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Health behaviorDefinitionExample
Benefits now, costs laterThe individual does not seriously consider the future negative impact of their behaviorA patient with chronic pancreatitis who binge drinks alcohol may not react to established safe drinking limits, but may respond to the more tangible concept of seeing their consumption compared to that of their peers
Degree of difficultyMore difficult problems require more help to make the right decisionA patient with chronic pancreatitis who binge drinks alcohol may not react to established safe drinking limits, but may respond to the more tangible concept of seeing their consumption compared to that of their peers
FrequencyA person is confronted with rare and difficult decisions, with significant consequenceA patient that must give their consent for a surgery or treatment with uncertain outcomes that is much more likely to improve the situation than to exacerbate it. A nudge, such as stressing the positive outcome rate (e.g., 90% likelihood of success) could be relevant in such a situation
FeedbackPeople need feedback on their choices to make further decisionsConsider a person suffering from pancreatic exocrine insufficiency who has stopped taking their PERT without any immediate symptoms. Without any feedback (symptoms or health events), the patient is likely not to adhere to their treatment plan; again, providing information on likely future consequences that are as yet unseen could provoke behavior change
Knowing what you want (and need)It is particularly hard for people to make choices when they cannot translate them into potential experiencesA patient who is facing a multitude of treatment options that have different cost / benefit outcomes could benefit from the physician breaking this down into simple terms
Drink typeAverage qty of sugar (grams)Average teaspoons of sugar
Flavored fruit drink (250 ml)27+6.5
Energy drink (600 ml)36+8.5
Soft drink (can, 375 ml)38+9
Soft drink (1.25-liter bottle, 1,250 ml)140+33
Physical activity with moderate aerobic intensityPhysical activity with vigorous aerobic intensity
Brisk walkingRunning
DancingWalking/climbing
GardeningFast cycling
House choresAerobics
Games with children/walking domestic animalsFast swimming
Building tasks (roofing, painting)Sports and games (basketball, tennis, football, hockey, volleyball)
Carrying moderate loads (< 20 kg)Carrying heavy loads (> 20 kg)
Drink typeAverage qty of sugar (grams)Average teaspoons of sugar
Flavored fruit drink (250 ml)27+6.5
Energy drink (600 ml)36+8.5
Soft drink (can, 375 ml)38+9
Soft drink (1.25-liter bottle, 1,250 ml)140+33
InterventionAdherence MeasurementResults
Personalized education and counselingBrief Medication QuestionnaireThe intervention group had higher levels (p < 0.001) of medication adherence
Home communication intervention devicesCardiovascular Risk Factor Modification AdherenceNo statistically significant differences between groups
Regular audio- and video- call remindersMEMS® capsNo statistically significant differences between groups
Smartphone application, pillboxBin opening or self-report on appDevice type not associated with medication adherence
Medication counseling, calendar, and medication information through pharmacistTablet countThe counseled group had statistically higher (p < 0.001) compliance
Matching icon on medication bottle and instruction sheet, written and verbal education through pharmacist MEMS caps and refill adherence medication possession ratioThe intervention group had a statistically higher (p < 0.007) refill adherence
Teaching, medication simplification, and regular HCP contact after dischargePill countThe intervention group had statistically higher (p = 0.003) medication adherence than the control group 
Education, diary cards, and medication simplificationSelf-reportThe intervention group had statistically higher (p = 0.039) medication compliance

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