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Master Thesis

Recensement des études portant sur l’application de 10 nudges dans le domaine de la médecine générale en France et à l’étranger : revue de la littérature

Abstract : Context: Some of our behaviors lead to the development of chronic diseases. Traditional approaches to health promotion are based on our conscious thinking system. However, behavioral economics studies show the predictable irrationality of our decisions. The nudge theory stems from this principle. It consists in making a modification of the context in which a person makes a choice in order to guide his decision. Its application in medicine would be to lead a patient toward a healthier behavior. The aim of our review was to identify studies in France and abroad based on a nudge-type intervention in order to influence a health behavior and applicable in general medicine. Method: We included every type of interventional studies published until march 2020. The interventions studied had to belong to the 10 nudges potentially the most efficient according to Cass Sunstein, one of the creators of the nudge theory. Results: We identified 54 studies with respectively 2, 14 and 38 of high, moderate and low quality. Reminders and Feedback were the most studied nudges. Cancer screening, control of chronic diseases and vaccinations were the most studied behaviors. 10 of the 16 moderate or high quality studies had a statistically significant positive impact. No study had a statistically significant negative effect. Conclusion: Nudges seem to have a positive impact on health behaviors. However, their effectiveness has not been demonstrated.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02945880
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Submitted on : Tuesday, September 22, 2020 - 4:22:43 PM
Last modification on : Tuesday, November 24, 2020 - 4:00:15 PM

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Sophie Cohen, Maxence Vogel. Recensement des études portant sur l’application de 10 nudges dans le domaine de la médecine générale en France et à l’étranger : revue de la littérature. Médecine humaine et pathologie. 2020. ⟨dumas-02945880⟩

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