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

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