Using Behavioral Economics to Encourage Parent Behavior Change: Opportunities to Improve Clinical Effectiveness.


Journal

Academic pediatrics
ISSN: 1876-2867
Titre abrégé: Acad Pediatr
Pays: United States
ID NLM: 101499145

Informations de publication

Date de publication:
Historique:
received: 19 04 2018
revised: 13 08 2018
accepted: 25 08 2018
pubmed: 3 9 2018
medline: 14 2 2020
entrez: 3 9 2018
Statut: ppublish

Résumé

Pediatric clinical practice often involves improving child health by changing parents' behavior. Strategies from behavioral economics-a field that leverages predictable patterns in human decision making to overcome barriers to behavior change-can improve health outcomes in adults. Although more research is needed, the application of these approaches to parent behavior change in pediatric settings has the potential to improve the clinical effectiveness of child health care. We review the foundational concepts of behavioral economics and identify the unique role of pediatricians in motivating parent behavior change. We then discuss how to apply 4 key strategies in practice-message framing, use of defaults, enhanced active choice, and harnessing social forces-to support parent decision making to improve child health. Leveraging behavioral economic principles around parental decision making has the potential to supercharge program effectiveness and improve patient and family health.

Identifiants

pubmed: 30172918
pii: S1876-2859(18)30574-6
doi: 10.1016/j.acap.2018.08.010
pmc: PMC6644058
mid: NIHMS1041596
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

4-10

Subventions

Organisme : NCI NIH HHS
ID : K08 CA226390
Pays : United States

Informations de copyright

Copyright © 2019. Published by Elsevier Inc.

Références

J R Soc Med. 2012 Mar;105(3):101-4
pubmed: 22408079
BMJ. 2012 May 23;344:e3482
pubmed: 22623635
JAMA Pediatr. 2018 Feb 5;172(2):e174523
pubmed: 29228160
Pediatrics. 2016 Aug;138(2):
pubmed: 27432847
J Pediatr Health Care. 2013 Jul-Aug;27(4):267-77
pubmed: 22240267
J Gen Intern Med. 2006 Jun;21(6):618-22
pubmed: 16808746
Health Psychol. 1999 Mar;18(2):189-96
pubmed: 10194055
J Sch Health. 2018 Apr;88(4):265-271
pubmed: 29498061
Pediatrics. 2006 Apr;117(4):e695-700
pubmed: 16585283
JAMA Pediatr. 2016 Jul 1;170(7):635-6
pubmed: 27159894
JAMA Intern Med. 2016 Jun 1;176(6):847-8
pubmed: 27159011
Pediatrics. 2012 Jan;129(1):e247-53
pubmed: 22201157
Pediatrics. 2017 Jan;139(1):
pubmed: 27940512
Pediatrics. 2012 Feb;129(2):394-404
pubmed: 22291118
Matern Child Health J. 2017 Feb;21(2):229-233
pubmed: 27475826
Ann Intern Med. 2012 Mar 20;156(6):416-24
pubmed: 22431674
Health Aff (Millwood). 2013 Feb;32(2):408-17
pubmed: 23381535
Med Decis Making. 2012 Mar-Apr;32(2):246-58
pubmed: 21969136
Vaccine. 2016 Feb 3;34(6):839-45
pubmed: 26686571
Pediatrics. 2015 Nov;136(5):e1439-67
pubmed: 26504135
N Engl J Med. 2008 May 22;358(21):2249-58
pubmed: 18499567
Vaccine. 2005 Feb 10;23(12):1428-33
pubmed: 15670876
JAMA. 2013 Jun 12;309(22):2345-52
pubmed: 23757082
Ann Intern Med. 2010 Oct 19;153(8):507-15
pubmed: 20956707
JAMA. 2010 Jul 7;304(1):43-4
pubmed: 20606147
Pediatrics. 2013 Jun;131(6):1114-24
pubmed: 23650297
N Engl J Med. 2007 Sep 27;357(13):1340-4
pubmed: 17898105
Transplantation. 2004 Dec 27;78(12):1713-6
pubmed: 15614141
Am J Prev Med. 2014 Nov;47(5):596-603
pubmed: 25201508
Med Decis Making. 2015 Apr;35(3):403-8
pubmed: 25145576
Acad Pediatr. 2017 Apr;17(3):233-242
pubmed: 28069410
N Engl J Med. 2009 Feb 12;360(7):699-709
pubmed: 19213683
Psychol Addict Behav. 2007 Dec;21(4):534-44
pubmed: 18072836
N Engl J Med. 2016 Dec 29;375(26):2511-3
pubmed: 28029924
Ann Behav Med. 2012 Feb;43(1):101-16
pubmed: 21993844
Health Psychol. 2001 Jul;20(4):256-66
pubmed: 11515737
Ann Intern Med. 2016 Mar 15;164(6):385-94
pubmed: 26881417
Med Decis Making. 2002 May-Jun;22(3):262-71
pubmed: 12058783
Pediatrics. 2010 Nov;126(5):1032-9
pubmed: 20974776
JAMA. 2015 Nov 10;314(18):1926-35
pubmed: 26547464
Child Obes. 2017 Oct;13(5):356-368
pubmed: 28557558
Cochrane Database Syst Rev. 2014 Mar 01;(3):CD001746
pubmed: 24671922
Acta Paediatr. 2010 Oct;99(10):1464-6
pubmed: 21050268

Auteurs

Brian P Jenssen (BP)

Department of Pediatrics, University of Pennsylvania School of Medicine, and PolicyLab and the Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia (BP Jenssen and AG Fiks), Philadelphia, Pa. Electronic address: jenssenb@email.chop.edu.

Alison M Buttenheim (AM)

Department of Family and Community Health, University of Pennsylvania School of Nursing, and Center for Health Incentives and Behavioral Economics (AM Buttenheim), University of Pennsylvania, Philadelphia, Pa.

Alexander G Fiks (AG)

Department of Pediatrics, University of Pennsylvania School of Medicine, and PolicyLab and the Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia (BP Jenssen and AG Fiks), Philadelphia, Pa.

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