The Healthy Nudge
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 .
Insights with Impact
Our research team has conducted a number of impactful studies that have been translated into practice by a range of entities positively influencing health for millions of people. You can now learn more about programs designed based on our findings that improve both the value and quality of care. If you are looking for assistance with designing and testing solutions to improve health behavior, consumer engagement, or the value of care through provider payment interventions please contact us here.
2018 CTSA Pilot Grantees Announced
Grantees for the 2018 Clinical and Translational Science Award pilot program have been announced, with projects addressing two categories: 1.) improving clinical trial enrollment and 2.) using connected health to improve population health. New projects include an evaluation of incentive structures for peer-to-peer mobile recruitment and behavioral economic incentives to engage adolescents in smoking cessation. View a complete list of our CTSA projects here and check our website (and future editions of The Healthy Nudge) for our second call for proposals later this winter.
Demographics & Advance Directive Completion
"Our findings suggest that future work should seek to mitigate system- or clinician-based barriers to offering opportunities for advance directive completion equally, rather than focusing solely on different demographic groups’ preferences for completing advance directives. By providing equal opportunities for advance directive completion to all patients, such efforts may also reduce demographic differences in the intensity of end-of-life care that patients receive."
Blog Spotlight
PEACH Lab director Christina Roberto, PhD shares her expertise on the impact of calorie labeling on both consumer and restaurant behavior.
Work-in-Progress Seminar:
Jacob Bor, ScD, SM
Assistant Professor and Peter T. Paul Career Development Professor,
Department of Global Health,
Boston University
01/11 @ Noon
104 Stellar-Chance Laboratories
In The News
The Science of Keeping Your New Year's Resolution

Science Says Fitness Trackers Don't Work. Wear One Anyway.

Photo Feature: the Latest in Behavioral Economics & Dinner with a Sphynx

Study: Costs are Driving Cancer Patients to Skip Vital Oral Drug Therapies

The Real (and Imaginary) Benefits of Multitasking

How to Use the Power of Expectation to Improve Your Life

How to be Resolute about New Year's Resolutions
 CHIBE Profile
Rinad Beidas, PhD is Assistant Professor of Psychology in Psychiatry at the Perelman School of Medicine and Co-Principal Investigator for the new Penn ALACRITY Center. Dr. Beidas is deeply committed to partnering with community stakeholders to understand the best way to implement evidence-based practices and improve children’s mental health services across a variety of settings.
How does the Penn ALACRITY Center connect implementation science with behavioral economics?
Our group, the Center for Mental Health Policy and Services Research , has been conducting work in partnership with the public behavioral health system in the City of Philadelphia for three decades. Over the past ten years, there has been an increased interest in understanding how to improve the quality of behavioral health services offered through the public system, with an emphasis on transporting evidence-based practices into these real-world settings (i.e., implementation science). Through the process of conducting that work, we learned that providers are not recognized or rewarded for using evidence-based practices. This observation led us to the work conducted at CHIBE around applying behavioral insights to improve population health. Through our newly funded ALACRITY Center, we will conduct work at the intersection of behavioral economics and implementation science in pursuit of improving mental health service delivery with the shared goal of improving population health and behavioral health.

The Center aims to improve the delivery of mental health by changing processes at the organization, practitioner and patient level. Why did you and your collaborators decide to address all three levels, rather than focus on one?
Guided by the leading frameworks within implementation science, our work recognizes that service delivery change occurs within multiple contexts in an ecological fashion. In other words, direct service delivery happens between a service recipient and provider, nested within an organization, nested within a system and community. To effect change it is necessary to target processes at all of these levels.

Given the large evidence base behind treatments such as cognitive behavioral therapy, what do you think contributes to the gap between research and practice?
This is the million dollar question! Implementation science has gained traction as a field due to the gap between research and practice. There will be no simple one answer for this complex question. However, the field has catalogued the multi-level determinants that influence the research-to-practice gap and those include intervention characteristics (e.g., ease of use), the individuals involved (e.g., knowledge and attitudes of those implementing the evidence-based practice), the organizational setting (e.g., culture and climate of the organization), and the broader system setting (e.g., payment structures). In the next wave of research, we will study the comparative effectiveness of implementation strategies that are designed using behavioral insights to target these determinants in order to identify if they change provider and service recipient behavior in the hopes of closing the gap and improving population health and behavioral health.
New Publications

The Center for Health Incentives and Behavioral Economics (CHIBE) at the University of Pennsylvania conducts behavioral economics research aimed at reducing the disease burden from major U.S. public health problems. Originally founded within the Leonard Davis Institute of Health Economics , our mission is to inform health policy, improve healthcare delivery and increase healthy behavior.
 Follow us on Twitter