Simple #design changes in EHR alerts, like presenting two or three good options instead of just one, could help #doctors provide #bettercare. But if these systems rely on outdated evidence, they risk doing more harm than good.
#besci #medicine
jamanetwork.com/journals/jam...

Fun to work with @gemmaaltinger.bsky.social, Adrian Traeger, Chris Maher, @caitlin-jones.bsky.social, and others at @sydney.edu.au Institute for Musculoskeletal Health on this!

How we present choices to physicians influences their decision-making.

jamanetwork.com/journals/jam...

In time for the @pennchibe.bsky.social meeting, our paper about how the number of alternatives influences physician decision-making.

#MedSky #BehaviouralScience

jamanetwork.com/journals/jam...

A meta-analysis (137 studies, n = 12,966) found that touch improves pain, mood, anxiety, and cortisol regulation. Although human touch might be more beneficial, even robot-delivered touch showed physical benefits.

#PainResearch #MentalHealth #Neuroscience

www.nature.com/articles/s41...

➡️ More alternatives (suggestions) = higher likelihood of choosing an NSAID over the opioid in a situation of chronic low back pain flare-up.

🔗 jamanetwork.com/journals/jam...

These findings differ from a classic paper by Donald Redelmeier in which the found and concluded that offering more options increased "decisional difficulty" and led to inertia in decision-making.

jamanetwork.com/journals/jam...

We did not find that adding 3 or 4 alternatives made any further difference.

@nuintmed.bsky.social @nupress.bsky.social @ipham.bsky.social @nucatsinstitute.bsky.social @nufeinbergmed.bsky.social

The full paper is here:
jamanetwork.com/journals/jam...

This is important as we think about designing nudges, especially in the electronic health record.

For example, in an alert to not prescribe opioids for low back pain, physicians were more likely to pick an alternative if at least 2 non-opioid alternatives were offered.

Just in time for the @pennchibe.bsky.social meeting, a new paper with @gemmaaltinger.bsky.social in @jamanetworkopen.com.

We found that offering physicians MORE alternatives encouraged them to select one of the alternates.

Amazing work by my mentor Brooke Nickel and Joshua Zadro! lnkd.in/dtgJ_4mK

This week I received the Excellence in Knowledge Translation Award for a video I made communicating concepts from my Journal of Physiotherapy editorial to a wider audience. As a result this video has been adapted to as part of the intervention arm in a trial. Check out my article at lnkd.in/gReuR8k7