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. Want more frequent updates? Follow us on Twitter
@PennCHIBE
and visit our
website
.
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"How Goes the Behavior-Change Revolution?"
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Freakonomics
recently recorded an episode with CHIBE-affiliated members
Katy Milkman, PhD
,
and
Angela Duckworth, PhD, MA, MsC
,
in Philadelphia. They discussed their Behavior Change for Good initiative, which has united an interdisciplinary team of scientists and leading practitioners with a mission to make behavior change stick. Read more or listen in about their randomized controlled trial using 63,000 members of 24-Hour Fitness gyms
here
.
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Overall Vaccination Rates Increase in California Following Interventions
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Did California’s three interventions (two laws and an educational campaign) increase uptake of vaccines and vaccination status for kindergartners? A new
JAMA study
by CHIBE Interim Director
Alison Buttenheim, MBA, PhD
, found that they did. In this observational study of school-level data from kindergartners who started attending school between 2000 and 2017, the rate of kindergartners without up-to-date vaccination status decreased from 9.84% during 2013 (before the interventions) to 4.87% during 2017 (after the interventions). Read more coverage in
CNN
and
Huffington Post.
In other vaccine news, three studies authored by CHIBE members were cited in a
Forbes
article
about Bob Sears, MD, a physician who is facing an accusation from the Medical Board of California over his filing of vaccination exemptions for a pair of siblings with no medically recognized contraindications for any vaccines.
Read more here
.
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New Payment System in Hawaii Shows Promise
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Hawaii
Medical Service Association, the Blue Cross Blue Shield of Hawaii, introduced a new system, Population-Based Payments for Primary Care (3PC), in 2016, and CHIBE researchers have found that in its first year, 3PC was associated with improvements in quality. Lead study author and CHIBE Associate Director
Amol Navathe, MD, PhD
,
said,
"One of the most exciting aspects of the 3PC model and its results is the similarities it shares with Medicare's new ‘Primary Care First’ model. The fact that PCPs effectively changed how they practice while improving quality is suggestive of further future benefits. This is good news for Medicare's model too."
Read more in
JAMA
or
see coverage in
HealthLeaders
.
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CHIBE Profile: Steven Schroeder, MD
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Steve Schroeder, MD
,
a CHIBE External Advisory Board member and Director of the Smoking Cessation Leadership Center at University of California San Francisco (UCSF), was recently interviewed for a UCSF piece called “A Life in Medicine: People Shaping Health Care Today.” View the
video interview here
, and read our Q&A below.
You’re known for being a great mentor. What advice or guidance did your mentor provide to you that was helpful?
I never really had a mentor, but I watched a lot of leaders very closely and tried to learn from them. In some cases they had characteristics that I was not capable of emulating but would have liked to. In other cases they exhibited behavior, such as not honoring commitments, that I tried never to emulate. And in some cases they showed me better ways of doing things that I could appropriate into my own behavior.
What career achievement are you most proud of?
As I mentioned in the interview, my greatest pride stems from our two adult sons. Regarding career, I have been very fortunate in having a lot of wonderful experiences. If forced to choose, I would select the founding of the Division of General Internal Medicine at UCSF in 1980.
Tell us about a moment in your career when you failed and what you learned from that experience.
I was passed over for a job that I wanted, and it forced me to examine my priorities. I was offered leadership jobs in two other institutions, but there were issues surrounding those positions that caused me to stay where I was for a while.
What excites you about the work CHIBE is doing?
I am pleased that CHIBE tries to use the principles of behavioral economics to grapple with vexing social issues.
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Run by three Penn Medicine researchers, including CHIBE's
Rinad Beidas, PhD
, the Masters of Science in Health Policy Research (MSHP) Implementation Science Institute is pulling in interested attendees from across the country. The intense three-day curriculum is essentially a crash course in the concepts and methods of implementation science research. In its third year being offered, the course sold out in advance.
Read more in LDI
.
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Sharma, S., Guttmann, D., Small, D.S., Rareshide, M., Jones, J., Patel, M., & Bekelman, J.E.
Effect of Introducing a Default Order in the Electronic Medical Record on Unnecessary Daily Imaging During Palliative Radiotherapy for Adults With Cancer: A Stepped-Wedge Cluster Randomized Clinical Trial.
JAMA Oncology
.
Full, K.M., Moran, K., Carlson, J., Godbole, S., Natarajan, L., Hipp, A., Glanz, K., Mitchell, J., Laden, F.,James, P., & Kerr, J.
Latent Profile Analysis Of Accelerometer-Measured Sleep, Physical Activity, And Sedentary Time And Differences In Health Characteristics In Adult Women
.
PLOS ONE.
Beidas, R. S., Williams, N. J., Becker-Haimes, E. M., Aarons, G. A., Barg, F. K., Evans, A. C., Jackson, K., Jones, D., Hadley, T., Hoagwood, K., Neimark, G., Rubin, R.M., Schoenwald, S.K., Adams, D.R., Walsh, L.M., Zentgraf, K., Mandell, D.S. & Marcus, S. C.
A Repeated Cross-Sectional Study Of Clinicians’ Use Of Psychotherapy Techniques During 5 Years Of A System-Wide Effort To Implement Evidence-Based Practices In Philadelphia
.
Implementation Science
.
Gilman, A., Bruneau Jr, M., Kral, T., Milliron, B. J., Shewokis, P., & Volpe, S.
Effect of a Multi-Component, School-Based Intervention on Health Behaviors of Elementary School Students (FS16-04-19).
Current Developments in Nutrition.
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