A Nudge Towards Cardiovascular Health: Applications of Behavioral Economics for Primary and Secondary Cardiovascular Pre
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(2020) 22:24
Prevention (K Aragam, Section Editor)
A Nudge Towards Cardiovascular Health: Applications of Behavioral Economics for Primary and Secondary Cardiovascular Prevention Srinath Adusumalli, MD, MSc1,2,3,* Gowri Aragam, MD4,5 Mitesh Patel, MD, MBA, MS1,3,6,7,* Address 1 Perelman School of Medicine, University of Pennsylvania, PCAM South Pavilion 11-139, 3400 Civic Center Blvd., Philadelphia, PA, 19104, USA 2 Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, PCAM South Pavilion 11-139, 3400 Civic Center Blvd., Philadelphia, PA, 19104, USA *,3 Penn Medicine Nudge Unit, University of Pennsylvania, PCAM South Pavilion 11-139, 3400 Civic Center Blvd., Philadelphia, PA, 19104, USA Email: [email protected] 4 Department of Psychiatry, Stanford University, 1520 Page Mill Road, Palo Alto, CA, 94304, USA 5 Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA 6 The Wharton School, PCAM South Pavilion 11-139, 3400 Civic Center Blvd., Philadelphia, PA, 19104, USA *,7 Corporal Michael J. Crescenz Veterans Affairs Medical Center, PCAM South Pavilion 14-176, 3400 Civic Center Blvd., Philadelphia, PA, 19104, USA Email: [email protected]
* Springer Science+Business Media, LLC, part of Springer Nature 2020
This article is part of the Topical Collection on Prevention Keywords Behavioral economics I Behavior change I Prevention I Digital health
Abstract Purpose of Review Despite robust development of effective behavioral and medical therapies in cardiovascular medicine, in many cases, patient and provider implementation of those therapies has been suboptimal. Ultimately, the implementation of those therapies
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relies upon one final common pathway: human behavior. Principles from the field of behavioral economics can be used to nudge patients and healthcare providers towards better healthcare decision-making. This review will focus on how the field of behavioral economics can inform the delivery of primary and secondary cardiovascular prevention interventions. Recent Findings Behavioral economics principles such as loss-framing, social norms, and choice architecture can be applied to successfully and sustainably change patient and provider behavior. These behavior changes can be potentiated by the use of electronic tools such as wearable activity trackers and electronic health records. Summary Human behavior change is key to promotion of primary and secondary cardiovascular prevention. As our understanding of how to apply principles from behavioral economics develops, and as we apply those principles in a more targeted way, they will become even more powerful tools to promote positive clinical outcomes in patients with cardiovascular disease.
Introduction Cardiovascular disease is the leading cause of mortality and morbidity in the USA and beyond [1]. The term cardiovascular disease encompasses a number of conditions including (but not exclusive to) coronary heart disease, cerebrovascul
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