Using Behavioral Economics and Technology to Improve Outcomes in Cardio-Oncology

• Main Authors: Kimberly J. Waddell, PhD, Payal D. Shah, MD, Srinath Adusumalli, MD, MSc, Mitesh S. Patel, MD, MBA, MS
• Format: Article
• Language: English
• Published: Elsevier 2020-03-01
• Series: JACC. CardioOncology
• Subjects: behavior change; behavioral economics; cardiotoxicity; electronic health records; nudges; wearables
• Online Access: http://www.sciencedirect.com/science/article/pii/S2666087320300144

Patients with cancer are often at elevated risk for cardiovascular disease due to overlapping risk factors and cardiotoxic anticancer treatments. Their cancer diagnoses may be the predominant focus of clinical care, with less of an emphasis on concurrent cardiovascular risk management. Widely adopted technology platforms, including electronic health records and mobile devices, can be leveraged to improve the cardiovascular outcomes of these patients. These technologies alone may be insufficient to change behavior and may have greater impact if combined with behavior change strategies. Behavioral economics is a scientific field that uses insights from economics and psychology to help explain why individuals are often predictably irrational. Combining insights from behavioral economics with these scalable technology platforms can positively impact medical decision-making and sustained healthy behaviors. This review focuses on the principles of behavioral economics and how “nudges” and scalable technology can be used to positively impact clinician and patient behaviors.