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Center for Medical Ethics and Health Policy

Behavioral Change

Master
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Integrating Ethics into the Science of Behavior Change: An Ethical Framework for Clinicians and Policymakers

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Project Description

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Behavioral Economics and Medical Decision Making
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Dr. Blumenthal-Barby received two career development awards to carry out original research on the clinical and policy dilemmas arising at the intersection of ethics and decision science. The science of behavior change describes the power to influence individual and group health behaviors, which raises many ethical issues. The goal of this study is to clarify and address these ethical issues and categorize them into a set of recommendations for policymakers and researchers considering utilizing science of behavior change techniques. In addition, this research seeks to identify settings in which clinicians envision implementing science of behavior change techniques to influence their patients’ health decisions and behaviors. These results will lead to the development of ethically justified recommendations for clinicians to implement science of behavior change techniques.

Supported by: The Greenwall Foundation and The Pfizer Foundation

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Project Personnel

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Principal Investigator

Jennifer Blumenthal-Barby, Ph.D., Principal Investigator

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Publications

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Blumenthal-Barby JS, Ubel PA. Gunmen and Ice Cream Cones: Harm to Autonomy and Harm to Persons. Am J Bioeth. 16(11), 2016: 13-14.

Blumenthal-Barby JS, Krieger H. Cognitive Biases and Heuristics in Medical Decision-Making: A Critical Review. Medical Decision Making 35(4), 2015: 539-57.

Blumenthal-Barby JS. A Framework for Assessing the Moral Status of Manipulation. In C Coons, M Weber (Eds) Manipulation: Theory and Practice. Oxford University Press, Oxford, 2014: 211-134.

Bruce C, Fetter J, Blumenthal-Barby JS. Cascade Effects in Critical Care Medicine: A Call for Practice Changes. American Journal of Respiratory and Critical Care Medicine 188(12), 2013: 1384-1385.

Abhyankar P, Volk R, Blumenthal-Barby JS, Bravo P, Buchholz A, Ozanne E, Vidal DC, Col N, Stalmeier P. Balancing the Presentation of Information and Options In Patient Decision Aids: An Updated Review. BMC Medical Informatics and Decision Making 13(Suppl. 2), 2013: S6.

Blumenthal-Barby JS. “Choosing Wisely” to Reduce “Low Value Care”: A Conceptual and Ethical Analysis. Journal of Medicine and Philosophy 38(5), 2013: 559-580.

Blumenthal-Barby JS. On Nudging and Informed Consent: Four Key Undefended Premises. American Journal of Bioethics 13(6), 2013: 31-33.

Blumenthal-Barby JS, Cantor S, Naik A, Russell H, Volk R. Decision Aids: When Nudging Patients to Make a Particular Choice is More Ethical Than Balanced, Nondirective Content. Health Affairs 32(2), 2013: 303-310.

Blumenthal-Barby JS, McCullough L, Krieger H, Coverdale J. Methods of Influencing the Decisions of Psychiatric Patients: An Ethical Analysis. Harvard Review of Psychiatry 21(5), 2013: 275-279.

Blumenthal-Barby JS. Choice Architecture: A Mechanism for Improving Decisions While Preserving Liberty? In C Coons, M Weber (Eds) Paternalism: Theory and Practice. Cambridge University Press, Cambridge, 2013: 178-196.

Blumenthal-Barby JS. Between Reason and Coercion: Ethically Permissible Influence in Health Care and Health Policy Contexts. Kennedy Institute of Ethics Journal 22(4), 2012: 345-366.

Blumenthal-Barby JS, Burroughs H. Seeking Better Healthcare Outcomes: the Ethics of Using the “Nudge.” American Journal of Bioethics 12(2), 2012: 1-10.

Blumenthal-Barby JS. On the Concept and Measure of Voluntariness: Insights from Behavioral Economics and Cognitive Science. American Journal of Bioethics 11(8), 2011: 25-26.

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Presentations

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Blumenthal-Barby JS. Ethical Challenges Posed by Studies in Medical Decision-Making and Behavioral Economics. BCM Medicine Grand Rounds, Houston, TX. May 2017.

Blumenthal-Barby JS. The Psychology of Decision Making and the Ethics of Nudging. NYU Winthrop University Hospital Medicine Grand Rounds. Mineola, NY. May 2017.

Blumenthal-Barby JS. Incentives as Nudges for Childhood Vaccination in Rural India: An Ethical Analysis. Harvard Law School Conference on Behavioral Economics, Law, and Health Policy, Boston, MA. May 2014.

Blumenthal-Barby JS. When Nudging Is More Ethical Than Balanced, Non-directive Content. Health Affairs Briefing on Patient Engagement, Washington, D.C. February 2013.

Blumenthal-Barby JS. Between Rational Persuasion and Coercion: A Framework for Assessing the Moral Status of Manipulation. The Bowling Green Workshop in Applied Ethics and Public Policy (on Manipulation), Bowling Green, OH. March 2012.

Blumenthal-Barby JS. Libertarian Paternalism: Improving Decisions While Preserving Liberty? American Philosophical Association, Central Division Meeting Main Program, Chicago, IL. February 2012.

Blumenthal-Barby JS, Loewenstein G, Schwartz P, Halpern S. Integrating Ethics Into the Science of Behavior Change. Society for Medical Decision Making Annual Meeting, Chicago, IL. October 2011.

Blumenthal-Barby JS. Questioning the Neutrality of Decision Aids. Society for Medical Decision Making Annual Meeting, Chicago, IL. October 2011.

Blumenthal-Barby JS. Ethically Permissible Influence: Between Reason and Coercion. Wake Forest University Junior Scholars in Bioethics Program, Winston-Salem, NC. September 2011.

Blumenthal-Barby JS. Ethical Challenges Posed by Studies in Medical Decision-Making and Behavioral Economics. BCM Neurology Grand Rounds, Houston, TX. June 2013. Methodist Hospital Grand Rounds, Houston, TX. December 2012. BCM Neurology Grand Rounds, Houston, TX. June 2012. BCM ObGyn Grand Rounds, Houston, TX. October 2011. Ben Taub Update in Bioethics Grand Rounds, Houston, TX. October 2011.

Blumenthal-Barby JS. Ethical Challenges in Vaccine Refusals: A Panel Presentation. Texas Children’s Hospital, Houston, TX. September 2012.

Blumenthal-Barby JS. A Defense of Libertarian Paternalism. The Bowling Green Workshop in Applied Ethics and Public Policy (on Paternalism), Bowling Green, OH. April 2011.

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