PMID- 34723983
OWN - NLM
STAT- MEDLINE
DCOM- 20220105
LR  - 20220105
IS  - 1935-2735 (Electronic)
IS  - 1935-2727 (Print)
IS  - 1935-2727 (Linking)
VI  - 15
IP  - 11
DP  - 2021 Nov
TI  - Nudge strategies for behavior-based prevention and control of neglected tropical 
      diseases: A scoping review and ethical assessment.
PG  - e0009239
LID - 10.1371/journal.pntd.0009239 [doi]
LID - e0009239
AB  - BACKGROUND: Nudging, a strategy that uses subtle stimuli to direct people's 
      behavior, has recently been included as an effective and low-cost behavior change 
      strategy in low- and middle- income countries (LMIC), targeting behavior-based 
      prevention and control of neglected tropical diseases (NTDs). The present scoping 
      review aims to provide a timely overview of how nudge interventions have been 
      applied within this field. In addition, the review proposes a framework for the 
      ethical consideration of nudges for NTD prevention and control, or more broadly 
      global health promotion. METHODS: A comprehensive search was performed in several 
      databases: MEDLINE, PsycINFO, and Embase (Ovid), Web of Science Core Collection, 
      CINAHL, ERIC and Econ.Lit (EBSCO), as well as registered trials and reviews in 
      CENTRAL and PROSPERO to identify ongoing or unpublished studies. Additionally, 
      studies were included through a handpicked search on websites of governmental 
      nudge units and global health or development organizations. RESULTS: This scoping 
      review identified 33 relevant studies, with only two studies targeting NTDs in 
      particular, resulting in a total of 67 nudge strategies. Most nudges targeted 
      handwashing behavior and were focused on general health practices rather than 
      targeting a specific disease. The most common nudge strategies were those 
      targeting decision assistance, such as facilitating commitment and reminder 
      actions. The majority of nudges were of moderate to high ethical standards, with 
      the highest standards being those that had the most immediate and significant 
      health benefits, and those implemented by agents in a trust relationship with the 
      target audience. CONCLUSION: Three key recommendations should inform research 
      investigating nudge strategies in global health promotion in general. Firstly, 
      future efforts should investigate the different opportunities that nudges present 
      for targeting NTDs in particular, rather than relying solely on integrated health 
      promotion approaches. Secondly, to apply robust study designs including rigorous 
      process and impact evaluation which allow for a better understanding of 'what 
      works' and 'how it works'. Finally, to consider the ethical implications of 
      implementing nudge strategies, specifically in LMIC.
FAU - Vande Velde, Fiona
AU  - Vande Velde F
AUID- ORCID: 0000-0002-9979-1935
AD  - Department of Public Health Science, Faculty of Landscape and Society, Norwegian 
      University of Life Sciences, As, Norway.
FAU - Overgaard, Hans J
AU  - Overgaard HJ
AUID- ORCID: 0000-0001-7604-3785
AD  - Faculty of Science and Technology, Norwegian University of Life Sciences, As, 
      Norway.
AD  - Department of Microbiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 
      Thailand.
FAU - Bastien, Sheri
AU  - Bastien S
AUID- ORCID: 0000-0002-4351-5704
AD  - Department of Public Health Science, Faculty of Landscape and Society, Norwegian 
      University of Life Sciences, As, Norway.
AD  - Department of Community Health Sciences, Cumming School of Medicine, University 
      of Calgary, Calgary, Canada.
AD  - The Centre for Evidence-Based Public Health: A JBI Affiliated Group, Department 
      of Public Health Science, NMBU, As, Norway.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
DEP - 20211101
PL  - United States
TA  - PLoS Negl Trop Dis
JT  - PLoS neglected tropical diseases
JID - 101291488
SB  - IM
MH  - *Health Behavior/ethics
MH  - Health Promotion/ethics
MH  - Humans
MH  - Neglected Diseases/*prevention & control/psychology
MH  - Tropical Medicine/*ethics
PMC - PMC8584752
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/11/02 06:00
MHDA- 2022/01/06 06:00
PMCR- 2021/11/01
CRDT- 2021/11/01 16:46
PHST- 2021/02/16 00:00 [received]
PHST- 2021/10/13 00:00 [accepted]
PHST- 2021/11/11 00:00 [revised]
PHST- 2021/11/02 06:00 [pubmed]
PHST- 2022/01/06 06:00 [medline]
PHST- 2021/11/01 16:46 [entrez]
PHST- 2021/11/01 00:00 [pmc-release]
AID - PNTD-D-21-00223 [pii]
AID - 10.1371/journal.pntd.0009239 [doi]
PST - epublish
SO  - PLoS Negl Trop Dis. 2021 Nov 1;15(11):e0009239. doi: 
      10.1371/journal.pntd.0009239. eCollection 2021 Nov.