Leveraging behavioral economics to promote treatment adherence: A primer for the practicing dermatologist.

Journal of the American Academy of Dermatology
Michael J WoodburyLourdes M Perez-Chada

Abstract

The problem of suboptimal treatment adherence among patients with dermatologic or other diseases has not been adequately addressed in health care. Despite a wide range of efficacious therapies, nonadherence remains a primary driver of suboptimal clinical outcomes. Novel solutions to address this unmet need can be found in behavioral economics. By leveraging our understanding of human decision-making, we may better promote treatment adherence, thereby improving quality of life and decreasing economic burdens. Behavioral economics has been studied extensively in relation to topics such as health policy and health behaviors; however, there is a dearth of research applying this approach to chronic diseases and only a handful within dermatology. We conducted a scoping review in PubMed to identify articles that discuss behavioral economics and its application to treatment adherence in dermatologic patients, with a particular focus on psoriasis, followed by a summary of key ethical considerations. We found that such principles can be employed in cost-effective, scalable interventions that improve patient adherence to a range of medical therapies and lifestyle modifications.

References

Dec 16, 1998·Organizational Behavior and Human Decision Processes·I P LevinG J Gaeth
Oct 20, 2004·The British Journal of Dermatology·C L CarrollR Balkrishnan
Oct 3, 2006·Journal of the American Academy of Dermatology·Katherine K BrownAlexa B Kimball
Sep 27, 1974·Science·A Tversky, D Kahneman
Jul 16, 2011·Dermatology : International Journal for Clinical and Investigative Dermatology·M AugustinM A Radtke
Sep 22, 2012·PharmacoEconomics·Giovanna RahoLuigi Naldi
Feb 14, 2014·Journal of General Internal Medicine·Aditi P SenKevin G Volpp
Dec 3, 2014·American Journal of Preventive Medicine·Christina A Roberto, Ichiro Kawachi
Jan 8, 2015·JAMA Dermatology·Elizabeth A BrezinskiApril W Armstrong
May 15, 2015·The New England Journal of Medicine·Scott D HalpernKevin G Volpp
Oct 21, 2015·The American Journal of Bioethics : AJOB·Ricky MunozScott Gelfand
Apr 23, 2016·American Journal of Preventive Medicine·Jennifer L MatjaskoDavid V Yokum
May 18, 2016·The Journal of Dermatological Treatment·Christine S AhnSteven R Feldman
Oct 18, 2016·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Noel T BrewerMelissa B Gilkey
Dec 29, 2017·Bioethics·Robert Noggle
Feb 6, 2018·Patient Preference and Adherence·Francesca DevineSteven R Feldman
Mar 2, 2019·The Journal of Dermatological Treatment·Patrick A WhitmanSteven R Feldman
Jun 4, 2019·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Seonad K MaddenGraeme Jones
Mar 4, 2020·International Journal of Molecular Sciences·Masahiro Kamata, Yayoi Tada
Apr 5, 2020·Journal of the American Academy of Dermatology·Arjun M BashyamSteven R Feldman
Apr 28, 2020·Journal of the American Academy of Dermatology·Angeli Eloise TorresHenry W Lim
May 20, 2020·JAMA : the Journal of the American Medical Association·April W Armstrong, Charlotte Read
Jun 6, 2020·Rheumatology·Ummugulsum GazelSibel Z Aydin
Jul 2, 2020·Patient Preference and Adherence·Daniel AletahaLara Fallon
Aug 6, 2020·International Journal of Molecular Sciences·Naoko KandaHidehisa Saeki

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Milbank Memorial Fund Quarterly. Health and Society
H E Klarman
Indian Journal of Public Health
American Journal of Public Health and the Nation's Health
Lancet
Asaka Higuchi, Masahiro Kami
Indian Journal of Public Health
S P Mukhopadhyay
© 2021 Meta ULC. All rights reserved