyysci@126.com
Funding program:
National Natural Science Foundation of China(72474032)

摘要/Abstract

摘要：

目的对基于行为经济学的运动行为干预策略在老年人中的应用进行范围综述，为今后开展相关护理研究及临床实践提供参考。方法以范围综述方法框架为指导，系统检索PubMed、Web of Science、Embase、ProQuest、CINAHL、中国知网、维普数据库、万方数据库，收集基于行为经济学设计的老年人运动行为干预的相关文献，检索时间为建库至2025年9月。对纳入的文献进行整合性分析。结果共纳入11项研究，发表于2013—2024年。老年人运动行为干预策略构建中常用的行为经济学理论为损失厌恶理论、前景理论、新开始效应理论，常用的干预策略包含经济激励、游戏化设计及同伴激励。相关研究报告了老年人每日步数、运动时长与运动依从性等评价指标。结论基于行为经济学设计的老年人运动干预策略具有应用可行性，未来需要结合国内实际情况，形成适应本土文化的干预方案。

关键词: 行为经济学, 运动行为, 老年人, 范围综述, 护理

Abstract:

Objective To conduct a scoping review of studies applying behavioral economics principles to exercise behavior in older adults，thereby providing a reference for future research and clinical practice. Methods Following the methodological framework for scoping reviews，literature searches were performed in PubMed，Web of Science，Embase，ProQuest，CINAHL，CNKI，VIP，and Wanfang to collect studies on exercise behavior interventions for older adults based on behavioral economics principles. The search period spanned from database inception to September 2025. An integrative analysis was conducted on the included literature. Results A total of 11 studies published between 2013 and 2024 were included. The behavioral economics principles most frequently applied in exercise interventions for older adults were loss aversion，prospect theory，and the fresh start effect. Common intervention strategies included financial incentives，gamification，and peer encouragement. The reviewed studies reported outcome measures such as daily step count，exercise duration，and exercise adherence among older adults. Conclusion Exercise intervention strategies based on behavioral economics principles are feasible. Future work should integrate these findings with China’s specific context to develop intervention programs adapted to the local cultural environment.

Key words: Behavioral Economics, Exercise Behavior, Aged, Scoping Review, Nursing Care

任媛, 胡慧秀, 赵雅洁, 谢兰英, 付旭雯, 吴金铃, 郝雨晴, 孙超. 基于行为经济学的运动行为干预策略在老年人中应用的范围综述[J]. 中华护理杂志, 2026, 61(13): 1854-1859.

REN Yuan, HU Huixiu, ZHAO Yajie, XIE Lanying, FU Xuwen, WU Jinling, HAO Yuqing, SUN Chao. The application of behavioral economics-based exercise behavior intervention strategies in older adults：a scoping review[J]. Chinese Journal of Nursing, 2026, 61(13): 1854-1859.

图/表 1

参考文献 22

[1]	国家统计局. 2024年经济运行稳中有进主要发展目标顺利实现[J]. 中国统计, 2025(1):4-7.
	National Bureau of Statistics. In 2024,the economy operated steadily and made progress,and the main development goals were successfully achieved[J]. China Stat, 2025(1):4-7.
[2]	何梦欣, 陈德凤, 李蓓, 等. 智能化交互式认知运动干预在老年人跌倒预防中应用的范围综述[J]. 中华护理杂志, 2025, 60(7):884-889. DOI
	He MX, Chen DF, Li B, et al. Intelligent interactive cognitive-motor training for fall prevention in older adults:a scoping review[J]. Chin J Nurs, 2025, 60(7):884-889.
[3]	孙嘉禾, 史冀鹏, 朱天瑞, 等. 运动对肌少症及其合并症老年人影响的Meta分析[J]. 中国组织工程研究, 2026, 30(4):997-1007.
	Sun JH, Shi JP, Zhu TR, et al. Effect of exercise intervention in elderly individuals with sarcopenia and its comorbidities:a meta-analysis[J]. Chin J Tissue Eng Res, 2026, 30(4):997-1007.
[4]	Kong LN, Lyu Q, Liu DX, et al. Effects of exercise interventions on physical,psychological and social outcomes in frail older adults:an overview of systematic reviews[J]. J Clin Nurs, 2024,1-18.
[5]	Strain T, Fitzsimons C, Kelly P, et al. The forgotten guidelines:cross-sectional analysis of participation in muscle strengthening and balance & co-ordination activities by adults and older adults in Scotland[J]. BMC Public Health, 2016, 16(1):1108. PMID
[6]	Finkelstein EA, Tham KW, Haaland BA, et al. Applying economic incentives to increase effectiveness of an outpatient weight loss program(TRIO):a randomized controlled trial[J]. Soc Sci Med, 2017, 185:63-70. DOI PMID
[7]	Camerer C, Loewenstein G, Rabin M. Advances in behavioral economics[M]. New York: Russell Sage Foundation, 2004.
[8]	Rice T. The behavioral economics of health and health care[J]. Annu Rev Public Health, 2013, 34:431-447. DOI URL
[9]	Peterson J, Pearce PF, Ferguson LA, et al. Understanding scoping reviews:definition,purpose,and process[J]. J Am Assoc Nurse Pract, 2017, 29(1):12-16. DOI PMID
[10]	Petry NM, Andrade LF, Barry D, et al. A randomized study of reinforcing ambulatory exercise in older adults[J]. Psychol Aging, 2013, 28(4):1164-1173. DOI PMID
[11]	Kullgren JT, Harkins KA, Bellamy SL, et al. A mixed-methods randomized controlled trial of financial incentives and peer networks to promote walking among older adults[J]. Health Educ Behav, 2014, 41(1 Suppl):43S-50S.
[12]	Notthoff N, Carstensen LL. Positive messaging promotes walking in older adults[J]. Psychol Aging, 2014, 29(2):329-341. DOI URL
[13]	Harkins KA, Kullgren JT, Bellamy SL, et al. A trial of financial and social incentives to increase older adults’ walking[J]. Am J Prev Med, 2017, 52(5):e123-e130. DOI URL
[14]	Losina E, Collins JE, Deshpande BR, et al. Financial incentives and health coaching to improve physical activity following total knee replacement:a randomized controlled trial[J]. Arthritis Care Res, 2018, 70(5):732-740. DOI URL
[15]	Schrier E, Xiong NY, Thompson E, et al. Stepping into survivorship pilot study:harnessing mobile health and principles of behavioral economics to increase physical activity in ovarian cancer survivors[J]. Gynecol Oncol, 2021, 161(2):581-586. DOI URL
[16]	Strother M, Koepsell K, Song LH, et al. Financial incentives and wearable activity monitors to increase ambulation after cystectomy:a randomized controlled trial[J]. Urol Oncol,2021, 39(7):434.e31-434.e38.
[17]	Yamada Y, Uchida T, Sasaki S, et al. Nudge-based interventions on health promotion activity among very old people:a pragmatic,2-arm,participant-blinded randomized controlled trial[J]. J Am Med Dir Assoc, 2023, 24(3):390-394.e5. DOI URL
[18]	Fanaroff AC, Patel MS, Chokshi N, et al. Effect of gamification,financial incentives,or both to increase physical activity among patients at high risk of cardiovascular events:the BE- ACTIVE randomized controlled trial[J]. Circulation, 2024, 149(21):1639-1649. DOI URL
[19]	Greysen SR, Oon AL, Harkins K, et al. Effect of gamification with a support partner to increase physical activity in older adults at risk for Alzheimer’s disease:the STEP 4Life ran-domized clinical trial[J]. Alzheimers Dement, 2024, 20(8):5450-5459. DOI PMID
[20]	Suzuki T, Rewley J, Sugibuchi K, et al. Feedbacks Using behaviOral econOmic theories on STEP countS in Cardiovascular Disease Patients(FOOTSTEPS) using novel daily step counts retrieving system[J]. Int Heart J, 2024, 65(1):100-108. DOI URL
[21]	Tversky A, Kahneman D. Advances in prospect theory:cumulative representation of uncertainty[M]// Readings in Formal Epi-stemology:Sourcebook. Cham: Springer International Publishing,2016:493-519.
[22]	刘晴偲, 赵一楠, 张洪瑜, 等. 计算机定制干预在老年人群中的应用进展[J]. 中华护理杂志, 2022, 57(22):2807-2810. DOI
	Liu QC, Zhao YN, Zhang HY, et al. Application progress of computer-tailored health intervention of elderly people[J]. Chin J Nurs, 2022, 57(22):2807-2810. DOI

基于行为经济学的运动行为干预策略在老年人中应用的范围综述

The application of behavioral economics-based exercise behavior intervention strategies in older adults：a scoping review

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

图/表 1

参考文献 22

相关文章 15

编辑推荐

Metrics

[1]	中华护理学会静脉输液治疗专业委员会, 北京护理学会, （执笔：李佳, 李旭英, 覃惠英, 陈利芬, 吴珍明, 胡泽吟, 罗梦娜, 范育英, 吴嘉慧, 林宇萍, 王蕾, 孙文彦, 冯毕龙, 高伟, 李亚南, 侯罗娅, 李春燕. 中心静脉通路装置拔除护理专家共识[J]. 中华护理杂志, 2026, 61(9): 1157-1162.
[2]	周霞, 马艳艳, 师正坤, 于海霞, 周艳, 胡红玲, 李莜, 陈思思, 张京慧. 隧道式经股静脉PICC置入术在困难静脉通路婴幼儿中的应用研究[J]. 中华护理杂志, 2026, 61(9): 1163-1170.
[3]	黄萍, 李黎, 郭骊莉, 徐莹, 叶赟, 江淑芳. 与无针输液接头相关的导管相关性血流感染风险评估工具的构建与初步应用[J]. 中华护理杂志, 2026, 61(9): 1171-1179.
[4]	李佳, 张玉玲, 邢乐, 张利峰, 牛秀峰, 许莉. 早产儿经上肢置入PICC尖端继发性异位风险预测模型的建立与验证[J]. 中华护理杂志, 2026, 61(9): 1180-1186.
[5]	何娟, 赵蕾蕾, 叶冠军, 余艳芬, 傅晓君, 周琴. 1例双侧无名静脉及上腔静脉人工血管置换术后患者经上肢置入PICC的护理[J]. 中华护理杂志, 2026, 61(9): 1187-1191.
[6]	梁江淑渊, 曾妃, 何鹏, 谢梦珊, 江悦, 蒋宗恒, 王建茗. 静脉-静脉体外膜肺氧合患者早期活动风险等级评估系统的构建及应用研究[J]. 中华护理杂志, 2026, 61(9): 1192-1199.
[7]	陈晨, 顾肖, 郭凡, 王敏, 倪兴梅, 黄琴, 程念开. 3种衰弱评估工具对急诊老年创伤患者不良结局的预测价值[J]. 中华护理杂志, 2026, 61(9): 1200-1207.
[8]	郑煜琳, 刘晋宁, 张静, 郭会敏, 谷艳梅, 张莉莉. 酒精性肝病患者肝移植术后再饮酒现状及其影响因素分析[J]. 中华护理杂志, 2026, 61(9): 1208-1214.
[9]	叶俊霜, 沈丽佳, 孟霞靓, 张玉姣, 蔡根莲, 邵碧云, 周亚辉, 张柳倩, 应金萍. 维持性血液透析患者对口腔衰弱认知和体验的质性研究[J]. 中华护理杂志, 2026, 61(9): 1215-1220.
[10]	王芸姣, 杨玉金, 郑春艳, 彭菲津, 王淑贞, 蒋喜露, 周为民, 王薇, 张娜. 糖尿病下肢动脉硬化闭塞症患者介入术后康复护理方案的构建及应用研究[J]. 中华护理杂志, 2026, 61(9): 1221-1229.
[11]	杨明霞, 安冉, 臧金凤, 李春梅. 老年慢性病共病患者及照护者老老照护能力与自我忽视的相关性分析[J]. 中华护理杂志, 2026, 61(9): 1230-1236.
[12]	梁和静, 许鹊, 史云霞, 祖金美, 黄文静, 杨春旭, 郭明华, 王磊. 颈动脉内膜剥脱术围手术期护理质量评价指标的构建[J]. 中华护理杂志, 2026, 61(9): 1237-1244.
[13]	韩媛媛, 石玉竹, 尚文涵, 么莉. 870所三级甲等医院老年住院患者跌倒伤害发生现状与影响因素分析[J]. 中华护理杂志, 2026, 61(9): 1245-1252.
[14]	夏云芳, 王洪, 崔岱, 付真真, 朱敏. 1例弥漫性毒性甲状腺肿合并超敏反应综合征青少年患者的护理[J]. 中华护理杂志, 2026, 61(9): 1253-1256.
[15]	周益飞, 王海苹, 胡益环, 应莉, 罗松娜. 1例氢氟酸中毒并发呼吸心搏骤停患者的急救护理[J]. 中华护理杂志, 2026, 61(9): 1257-1260.