Welcome to The Healthy Nudge. Each month, we'll get you up to speed on the latest developments in policy-relevant health behavioral economics research at CHIBE.
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A JAMA Cardiology paper led by CHIBE-affiliated faculty member Srinath Adusumalli, MD, MSHP, MBMI; with additional CHIBE authors Dylan S. Small, PhD; David A. Asch, MD, MBA; Kevin G. Volpp, MD, PhD; Kayla Clark, MPH; Mitesh S. Patel, MD, MBA, et al
"Can scalable approaches to nudge clinicians, patients, or both increase initiation of a statin prescription during primary care visits? In this cluster randomized clinical trial of 4,131 patients from 28 primary care practices, nudges to clinicians using electronic health record active choice prompts and monthly peer comparison feedback significantly increased statin prescribing by 5.5 percentage points relative to usual care. Nudges to patients by text message before the visit did not significantly increase statin prescribing, but the combination of nudges to clinicians and patients significantly increased statin prescribing by 7.2 percentage points relative to usual care." Read the paper here.
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"How can behavioral insights best be leveraged to solve pressing policy challenges? Because research studies are typically designed to test the validity of a particular idea, surprisingly little is known about the relative efficacy of different approaches to changing behavior in any given policy context. We discuss megastudies as a research approach that can surmount this and other obstacles to developing optimal behaviorally informed policy interventions." Read more here.
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"This study found that neither mandates nor financial incentives had counterproductive effects. Moreover, some of the tested policies had promising effects, especially among subgroups that have lower rates of vaccine coverage. Guaranteed cash payments had larger effects than mandates, but these policies are not mutually exclusive. Instead, they may play a complementary role." Read more here.
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Adding yet another shot to the regimen seems unlikely to motivate Americans to opt for the immunization. "Each new booster we roll out is going to have a lower and lower uptake, and we’re already pretty close to the floor," said Gretchen Chapman, an expert in health behavior at Carnegie Mellon University in Pittsburgh.
The Biden administration may have no choice but to promote boosters given the lifting of other precautions, Dr. Chapman said. But most people make decisions based on what others in their social network do, or what their political and community leaders recommend, not on esoteric scientific data, she noted. Read the Times article here.
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5) CHIBE's top blog posts of 2022
As 2022 comes to a close, take a look at the top 5 blog posts from the CHIBE site from the last year:
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