Nudging strategies to influence prescribers' behavior toward reducing opioid prescriptions : a systematic scoping review
Diwan, Salwan ; Vilhelmsson, Andreas LU
; Wolf, Axel
and Jildenstål, Pether
LU
(2024)
In Journal of International Medical Research
52(9).
- Abstract
OBJECTIVE: This systematic scoping review aimed to map the literature on the use of various nudging strategies to influence prescriber behavior toward reducing opioid prescriptions across diverse healthcare settings.
METHODS: A systematic database search was conducted using seven electronic databases. Only articles published in English were included. A total of 2234 articles were identified, 35 of which met the inclusion criteria. Two independent dimensions were used to describe nudging strategies according to user action and the timing of their implementation.
RESULTS: Six nudging strategies were identified. The most common strategy was default choices, followed by increasing salience of information or incentives and... (More)
OBJECTIVE: This systematic scoping review aimed to map the literature on the use of various nudging strategies to influence prescriber behavior toward reducing opioid prescriptions across diverse healthcare settings.
METHODS: A systematic database search was conducted using seven electronic databases. Only articles published in English were included. A total of 2234 articles were identified, 35 of which met the inclusion criteria. Two independent dimensions were used to describe nudging strategies according to user action and the timing of their implementation.
RESULTS: Six nudging strategies were identified. The most common strategy was default choices, followed by increasing salience of information or incentives and providing feedback. Moreover, 32 studies used the electronic health record as an implementation method, and 29 reported significant results. Most of the effective interventions were multicomponent interventions (i.e., combining nudge strategies and non-nudge components).
CONCLUSIONS: Most nudging strategies used a passive approach, such as defaulting prescriptions to generics and requiring no action from the prescriber. Although reported as effective, this approach often operates under the prescriber's radar. Future research should explore the ethical implications of nudging strategies. INPLASY registration number: 202420082.
(Less)
- author
- Diwan, Salwan
; Vilhelmsson, Andreas
LU
; Wolf, Axel
and Jildenstål, Pether
LU
- organization
- publishing date
- 2024-09
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Humans, Analgesics, Opioid/therapeutic use, Practice Patterns, Physicians'/statistics & numerical data, Drug Prescriptions, Electronic Health Records, Nudging, choice architecture, prescriber behavior change, opioid prescription, healthcare professional, healthcare setting, electronic health record, multicomponent intervention
- in
- Journal of International Medical Research
- volume
- 52
- issue
- 9
- article number
- 3000605241272733
- pages
- 24 pages
- publisher
- SAGE Publications
- external identifiers
-
- scopus:85204024552
- pmid:39258400
- ISSN
- 1473-2300
- DOI
- 10.1177/03000605241272733
- language
- English
- LU publication?
- yes
- id
- 02bba8d4-77af-409c-b05f-825671a71255
- date added to LUP
- 2024-09-17 14:08:18
- date last changed
- 2025-05-10 04:21:50
@article{02bba8d4-77af-409c-b05f-825671a71255,
abstract = {{<p>OBJECTIVE: This systematic scoping review aimed to map the literature on the use of various nudging strategies to influence prescriber behavior toward reducing opioid prescriptions across diverse healthcare settings.</p><p>METHODS: A systematic database search was conducted using seven electronic databases. Only articles published in English were included. A total of 2234 articles were identified, 35 of which met the inclusion criteria. Two independent dimensions were used to describe nudging strategies according to user action and the timing of their implementation.</p><p>RESULTS: Six nudging strategies were identified. The most common strategy was default choices, followed by increasing salience of information or incentives and providing feedback. Moreover, 32 studies used the electronic health record as an implementation method, and 29 reported significant results. Most of the effective interventions were multicomponent interventions (i.e., combining nudge strategies and non-nudge components).</p><p>CONCLUSIONS: Most nudging strategies used a passive approach, such as defaulting prescriptions to generics and requiring no action from the prescriber. Although reported as effective, this approach often operates under the prescriber's radar. Future research should explore the ethical implications of nudging strategies. INPLASY registration number: 202420082. </p>}},
author = {{Diwan, Salwan and Vilhelmsson, Andreas and Wolf, Axel and Jildenstål, Pether}},
issn = {{1473-2300}},
keywords = {{Humans; Analgesics, Opioid/therapeutic use; Practice Patterns, Physicians'/statistics & numerical data; Drug Prescriptions; Electronic Health Records; Nudging; choice architecture; prescriber behavior change; opioid prescription; healthcare professional; healthcare setting; electronic health record; multicomponent intervention}},
language = {{eng}},
number = {{9}},
publisher = {{SAGE Publications}},
series = {{Journal of International Medical Research}},
title = {{Nudging strategies to influence prescribers' behavior toward reducing opioid prescriptions : a systematic scoping review}},
url = {{http://dx.doi.org/10.1177/03000605241272733}},
doi = {{10.1177/03000605241272733}},
volume = {{52}},
year = {{2024}},
}