The Healthy Nudge
October 2022
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.

A Wall Street Journal story featuring CHIBE Associate Director Christina Roberto, PhD

"People are more likely to act on a plan if it consists of simple steps, psychology research has found. Having one broad goal—such as, “I’m going to eat better”—generally isn’t effective. Pick one or two specific eating rules and stick to them—and think of yourself as someone who doesn’t do those things. For instance: I don’t consume sugary drinks. Or I don’t eat fried foods. Or I don’t eat dessert during the week. Restricting yourself in multiple ways makes it harder to stick with good intentions, says Christina A. Roberto, associate professor of health policy at the University of Pennsylvania’s Perelman School of Medicine." Read the story here.

Our Roybal Retreat, held this year at Camelback Resort, is a chance for CHIBE and PAIR to share our research and build and strengthen relationships across disciplines and institutions. We were excited to welcome Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor-in-Chief of JAMA and the JAMA Network, as our keynote speaker this year. Dr. Bibbins-Domingo spoke about improving representation in clinical trials and research and building research equity for women and underrepresented groups. Read more about our retreat and watch Dr. Bibbins-Domingo's talk here. You can also view a photo gallery here, courtesy of Hoag Levins from LDI.

A CHIBE blog post featuring a Q&A with M. Kit Delgado, MD, MS

CHIBE congratulates one of our associate directors, M. Kit Delgado, MD, MS, on his promotion to director of the Penn Medicine Nudge Unit. “I am super excited to have the opportunity to build on the relationships that I have made working in emergency medicine interacting with outpatient and inpatient clinicians from every specialty to help facilitate and accelerate high-impact projects across the health system,” Dr. Delgado said of his new appointment. Read our Q&A with the new director here. You can also read The Philadelphia Citizen's recent story: "The Doc Saving Us From Ourselves."

An eClinicalMedicine paper led by Robert Böhm, PhD, with CHIBE-affiliated authors Gretchen Chapman, PhD, and George Loewenstein, PhD, et al.

"Sanctions were evaluated as potentially most effective but least accepted. Evaluations by expert and general population samples were considerably aligned. Interventions that received the most positive evaluations regarding both effectiveness and acceptability across evaluation groups were: a day off work after getting vaccinated, financial incentives, tax benefits, promotional campaigns, and mobile vaccination teams. The results provide useful insights to help governmental and non-governmental institutions in their decisions about which interventions to implement." Read the paper here.

A Journal of General Internal Medicine paper by Kyra O’Brien, MD; Robert Burke, MD, MS; and CHIBE-affiliated faculty member Jason Karlawish, MD

"The timely diagnosis of mild cognitive impairment or dementia in primary care is difficult to achieve. There is a great need for interventions to address this problem. This article applies an implementation science framework, the Behavioral Change Wheel, to evaluate the factors that influence detection of cognitive impairment in primary care and proposes candidate interventions for future study." Read the paper here.
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What are the key ingredients – and barriers – to scaling an initiative for widespread impact? 
Join the Penn Medicine Nudge Unit on October 14, from noon to 1:30 PM EST, for a thought-provoking discussion with behavioral and implementation science experts on how to scale projects successfully. 
This virtual program will feature a keynote address by economics professor John List, PhD, author of "The Why Axis" and "The Voltage of Effect: How to Make Good Ideas Great and Great Ideas Scale." Following the lecture, Rinad Beidas, PhD; Mitesh Patel, MD, MBA; and Srinath Adusumalli, MD, MSHP, MBMI – leading voices in the application of behavioral science principles for improvement of health care outcomes and delivery – will join Dr. List for a panel discussion moderated by Nudge Unit director M. Kit Delgado, MD, MS.
What: Designing for Scale: Real World Lessons from Applying Implementation and Behavioral Science 

When: October 14, 2022, 12:00-1:30 PM EST 

Where: Online via Zoom 

Speakers: John List, PhD; Srinath Adusumalli, MD, MSHP, MBMI; Rinad Beidas, PhD; M. Kit Delgado, MD, MS; Mitesh Patel, MD, MBA 
Please register at to receive the webinar link. 
October 13, 2022 | 12:00-1:00 PM EST | Hybrid Event
Female Labor Productivity Reduces Domestic Violence – Evidence from Peru 
Attending in person?
1104 Blockley Hall is located at 423 Guardian Drive, Philadelphia, PA, 19104
Attending virtually?
Leapfrogging for Last-mile Delivery in Health Care
October 27, 2022 | 12:00-1:00 PM EST | Hybrid Event
Attending in person?
1104 Blockley Hall is located at 423 Guardian Drive, Philadelphia, PA, 19104
Attending virtually?
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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 public health problems. Originally founded within the Leonard Davis Institute of Health Economics, our mission is to inform health policy, improve health care delivery, and increase healthy behavior.