| Autor: |
Ahmed CV; National Clinician Scholars Program, Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California., Dlamini A; Baylor College of Medicine - Bristol Myers-Squibb Children's Clinical Centre of Excellence (COE), Mbabane, eSwatini., Mbuyisa M; Baylor College of Medicine - Bristol Myers-Squibb Children's Clinical Centre of Excellence (COE), Mbabane, eSwatini., Simelane M; Baylor College of Medicine - Bristol Myers-Squibb Children's Clinical Centre of Excellence (COE), Mbabane, eSwatini., Gallagher D; University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania., Golos A; University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania., Donworth G; University of Pennsylvania College of Liberal and Professional Studies, Philadelphia, Pennsylvania., Dubner J; University of Pennsylvania College of Arts and Sciences, Philadelphia, Pennsylvania., McLain L; National Clinician Scholars Program, Division of General Internal Medicine & Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California., Lowenthal ED; University of Pennsylvania Perelman School of Medicine and the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Rice BM; M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania., Brooks MJ; University of Pennsylvania Perelman School of Medicine and the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Buttenheim AM; University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania. |
| Abstrakt: |
Behavioral economics offers a unique opportunity to understand the social, cognitive, and psychological nuances that may influence health behavior. The purpose of this article is to demonstrate the application of NUDGE, a novel behavioral economics and design thinking framework, to address barriers to antiretroviral therapy adherence among adolescents living with HIV in eSwatini. NUDGE comprises five steps: (1) Narrow the focus to a specific target behavior, (2) Understand the context of the behavior through inquiry, (3) Discover behavioral insights related to the target behavior, (4) Generate intervention design features to address behavioral barriers to the target behavior, and (5) Evaluate the design features through iterative pilot testing. This article demonstrates the application of the Discover and Generate steps using qualitative data. In showing the utility of the NUDGE framework, we provide a practical tool for creating interventions informed by behavioral insights. |
