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 to gamify physical activity
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A new study in
JAMA Internal Medicine
found that a remotely monitored, behaviorally designed gamification intervention over 6 months increased physical activity the most when it was designed to promote competition (920 step-per-day increase relative to control). In addition to the competition arm, the researchers also looked at support and collaboration arms, which led to 600+ step-per-day increases. In the follow-up period, competition was the only arm still significantly greater than control with a 569 step-per-day increase. "Gamification and wearable devices are used commonly in workplace wellness programs and by digital health applications, but there is an opportunity to improve their impact on health behaviors by better incorporating behavioral insights and social incentives," lead study author
Mitesh Patel, MD, MBA, MS
, said in a
press release
. Read
the
CNN
story here
.
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Could texts help increase colonoscopy show rates?
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Testing financial incentive structures on step counts
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“Is it more effective to disburse fixed total financial incentives at a constant, increasing, or decreasing rate to encourage physical activity?” This was the question posed by a recent
study published in
JAMA Network Open
by CHIBE affiliates
Chethan Bachireddy, MD
;
Leslie John, PhD
;
and
Katherine Milkman, PhD
. The study found that financial incentives for daily step counts were more effective during a payment period when they were offered at a constant rate than at an increasing or decreasing rate. However, shortly after the incentives were removed, physical activity in all arms tapered.
Read the
Inverse
coverage here
.
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CHIBE Profile: Tamar Klaiman, PhD, MPH
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Tamar Klaiman, PhD, MPH, is Senior Qualitative Research Scientist at CHIBE and the Palliative and Advanced Illness Research Center (PAIR).
What projects are you currently involved in at CHIBE?
I am primarily working on the CHF Empower Program where we are learning about patients’ and providers’ experiences in a study funded by the National Institutes of Health that tests ways to reduce hospital readmissions for Penn Medicine heart failure patients using remote monitoring devices to track weights and diuretic adherence. I am also supporting a number of proposals in progress that will include qualitative components. I also lead workshops and trainings for staff focused on how to conduct effective qualitative research.
What is the value of doing qualitative research?
In a nutshell, quantitative research answers the question “what is happening?” while qualitative answers the question, “why is it happening?” Qualitative work can help us understand why an intervention works (or doesn’t work) and for whom – and under what circumstances. Qualitative research also allows researchers to design interventions that are as effective as possible in their population of interest.
What do you find most rewarding about your work?
The most rewarding part of my work is when study participants feel that their contributions are valued by researchers. I also love when investigators learn something new or see things differently because of what participants felt about projects in which they are participants. I have seen projects transformed by the insights of participants, and I believe that understanding their perspectives makes research more robust and actionable.
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Way to Health, 10 Years On
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The
Way to Health
platform, which uses behavioral economics-based interventions to improve patient outcomes, is celebrating its 10-year anniversary.
Read this Penn Medicine blogpost
about its genesis, growth, and future directions, and hear from
David Asch, MD, MBA;
Kevin Volpp, MD, PhD;
Mohan Balachandran, MS;
Christianne Sevinc, MPH;
and
Laurie Norton, MA
.
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Mitesh Patel Wins BX Award for Outstanding Practitioner
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Congratulations to
Mitesh Patel, MD, MBA, MS
, part of CHIBE’s leadership team and Director of the
Penn Medicine Nudge Unit
, who received the BX Award for Outstanding Practitioner of the Year on September 5 in London. This award is given to one person across all industries internationally. According to The Behavioural Insights Team website, this award is given to an individual who has made an outstanding contribution to the field of behavioral science and policy.
Read his nomination here on our blog
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Online Graduate Credit Course in Health Care Innovation: Translating Ideas Into Outcomes
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October 22 – December 9, 2019
Translating Ideas Into Outcomes
This course, taught by a CHIBE-affiliated faculty member, is designed for those who want to engage in applying state-of-the-art innovation methodology to make a meaningful difference for patients, providers, and health care organizations. Learn more and sign up on the
Medical Ethics & Health Policy Online Education website
.
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Olivier Aubert, Peter P. Reese, Benoit Audry, Yassine Bouatou, Marc Raynaud, Denis Viglietti, Christophe Legendre, Denis Glotz, Jean-Phillipe Empana, Xavier Jouven, Carmen Lefaucheur, Christian Jacquelinet, Alexandre Loupy.
Disparities in Acceptance of Deceased Donor Kidneys Between the United States and France and Estimated Effects of Increased US Acceptance.
JAMA Internal Medicine
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