A behavioral economics intervention to increase pertussis vaccination among infant caregivers: A randomized feasibility trial

Buttenheim, Alison M.; Fiks, Alexander G.; Burson, Randall C.; Wang, Eileen; Coffin, Susan; Metlay, Joshua P.; Feemster, Kristen A.

doi:10.1016/j.vaccine.2015.11.068

Cited by 18 publications

(12 citation statements)

References 29 publications

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“…1 By addressing the subtle decision errors that occur in everyday life, behavioral economics offers insights and tools that can support better choices. Although pediatricians and behavioral economists recently have collaborated on ideas to support parental behavior change and boost clinical effectiveness (notably around vaccination), [3][4][5] the important topic of pediatric firearm injuries has not yet been explored through a behavioral economic lens.…”

Section: Behavioral Economics and Firearm Storage Behaviorsmentioning

confidence: 99%

Applying Behavioral Economics to Enhance Safe Firearm Storage

et al. 2020

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Behavioral economics applies key principles from psychology and economics to address obstacles to behavior change. The important topic of pediatric firearm injuries has not yet been explored through a behavioral economic lens. Pediatric firearm-related injuries are a significant public health problem in the United States. Despite American Academy of Pediatrics guidelines advising that firearms be stored unloaded, in a locked box or with a locking device, and separate from ammunition, estimates suggest that ∼4.6 million children live in homes with at least 1 loaded and unlocked firearm. In this article, we use behavioral economic theory to identify specific cognitive biases (ie, present bias; in-group, out-group bias; and the availability heuristic) that may influence parental decision-making around firearm storage. We illustrate situations in which these biases may occur and highlight implementation prompts, in-group messengers, and increased salience as behaviorally informed strategies that may counter these biases and subsequently enhance safe firearm storage. We also describe other opportunities to leverage the behavioral economic tool kit. By better understanding the individual behavioral levers that may impact decision-making around firearm storage, behavioral scientists, pediatric providers, and public health practitioners can partner to design and test tailored interventions aimed at decreasing pediatric firearm injuries. Further empirical study is warranted to identify the presence of specific biases and heuristics and determine the most effective behavior change strategies for different subpopulations.

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Section: Behavioral Economics and Firearm Storage Behaviorsmentioning

confidence: 99%

Applying Behavioral Economics to Enhance Safe Firearm Storage

et al. 2020

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“…For example, few studies have applied insights from behavioral economics to parent-focused health interventions or to more distal health outcomes. 35 The field is primed for innovative work in pediatric settings that combines a greater understanding of predictable patterns in parent decision making with the trusted role that pediatricians play to optimize the health-related choices of parents. We highlight 4 key behavioral economics strategies that may now be applied more broadly in clinical practice to promote parent behavior change (Table).…”

Section: Unique Role Of Pediatricians In Motivating Parent Behavior Cmentioning

confidence: 99%

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

Jenssen

Buttenheim

Fiks

2019

Academic Pediatrics

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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.

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“…Recent research in behavioral economics, which incorporates insights from psychology, neuroscience, cognition and institutional economics, provides new insights into the vaccination decision [ 10 , 14 , 15 , 16 , 17 , 18 ]. The cost of the vaccine, risk aversion, time discount rate (or time preference), and overconfidence (or complacency) affect the decision to vaccinate.…”

Section: Introductionmentioning

confidence: 99%

Behavioral Differences in the Preference for Hepatitis B Virus Vaccination: A Discrete Choice Experiment

et al. 2020

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Understanding behavioral factors differences in the preferences for vaccinations can improve predictions of vaccine uptake rates and identify effective policy interventions to increase the demand for vaccinations. In this study, 353 adults in Shandong province in China were interviewed about their preferences for hepatitis B virus (HBV) vaccination. A discrete choice experiment (DCE) was employed to analyze the preference for HBV vaccinations, and a mixed logit model was used to estimate respondent preferences for vaccination attributes included in the DCE. While the protection rate against hepatitis B (HB), duration of protection, risk of side-effects, and vaccination cost were shown to influence adults’ preferences for HBV vaccination, adults valued “99% hepatitis B protection” above other attributes, followed by “20 years’ protection duration” and “1 in 150,000 risk of side-effects”. Individuals with lower time discount rates, non-overconfidence, or higher risk aversion were more likely to choose a vaccine. Lower risk aversion individuals showed a higher preference for lower risk of side-effects. Lower time discount rate individuals showed a higher preference for longer protection duration. Non-overconfidence individuals showed a higher preference for higher hepatitis B protection and cost. Interventions should be targeted to the behavioral determinants impeding vaccination.

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A behavioral economics intervention to increase pertussis vaccination among infant caregivers: A randomized feasibility trial

Cited by 18 publications

References 29 publications

Applying Behavioral Economics to Enhance Safe Firearm Storage

Applying Behavioral Economics to Enhance Safe Firearm Storage

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

Behavioral Differences in the Preference for Hepatitis B Virus Vaccination: A Discrete Choice Experiment

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