Open AccessApplying NUDGE to Inform Design of EBP Implementation Strategies in Community Mental Health Settings
Author(s) -
Rebecca E. Stewart,
Rinad S. Beidas,
Katelin Hoskins,
Y. Vivian Byeon,
Nathaniel J. Williams,
Alison M. Buttenheim
Publication year - 2020
Publication title -
administration and policy in mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 68
eISSN - 1573-3289
pISSN - 0894-587X
DOI - 10.1007/s10488-020-01052-z
Subject(s) - crowdsourcing , mental health , nudge theory , intervention (counseling) , behavioral economics , evidence based practice , computer science , behavioural sciences , order (exchange) , psychology , knowledge management , applied psychology , management science , medicine , engineering , psychotherapist , alternative medicine , business , psychiatry , social psychology , world wide web , finance , pathology
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.