内在动机驱动的青年主动健康设计研究

夏雅琴; 许湘; 赵腾宇; 姜晨菡

doi:10.19554/j.cnki.1001-3563.2026.16.010

PDF(1854 KB)

包装工程（设计栏目） ›› 2026, Vol. 47 ›› Issue (16) : 105-118. DOI: 10.19554/j.cnki.1001-3563.2026.16.010

工业设计

内在动机驱动的青年主动健康设计研究

夏雅琴¹, 许湘¹, 赵腾宇², 姜晨菡^1,*

作者信息 +

Intrinsic Motivation-oriented Active Health Design for Youth

XIA Yaqin¹, XU Xiang¹, ZHAO Tengyu², JIANG Chenhan^1,*

Author information +

文章历史 +

摘要

目的针对当代大学生健康管理中普遍存在的高焦虑与低依从性并存困境,运用文献计量学方法系统梳理国内外研究脉络,构建面向内在动机激发的主动健康设计框架。方法以Web of Science核心合集与CNKI为数据源,检索2015年至2025年间相关文献4 798篇,遵循PRISMA流程筛选后纳入47篇核心文献进行定性合成分析。运用CiteSpace 6.4软件进行关键词共现、聚类、突现及时间线分析,识别研究热点与演进趋势。结果可视化分析显示,国际研究形成以数字健康、移动健康、康复为核心的研究网络,近年来人工智能、情绪调节、大学生成为突现热点;国内研究围绕大学生、心理健康、亚健康主题展开,游戏化、服务设计、交互作用成为新兴方向。现有干预设计存在三方面不足：功能代偿取向忽视心理体验、外在激励机制诱发动机耗竭、量化监测缺乏意义建构支持。结论整合自我决定理论、具身认知与叙事心理学,构建EIGC（Embodied Interaction具身交互-Identity Construction身份建构-Gamified Prudence游戏审慎-Community Resonance社群共振）主动健康设计框架,提出了具体的设计原则与设计检查点,为青年数字健康产品开发提供系统的方法论指导。

Abstract

To address the coexistence of high health anxiety and low behavioral compliance among university students, the work aims to adopt bibliometric methods to systematically sort out Chinese and international research contexts and construct an active health design framework for intrinsic motivation stimulation. With the Web of Science Core Collection and CNKI as data sources, 4 798 relevant publications published between 2015 and 2025 were retrieved. Following the PRISMA process, 47 core papers were included for qualitative synthesis analysis after screening. CiteSpace 6.4 software was used to conduct key word co-occurrence, clustering, burst detection and timeline analysis, so as to identify research hotspots and evolutionary trends. Visualization analysis reveals that international research has formed a research network centered on digital health, mobile health and rehabilitation. In recent years, artificial intelligence, emotion regulation and college students have become burst hotspots. Chinese research revolves around the themes of college students, mental health and sub-health, with gamification, service design and interaction effects as emerging directions. Existing intervention designs suffer from three deficiencies: the function-compensation orientation neglects psychological experience, extrinsic incentive mechanisms may induce motivation exhaustion and quantitative monitoring lacks support for meaning construction. By integrating Self-Determination Theory, embodied cognition, and narrative psychology, this work proposes the EIGC (Embodied Interaction, Identity Construction, Gamified Prudence, Community Resonance) active health design framework, with specific design principles and checkpoints to guide youth digital health product development.

导出引用1

夏雅琴, 许湘, 赵腾宇, 姜晨菡. 内在动机驱动的青年主动健康设计研究[J]. 包装工程. 2026, 47(16): 105-118 https://doi.org/10.19554/j.cnki.1001-3563.2026.16.010

XIA Yaqin, XU Xiang, ZHAO Tengyu, JIANG Chenhan. Intrinsic Motivation-oriented Active Health Design for Youth[J]. Packaging Engineering. 2026, 47(16): 105-118 https://doi.org/10.19554/j.cnki.1001-3563.2026.16.010

中图分类号： TB48

参考文献

[1] 贾钰,周紫彤,曹学华,等. 中国大学生亚健康状态检出率的Meta分析[J]. 中国循证医学杂志, 2023, 23(8): 901-906.
JIA Y, ZHOU Z T, CAO X H, et al.Meta-analysis of the Detection Rate of Sub-health Status among Chinese College Students[J]. Chinese Journal of Evidence-Based Medicine, 2023, 23(8): 901-906.
[2] 彭轲,韩奎斌,王团伟. 健康素养和手机依赖的交互作用与在校大学生亚健康状况的关联研究[J]. 现代预防医学, 2024, 51(24): 4536-4541.
PENG K, HAN K B, WANG T W.Association between Health Literacy and Mobile Phone Dependence Interaction and Sub-health Status of College Students[J]. Modern Preventive Medicine, 2024, 51(24): 4536-4541.
[3] LIU Y, SHEN V W, JAIME E, et al.Digital Mental Health Interventions in Chinese: A Scoping Review[J]. npj Digital Medicine, 2025, 8: 756.
[4] LI S, XI Z, BARNETT P, et al.Efficacy of Culturally Adapted Interventions for Common Mental Disorders in People of Chinese Descent: A Systematic Review and Meta-Analysis[J]. The Lancet Psychiatry, 2023, 10(6): 426-440.
[5] JIANG N, YU X, YANG Y, et al.Digital Therapeutics in China: Comprehensive Review[J]. Journal of Medical Internet Research, 2025, 27: e70955.
[6] 刘娟,李若妍,任建军. 青年群体的主动健康管理系统设计策略研究[J]. 包装工程, 2025, 46(16): 103-113.
LIU J, LI R Y, REN J J.Design Strategy Research of Active Health Management System for Youth Groups[J]. Packaging Engineering, 2025, 46(16): 103-113.
[7] 王样,胡雨含,周楚雯, 等. 基于KANO模型和PCSI指数的大学生心理健康服务设计研究[J]. 包装工程, 2023, 44(6): 84-93.
WANG Y, HU Y H, ZHOU C W, et al.Research on Mental Health Service Design for College Students Based on KANO Model and PCSI Index[J]. Packaging Engineering, 2023, 44(6): 84-93.
[8] 刘勇,石元伍,解马清云,等. 提升大学生心理健康咨询体验感的服务设计策略研究[J]. 家具与室内装饰, 2024, 31(7): 84-90.
LIU Y, SHI Y W, XIE M Q Y, et al. Research on Service Design Strategy to Improve the Experience of Mental Health Counseling for College Students[J]. Furniture & Interior Design, 2024, 31(7): 84-90.
[9] DECI E L, KOESTNER R, RYAN R M.A Meta-Analytic Review of Experiments Examining the Effects of Extrinsic Rewards on Intrinsic Motivation[J]. Psychological Bulletin, 1999, 125(6): 627-668.
[10] NISHI S K, KAVANAGH M E, RAMBOANGA K, et al.Effect of Digital Health Applications with or without Gamification on Physical Activity and Cardiometabolic Risk Factors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials[J]. EClinicalMedicine, 2024, 76: 102798.
[11] HAMMEDI W, LECLERCQ T, STEILS N.Gamification Myopia: Satiation Effects in Gamified Activities[J]. Journal of Service Research, 2024, 27(2): 213-230.
[12] 武笑宇, 辛向阳. 劝导用户行为改变的游戏化设计应用[J]. 包装工程, 2017, 38(20): 194-198.
WU X Y, XIN X Y.Application of Gamification Design in Persuading User Behavior Change[J]. Packaging Engineering, 2017, 38(20): 194-198.
[13] ALBERTS L, LYNGS U, LUKOFF K.Designing for Sustained Motivation: A Review of Self-Determination Theory in Behaviour Change Technologies[J]. Interacting with Computers, 2024, iwae040. DOI: 10.1093/iwc/iwae040.
[14] ÖZLÜ A, ÜNVER G, TUNA H I, et al.The Effect of a Virtual Reality-Mediated Gamified Rehabilitation Program on Pain, Disability, Function, and Balance in Knee Osteoarthritis: A Prospective Randomized Controlled Study[J]. Games for Health Journal, 2023, 12(2): 118-124.
[15] BALUZ R, TELES A, FONTENELE J E, et al.Motor Rehabilitation of Upper Limbs Using a Gesture-Based Serious Game: Evaluation of Usability and User Experience[J]. Games for Health Journal, 2022, 11(3): 177-185.
[16] FUCHS T.The Circularity of the Embodied Mind[J]. Frontiers in Psychology, 2020, 11: 1707.
[17] CARDONA J F.Embodied Cognition: A Challenging Road for Clinical Neuropsychology[J]. Frontiers in Aging Neuroscience, 2017, 9: 388.
[18] PIETRZAK T, LOHR C, JAHN B, et al.Embodied Cognition and the Direct Induction of Affect as a Compliment to Cognitive Behavioural Therapy[J]. Behavioral Sciences, 2018, 8(3): 29.
[19] 董晗钰,周洁,刘柱,等.大学生负性情绪与体育锻炼对自评健康的交互作用研究[J]. 中国慢性病预防与控制, 2023, 31(1): 22-26.
DONG H Y, ZHOU J, LIU Z, et al.Study on the Interaction between Negative Emotions and Physical Exercise on Self-Rated Health of College Students[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2023, 31(1): 22-26.
[20] ZHU Y., LONG Y., WANG H,et al.Digital behavior change intervention designs for habit formation: systematic review[J]. Journal of medical Internet research, 2024, 26: e54375.
[21] SAÑUDO B, SÁNCHEZ-TRIGO H, DOMÍNGUEZ R, et al. A Randomized Controlled mHealth Trial That Evaluates Social Comparison-Oriented Gamification to Improve Physical Activity, Sleep Quantity, and Quality of Life in Young Adults[J]. Psychology of Sport and Exercise, 2024, 72: 102590.
[22] RYAN R M, DECI E L.Intrinsic and Extrinsic Motivation from a Self-Determination Theory Perspective: Definitions, Theory, Practices, and Future Directions[J]. Contemporary Educational Psychology, 2020, 61: 101860.
[23] 董宝林,毛丽娟. 适应性完美主义、自主动机对青少年锻炼坚持性的影响:父母自主支持的调节效应[J]. 上海体育学院学报, 2020, 44(2): 12-22.
DONG B L, MAO L J.Influence of the Adaptive Perfectionism and Autonomous Motivation on Adolescents' Exercise Adherence: Moderating Effect of Parental Autonomy Support[J]. Journal of Shanghai University of Sport, 2020, 44(2): 12-22.
[24] SADLER E, WOLFE C D, MCKEVITT C.Lay and Health Care Professional Understandings of Self-Management: A Systematic Review and Narrative Synthesis[J]. SAGE Open Medicine, 2014, 2: 2050312114544493.
[25] LU T., LIN Q., YU B., et al.A systematic review of strategies in digital technologies for motivating adherence to chronic illness self-care. npj Health Systems, 2025, 2(1): 13.
[26] FENG S, MÄNTYMÄKI M, DHIR A, et al. How Self-Tracking and the Quantified Self Promote Health and Well-Being: Systematic Review[J]. Journal of Medical Internet Research, 2021, 23(9): e25171.
[27] FRANKL V E.Man's Search for Meaning: An Introduction to Logotherapy[M]. Boston: Beacon Press, 1992.
[28] WILLIAMS J E, PYKETT J.Mental Health Monitoring Apps for Depression and Anxiety in Children and Young People: A Scoping Review and Critical Ecological Analysis[J]. Social Science & Medicine, 2022, 297: 114802.
[29] YARDLEY L, SPRING B J, RIPER H, et al.Understanding and Promoting Effective Engagement with Digital Behavior Change Interventions[J]. American Journal of Preventive Medicine, 2016, 51(5): 833-842.
[30] SZINAY D, JONES A, CHADBORN T, et al.Influences on the Uptake of and Engagement with Health and Well-Being Smartphone Apps: Systematic Review[J]. Journal of Medical Internet Research, 2020, 22(5): e17572.
[31] CHENG V W S, PIPER S E, OTTAVIO A, et al. Recommendations for Designing Health Information Technologies for Mental Health Drawn from Self-Determination Theory and Co-Design with Culturally Diverse Populations: Template Analysis[J]. Journal of Medical Internet Research, 2021, 23(2): e23502.
[32] WILSON M.Six Views of Embodied Cognition[J]. Psychonomic Bulletin & Review, 2002, 9(4): 625-636.
[33] LAKOFF G, JOHNSON M.Philosophy in the Flesh: The Embodied Mind and Its Challenge to Western Thought[M]. New York: Basic Books, 1999.
[34] 彭婉晴, 罗帏, 周仁来. 工作记忆刷新训练改善抑郁倾向大学生情绪调节能力的HRV证据[J]. 心理学报, 2019, 51(6): 648-661.
PENG W Q, LUO W, ZHOU R L.HRV Evidence of Working Memory Refreshing Training Improving Emotion Regulation Ability of College Students with Depressive Tendency[J]. Acta Psychologica Sinica, 2019, 51(6): 648-661.
[35] LIANG C, ZHI J, SU C, et al.A Study on the Effects of Embodied and Cognitive Interventions on Adolescents' Flow Experience and Cognitive Patterns[J]. Behavioral Sciences, 2025, 15(6): 768.
[36] LAURE T, REMMERSWAAL D, KONIGORSKI S, et al.Optimization of a Mobile Transdiagnostic Emotion Regulation Intervention for University Students: A Micro-Randomized Trial[J]. Stress and Health, 2025, 41(1): e3507.
[37] MCADAMS D P.The Stories We Live By: Personal Myths and the Making of the Self[M]. New York: William Morrow, 1993.
[38] MARCIA J E.Development and Validation of Ego-Identity Status[J]. Journal of Personality and Social Psychology, 1966, 3(5): 551-558.
[39] BRUNER J.Acts of Meaning[M]. Cambridge: Harvard University Press, 1990.
[40] STOYANOV S R, ZELENKO O, STANEVA A, et al.Development of the Niggle App for Supporting Young People on Their Dynamic Journey to Well-Being: Co-Design and Qualitative Research Study[J]. JMIR mHealth and uHealth, 2021, 9(4): e21085.
[41] SHNEIDER C E, ROBBERTZ A S, COHEN L L.A Systematic Review of Relationships Between Illness Identity and Health-Related Outcomes in Individuals with Chronic Illnesses[J]. Journal of Clinical Psychology in Medical Settings, 2024, 31(1): 130-142.
[42] HAJDAREVIC S, NORBERG A, LUNDMAN B, et al.Becoming Whole Again—Caring for the Self in Chronic Illness—A Narrative Review of Qualitative Empirical Studies[J]. Journal of Clinical Nursing, 2025, 34(3): 754-771.
[43] SUTHERLAND R, BROWN A, NATHAN N, et al.A Multicomponent mHealth-Based Intervention (SWAP IT) to Decrease the Consumption of Discretionary Foods Packed in School Lunchboxes: Type I Effectiveness-Implementation Hybrid Cluster Randomized Controlled Trial[J]. Journal of Medical Internet Research, 2021, 23(6): e25256.
[44] JOHANSEN S K, KANSTRUP A M, THOMSEN J L, et al.Exploring the Barriers and Facilitators for Supporting Adolescents with Knee Pains Adherence to Mobile Health Apps: A Think-Aloud Study[J]. Digital Health, 2023, 9: 20552076231205750.
[45] SCHWARZ A, WINKENS L H, DE VET E, et al.Design Features Associated with Engagement in Mobile Health Physical Activity Interventions among Youth: Systematic Review of Qualitative and Quantitative Studies[J]. JMIR mHealth and uHealth, 2023, 11: e40898.
[46] AHONKHAI A A, PIERCE L J, MBUGUA S, et al.PEERNaija: A Gamified mHealth Behavioral Intervention to Improve Adherence to Antiretroviral Treatment among Adolescents and Young Adults in Nigeria[J]. Frontiers in Reproductive Health, 2021, 3: 656507.
[47] FERRETTI A, VAYENA E, BLASIMME A.Unlock Digital Health Promotion in LMICs to Benefit the Youth[J]. PLOS Digital Health, 2023, 2(8): e0000315.
[48] NTOUMANIS N, NG J Y, PRESTWICH A, et al.A Meta-Analysis of Self-Determination Theory-Informed Intervention Studies in the Health Domain: Effects on Motivation, Health Behavior, Physical, and Psychological Health[J]. Health Psychology Review, 2021, 15(2): 214-244.