ArticlePatient education and counseling2022
Applying user-centered design in the development of nudges for a pragmatic trial to reduce no-shows among veterans.
Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03850431 (Using Behavioral Economics to Enhance Appointment Reminders and Reduce Missed Visits), which is not on this map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Using Behavioral Economics to Enhance Appointment Reminders and Reduce Missed Visits
Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Assessing a behavioral nudge on healthcare leaders' intentions to implement evidence-based practices.PloS one · 2024Trial
- Using Nudges to Reduce Missed Appointments in Primary Care and Mental Health: a Pragmatic Trial.Journal of general internal medicine · 2023Trial
- Article
- Applying journey mapping and human-centered design to improve critical care delivery for patients with acute respiratory failure.BMC health services research · 2025Article
- Applications in human-centered design: Shared-Decision Making for mental health treatment in primary care.Patient education and counseling · 2025Article
- Building a Client Resource and Communication Platform for Community-Based Organizations to Address Health and Social Needs: Co-Design Study.JMIR human factors · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo incorporate user-centered design processes into the refinement of nudges designed to reduce no-shows among healthcare appointments for military veterans in the Veterans Health Administration (VA).
methodsWe developed candidate nudges as brief messages based on four broad concepts in behavioral science. We then conducted iterative waves of multi-stage interviews (N = 27) that included a pile sorting task, a "think-aloud" review of each message, and prototype letter reviews. Rapid consensus analysis of each wave's feedback iteratively refined message language.
resultsVeterans rejected several theoretically plausible messages focusing on avoiding the burden of rescheduling missed appointments or the monetary cost of no-shows. Participants suggested framing calling to cancel an appointment as helping other veterans and emphasized a new motivational theme: expressing personal concern for the veteran.
conclusionUse of iterative UCD methods allowed for early identification of both messages inappropriate for veterans and new veteran-generated nudges around non-judgmental validation that could be incorporated in the design of our pragmatic trial. PRACTICE IMPLICATIONS: Rapid team-based qualitative analysis, iterative material design, and space in the study design to incorporate entirely new insights from participants into study materials are all approaches that can improve communications of what matters most to a specific population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.