Evidence map›Paper›PMID 40687388›Full record

ArticleDrug and alcohol dependence reports2025

A formative study to develop nudges informed by behavioral economics to increase engagement with tobacco treatment among people who smoke receiving care for HIV.

Daniel Blumenthal, Nathaniel Stevens, Frank T Leone, Anna-Marika Bauer, E Paul Wileyto, Casey Foster, Spencer Schwartz, Julia Villasenor, Brian P Jenssen, Helen Koenig and 3 more

Abstract read
In one paragraph

Article in Drug and alcohol dependence reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Daniel BlumenthalDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, USA.
Nathaniel StevensDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, USA.
Frank T LeonePulmonary, Allergy, & Critical Care Division, University of Pennsylvania, USA.
Anna-Marika BauerCritical Path Institute, Tucson, AZ, USA.
E Paul WileytoDepartment of Biostatistics, Epidemiology, & Informatics, Perelman School of Medicine, University of Pennsylvania, USA.
Casey FosterDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, USA.
Spencer SchwartzDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, USA.
Julia VillasenorDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, USA.
Brian P JenssenDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, USA.
Helen KoenigDivision of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, USA.
Judith O'DonnellDivision of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, USA.
Robert GrossPenn Center for AIDS Research, Perelman School of Medicine, University of Pennsylvania, USA.
Robert SchnollDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, USA.

Funding

Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Lily A Brown · 2013 to 2026
$23.5M
A Patient-Oriented Research Mentoring Program in Tobacco Dependence ResearchK24DA045244 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI Robert Adam Schnoll · 2018 to 2026
$1.7M
NIDA NIH HHS K24 DA045244NIMH NIH HHS P30 MH097488
6 · The paper itself

Abstract

Background: The rate of tobacco use among people with HIV (PWH) is > 2 fold higher vs. the general population and accounts for more life years lost than the virus. Yet, evidence-based tobacco treatments are uncommonly offered by clinicians or used by PWH. Biases informed by behavioral economics concerning tobacco treatments may drive this practice gap. Methods: This formative study tested nudges in the form of messages that target four behavioral economic biases - status quo, availability, omission, and focusing effect - to determine which message would be most strongly associated with PWH willingness to use or clinician referral for tobacco treatment; 19 clinicians and 75 PWH assessed pair-wise comparisons of the four messages with instructions to select the message that, if sent via text or a patient portal, or via the electronic medical record (EMR) at a clinic visit, would increase willingness to use or provide a referral for tobacco treatment. Results: There were significant differences in reported preference across the messages among PWH (χ Conclusions: A message that addressed focusing effect bias was associated with greater interest in the use of or referral for tobacco treatment within HIV care. These results can help design a clinical trial to test the effectiveness of these messages within the clinical workflow for their effects on actual use of and referral for tobacco treatment for PWH.

Indexed as

Behavioral EconomicsHIVImplementation ScienceNudgesTobacco

Identifiers

PMID40687388
PMCPMC12272619

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Registered trials

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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.