了解自癒力 / 揚生研究&出版

Digital Nudging for Enhanced Well-Being: Development and Evaluation of a 21-Day Self-Healing Intervention for Older Adults

2025/9/8

揚生慈善基金會

數位化推力提升幸福感：高齡者21天自癒力介入方案的發展與評估

作者：Hua-I Hsu · Chih-Chi Liu · Hsueh-Chih Chen · Chun-Yu Kuo · Stephanie Fu Yang

Received: 25 May 2025 / Accepted: 1 August 2025

ABSTRACT

In today’s increasingly digital environment, technology presents considerable opportunities for enhancing well-being among older adults, who demonstrate growing engagement with smartphones and social media platforms. This study developed and evaluated a “21-Day Self-Healing and Well-Being Guide,” a digital intervention specifically designed for older adults. The intervention employed digital nudging techniques targeting five core well-being dimensions identified through previous research: physical health, gratitude expression, religious faith, family relationships, and financial security. The three-group experimental study compared two distinct push notification intervention models with a non-intervention control group. The behavior modification group received interventions based on the Fogg Behavior Model, with targeted behavioral prompts focused on health management and gratitude practices. The positive phrase group received affirmative messages designed to improve emotional states and enhance life satisfaction. Both intervention groups received daily digital engagement throughout the 21-day program period. Intervention effectiveness was assessed through pre-post measurements of life satisfaction, quality of life, and self-healing capacity among 603 participants aged 55 and above. Results demonstrated significant improvements across all outcome measures in both intervention groups compared to controls, with the behavior modification group exhibiting more substantial improvements in physical well-being and self-healing capacity. Qualitative data confirmed high intervention acceptability and perceived value of digital engagement. These findings suggest that evidence-based digital interventions can effectively enhance older adults’ well-being by leveraging their increasing digital literacy and social media engagement. Future research should examine the long-term sustainability of these behavioral changes and explore applications across diverse older adult populations with varying levels of technological familiarity.

在當今日益數位化的環境中，科技為提升高齡者福祉帶來了相當大的契機，而高齡者對智慧型手機及社群媒體的使用也持續增加。本研究設計並評估了一項專為高齡者打造的「21 天自癒幸福感指南」數位介入方案。該方案運用了數位助推（digital nudging）技巧，針對先前研究所界定的五大核心幸福面向進行設計，包括：身體健康、感恩表達、宗教信仰、家庭關係與財務安全。

研究採用三組實驗設計，比較兩種不同的推播介入模式與一個未介入的控制組。行為修正組的介入依據 Fogg 行為模式，透過針對性的行為提示強調健康管理與感恩實踐；正向語句組則每日接收肯定式訊息，以改善情緒狀態並提升生活滿意度。兩個介入組皆在 21 天方案期間內接受每日數位互動。

介入成效評估透過 603 位 55 歲以上參與者在介入前後的生活滿意度、生活品質與自癒力能力測量進行。研究結果顯示，相較於控制組，兩個介入組在所有成效指標上皆有顯著提升，其中行為修正組在身體健康與自癒力提升方面的效果更為明顯。質性資料進一步確認了參與者對該介入的高度接受度及其對數位互動的正面價值感受。

本研究結果指出，基於實證的數位介入可有效利用高齡者日益增長的數位素養與社群媒體參與度，來提升其整體福祉。未來研究應持續探討此類行為改變的長期可持續性，並探索其在不同數位熟悉程度的高齡族群中的應用可能性。

To cite this article:

Hsu, HI., Liu, CC., Chen, HC. et al. Digital Nudging for Enhanced Well-Being: Development and Evaluation of a 21-Day Self-Healing Intervention for Older Adults. Applied Research Quality Life 20, 1783–1808 (2025). https://doi.org/10.1007/s11482-025-10496-0 ( SSCI , Q1)