Using Behavioral Economics to Encourage Parent Behavior Change: Opportunities to Improve Clinical Effectiveness
Using Behavioral Economics to Encourage Parent Behavior Change: Opportunities to Improve Clinical Effectiveness
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DOI：
10.1016/j.acap.2018.08.010
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发表时间：
2019-01-01
影响因子：
3.1
通讯作者：
Fiks, Alexander G.
中科院分区：
文献类型：
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作者：
Jenssen, Brian P.;Buttenheim, Alison M.;Fiks, Alexander G.
儿科临床实践通常涉及通过改变父母的行为来改善儿童健康。行为经济学是一个利用人类决策中的可预测模式来克服行为改变障碍的领域，其策略可以改善成年人的健康结果。尽管还需要更多的研究，但在儿科环境中应用这些方法来改变父母的行为有可能提高儿童保健的临床效果。我们回顾了行为经济学的基本概念，并确定了儿科医生在激励父母行为改变方面的独特作用。然后，我们讨论如何在实践中应用 4 个关键策略——信息框架、默认值的使用、增强主动选择以及利用社会力量支持家长决策以改善儿童健康。利用围绕父母决策的行为经济学原理有可能提高计划的有效性并改善患者和家庭的健康。
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.