News

Philadelphia Inquirer: Can a $55 water bottle prevent kidney stones? Penn and CHOP aim to find out.

Armed with a big federal grant, Penn Medicine and Children’s Hospital of Philadelphia (CHOP) are teaming up to prevent kidney stones, an excruciatingly painful condition that is increasing in both adults and children. Along with three other institutions, they’ll be part of a clinical trial testing whether a $55 “smart” water bottle that sends data on how much users drink to a phone app, plus financial incentives, can keep people of all ages who’ve had one kidney stone from getting another one. “The goal of this grant is to look at kidney stones as a disease that can occur over a…

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Undark: Putting Digital Health Monitoring Tools to the Test

PHYSICIANS CALL IT the 5,000-hour problem. If you have a common chronic condition such as cardiovascular disease or diabetes, the expert in charge of your health for almost all of your 5,000 waking hours annually is — you. And, frankly, you won’t always make the best choices. “The behavior changes that are necessary to address chronic disease are much more in your hands than in the doctor’s,” points out Stacey Chang, executive director of the Design Institute for Health at Dell Medical School in Austin, Texas. “To cede that control to the doctor sometimes is actually counterproductive.” With that in mind,…

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NPR: ‘Smart’ Pill Bottles Aren’t Always Enough To Help The Medicine Go Down

What if I told you there was a way to use technology to save an estimated $100 billion to $300 billion dollars a year in health care spending in the U.S.? That’s the estimated cost incurred because people don’t take the medications they’re prescribed. A number of companies are now selling wireless “smart” pill bottles, Internet-linked devices aimed at reminding people to take their pills. But recent research suggests that actually changing that behavior may take more than an electronic nudge. All agree it’s a worthy goal. Dr. Niteesh Choudhry, an internist at Harvard Medical School, describes the problem of not taking medication as “the…

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The Complicated Issue of “See Something, Say Something” in Science

Mobile phones and other connected devices are an increasingly common tools for researchers examining a range of medical and public health issues. Some, such as Bluetooth connected blood pressure cuffs or blood glucose monitors record and analyze information about medical conditions in the hopes of tracking patient outcomes over time and developing new interventions. Others, like such as personal breathalyzers and apps that use GPS and accelerometer sensors to track driving behavior, are working to cut down on the increasing number of fatalities and injuries caused by unsafe and often illegal driving behaviors. Mobile technology provides researchers with new cost-effective…

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When Push Comes to Nudge

Imagine if health care costs could be dramatically reduced, and outcomes improved without any heavy lifting – no bills would need to be passed, no policies approved, and no major restructuring required. What if we could simply will people to make decisions that resulted in better care and a healthier population? “Decisions are affected by emotions, bias, social context. The solution is design,” David Asch, MD, MBA, executive director of Penn’s Center for Health Care Innovation, recently said at the Healthcare Financial Management Association’s annual conference. The idea that better decisions can be made simply by guiding people to them…

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MedPage Today: Triple Attack on Drug Nonadherence Still Fails in Post-AMI Setting

MedPage Today discusses the results of a study done by Kevin Volpp, Director of the Center for Health Incentives and Behavioral Economics, Dr. Shivan Mehta, Dr. David Asch, Dr. Andrea Troxel, among many others affiliated with the center. The study was done to determine if there were any statistical differences in hospitalizations based on an intervention combining wireless pill bottles, lottery-based incentives, and social support among acute myocardial infarction (MI) survivors. Unfortunately, this study showed that a system of medication reminders using financial incentives and social support did not improve medication adherence. Read the original JAMA article here. Read more…

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Fast Company: Want to employ behavioral science for good? Here’s a helpful collection of ideas

Fast Company takes a look at B-Hub, a collaborative online platform built by CHIBE, ideas42 and Innovations for Poverty Action to provide policy-relevant behavioral insights in an easy to digest format. The article says that “Crucially, the database doesn’t just link to what’s been previously published elsewhere—everything has been painstakingly reformatted to shares costs, challenges, impact, and results, and real-life examples of what the each “nudge” actually looked like.”

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Hardwiring Patient Engagement to Deliver Better Health

Providers often throw up their hands in frustration when they see the same patients repeatedly readmitted to the hospital for behaviors such as failing to take their medications at home or eating a high salt diet when they have heart failure. Many acute exacerbations of chronic disease are from patients having trouble following through with provider recommendations — whether to eat healthy foods, watch fluid balance, take medications, lose weight, quit smoking, or avoid alcohol or other drugs. Generally, the standard approaches clinicians take to address these issues, such as cajoling or providing information in a brief face-to-face encounter, don’t…

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Doctors, patients more likely to approve flu vaccine when given electronic prompts

In a recent study published in the Journal of General Internal Medicine, Mitesh Patel found that adding an active choice mechanism to patients’ electronic health records increased rates of flu vaccination. “Our results indicate that this simple intervention could be an effective and scalable approach to use the design of electronic health records to increase the rate of flu vaccinations, which are estimated to prevent millions of flu cases and tens of thousands of related hospitalizations every year,” said Patel. Read more from Philly Voice, Becker’s Hospital Review, UPI, MedIndia, FiercePharma, KTTN/KGOZ, and  Penn Medicine News.

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