Applying NUDGE to Inform Design of EBP Implementation Strategies in Community Mental Health Settings

Rebecca E. Stewart*, Rinad S. Beidas, Briana S. Last, Katelin Hoskins, Y. Vivian Byeon, Nathaniel J. Williams, Alison M. Buttenheim

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


We demonstrate the application of NUDGE (Narrow, Understand, Discover, Generate, Evaluate), a behavioral economics approach to systematically identifying behavioral barriers that impede behavior enactment, to the challenge of evidence-based practice (EBP) use in community behavioral health. Drawing on 65 clinician responses to a system-wide crowdsourcing challenge about EBP underutilization, we applied NUDGE to discover, synthesize and validate specific behavioral barriers to EBP utilization that directly inform the design of tailored implementation strategies. To our knowledge, this is the first study to apply behavioral economic insights to clinician-proposed solutions to implementation challenges in order to design implementation strategies. The study demonstrates the successful application of NUDGE to implementation strategy design and provides novel targets for intervention.

Original languageEnglish (US)
Pages (from-to)131-142
Number of pages12
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Issue number1
StatePublished - Jan 2021


  • Barriers
  • Behavioral economics
  • Evidence-based practices
  • Implementation
  • Public behavioral health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Health Policy
  • Phychiatric Mental Health


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