Nudging strategies to influence prescribers’ behavior toward reducing opioid prescriptions: a systematic scoping review

Salwan Diwan; Andreas Vilhelmsson; Axel Wolf; Pether Jildenstål

doi:10.1177/03000605241272733

journal article Open Access Sep 01, 2024

Nudging strategies to influence prescribers’ behavior toward reducing opioid prescriptions: a systematic scoping review

Salwan Diwan

Andreas Vilhelmsson Axel Wolf Pether Jildenstål

Journal of International Medical Research Vol. 52 No. 9 · SAGE Publications

View at Publisher Save 10.1177/03000605241272733

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 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.

Topics

No keywords indexed for this article. Browse by subject →

References

88

[1]

10.1016/s0140-6736(16)00161-6

[2]

10.1371/journal.pmed.1003270

[3]

10.1001/jamanetworkopen.2019.0665

[4]

10.1016/s2468-2667(19)30156-2

[5]

10.1016/j.genhosppsych.2012.06.018

[6]

Services H. Results from the 2013 national survey on drug use and health: summary of national findings. Report no. (SMA) 14-4863, 2014. Department of Health and Human Services.

[7]

Wan Y Am Health Drug Benefits (2015)

[8]

10.1001/jama.2016.7789

[9]

10.1185/030079906x132398

[10]

10.1016/j.jpain.2016.12.004

[11]

10.1001/jamasurg.2017.0831

[12]

10.1016/s2468-2667(22)00013-5

[13]

10.1016/j.eclinm.2021.101198

[14]

10.1007/s40264-021-01143-2

[15]

10.1097/aln.0000000000003572

[16]

10.1186/s13643-020-01393-8

[17]

10.1080/17437199.2018.1547119

[18]

10.1136/bmjopen-2015-010276

[19]

10.1001/jamainternmed.2016.8254

[20]

10.1186/s12888-022-04479-w

[21]

10.1038/s41372-023-01823-0

[22]

10.1056/nejmp1714987

[23]

10.1093/bmb/ldu021

[24]

10.1111/jep.13401

[25]

10.3389/fphar.2022.798916

[26]

Thaler RS (2008)

[27]

Kahneman D. (2011)

[28]

10.1016/j.healthpol.2011.10.013

[29]

10.1111/acfi.12471

[30]

10.1016/j.econedurev.2018.03.008

[31]

10.1186/s13012-020-01011-0

[32]

10.1038/s41586-021-03843-2

[33]

10.1073/pnas.2101165118

[34]

10.1186/1475-2875-13-69

[35]

10.1016/j.healthpol.2019.09.008

[36]

10.1016/j.socscimed.2021.114321

[37]

10.1097/xeb.0000000000000050

[38]

Peters MDJ, Gc McInerney P, Munn Z, et al. Chapter 11: Scoping Reviews (2020 version). JBI, 2020. 10.46658/jbirm-20-01

[39]

PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

Andrea C. Tricco, Erin Lillie, Wasifa Zarin et al.

Annals of Internal Medicine 10.7326/m18-0850

[40]

Scoping studies: towards a methodological framework

Hilary Arksey, Lisa O'Malley

International Journal of Social Research Methodolo... 10.1080/1364557032000119616

[41]

Rayyan—a web and mobile app for systematic reviews

Mourad Ouzzani, Hossam Hammady, Zbys Fedorowicz et al.

Systematic Reviews 10.1186/s13643-016-0384-4

[42]

10.1371/journal.pone.0188822

[43]

10.3390/ijerph20031675

[44]

Thaler RH Epub Ahead of Print April (2010)

[45]

10.1186/s12913-021-06496-z

[46]

10.1136/bmjoq-2021-001522

[47]

10.1016/j.jhealeco.2020.102344

[48]

10.1371/journal.pmed.1003796

[49]

10.1089/jwh.2021.0378

[50]

10.1097/ajp.0000000000000177

Showing 50 of 88 references

Metrics

3

Citations

88

References

Details

Published: Sep 01, 2024
Vol/Issue: 52(9)
License: View

Authors

S

Salwan Diwan

University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden

A

Andreas Vilhelmsson

Lund University, Department of Laboratory Medicine, Division of Occupational and Environmental Medicine, Lund, Sweden

A

Axel Wolf

University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden; University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden; Institute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway

P

Pether Jildenstål

University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden; Department of Anaesthesiology and Intensive Care, Örebro University Hospital and School of Medical Sciences, Örebro University, Örebro, Sweden; Department of Anaesthesia, Operation and Intensive Care, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden; Department of Health Sciences, Lund University, Lund, Sweden

Cite This Article

Salwan Diwan, Andreas Vilhelmsson, Axel Wolf, et al. (2024). Nudging strategies to influence prescribers’ behavior toward reducing opioid prescriptions: a systematic scoping review. Journal of International Medical Research, 52(9). https://doi.org/10.1177/03000605241272733

Nudging strategies to influence prescribers’ behavior toward reducing opioid prescriptions: a systematic scoping review

You May Also Like