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When should doctors nudge? Nudging and preference-sensitive care.
J Med Ethics
January 2025
Centre for the Study of Professions (SPS), Oslo Metropolitan University, Oslo, Norway
When should doctors nudge their patients towards the treatments they think are best? If the nudge is compatible with the patient giving informed consent, then the nudge could be permissible. To be compatible with informed consent, the nudge must, at minimum: (1) not make the patient's understanding worse and (2) not make it hard for the patient to resist consenting. Arguably, many nudges will meet these criteria.
View Article and Find Full Text PDFBehaviorally Informed Text Message Nudges to Schedule COVID-19 Vaccinations: A Randomized Controlled Trial.
J Gen Intern Med
November 2024
Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Background: Vaccine hesitancy, especially related to COVID-19 vaccinations among Veterans, may limit uptake. Behaviorally informed text-based messages have the potential to improve uptake of COVID-19 vaccinations.
Objective: To evaluate the impact of two different behaviorally informed text message nudges on COVID-19 vaccine scheduling and completion, compared to standard control message.
Developing a data-enabled nudge intervention for childhood antibiotics in primary care: a qualitative study.
BJGP Open
September 2024
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Background: Preschool children (aged≤5 years old) have the highest antibiotic prescribing rate in general practice, mostly for self-limiting acute respiratory tract infections (RTIs). Research from over 250 000 UK children suggests that a child's antibiotic history for RTI may be a good predictor for re-consulting a health professional for the same illness episode and increase clinical workload.
Aim: To develop a data-enabled nudge intervention to optimise antibiotic prescribing for acute RTI based on a child's antibiotic history in general practice DESIGN & SETTING: Two phase qualitative study with parents/carers of preschool children and primary care clinicians METHOD: In phase 1, through an initial focus group with eight parents/carers and 'think aloud' interviews with 11 clinicians, we co-designed the intervention (computer screen prompt and personalised consultation leaflet).
Application of the behaviour-centred design to understand facilitators and deterrents of hand hygiene among healthcare providers: findings from a formative phase of a cluster randomised trial in the Kampala Metropolitan area.
BMC Health Serv Res
September 2024
The Centre for Global Safe Water, Sanitation and Hygiene, Hubert Department of Public Health, Rollins School of Public Health, Emory University, 1518 Clifton Rd. NE, Atlanta, GA, 30322, USA.
Background: Hand hygiene is known to reduce healthcare-associated infections. However, it remains suboptimal among healthcare providers. In this study, we used the Behaviour-centered Design approach to explore the facilitators and deterrents to hand hygiene among healthcare providers in the Kampala Metropolitan area, Uganda.
View Article and Find Full Text PDFDevelopment and psychometric properties of the Balance in Daily Life (BDL) scale in a population of frail older people.
Maturitas
September 2024
Centre of Medical Device Evaluation - Handicap (CEDM-H), CHU Nîmes, Univ Montpellier, Nîmes, 4 rue du professeur Robert Debré, 30900 Nîmes, France; M2H Laboratory, Euromov Digital Health in Motion, 700 avenue du Pic Saint-Loup, 34090 Montpellier, France.
Background: Balance disorders in older people cause falls, which can have serious functional and economic consequences. No existing scale relates fall risk to daily life situations. This study describes the development, psychometric properties and construct validity of the Balance in Daily Life (BDL) scale, comprising seven routine tasks including answering a phone, carrying a heavy bag, and sitting down and getting up from a chair.
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