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Can a nudge keep you warm? Using nudges to reduce excess winter deaths: insight from the Keeping Warm in Later Life Project (KWILLT).

Allmark P, Tod AM - J Public Health (Oxf) (2013)

Bottom Line: This article defends two claims: (i) nudges could have a place in tackling even the heavily socially determined problem of EWD.We draw on evidence from an empirical study, the Keeping Warm in Later Life Project (KWILLT), to argue that in some cases the risk of cold is within the person's control to some extent such that environmental modifications to influence behaviour such as nudges are possible. (ii) Some uses of behavioural insights in the form of nudges are acceptable, including some in the area of EWD.We suggest a question-based framework by which to judge the ethical acceptability of nudges.

View Article: PubMed Central - PubMed

Affiliation: Health and Social Care Research Centre, Sheffield Hallam University, 32 Collegiate Crescent, Sheffield S10 2BP, UK.

ABSTRACT
Nudges are interventions that aim to change people's behaviour through changing the environment in which they choose rather than appealing to their reasoning. Nudges have been proposed as of possible use in relation to health-related behaviour. However, nudges have been criticized as ethically dubious because they bypass peoples reasoning and (anyway) are of little help in relation to affecting ill-health that results from social determinants, such as poverty. Reducing the rate of excess winter deaths (EWDs) is a public health priority; however, EWD seems clearly to be socially determined such that nudges arguably have little role. This article defends two claims: (i) nudges could have a place in tackling even the heavily socially determined problem of EWD. We draw on evidence from an empirical study, the Keeping Warm in Later Life Project (KWILLT), to argue that in some cases the risk of cold is within the person's control to some extent such that environmental modifications to influence behaviour such as nudges are possible. (ii) Some uses of behavioural insights in the form of nudges are acceptable, including some in the area of EWD. We suggest a question-based framework by which to judge the ethical acceptability of nudges.

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A simple model of risk regulator link to outcome.
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FDT067F1: A simple model of risk regulator link to outcome.

Mentions: In cases such as these the cost of achieving comfortable heat levels is totally prohibitive. In other cases, a low income of itself would not necessarily result in a cold household. However, the addition of further risk regulators increased the likelihood. Risk regulators are factors in the social and physical environment that regulate the probability of a risk manifesting itself.11 This is illustrated in Figs 1 and 2.Fig. 1


Can a nudge keep you warm? Using nudges to reduce excess winter deaths: insight from the Keeping Warm in Later Life Project (KWILLT).

Allmark P, Tod AM - J Public Health (Oxf) (2013)

A simple model of risk regulator link to outcome.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3935492&req=5

FDT067F1: A simple model of risk regulator link to outcome.
Mentions: In cases such as these the cost of achieving comfortable heat levels is totally prohibitive. In other cases, a low income of itself would not necessarily result in a cold household. However, the addition of further risk regulators increased the likelihood. Risk regulators are factors in the social and physical environment that regulate the probability of a risk manifesting itself.11 This is illustrated in Figs 1 and 2.Fig. 1

Bottom Line: This article defends two claims: (i) nudges could have a place in tackling even the heavily socially determined problem of EWD.We draw on evidence from an empirical study, the Keeping Warm in Later Life Project (KWILLT), to argue that in some cases the risk of cold is within the person's control to some extent such that environmental modifications to influence behaviour such as nudges are possible. (ii) Some uses of behavioural insights in the form of nudges are acceptable, including some in the area of EWD.We suggest a question-based framework by which to judge the ethical acceptability of nudges.

View Article: PubMed Central - PubMed

Affiliation: Health and Social Care Research Centre, Sheffield Hallam University, 32 Collegiate Crescent, Sheffield S10 2BP, UK.

ABSTRACT
Nudges are interventions that aim to change people's behaviour through changing the environment in which they choose rather than appealing to their reasoning. Nudges have been proposed as of possible use in relation to health-related behaviour. However, nudges have been criticized as ethically dubious because they bypass peoples reasoning and (anyway) are of little help in relation to affecting ill-health that results from social determinants, such as poverty. Reducing the rate of excess winter deaths (EWDs) is a public health priority; however, EWD seems clearly to be socially determined such that nudges arguably have little role. This article defends two claims: (i) nudges could have a place in tackling even the heavily socially determined problem of EWD. We draw on evidence from an empirical study, the Keeping Warm in Later Life Project (KWILLT), to argue that in some cases the risk of cold is within the person's control to some extent such that environmental modifications to influence behaviour such as nudges are possible. (ii) Some uses of behavioural insights in the form of nudges are acceptable, including some in the area of EWD. We suggest a question-based framework by which to judge the ethical acceptability of nudges.

Show MeSH