TY - JOUR
T1 - Applying NUDGE to Inform Design of EBP Implementation Strategies in Community Mental Health Settings
AU - Stewart, Rebecca E.
AU - Beidas, Rinad S.
AU - Last, Briana S.
AU - Hoskins, Katelin
AU - Byeon, Y. Vivian
AU - Williams, Nathaniel J.
AU - Buttenheim, Alison M.
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/1
Y1 - 2021/1
N2 - We demonstrate the application of NUDGE (Narrow, Understand, Discover, Generate, Evaluate), a behavioral economics approach to systematically identifying behavioral barriers that impede behavior enactment, to the challenge of evidence-based practice (EBP) use in community behavioral health. Drawing on 65 clinician responses to a system-wide crowdsourcing challenge about EBP underutilization, we applied NUDGE to discover, synthesize and validate specific behavioral barriers to EBP utilization that directly inform the design of tailored implementation strategies. To our knowledge, this is the first study to apply behavioral economic insights to clinician-proposed solutions to implementation challenges in order to design implementation strategies. The study demonstrates the successful application of NUDGE to implementation strategy design and provides novel targets for intervention.
AB - We demonstrate the application of NUDGE (Narrow, Understand, Discover, Generate, Evaluate), a behavioral economics approach to systematically identifying behavioral barriers that impede behavior enactment, to the challenge of evidence-based practice (EBP) use in community behavioral health. Drawing on 65 clinician responses to a system-wide crowdsourcing challenge about EBP underutilization, we applied NUDGE to discover, synthesize and validate specific behavioral barriers to EBP utilization that directly inform the design of tailored implementation strategies. To our knowledge, this is the first study to apply behavioral economic insights to clinician-proposed solutions to implementation challenges in order to design implementation strategies. The study demonstrates the successful application of NUDGE to implementation strategy design and provides novel targets for intervention.
KW - Barriers
KW - Behavioral economics
KW - Evidence-based practices
KW - Implementation
KW - Public behavioral health
UR - http://www.scopus.com/inward/record.url?scp=85085313585&partnerID=8YFLogxK
U2 - 10.1007/s10488-020-01052-z
DO - 10.1007/s10488-020-01052-z
M3 - Article
C2 - 32430590
AN - SCOPUS:85085313585
SN - 0894-587X
VL - 48
SP - 131
EP - 142
JO - Administration and Policy in Mental Health and Mental Health Services Research
JF - Administration and Policy in Mental Health and Mental Health Services Research
IS - 1
ER -
