Evidence map›Paper›PMID 35738300›Full record

ReviewGesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))2022

[Effectiveness and Ethical Evaluation of Nudging to Promote the Self-Management in Diabetes Mellitus Type 2].

Oliver Rauprich, Meilin Möllenkamp, Jennifer Reimann, Stefan Huster, Jonas Schreyögg, Georg Marckmann

Abstract readReviewEnglish Abstract
In one paragraph

Review in Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A Bibliometric Analysis and Review of Nudge Research Using VOSviewer.Behavioral sciences (Basel, Switzerland) · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Oliver RauprichInstitut für Ethik, Geschichte und Theorie der Medizin, Ludwig-Maximilians-Universität München, München, Germany.
Meilin MöllenkampLehrstuhl für Management im Gesundheitswesen, Hamburg Center for Health Economics, Universität Hamburg, Hamburg, Germany.
Jennifer ReimannInstitut für Sozial- und Gesundheitsrecht, Ruhr-Universitat Bochum, Bochum, Germany.
Stefan HusterInstitut für Sozial- und Gesundheitsrecht, Ruhr-Universitat Bochum, Bochum, Germany.
Jonas SchreyöggLehrstuhl für Management im Gesundheitswesen, Hamburg Center for Health Economics, Universität Hamburg, Hamburg, Germany.
Georg MarckmannInstitut für Ethik, Geschichte und Theorie der Medizin, Ludwig-Maximilians-Universität München, München, Germany.

Funding

ZMV I 1-2516 FSB 018 Bundesministerium für Gesundheit (BMG)
6 · The paper itself

Abstract

backgroundNudges offer a wide range of options for protecting health in everyday life that supplements traditional public health measures. Against this background, we conducted initial investigations on the effectiveness and ethical aspects of different nudges for promoting self-management of patients with diabetes mellitus type 2 in the context of Disease Management Programs (DMPs).

methodsThe ethical assessment of the nudges was done within the systematic framework of Marckmann et al. (2015) for public health ethics. The existing evidence on the effectiveness of nudges was summarised by means of a narrative literature review.

resultsTarget agreements with implementation plans, reminder, feedback reports, shared appointments of patients with physicians, peer mentoring, and behavior contracts are nudging interventions with moderate interference with personal rights and relatively unproblematic ethical requirements, which have demonstrated effectiveness in different contexts. Default enrollment for patient training courses, involvement of partners, confrontation with social norms, and shocking pictures may be effective as well; however, they interfere more deeply with the freedom and privacy of patients and, therefore, are bound to stronger ethical requirements and restrictions. The evidence base is still insufficient, especially for social support measures by relatives and peers.

conclusionsNudging offers a wide range of targeted interventions for supporting self-management of patients with chronic diseases, the potential of which has not yet been fully realized. Particularly promising interventions should be tested in pilot studies for their acceptance, effectiveness and cost-effectiveness in the context of DMPs.

Indexed as

Diabetes Mellitus, Type 2Self-ManagementChoice BehaviorChronic DiseaseGermanyHumans

Identifiers

PMID35738300
PMCPMC9671667

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.