98%
921
2 minutes
20
We conduct an adaptive randomized controlled trial to evaluate the impact of a SMS-based information campaign on the adoption of social distancing and handwashing in rural Bihar, India, six months into the COVID-19 pandemic. We test 10 arms that vary in delivery timing and message framing, changing content to highlight gains or losses for either one's own family or community. We identify the optimal treatment separately for each targeted behavior by adaptively allocating shares across arms over 10 experimental rounds using exploration sampling. Based on phone surveys with nearly 4,000 households and using several elicitation methods, we do not find evidence of impact on knowledge or adoption of preventive health behavior, and our confidence intervals cannot rule out positive effects as large as 5.5 percentage points, or 16%. Our results suggest that SMS-based information campaigns may have limited efficacy after the initial phase of a pandemic.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464082 | PMC |
http://dx.doi.org/10.1016/j.jdeveco.2021.102747 | DOI Listing |
BMC Palliat Care
July 2025
Nursing Department, The Affiliated Hospital of Zunyi Medical University, No.149, Dalian Road, Huichuan District, Zunyi, 563099, Guizhou Province, China.
Background: Researchers are increasingly studying nudges as a theoretical approach to promote behavior change. With the advancement of technology, nudges with electronic health records (EHR) systems become a new way to encourage healthcare professionals to perform advance care planning (ACP). This review aims to summarize nudges with EHR interventions and assess their effects on ACP outcomes.
View Article and Find Full Text PDFChildren (Basel)
May 2025
Department of Kinesiology, Nutrition and Health, Miami University, Oxford, OH 45056, USA.
This project focuses on the relevance of using a health literacy approach to educating children about obesity prevention. The Habits of Health and Habits of Mind© model was used to write Electronic Texts for Health Literacy© to encourage actions that support obesity prevention. Guided by the Integrative Theory of Behavioral Prediction, the design template for a new genre of digital texts called Electronic Texts for Health Literacy© emerges for exploring children's frame of mind, health literacy skills, and behavioral intentions toward obesity prevention.
View Article and Find Full Text PDFJAMA Netw Open
September 2024
Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida.
Importance: Nudges have been increasingly studied as a tool for facilitating behavior change and may represent a novel way to modify the electronic health record (EHR) to encourage evidence-based care.
Objective: To evaluate the association between EHR nudges and health care outcomes in primary care settings and describe implementation facilitators and barriers.
Evidence Review: On June 9, 2023, an electronic search was performed in PubMed, Embase, PsycINFO, CINAHL, and Web of Science for all articles about clinician-facing EHR nudges.
JAMA Netw Open
June 2024
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Importance: Hypertension management has traditionally been based on office visits. Integrating remote monitoring into routine clinical practices and leveraging social support might improve blood pressure (BP) control.
Objective: To evaluate the effectiveness of a bidirectional text monitoring program focused on BP control and medication adherence with and without social support in adults with hypertension.
Am J Health Syst Pharm
September 2023
Veteran Affairs Eastern Colorado Health Care System, Aurora, CO, and Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Purpose: The Nudge Study is a patient level-randomized trial testing different text message medication refill reminders sent to patients assigned to 4 arms: (1) usual care, (2) generic text, (3) optimized text, and (4) optimized text plus chatbot. This report describes the frequency and types of patient questions sent to clinical pharmacists (CPs) following text reminders.
Methods: Patients were enrolled from Denver Health and Hospital Authority (DHHA) and Veterans Affairs Eastern Colorado Health Care System (VA ECHCS) from October 1, 2019, through May 30, 2021.