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

Diwan, SalwanUniversity of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden (författare)

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

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.

Vilhelmsson, AndreasLund University, Department of Laboratory Medicine, Division of Occupational and Environmental Medicine, Lund, Sweden (författare)
Wolf, AxelUniversity 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 (författare)
Jildenstål, Pether,1970-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,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(Swepub:oru)pjl (författare)
University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, SwedenLund University, Department of Laboratory Medicine, Division of Occupational and Environmental Medicine, Lund, Sweden (creator_code:org_t)

Ingår i:Journal of international medical research: Sage Publications52:90300-06051473-2300

Av författaren/redakt...: Diwan, Salwan; Vilhelmsson, And ...; Wolf, Axel; Jildenstål, Peth ...

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