A critical review of clinician-directed nudges

IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Briana S. Last , Rinad S. Beidas , Katelin Hoskins , Claire R. Waller , Gabriela Kattan Khazanov
{"title":"A critical review of clinician-directed nudges","authors":"Briana S. Last ,&nbsp;Rinad S. Beidas ,&nbsp;Katelin Hoskins ,&nbsp;Claire R. Waller ,&nbsp;Gabriela Kattan Khazanov","doi":"10.1016/j.copsyc.2024.101856","DOIUrl":null,"url":null,"abstract":"<div><p>As nudges—subtle changes to the way options are presented to guide choice—have gained popularity across policy domains in the past 15 years, healthcare systems and researchers have eagerly deployed these light-touch interventions to improve clinical decision-making. However, recent research has identified the limitations of nudges. Although nudges may modestly improve clinical decisions in some contexts, these interventions (particularly nudges implemented as electronic health record alerts) can also backfire and have unintended consequences. Further, emerging research on crowd-out effects suggests that healthcare nudges may direct attention and resources toward the clinical encounter and away from the main structural drivers of poor health outcomes. It is time to move beyond nudges and toward the development of multi-level, structurally focused interventions.</p></div>","PeriodicalId":48279,"journal":{"name":"Current Opinion in Psychology","volume":"59 ","pages":"Article 101856"},"PeriodicalIF":6.3000,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Opinion in Psychology","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352250X24000691","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0

Abstract

As nudges—subtle changes to the way options are presented to guide choice—have gained popularity across policy domains in the past 15 years, healthcare systems and researchers have eagerly deployed these light-touch interventions to improve clinical decision-making. However, recent research has identified the limitations of nudges. Although nudges may modestly improve clinical decisions in some contexts, these interventions (particularly nudges implemented as electronic health record alerts) can also backfire and have unintended consequences. Further, emerging research on crowd-out effects suggests that healthcare nudges may direct attention and resources toward the clinical encounter and away from the main structural drivers of poor health outcomes. It is time to move beyond nudges and toward the development of multi-level, structurally focused interventions.

对临床医生指导性建议的批判性审查
在过去的 15 年中,"暗示"--通过微妙地改变提供选项的方式来引导人们做出选择--在各个政策领域大受欢迎,医疗保健系统和研究人员也迫不及待地采用这些轻触式干预措施来改善临床决策。然而,最近的研究发现了 "暗示 "的局限性。虽然在某些情况下 "暗示 "可以适度改善临床决策,但这些干预措施(尤其是作为电子健康记录警报实施的 "暗示")也可能适得其反,产生意想不到的后果。此外,有关挤出效应的新兴研究表明,医疗保健干预可能会将注意力和资源引向临床治疗,而偏离造成不良健康结果的主要结构性驱动因素。现在是超越勉励,发展多层次、结构性干预措施的时候了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Current Opinion in Psychology
Current Opinion in Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
12.10
自引率
3.40%
发文量
293
审稿时长
53 days
期刊介绍: Current Opinion in Psychology is part of the Current Opinion and Research (CO+RE) suite of journals and is a companion to the primary research, open access journal, Current Research in Ecological and Social Psychology. CO+RE journals leverage the Current Opinion legacy of editorial excellence, high-impact, and global reach to ensure they are a widely-read resource that is integral to scientists' workflows. Current Opinion in Psychology is divided into themed sections, some of which may be reviewed on an annual basis if appropriate. The amount of space devoted to each section is related to its importance. The topics covered will include: * Biological psychology * Clinical psychology * Cognitive psychology * Community psychology * Comparative psychology * Developmental psychology * Educational psychology * Environmental psychology * Evolutionary psychology * Health psychology * Neuropsychology * Personality psychology * Social psychology
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信