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- Title
The NUDGE Framework: Application to Address Behavioral Barriers to Antiretroviral Therapy in Adolescents Living With HIV in Eswatini.
- Authors
Ahmed, Charisse V.; Dlamini, Ayanda; Mbuyisa, Majaha; Simelane, Mthobisi; Gallagher, Darby; Golos, Aleksandra; Donworth, Gregory; Dubner, Jacob; McLain, Lindsey; Lowenthal, Elizabeth D.; Rice, Bridgette M.; Brooks, Merrian J.; Buttenheim, Alison M.
- Abstract
Behavioral economics offers a unique opportunity to understand the social, cognitive, and psychological nuances that may influence health behavior. The purpose of this article is to demonstrate the application of NUDGE, a novel behavioral economics and design thinking framework, to address barriers to antiretroviral therapy adherence among adolescents living with HIV in eSwatini. NUDGE comprises five steps: (1) Narrow the focus to a specific target behavior, (2) Understand the context of the behavior through inquiry, (3) Discover behavioral insights related to the target behavior, (4) Generate intervention design features to address behavioral barriers to the target behavior, and (5) Evaluate the design features through iterative pilot testing. This article demonstrates the application of the Discover and Generate steps using qualitative data. In showing the utility of the NUDGE framework, we provide a practical tool for creating interventions informed by behavioral insights.
- Subjects
SOUTH Africa; PATIENT compliance; HEALTH attitudes; ANTIRETROVIRAL agents; QUALITATIVE research; HIV-positive persons; PILOT projects; HIV infections; DECISION making; HIGHLY active antiretroviral therapy; MOTIVATION (Psychology); HEALTH behavior; MATHEMATICAL models; CONCEPTUAL structures; THEORY; DRUGS; BEHAVIORAL research; COPYING; ADOLESCENCE
- Publication
AIDS Education & Prevention, 2024, Vol 36, Issue 4, p285
- ISSN
0899-9546
- Publication type
Article
- DOI
10.1521/aeap.2024.36.4.285