Nudging at scale: Experimental evidence from FAFSA completion campaigns

Bird, Kelli; Castleman, Benjamin; Denning, Jeffrey T.; Goodman, Joshua; Lamberton, Cait; Rosinger, Kelly Ochs

doi:10.1016/j.jebo.2020.12.022

Cited by 77 publications

(59 citation statements)

References 43 publications

(32 reference statements)

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“…All parties felt human support with mindLAMP is critical to engagement (Theme 3). Our results focus on people and connections as most critical for success, findings in line with recent implementation science research exploring why local efforts related to behavioral nudging often fail at scale (Bird et al, 2021). The implications of these findings reinforce the need to invest not only in mental health technology but also the systems and people necessary to support it.…”

Section: Implications Of Findingssupporting

confidence: 85%

Cross cultural and global uses of a digital mental health app: results of focus groups with clinicians, patients and family members in India and the United States

et al. 2021

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Background Despite significant advancements in healthcare technology, digital health solutions – especially those for serious mental illnesses – continue to fall short of their potential across both clinical practice and efficacy. The utility and impact of medicine, including digital medicine, hinges on relationships, trust, and engagement, particularly in the field of mental health. This paper details results from Phase 1 of a two-part study that seeks to engage people with schizophrenia, their family members, and clinicians in co-designing a digital mental health platform for use across different cultures and contexts in the United States and India. Methods Each site interviewed a mix of clinicians, patients, and their family members in focus groups (n = 20) of two to six participants. Open-ended questions and discussions inquired about their own smartphone use and, after a demonstration of the mindLAMP platform, specific feedback on the app's utility, design, and functionality. Results Our results based on thematic analysis indicate three common themes: increased use and interest in technology during coronavirus disease 2019 (COVID-19), concerns over how data are used and shared, and a desire for concurrent human interaction to support app engagement. Conclusion People with schizophrenia, their family members, and clinicians are open to integrating technology into treatment to better understand their condition and help inform treatment. However, app engagement is dependent on technology that is complementary – not substitutive – of therapeutic care from a clinician.

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Section: Implications Of Findingssupporting

confidence: 85%

Cross cultural and global uses of a digital mental health app: results of focus groups with clinicians, patients and family members in India and the United States

et al. 2021

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“…Previous research has reported positive effects when examining the efficacy of localized text messagebased campaigns (Castleman & Page, 2015;Castleman et al, 2014;Castleman et al, 2015), but a growing body of recent evidence has shown that informational nudges alone, when offered at a larger scale, do not appear to significantly improve the likelihood of college enrollment (e.g., Bird et al, 2019). Additional work has suggested that behavioral outreach programs can increase access to higher education among disadvantaged students when the program simplifies the college application process (Herbaut & Geven, in press).…”

Section: Discussionmentioning

confidence: 99%

Can Re-Enrollment Campaigns Help Dropouts Return to College? Evidence from Florida Community Colleges

Ortagus¹,

Tanner²,

McFarlin³

2020

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for their detailed feedback. We also thank conference participants at the Association for the Study of Higher Education for their helpful comments and Maryanne Long and Jiayao Wu for outstanding research assistance. The study was approved by the University of Florida Institutional Review Board (IRB201602705). The views expressed herein are those of the author and do not necessarily reflect the views of the National Bureau of Economic Research. NBER working papers are circulated for discussion and comment purposes. They have not been peer-reviewed or been subject to the review by the NBER Board of Directors that accompanies official NBER publications.

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“…A fundamental understanding of implementation mechanisms will enable implementers to design and, as necessary, tailor implementation strategies to locally relevant determinants (ie, factors that enable or obstruct changes in professional behaviours or healthcare delivery processes 14 ) while retaining their core function. 15 16 DEVELOPING AND DISSEMINATING A RESEARCH AGENDA: CONFERENCE SERIES AIMS Given ongoing challenges associated with delivering and tailoring implementation strategies previously found to be effective, [17][18][19][20] research reporting guidelines emphasise the need to justify the selection of specific implementation strategies. 5 21 22 This requires identifying the barrier(s) to be addressed and the selected strategy's mechanism of action.…”

Section: The Impact Of Limited Implementation Mechanisms Research On Achieving Health Equitymentioning

confidence: 99%

Advancing mechanisms of implementation to accelerate sustainable evidence-based practice integration: protocol for generating a research agenda

et al. 2021

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IntroductionMechanisms explain how implementation strategies work. Implementation research requires careful operationalisation and empirical study of the causal pathway(s) by which strategies effect change, and factors that may amplify or weaken their effects. Understanding mechanisms is critically important to replicate findings, learn from negative studies or adapt an implementation strategy developed in one setting to another. Without understanding implementation mechanisms, it is difficult to design strategies to produce expected effects across contexts, which may have disproportionate effects on settings in which priority populations receive care. This manuscript outlines the protocol for an Agency for Healthcare Research and Quality-funded initiative to: (1) establish priorities for an agenda to guide research on implementation mechanisms in health and public health, and (2) disseminate the agenda to research, policy and practice audiences.Methods and analysisA network of scientific experts will convene in ‘Deep Dive’ meetings across 3 years. A research agenda will be generated through analysis and synthesis of information from six sources: (1) systematic reviews, (2) network members’ approaches to studying mechanisms, (3) new proposals presented in implementation proposal feedback sessions, (4) working group sessions conducted in a leading implementation research training institute, (5) breakout sessions at the Society for Implementation Research Collaboration’s (SIRC) 2019 conference and (6) SIRC conference abstracts. Two members will extract mechanism-relevant text segments from each data source and a third member will generate statements as an input for concept mapping. Concept mapping will generate unique clusters of challenges, and the network will engage in a nominal group process to identify priorities for the research agenda.Ethics and disseminationThis initiative will yield an actionable research agenda to guide research to identify and test mechanisms of change for implementation strategies. The agenda will be disseminated via multiple channels to solicit feedback and promote rigorous research on implementation mechanisms.

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Nudging at scale: Experimental evidence from FAFSA completion campaigns

Cited by 77 publications

References 43 publications

Cross cultural and global uses of a digital mental health app: results of focus groups with clinicians, patients and family members in India and the United States

Cross cultural and global uses of a digital mental health app: results of focus groups with clinicians, patients and family members in India and the United States

Can Re-Enrollment Campaigns Help Dropouts Return to College? Evidence from Florida Community Colleges

Advancing mechanisms of implementation to accelerate sustainable evidence-based practice integration: protocol for generating a research agenda

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