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 .
ITMAT Pilot Project Proposals Requested
In partnership with the Institute for Translational Medicine and Therapeutics (ITMAT), we are now inviting proposals for Clinical and Translational Science Award (CTSA) pilot projects aimed at either 1.) improving enrollment in clinical trials or 2.) using connected health for population health improvement. More information can be found here . Proposals are due March 9, 2018 for projects with a start date of June 1, 2018.
Nudging Clinicians to Prescribe Responsibly
In a recently published study , CHIBE affiliate and ER physician M. Kit Delgado, MD, MS lowered the default number of opioid tablets prescribed in the electronic medical record of an emergency room to 10 pills, or about a 3-day supply. He found that the proportion of prescriptions written for 10 pills or fewer more than doubled after changing the default, while those prescriptions for 11 or more pills also decreased dramatically.
Safer Food Allergy Management for Adolescents
Among the 15 million people with food allergies in the United States, adolescents experience the highest risk of adverse events, including death from anaphylaxis. A new project led by Carolyn Cannuscio, ScD and Andrea Troxel, ScD will test the effectiveness of text message reminders and financial incentives, using various incentive designs that have proven effective in prior health behavioral economics interventions, on epinephrine carrying among teens.
Blog Spotlight
After a recent Work-in-Progress Seminar, guest speaker Adam Sacarny, PhD sat down for a short interview to discuss how academics can work with federal agencies and insurers to address inappropriate prescribing.
Work-in-Progress Seminar:
Ethan Basch, MD, MSc
Professor of Medicine; Professor of Public Health; Associate Chief, Division of Oncology; Director, Cancer Outcomes Research Program, University of North Carolina
02/22 @ Noon
1104 Blockley Hall
In The News
Getting to zero alcohol-impaired driving fatalities: an insider’s view

As addiction crisis grows, Penn 'nudges' doctors to limit opioid prescriptions

Annual gym memberships can be a trap. Do this instead.

Want to prevent heart attacks? Perhaps don't try this behavioral economics intervention

Technology with behavioral insight data can improve outcomes for patients

Default EMR setting could result in less ED opioid prescribing

Digital and personal connected health: hospitals share strategies for success as digital technologies hit the mainstream

Analyzing behavioral economics and psychology are key to engaging patients to make meaningful changes

Why ‘fresh starts’ — like new year’s resolutions — really work
 CHIBE Profile
David Pagnotti, MS is a Clinical Research Coordinator at CHIBE, where he oversees the management of two NIH-funded studies examining the effects of financial incentives on cholesterol medication adherence. He attended St. Joseph’s University where earned a B.S. in Psychology and a M.S. in Experimental Psychology.
What projects are you currently involved with at CHIBE? What is your role in these projects?
I am a Clinical Research Coordinator for the Habit Formation and Process vs Outcomes studies, which implement various financial incentive schemes to promote statin (cholesterol) medication adherence. I currently oversee participant retention and follow up procedures, as well as supporting budget management.

What do you find most rewarding about your work?
I enjoy interacting with participants the most. It is very humbling and rewarding to hear their feedback and gratitude for being part of a study that helped improve their health behaviors. It reminds me of why I wanted to pursue a career in translational research.

Out of CHIBE’s publications over the past year, which studies have you found most interesting? Why?
It’s tough to narrow down, but I would say I really enjoy reading studies published by Dr. Navathe and Dr. Roberto . Their research focuses on investigating the impact of health care and governmental policy (respectively) on behavioral outcomes. Sometimes, in academia, it’s difficult to see research go beyond a publication or journal, but I believe Dr. Navathe and Dr. Roberto are conducting some really interesting work that can directly influence health policy.    
Selected 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.
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