Lmst

#BioXPhi

Is it more problematic for organ donations to be allocated based on receivers' behaviors (such as alcohol use) than on medical predictions such as probability of survival?

Not according to these UK adults (N= 172): https://doi.org/10.1111%2Fbioe.13440

#bioethics #medicine #BioXPhi #cogSci

Drezga-Kleiminger, M., Wilkinson, D., Douglas, T., Demaree-Cotton, J., Koplin, J., & Savulescu, J. (2025). Should We Use Behavioural Predictions in Organ Allocation? Bioethics, 39(8), 737–747. https://doi.org/10.1111/bioe.13440

In "172 UK adults... presented with possible factors relevant to liver allocation, most thought predictions of higher medication adherence (78.6%) and lower future alcohol use (76.5%) should be used but not predictions of lower future criminality (24.7%) and higher societal contribution (21.2%). Randomising participants into two groups, 69.8% of participants found deprioritising a patient based on their predicted medication adherence acceptable (91.9% found a nonbehavioural prediction acceptable). We did not identify an ethically relevant difference between behavioural predictions and other medical predictions already used in organ allocation. Our sample of participants also appeared to support behavioural predictions in this context."

This week I share a text message and infographic that improved decisions about #existentialRisk: https://osf.io/preprints/psyarxiv/d2pc4

#AntibioticResistance kills many.

Misusing #antibiotics makes matters worse.

IAPHS: https://iaphs.org/conference/conference-program

#Nudges in #Healthcare: https://nudgeunit.my.canva.site/symposium-2025-webpage

#medicine #health #psychology #ethics #Philosophy #xPhi #BioXPhi

Reducing Existential Risk By Reducing The Allure Of Unwarranted Antibiotics: Two low-cost interventions

Nick Byrd & Olivia Parlow

Over one million annual deaths have been attributed to bacterial antimicrobial resistance. Although antibiotics have saved countless other lives, overuse and misuse of antibiotics increases this global threat. Developing new antibiotics and retraining clinicians can be undermined by patients who pressure clinicians to prescribe unnecessary antibiotics. So we validated two low-cost, scalable interventions for improving antibiotic decisions in an online randomized control trial and a pre-registered replication (N = 985). Both first-person vignette experiments found that an infographic and text message caused intermediate to large improvements in antibiotic decisions compared to active controls — even when controlling for a dozen confounds. Notably, these educational interventions also reduced trust in a clinician who offered [the unnecessary] antibiotics.

"The 2025 IAPHS Annual Meeting theme will be 'Community Engagement in Population Health Science' in recognition that solutions to health inequities and our greatest population health challenges aren’t found in the lab or a dataset, but rather within communities themselves. Pairing scientific and lived experience, and the cocreation of evidence for action, will drive the agenda. Planned plenaries will focus on methods, funding, and translation to policy to ensure all communities have a genuine opportunity to thrive."

The Nudges in Health Care Symposium is an annual event organized by the Penn Medicine Nudge Unit since 2018. The goals of this event are to:

- Assemble individuals from health organizations interested in applying behavioral science or forming nudge units
- Share insights on lessons learned from implementing nudges in health care
- Network and build collaborations across the health care sector

The next symposium will take place September 11–12, 2025, in Philadelphia.

Visit the 2025 symposium webpage for more details!

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