A Paradigm Shift in Health Behavior Change: Understanding When and How Social Comparison Supports Healthy Behavior

健康行为改变的范式转变：了解社会比较何时以及如何支持健康行为

• 批准号: 10685733
• 负责人: Danielle Arigo
• 金额: $ 133.65万
• 依托单位: ROWAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10685733
• 关键词: Adult; Affect; Area; Award; Behavior; Behavioral Sciences; Chronic Disease; Engineering; Environment; Experimental Designs; Health Technology; Health behavior; Health behavior and outcomes; Health behavior change; Intervention; Life; Link; Methods; Pathway interactions; Persons; Physical activity; Public Health; Randomized; Research; Series; Testing; Theoretical model; Work; digital health; disorder prevention; evidence based guidelines; innovation; novel; novel strategies; social

Abstract Prompts to evaluate ourselves relative to others (i.e., social comparison) are increasingly engineered into our daily lives to promote specific behaviors, including in digital health technologies and health behavior change interventions. Despite its ubiquity, however, we do not yet understand how social comparison affects health behavior, including its demonstrated negative effects. Our poor understanding of the mechanistic pathway linking social comparison to health behavior limits the efficacy of many of our chronic disease prevention and intervention efforts. The proposed DP2 New Innovator Award will address the critical and overlooked opportunity to understand how social comparison affects health behavior, by introducing a new paradigm for research in this area. The traditional approach to studying the effects of social comparison uses methods that describe static differences between people, which cannot identify the nuances of what happens when comparison occurs in daily life. By assessing the complexities of social comparison and health behavior as they occur (using ambulatory, naturalistic assessment), and embedding a randomized experimental design, the proposed series of iterative studies will finally identify the unknown causal, mechanistic pathway(s) from social comparison to health behavior. This novel approach will be applied to the exemplar of physical activity leaderboards – a widely disseminated method for activating social comparison that has shown both positive and negative effects on physical activity – to understand how social comparison affects physical activity behavior among insufficiently active adults (total N = 300). This innovative approach will be guided by the PI’s new, detailed theoretical model of how social comparison affects health behaviors in the natural environment. Consequently, the proposed work will have a meaningful public health impact, by generating evidence- based recommendations for the optimal use of comparison to promote healthy behavior while minimizing its negative consequences. This work will also advance behavioral science and related fields by providing a roadmap for testing the effects of social comparison on other health behaviors and outcomes.

抽象的 相对于他人评估自己（即社会比较）的提示越来越多地被设计为 我们的日常生活促进特定行为，包括数字健康技术和健康行为 然而，尽管它无处不在，但我们还不了解社会比较是如何进行的。 影响健康行为，包括我们对其表现出的负面影响的了解不足。 将社会比较与健康行为联系起来的机制途径限制了我们许多方法的功效 拟议的 DP2 新创新者奖将在慢性病预防和干预方面做出努力。 解决了解社会比较如何影响健康的关键和被忽视的机会 行为，通过引入该领域的新研究范式来研究传统方法。 社会比较的效果使用描述人与人之间静态差异的方法， 无法通过评估日常生活中发生的情况来识别发生的细微差别。 社会比较和健康行为发生时的复杂性（使用流动的、自然主义的 评估），并嵌入随机实验设计，提出的一系列迭代研究 最终将确定从社会比较到健康的未知因果、机制途径 这种新颖的方法将应用于体育活动排行榜的范例——一个广泛的例子。 激活社会比较的传播方法，已显示出积极和消极的影响 关于身体活动——了解社会比较如何影响人们的身体活动行为 活动不足的成年人（总数 N = 300）。这种创新方法将由 PI 新的、 社会比较如何影响自然环境中的健康行为的详细理论模型。 经审查，拟议的工作将通过产生证据来产生有意义的公共卫生影响—— 基于最佳使用比较的建议，以促进健康行为，同时最大限度地减少 这项工作也将推动行为科学和相关领域的发展。 提供测试社会比较对其他健康行为和结果的影响的路线图。