This document outlines five principles for ethical experimentation and nudging in government:
1) Experimentation is used only to promote people's welfare based on evidence.
2) Initiatives rely on the best available evidence.
3) Initiatives are made as transparent as possible.
4) Effectiveness is rigorously evaluated.
5) A careful risk-benefit analysis ensures potential benefits outweigh risks.
The document defines experimentation, nudging, and their relationship. It argues not experimenting can be unethical if impacts are not measured. The principles are meant to complement ethics guidelines and were informed by research on nudging ethics.
This document outlines 7 principles that the ESDC Innovation Lab commits to follow when conducting research with people, including respecting human dignity, carefully evaluating risks and benefits, honoring privacy and confidentiality, and ensuring all researchers receive ethics training. It also references additional guides on practical research ethics in government and ethical experimentation specifically.
This document provides guidance on ethical research practices for researchers at ESDC's Innovation Lab. It summarizes key sections of Canada's Tri-Council Policy Statement on ethical conduct for research involving humans. The document outlines core ethics principles of respect for human dignity, respect for persons, welfare, and justice. It discusses justifying research with human participants, assessing risks and benefits, and when formal ethics approval is required. The document also covers obtaining free and informed consent from participants, protecting privacy and confidentiality, exceptions to consent requirements, and responsibilities around disseminating research results. Throughout, it emphasizes respecting participants' autonomy, minimizing risks, and maintaining trust between researchers and participants.
The document discusses ethics in nursing research. It defines ethics as moral principles researchers must follow to protect individuals, groups, and communities being studied. Key points include:
- Ethics are important to protect vulnerable groups from harm, safeguard against exploitation, and establish risk-benefit ratios for subjects. Researchers must ensure informed consent, privacy, dignity, and fair treatment.
- Ethical principles in nursing research are beneficence (maximizing benefits and minimizing risks), respect for human dignity (voluntary and informed consent), and justice (fair selection and treatment of subjects, maintaining confidentiality).
- The Indian Nursing Council Code of Ethics outlines nurses' responsibilities to respect individuals, maintain competence, practice legally and professionally, and
1. Ethical dilemmas in research occur when participants' rights and study demands conflict, requiring codes of ethics to guide researchers.
2. Major codes discussed include the Nuremberg Code, Declaration of Helsinki, and guidelines for nursing and psychology research.
3. Key ethical principles for protecting participants include beneficence, respecting human dignity, justice, and informed consent. Researchers must consider risks of harm, confidentiality, and deception in their studies.
Ethical Issues & Scientific Integrity - Prepared by Fiza Zia Ul HannanDr. Fiza Zia Ul Hannan
Without a properly organized method, no research can resolve a problem. Since centuries, a Scientific Method is being used for deducing research studies. Mass Media Studies, being a field of Social Sciences, involves a direct observation with human beings – inquiring/examining about what they’ve done in relevant study preference. Since human beings have certain rights, a researcher must ensure that rights of his/her study participants are not violated in any form.
Dr. Sarika Sawant presented on research ethics at a seminar. She discussed the definition of research ethics as regulating scientific activity to protect human participants and serve societal interests. She covered objectives like ensuring consent and oversight. Issues discussed included plagiarism, data handling, and research with humans and animals. National guidelines in India were also presented, as well as UNESCO's ethical guidelines focusing on informed consent, confidentiality, and integrity.
This document outlines 7 principles that the ESDC Innovation Lab commits to follow when conducting research with people, including respecting human dignity, carefully evaluating risks and benefits, honoring privacy and confidentiality, and ensuring all researchers receive ethics training. It also references additional guides on practical research ethics in government and ethical experimentation specifically.
This document provides guidance on ethical research practices for researchers at ESDC's Innovation Lab. It summarizes key sections of Canada's Tri-Council Policy Statement on ethical conduct for research involving humans. The document outlines core ethics principles of respect for human dignity, respect for persons, welfare, and justice. It discusses justifying research with human participants, assessing risks and benefits, and when formal ethics approval is required. The document also covers obtaining free and informed consent from participants, protecting privacy and confidentiality, exceptions to consent requirements, and responsibilities around disseminating research results. Throughout, it emphasizes respecting participants' autonomy, minimizing risks, and maintaining trust between researchers and participants.
The document discusses ethics in nursing research. It defines ethics as moral principles researchers must follow to protect individuals, groups, and communities being studied. Key points include:
- Ethics are important to protect vulnerable groups from harm, safeguard against exploitation, and establish risk-benefit ratios for subjects. Researchers must ensure informed consent, privacy, dignity, and fair treatment.
- Ethical principles in nursing research are beneficence (maximizing benefits and minimizing risks), respect for human dignity (voluntary and informed consent), and justice (fair selection and treatment of subjects, maintaining confidentiality).
- The Indian Nursing Council Code of Ethics outlines nurses' responsibilities to respect individuals, maintain competence, practice legally and professionally, and
1. Ethical dilemmas in research occur when participants' rights and study demands conflict, requiring codes of ethics to guide researchers.
2. Major codes discussed include the Nuremberg Code, Declaration of Helsinki, and guidelines for nursing and psychology research.
3. Key ethical principles for protecting participants include beneficence, respecting human dignity, justice, and informed consent. Researchers must consider risks of harm, confidentiality, and deception in their studies.
Ethical Issues & Scientific Integrity - Prepared by Fiza Zia Ul HannanDr. Fiza Zia Ul Hannan
Without a properly organized method, no research can resolve a problem. Since centuries, a Scientific Method is being used for deducing research studies. Mass Media Studies, being a field of Social Sciences, involves a direct observation with human beings – inquiring/examining about what they’ve done in relevant study preference. Since human beings have certain rights, a researcher must ensure that rights of his/her study participants are not violated in any form.
Dr. Sarika Sawant presented on research ethics at a seminar. She discussed the definition of research ethics as regulating scientific activity to protect human participants and serve societal interests. She covered objectives like ensuring consent and oversight. Issues discussed included plagiarism, data handling, and research with humans and animals. National guidelines in India were also presented, as well as UNESCO's ethical guidelines focusing on informed consent, confidentiality, and integrity.
- Implementation science aims to improve outcomes for communities by creating a bridge between research evidence and real-world settings. However, implementation efforts often overlook the important roles of trust, power dynamics, and psychological safety.
- Psychological safety and a culture of safety are crucial for implementation work, as they allow stakeholders to take risks, learn from failures, and engage in collaborative learning. Assessing and building these factors should be a key part of implementation practice.
- A case example from child welfare showed high levels of stress, burnout, and safety issues among staff, highlighting the need to attend to organizational climate and power differentials to support implementation efforts. Focusing on "mental models" and transformational change requires addressing issues below
This document discusses ethics in research. It begins by outlining the presentation which covers why ethics are important, the history of ethics in research, general principles of ethics, and codes and policies for ethics in research. Specific examples of unethical research are provided, such as the Nazi hypothermia experiments and Tuskegee syphilis study, to illustrate why ethics are necessary. General ethical principles discussed include respect for persons, beneficence, nonmaleficence, and justice. Key codes and guidelines for ethical research presented include the Nuremberg Code, Helsinki Declaration, and protections for vulnerable participants.
This document discusses scientific misconduct and responsible research practices. It defines scientific misconduct as fabrication, falsification, or plagiarism in research. This includes making up data, manipulating research materials to misrepresent results, and using other's ideas without credit. Responsible research involves following approved protocols, protecting participants, accurately recording and sharing results, and publishing ethically. Maintaining integrity is important to ensure reliable research and public trust.
Unit 2,ethical consideration in researchChanda Jabeen
This document discusses ethical considerations in research. It covers objectives like defining ethics terms, discussing historical events that shaped research ethics, and describing informed consent. Key topics include the Nuremberg Code, Declaration of Helsinki, principles of beneficence and respecting human dignity. Research ethics aim to protect participants and ensure their voluntary consent, privacy, and fair distribution of risks and benefits.
John Lavis | Making research work for decision makers: international perspect...Sax Institute
Professor John N Lavis, Director of the McMaster Health Forum at McMaster University in Canada, recently addressed a CIPHER forum to share his experience in making research useful for health decision makers.
CIPHER, the Centre for Informing Policy in Health with Evidence from Research, is an Australian collaborative research centre managed by the Sax Institute, that is investigating the tools, skills and systems that might contribute to an increased use of research evidence in policy.
For more information visit www.saxinstitute.org.au.
Warwick Anderson | Research funding perspectives for CIPHER forumSax Institute
Professor Warwick Anderson AM, CEO of the National Health and Medical Research Council, recently addressed a CIPHER forum to share how the NHMRC was testing ways to better match research funding with policy needs.
CIPHER, the Centre for Informing Policy in Health with Evidence from Research, is an Australian collaborative research centre managed by the Sax Institute, that is investigating the tools, skills and systems that might contribute to an increased use of research evidence in policy.
For more information visit www.saxinstitute.org.au.
Scientific integrity and avoiding misconduct are important issues discussed by governments, universities, and the scientific community. Upholding high ethical standards in research helps ensure reliable results and safety. Some examples of misconduct include falsifying or fabricating data, plagiarism, and failing to maintain confidentiality. Consequences for misconduct can be severe, such as job termination, fines, and bans from research. Maintaining integrity through practices like careful record keeping, peer review, and consulting advisors protects scientists and the legitimacy of their work.
This document applies to all students registered as a student at Anglia Ruskin University in the Ashcroft International Business School (AIBS), and all their Partner Institutions, regarding the ethical approval of Undergraduate, Taught Postgraduate Masters Dissertations, Research–based Management Research Reports, and Work-based projects. For those undertaking any research/project work outside the UK you are required to ensure that your research/study/project complies with UK legal and ethical requirements.
Cemal H. Guvercin MedicReS 5th World Congress MedicReS
Ethical Issues in Artifical Intelligence Applied to Medicine Presentation to MedicReS 5th World Congress on October 19,25,2015 in New York by Cemal H. Guvercin, MD, PhD
Presentation given at the 2012 UNM Jump Start Institute on April 28, 2012.
Research and Academic Integrity
a. Facilitators:
i. William L. Gannon, Ph.D., Director, UNM Responsible and Ethical Conduct of Research, Office of the Vice President for Research (OVPR)
ii. Gary Harrison, Ph.D., Dean, Office of Graduate Studies (OGS).
Risk of Bias_StaR Child Health Summit_07May12michele_hamm
Michele Hamm presented at the StaR Child Health Summit in Winnipeg, Manitoba on May 7, 2012. The presentation discussed the growing evidence that pediatric clinical trials often have a high risk of bias, which can lead to overestimations of treatment benefits or underestimations of harms. Hamm described a mixed methods study involving surveys and interviews with pediatric trialists to understand the barriers and facilitators they face in designing and conducting methodologically rigorous trials. The study found that a lack of formal research training, insufficient funding, and negative research cultures can contribute to higher risks of bias in trials. Developing cohesive study teams, reliable review processes
This document discusses key principles of research ethics including guidelines for authorship, the Nuremberg Code, Declaration of Helsinki, Belmont Report, and Philippine laws and guidelines. Ethical research requires voluntary informed consent, favorable risk-benefit ratio, scientific validity, fair subject selection, and independent review. Research ethics aims to protect human subjects and ensure scientific integrity by applying principles like respect for persons, beneficence, and justice.
The Ethical Responsibilities of Academic Research Instutions and Funder to Safeguard the Integrity of Research Presentation to MedicReS 5th World Congress on October 19,25,2015 in New York by Zubin Master, PhD
Can systematic reviews help identify what works and why?Carina van Rooyen
This document discusses systematic reviews (SRs) as a tool to evaluate the impact of development interventions. It notes calls from funders to demonstrate what works using evidence-based approaches. While randomized controlled trials (RCTs) are often advocated, SRs are presented as a way to overcome some of RCTs' limitations. The document summarizes a SR conducted by the authors on the impact of microfinance in sub-Saharan Africa. It took a pragmatic approach, including a variety of study designs and developing a causal pathway to understand impact. The SR found microfinance has the potential to benefit the poor but also identified challenges, calling for more and better evaluations.
Agents in health systems include patients, health providers, public and private organizations, and other sectors. These agents can play multiple roles and be influenced by mindsets, interests, power, and organizational context. The behavior of agents is unpredictable and can influence health system change in both positive and negative ways. Change emerges from the complex interactions between agents operating within dynamic environments. How agents exercise discretionary power and respond to interventions shapes whether feedback loops in the system are virtuous or vicious.
This document provides tips and strategies for successful research participant recruitment, with a focus on recruiting underrepresented populations. It emphasizes the importance of preparing early in the research process by setting realistic recruitment goals, understanding the target population's perspective and priorities, and developing community partnerships. Specific strategies discussed include tailoring communications and the study design to the population, using various platforms like social media for outreach, addressing potential barriers to participation, and maintaining high retention through ongoing communication and convenience. The document also provides examples of recruitment materials and study summaries.
This document discusses influencing policy and practice through health policy and systems research (HPSR). It presents different perspectives on whether researchers should actively seek to influence policy, as well as models of how research can influence policy, including through direct, indirect, or symbolic means. It also examines barriers between research and its use in policy and practice, such as lack of engagement between researchers and policymakers. The document provides guidance on considering stakeholder engagement, capacity building, and communication when planning research projects to better support policy influence. It emphasizes the importance of networks in bridging researchers and policymakers.
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
Alice Ammerman, DrPh
Director, Center for Health Promotion and Disease Prevention
Professor, Department of Nutrition
Gillings School of Global Public Health
University of North Carolina
Baker what to do when people disagree che york seminar jan 2019 v2cheweb1
Public values, plurality and health care resource allocation: What should we do when people disagree? (..and should economists care about reasons as well as choices?) CHE Seminar 21 January 2019
This document discusses the planning process for clinical trials. It covers several key aspects of planning including:
1) Defining the trial objectives and research questions;
2) Consulting with local stakeholders and ensuring the research is acceptable and a priority;
3) Considering the disease burden and public health importance of the condition under study.
The planning process involves anticipating challenges and ethical issues that may arise, as well as estimating the resources and duration needed to complete the trial. Thorough planning from the early stages helps ensure a successful trial.
Assignment WK 9Assessing a Healthcare ProgramPolicy Evaluation.docxjesuslightbody
Assignment: WK 9Assessing a Healthcare Program/Policy Evaluation
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
To Prepare:
· Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
· Select an existing healthcare program or policy evaluation or choose one of interest to you.
· Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
· Describe the healthcare program or policy outcomes.
· How was the success of the program or policy measured?
· How many people were reached by the program or policy selected?
· How much of an impact was realized with the program or policy selected?
· At what point in program implementation was the program or policy evaluation conducted?
· What data was used to conduct the program or policy evaluation?
· What specific information on unintended consequences was identified?
· What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
· Did the program or policy meet the original intent and objectives? Why or why not?
· Would you recommend implementing this program or policy in your place of work? Why or why not?
· Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
By Day 7 of Week 10
Submit your completed healthcare program/policy evaluation analysis.
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
· Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409875/
https://www.sciencedirect.com/science/article/pii/S0029655418300617
i J LUUU^S
.
- Implementation science aims to improve outcomes for communities by creating a bridge between research evidence and real-world settings. However, implementation efforts often overlook the important roles of trust, power dynamics, and psychological safety.
- Psychological safety and a culture of safety are crucial for implementation work, as they allow stakeholders to take risks, learn from failures, and engage in collaborative learning. Assessing and building these factors should be a key part of implementation practice.
- A case example from child welfare showed high levels of stress, burnout, and safety issues among staff, highlighting the need to attend to organizational climate and power differentials to support implementation efforts. Focusing on "mental models" and transformational change requires addressing issues below
This document discusses ethics in research. It begins by outlining the presentation which covers why ethics are important, the history of ethics in research, general principles of ethics, and codes and policies for ethics in research. Specific examples of unethical research are provided, such as the Nazi hypothermia experiments and Tuskegee syphilis study, to illustrate why ethics are necessary. General ethical principles discussed include respect for persons, beneficence, nonmaleficence, and justice. Key codes and guidelines for ethical research presented include the Nuremberg Code, Helsinki Declaration, and protections for vulnerable participants.
This document discusses scientific misconduct and responsible research practices. It defines scientific misconduct as fabrication, falsification, or plagiarism in research. This includes making up data, manipulating research materials to misrepresent results, and using other's ideas without credit. Responsible research involves following approved protocols, protecting participants, accurately recording and sharing results, and publishing ethically. Maintaining integrity is important to ensure reliable research and public trust.
Unit 2,ethical consideration in researchChanda Jabeen
This document discusses ethical considerations in research. It covers objectives like defining ethics terms, discussing historical events that shaped research ethics, and describing informed consent. Key topics include the Nuremberg Code, Declaration of Helsinki, principles of beneficence and respecting human dignity. Research ethics aim to protect participants and ensure their voluntary consent, privacy, and fair distribution of risks and benefits.
John Lavis | Making research work for decision makers: international perspect...Sax Institute
Professor John N Lavis, Director of the McMaster Health Forum at McMaster University in Canada, recently addressed a CIPHER forum to share his experience in making research useful for health decision makers.
CIPHER, the Centre for Informing Policy in Health with Evidence from Research, is an Australian collaborative research centre managed by the Sax Institute, that is investigating the tools, skills and systems that might contribute to an increased use of research evidence in policy.
For more information visit www.saxinstitute.org.au.
Warwick Anderson | Research funding perspectives for CIPHER forumSax Institute
Professor Warwick Anderson AM, CEO of the National Health and Medical Research Council, recently addressed a CIPHER forum to share how the NHMRC was testing ways to better match research funding with policy needs.
CIPHER, the Centre for Informing Policy in Health with Evidence from Research, is an Australian collaborative research centre managed by the Sax Institute, that is investigating the tools, skills and systems that might contribute to an increased use of research evidence in policy.
For more information visit www.saxinstitute.org.au.
Scientific integrity and avoiding misconduct are important issues discussed by governments, universities, and the scientific community. Upholding high ethical standards in research helps ensure reliable results and safety. Some examples of misconduct include falsifying or fabricating data, plagiarism, and failing to maintain confidentiality. Consequences for misconduct can be severe, such as job termination, fines, and bans from research. Maintaining integrity through practices like careful record keeping, peer review, and consulting advisors protects scientists and the legitimacy of their work.
This document applies to all students registered as a student at Anglia Ruskin University in the Ashcroft International Business School (AIBS), and all their Partner Institutions, regarding the ethical approval of Undergraduate, Taught Postgraduate Masters Dissertations, Research–based Management Research Reports, and Work-based projects. For those undertaking any research/project work outside the UK you are required to ensure that your research/study/project complies with UK legal and ethical requirements.
Cemal H. Guvercin MedicReS 5th World Congress MedicReS
Ethical Issues in Artifical Intelligence Applied to Medicine Presentation to MedicReS 5th World Congress on October 19,25,2015 in New York by Cemal H. Guvercin, MD, PhD
Presentation given at the 2012 UNM Jump Start Institute on April 28, 2012.
Research and Academic Integrity
a. Facilitators:
i. William L. Gannon, Ph.D., Director, UNM Responsible and Ethical Conduct of Research, Office of the Vice President for Research (OVPR)
ii. Gary Harrison, Ph.D., Dean, Office of Graduate Studies (OGS).
Risk of Bias_StaR Child Health Summit_07May12michele_hamm
Michele Hamm presented at the StaR Child Health Summit in Winnipeg, Manitoba on May 7, 2012. The presentation discussed the growing evidence that pediatric clinical trials often have a high risk of bias, which can lead to overestimations of treatment benefits or underestimations of harms. Hamm described a mixed methods study involving surveys and interviews with pediatric trialists to understand the barriers and facilitators they face in designing and conducting methodologically rigorous trials. The study found that a lack of formal research training, insufficient funding, and negative research cultures can contribute to higher risks of bias in trials. Developing cohesive study teams, reliable review processes
This document discusses key principles of research ethics including guidelines for authorship, the Nuremberg Code, Declaration of Helsinki, Belmont Report, and Philippine laws and guidelines. Ethical research requires voluntary informed consent, favorable risk-benefit ratio, scientific validity, fair subject selection, and independent review. Research ethics aims to protect human subjects and ensure scientific integrity by applying principles like respect for persons, beneficence, and justice.
The Ethical Responsibilities of Academic Research Instutions and Funder to Safeguard the Integrity of Research Presentation to MedicReS 5th World Congress on October 19,25,2015 in New York by Zubin Master, PhD
Can systematic reviews help identify what works and why?Carina van Rooyen
This document discusses systematic reviews (SRs) as a tool to evaluate the impact of development interventions. It notes calls from funders to demonstrate what works using evidence-based approaches. While randomized controlled trials (RCTs) are often advocated, SRs are presented as a way to overcome some of RCTs' limitations. The document summarizes a SR conducted by the authors on the impact of microfinance in sub-Saharan Africa. It took a pragmatic approach, including a variety of study designs and developing a causal pathway to understand impact. The SR found microfinance has the potential to benefit the poor but also identified challenges, calling for more and better evaluations.
Agents in health systems include patients, health providers, public and private organizations, and other sectors. These agents can play multiple roles and be influenced by mindsets, interests, power, and organizational context. The behavior of agents is unpredictable and can influence health system change in both positive and negative ways. Change emerges from the complex interactions between agents operating within dynamic environments. How agents exercise discretionary power and respond to interventions shapes whether feedback loops in the system are virtuous or vicious.
This document provides tips and strategies for successful research participant recruitment, with a focus on recruiting underrepresented populations. It emphasizes the importance of preparing early in the research process by setting realistic recruitment goals, understanding the target population's perspective and priorities, and developing community partnerships. Specific strategies discussed include tailoring communications and the study design to the population, using various platforms like social media for outreach, addressing potential barriers to participation, and maintaining high retention through ongoing communication and convenience. The document also provides examples of recruitment materials and study summaries.
This document discusses influencing policy and practice through health policy and systems research (HPSR). It presents different perspectives on whether researchers should actively seek to influence policy, as well as models of how research can influence policy, including through direct, indirect, or symbolic means. It also examines barriers between research and its use in policy and practice, such as lack of engagement between researchers and policymakers. The document provides guidance on considering stakeholder engagement, capacity building, and communication when planning research projects to better support policy influence. It emphasizes the importance of networks in bridging researchers and policymakers.
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
Alice Ammerman, DrPh
Director, Center for Health Promotion and Disease Prevention
Professor, Department of Nutrition
Gillings School of Global Public Health
University of North Carolina
Baker what to do when people disagree che york seminar jan 2019 v2cheweb1
Public values, plurality and health care resource allocation: What should we do when people disagree? (..and should economists care about reasons as well as choices?) CHE Seminar 21 January 2019
This document discusses the planning process for clinical trials. It covers several key aspects of planning including:
1) Defining the trial objectives and research questions;
2) Consulting with local stakeholders and ensuring the research is acceptable and a priority;
3) Considering the disease burden and public health importance of the condition under study.
The planning process involves anticipating challenges and ethical issues that may arise, as well as estimating the resources and duration needed to complete the trial. Thorough planning from the early stages helps ensure a successful trial.
Assignment WK 9Assessing a Healthcare ProgramPolicy Evaluation.docxjesuslightbody
Assignment: WK 9Assessing a Healthcare Program/Policy Evaluation
Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.
To Prepare:
· Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
· Select an existing healthcare program or policy evaluation or choose one of interest to you.
· Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
· Describe the healthcare program or policy outcomes.
· How was the success of the program or policy measured?
· How many people were reached by the program or policy selected?
· How much of an impact was realized with the program or policy selected?
· At what point in program implementation was the program or policy evaluation conducted?
· What data was used to conduct the program or policy evaluation?
· What specific information on unintended consequences was identified?
· What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
· Did the program or policy meet the original intent and objectives? Why or why not?
· Would you recommend implementing this program or policy in your place of work? Why or why not?
· Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
By Day 7 of Week 10
Submit your completed healthcare program/policy evaluation analysis.
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
· Chapter 7, “Health Policy and Social Program Evaluation” (pp. 116–124 only)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5409875/
https://www.sciencedirect.com/science/article/pii/S0029655418300617
i J LUUU^S
.
This document provides an overview of implementation research. It defines implementation research as using strategies to introduce or change evidence-based health interventions in real world contexts. Implementation research is a multidisciplinary field that seeks to understand and close the gap between evidence and practice. The document discusses conceptual frameworks, methods, outcomes and evidence used in implementation research. It describes both qualitative and quantitative research designs that can be used, including descriptive, analytic, experimental and mixed methods approaches.
1) Ricardo Hausmann argues that while evidence-based policies make sense, the current focus on randomized controlled trials (RCTs) as the "gold standard" of evidence is problematic and limiting innovation.
2) RCTs can only test one or a few interventions or designs at a time slowly, but most social policies have millions of possible designs.
3) Hausmann proposes an alternative approach where organizations continuously try new approaches, use real-time feedback to assess performance, and share successful strategies - similar to machine learning. This could more quickly identify high-performing combinations in complex policy landscapes.
This document provides an overview of a presentation on health research. It defines research and outlines its aims and classifications. It discusses identifying research problems and the knowledge management cycle. It emphasizes that research should address real community problems and be action-oriented to inform policymakers and ultimately improve public health.
Megan St. JacquesJul 22, 2021 829 AMEvaluation Types AbramMartino96
Megan St. Jacques
Jul 22, 2021 8:29 AM
Evaluation Types
When completing a program evaluation, evaluators have a few options regarding the design of the evaluation, including the classic experimental design, a quasi-experimental design, and the before-and-after design (Vito & Higgins, 2016). The classic experimental design is used when evaluators compare results of individuals who had the intervention against those that did not have the intervention offered by the program. One of the main strengths of this technique is that the sample is random so there is a wide variety in individuals who will be examined (Vito & Higgins, 2016). However, this can serve as a weakness as well because for some programs, only certain individuals are accepted based on program guidelines, which limits the validity of the evaluation because the sample is not truly random (Vito & Higgins, 2016). Another type of evaluation is the quasi-experimental design that is similar to the classic design, but attempts to correct for weaknesses by using a less-than-random selection process for participants (Vito & Higgins, 2016). Although this method attempts to strengthen the weakness of the classic design, there is a limitation to this design because taking away the random selection process reduces generalizability of results because the evaluator has specifically chosen these individuals based on specific factors (Vito & Higgins, 2016). Finally, the before-and-after design which gives individuals a test before the treatment and one after, to determine effectiveness of the program (Vito & Higgins, 2016). Ultimately, the strength comes from the ability to test every participant, but again there is limitations because the sample is no longer truly random (Vito & Higgins, 2016).
Questions about Policing
One question about policing programs that may not be able to be answered by randomized control testing would be the impact of drug treatment programs. These programs are often looked to as a crime reducing technique for professionals (Kolind, 2017). Although in theory random samples may help with validity, there is no way to ensure that the individuals completed the treatment or were actively engaged in treatment prior to completing the evaluation. When evaluating drug treatment programs, a quasi-experimental design would work best because the participants could be selected more specifically.
Maryland Scientific Methods Scale
The Maryland Scientific Scale is designed to help program evaluators and researchers design experiments in a way that will help ensure all of their questions are answered in the best way possible (Ross & Schoon, 2011). Using these levels, the following questions could be considered:
Level One: Do after school programs reduce the criminality of youth?
Level Two: How effective are drug programs when they are court-ordered for offenders?
Level Three: When individuals complete a drug program, ...
Is Mobile the Prescription for Sustained Behavior Change?HealthInnoventions
This white paper provides an overview of behavior change filtered through the lens of health and financial imperatives, systems thinking and evolving portable technologies. Health Innoventions’ authors and conference organizers (Max Wells and Michael Gallelli) suggest that a confluence of demands and growing dynamic and interactive capabilities will drive us to better science and application of behavior change and maintenance. It was prepared as a companion document to the conference Consumer-Centric Health: MODELS FOR CHANGE '11, which took place on October 12-13 in Seattle.
Evidence for Public Health Decision MakingVineetha K
The presentation gives an overview of evidence based public health with emphasis on the seven steps of EBPH Framework. It also includes the data sources to search for evidence and relevant articles explaining the current trend in decision making. One of the sources of the presentation is from EBPH training series by Rocky Mountain foundation. The link is provided in the end slide. Do contact me if you need any help with the resources.
This document outlines a six-step model for developing public health interventions called 6SQuID. The six steps are: 1) Define and understand the problem and its causes, 2) Identify modifiable causal factors with the greatest potential for change, 3) Decide on the change mechanism, 4) Clarify how the change mechanism will be delivered, 5) Test and adapt the intervention, and 6) Collect evidence of effectiveness to justify a full evaluation. The document uses preventing gender-based violence in Uganda through a parenting intervention as a case study to illustrate applying the 6SQuID model. It emphasizes understanding causal pathways and identifying factors that can realistically be changed to interrupt those pathways.
Operations research (OR) aims to improve health programs through scientific problem solving. OR was first used in WWII and later applied to health in the 1960s. OR involves 5 steps: 1) defining problems through data analysis, 2) selecting strategies to test, 3) experimenting with and evaluating strategies, 4) disseminating results, and 5) replicating successful strategies. Example OR topics include reducing HIV stigma, managing risky sexual behaviors, and improving quality of HIV care. OR studies test interventions through experimental, quasi-experimental, or non-experimental designs to measure impact on outcomes through data collection methods like surveys, interviews and observations.
This document discusses evidence-based practice and provides information on different types of evidence available, including experimental studies, systematic reviews, and guidelines. It explains that evidence-based practice aims to provide an objective basis for practice by evaluating available evidence. The document also discusses how to search for evidence, including using keywords and databases, as well as the importance of developing a search strategy and documenting the search process.
This document discusses and defines different types of research designs, including experimental, non-experimental, and quasi-experimental designs. It also defines key concepts in experimental research like independent and dependent variables, experimental and control groups, treatments, and extraneous variables. Additionally, it describes different study designs based on contact with participants, such as cross-sectional, before-and-after, and longitudinal designs.
This document discusses quality improvement and patient safety in anesthesia. It defines key terms like quality improvement, continuous quality improvement and differentiates it from traditional quality assurance. It outlines frameworks for improvement like the Model for Improvement and discusses tools used for quality improvement like Lean methodology, Six Sigma and PDSA cycles. It discusses important measures for quality improvement like process, outcome and balancing measures. Methods for analyzing and displaying quality improvement data like control charts and dashboards are described. Sources of quality improvement information and the importance of incident reporting are also summarized.
The Duty of Loyalty and Whistleblowing Please respond to the fol.docxcherry686017
"The Duty of Loyalty and Whistleblowing" Please respond to the following:
· Analyze the duty of loyalty in whistleblower cases to determine to whom loyalty is owed and who shows the greater duty of loyalty. Support your analysis with specific examples. Then, suggest at least one (1) change to an existing law.
· Reexamine the Citizens United decision in Chapter 1, and determine which of the following groups has the greatest free speech rights: corporations, public employees, or private employees. Provide a rationale for your determination.
11 Combining Research Methods: Case Studies and Action Research
Rebecca Jester
Introduction
In Chapters 7 and 8, we focused on the unique features of quantitative and qualitative research. In this chapter, we aim to demonstrate how research methods can be integrated and combined to address specific research questions. The chapter will provide an overview of two specific research designs: action research and case studies, together with examples from research projects conducted by the author. This chapter does not aim to provide an in-depth philosophical debate related to case study and action research approaches, but rather a practical discussion of the merits, limitations and application of these two approaches. We begin by discussing the concepts of ‘mixed methods’ and ‘triangulation', first introduced in Chapter 2.
Mixed methods approaches
Traditionally, within health and social research, individuals have aligned themselves with either the quantitative or qualitative paradigm. However, in reality, many real world research projects benefit from mixing or combining methods. Mixed methods research can be accomplished either by using specific approaches to research, such as action research or case study, as discussed within this chapter, or by adopting a phased approach within a study. This might involve the first stage being exploratory within the qualitative paradigm, and the results from this being used to form specific hypotheses for testing within an experimental design, such as a randomized controlled trial. Equally, a quantitative approach (say, a questionnaire) might be used to gather data from a wide range of people, with the results being used to develop a qualitative interview schedule for use with a small sample of respondents.
Triangulation
Very often a research study is undertaken with multiple datasets, mixed methodology or with different researchers, such as at different sites. Triangulation is a very useful technique that enables you to enhance and verify concepts. As Ramprogus (2005, p. 4) suggests, ‘triangulation … tries to reconcile the differences of two or more data sources, methodological approaches, designs, theoretical perspectives, investigators and data analysis to compensate for the weaknesses of any single strategy towards achieving completeness or confirmation of findings’. However, triangulation must be exercised with caution; it is no substitute for robust and well-established ...
Here are some key points to consider in your discussion:
- Given the complexity of the project operating in a weak health system with resistant communities, a complexity-aware approach would be well-suited to understand the relationships between actors and pathways of change over time.
- Mixed methods would allow triangulation between qualitative data to understand relationships and pathways of change with quantitative data to measure outcomes. Starting with qualitative data collection in year 1 could help develop appropriate indicators for year 2.
- Quasi-experimental methods like a comparison pre-post design could measure outcomes but selection bias may be difficult to control for given the scale and nature of the intervention. Qualitative data would help understand any differences observed.
- Using a participatory
Adaptation of Evidence-based Interventions and De-Implementation of Ineffecti...HopkinsCFAR
The document discusses emerging topics in implementation science, including the adaptation of evidence-based interventions and de-implementation of ineffective programs. It provides definitions and concepts for fidelity versus adaptation, and outlines frameworks for understanding how and when adaptations can be made. The document also defines de-implementation and summarizes a portfolio analysis of NIH-funded de-implementation research grants. It concludes that adaptation and de-implementation are emerging areas that require further study to advance implementation science.
QUESTION 1What are the main streams of influence, according to.docxmakdul
QUESTION 1
What are the main streams of influence, according to the Theory of Triadic Influence? Please provide examples factors/attributes that belong to each of those streams. What is the relationship/correlation between each of those streams?
Your response should be at least 200 words in length.
QUESTION 2
The PRECEDE-PROCEED approach has several key assessment/diagnosis phases. Please describe the epidemiological assessment. What are some key sources of data used in this assessment? Which main questions is this assessment is trying to address/answer?
Your response should be at least 200 words in length.
QUESTION 3
What specific questions the evaluators are bringing forward as they are trying to collect the necessary evaluation data? What are the three main types of evaluation discussed in the PRECEDE-PROCEED approach? What is each of them trying to identify, measure, evaluate?
Your response should be at least 200 words in length.
QUESTION 4
What are some of the key assumptions behind the PRECEDE-PROCEED approach? What are some of the key benefits of using this approach? What are some of the “real-life” examples of using this approach?
Your response should be at least 200 words in length.
Unit Lesson Study Guide
In Unit 4, we will continue to discuss health behavior and its association with factors that could influence such behaviors. These types of influences are referred to as multilevel factors of behaviors, and they typically fall into five main categories:
1. individual factors,
2. inter-personal factors,
3. organizational factors,
4. community factors, and
5. policy factors
Consider the following scenario:
A 50-year-old man may purposely postpone getting a prostate cancer test because he is scared of finding out that he may have prostate cancer. This is an example of an individual- level factor. However, we need to look into this further and consider the following: his inaction might also be influenced by his primary physician’s failure to actually recommend and insist that he would need to take the prostate test. Another factor might be the difficulty of scheduling an appointment due to either unavailable equipment or the unavailability of staff at his local clinic. Another limiting factor could be that the fee for the exam is so high he cannot afford it, and his insurance does not cover this type of procedure. Thus, all these interpersonal, organizational, and policy factors are influencing this man’s behavior to not complete the prostate test. Therefore, for health promotion practitioners, it is very important to be aware of all these factors so effective change strategies or interventions can be prescribed.
One of the multilevel theories that will be discussed is the Theory of Triadic Influence (TTI). TTI behaviors arise due to one’s current social situation, general cultural environment, and their personal characteristics. Any health-related behaviors are influenced by an individual’s decisions.
What wo ...
Course Textbook Edberg, M. (2015). Essentials of health behavi.docxvanesaburnand
Course Textbook
Edberg, M. (2015). Essentials of health behavior: Social and behavioral theory in public health (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
QUESTION 1
Please define the concept of a political-economic approach. What are some of its key principles? Using HIV/AIDS as an example, please address/answer the following question: What issues would a political-economic approach address in terms of potential action or actions?
Your response should be at least 200 words in length.
QUESTION 2
As you are aware by now, the concept of social marketing is being widely used to influence health behavior. Please define the term social marketing and then discuss some of this concept’s key principles. Also, explain how social marketing is being used in various health promotion programs.
Your response should be at least 200 words in length.
QUESTION 3
The Social Cognitive Theory (SCT) explains how people acquire and maintain certain behavioral patterns. Please outline some of those patterns, and explain why they occur in the first place. Also, indicate how health promotion practitioners use this theory’s principles in order to design effective behavior change interventions.
Your response should be at least 200 words in length.
25 points
QUESTION 4
Diffusion of Innovation (DOI) Theory explains how, over time, an idea or product gains momentum and diffuses (or spreads) through a specific population or social system. The end result of this diffusion is that people, as part of a social system, adopt a new idea, behavior, or product. Define the term social system as it is being used in this context. Then, discuss the key aspects/elements of these three factors that influence adoption of an innovation. Please provide a couple of supporting examples applicable to each of these three factors:
1
compatibility
2
complexity, and
3
observability
Your response should be at least 200 words in length.
Unit Lesson HELP
The Importance of Theories in Health Promotion
Public health promotion programs are designed to improve health, prevent disease, and mitigate death. These programs also promote a better quality of life and advocate conditions in which people can be healthier and have a better quality of life. Successful health promotion programs are designed in such a way that they assess the fundamental cause or causes of certain health problems or unhealthy behaviors. The program then incorporates actual interventions to address the problems and behaviors linked to the public health problem. In order to do that, health promotion workers/practitioners are using various theories related to health behaviors during the various phases of planning, implementing, and evaluating a certain proposed intervention.
Theories assist the public health practitioners in understanding the nature of certain targeted health behaviors. The theories are then used to explain the dynamics of the behavior, the process of changi.
A Qualitative Methodological Approach Through Field ResearchDiana Oliva
Article 1 takes a social constructionist perspective to examine how gender myths are appropriated into development policies and programs. It uses a qualitative methodological approach involving discourse analysis to critically analyze the language and narratives around gender in development.
Article 2 adopts a feminist standpoint theory framework to explore women's lived experiences of domestic violence. It employs an ethnographic methodology, using in-depth interviews and focus groups to generate rich qualitative data from the perspectives of abused women themselves.
Both articles adopt a critical theoretical lens to challenge dominant power structures. While Article 1 focuses on deconstructing development discourse, Article 2 centers women's voices to
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Experimentation and nudging in government
1. Five Principles for Ethical
Experimentation and Nudging in
Government
Developed by the Behavioural Insights Research and Design (B.I.R.D.) Team at
ESDC’s Innovation Lab, and partners (TBD)
To provide feedback contact emilie.e.gravel@hrsdc-rhdcc.gc.ca or rebecca.friesdorf@hrsdc-rhdcc.gc.ca
2. 2
TABLE OF CONTENTS
What is experimentation?........................................................................................................... 3
What is nudging?........................................................................................................................ 3
What is the relationship between nudging and experimentation?.............................................. 4
Why NOT engaging in experimentation may actually be unethical………………………….. 4
Five Ethics Principles for Ethical Experimentation and Nudging……………………………. 6
Using experimentation only when it is consistent with and actively intended to
promote people’s welfare……………………………………………………………...
6
Experimentation initiatives will rely on the best available current evidence about the
subject matter………………………………………………………………………….
6
Experimentation initiatives as transparent as possible………………………………... 7
Rigorously evaluate the effectiveness of experimentation……………………............. 7
An Example Case……………………………………………………………... 8
Careful risk-benefit analysis to ensure that potential benefits of experimentation
outweigh potential risks……………………………………………………………….
8
Common Ethical Concerns with Nudging and Experimentation Q & A……………………... 10
3. 3
In this document, we present five ethics principles that we have developed specifically for and
are committed to following when conducting experimentation and nudging work. It is meant to
complement our “Practical Guide for Research Ethics in Government”, which outlines the core
ethics principles that must be followed when conducting research with human participants.
We begin by providing definitions for experimentation and nudging, to clarify any ambiguities
related to these terms, and to give context for the development of our principles.
What is experimentation?
Experimentation has been broadly defined by the Government of Canada as “testing new
approaches to learn what works and what does not work using a rigorous method”1 and “the
process by which the validity or efficacy of policies is tested through appropriate research
design”2. The prototypical example of a rigorous method is the randomized controlled trial
(RCT; also called A/B testing), which allows for the direct comparison of different approaches
(i.e., interventions) to determine which one is the most effective. For example, you might
compare three different “job search” tools or “back to work” programs and measure which one
results in the fastest returns to work.
Importantly, innovation, or trying new approaches, is not the same as experimentation unless
rigorous methods and impact measurement are also conducted.
What is a nudging?3
Because humans have cognitive limitations, biases, and habits that sometimes lead to suboptimal
decision making patterns, we can use insights (generated by fields like psychology, behavioural
economics, and cognitive science) about these systematic limitations, biases, and habits, to
“nudge” individuals toward the better options in the decision context. This can be achieved by
altering the “choice architecture” surrounding the behavior or decision, i.e., the physical, social,
and psychological aspects of the context that influence our choices, in ways that promote a more
preferred behaviour rather than obstruct it.
In other words, nudges are interventions that steer people in particular directions while allowing
them to choose their own way. Some examples of nudging include, sending a reminder or
warning, or receiving directions from a GPS; this steers a person in a particular direction, though
the person retains the freedom to ignore such nudges. The use of particular defaults rules such as
opt-ins or opt-outs are a common nudging technique for social programs. It favors one option,
although people can choose the alternative without penalty. Subsidies, taxes, fines, and jail
sentences are not nudges because they restrict freedom of choice ̶ choosing any option other than
the option preferred by the choice architect (the agent who created the options in the decision
context) results in a penalty.
Importantly, because every environment has an existing choice architecture that influences our
decisions and behaviour, nudging cannot be avoided. That is, the default way that
options/choices are presented is a nudge in and of itself. Nudges are a common feature of
1 https://www.canada.ca/en/innovation-hub/services/reports-resources/experimentation-direction-deputy-heads.html
2 ESDC Experimentation Strategy Implementation Plan, 2018-19
3 Thaler, R.H, & Sunstein, C.R. (2008) Nudge: Improving Decisions about Health, Wealth, and Happiness. New
Haven, CT: Yale University Press.
4. 4
everyday life, it is difficult to object to nudging in general, and one can only object to
particular nudges.
What is the relationship between nudging and experimentation?
The two major components of experimentation are 1) trying a new approach, and 2) rigorous
research design and impact measurement. At this point in time, nudging is generally considered a
new approach, and when the effectiveness/impact of a nudge is tested using rigorous research
design and measurement we would say that nudging falls under the umbrella of
experimentation. Because nudging must, by definition, preserve freedom of choice it is
narrower in scope than other types of experimentation which may include approaches
(/interventions) to change decision-making or behaviour that are more restrictive or heavy-
handed in nature.
As an example, nudging to increase healthier food choices in a cafeteria might involve the
strategic placement of available choices, such as placing healthier foods at eye level and less
healthy foods above/below eye level (but still in view and available for choosing). Other
approaches to increasing healthier food choices that are not nudges might be making unhealthy
foods more expensive or removing unhealthy food choices altogether. To be able to label these
interventions (be it the nudge or one of the other approaches) experimentation, we would need to
use rigorous methods to test their effectiveness. For example, we could measure the number of
healthy food choices at cafeterias that are strategically placed (at eye level) and compare this to
cafeterias that do not use strategic placement (have more unhealthy foods at eye level), provided
that the cafeterias will be otherwise comparable. Importantly, as can be seen in this example,
nudging may be perceived as the lower risk option because it doesn’t constrain the existing
options available to individuals, preserving the full autonomy of the decision-maker. The other
approaches carry the cost of removing or constraining people’s freedom of choice and are thus
higher risk: if they fail to produce the desired positive result then people may have been harmed
by constraint without justified benefit.
Why NOT engaging in experimentation may actually be unethical
As discussed, experimentation has two core components, 1) trying new approaches, and 2) robust
testing and rigorous measurement to find out if the new approaches were successful. The biggest
reason why failing to experiment can be unethical has to do with the second component: failure
to rigorously measure the impact of initiatives, be they standard (current programs, services, or
policy) or new (changes to programs, services, or policy). Without this second component we do
not actually know whether and to what extent an initiative is effective. Although we (at the
government of Canada) were sometimes limited by systems and data capability restrictions in the
past, which made it it difficult to quantitatively measure the impact of programs, these barriers
are no longer the hurdles they used to be. We thus have a clear responsibility to rigorously test
and measure policy and program outcomes.
With experimentation, there is always a risk that a new intervention may prove to be ineffective
or result in negative unanticipated consequences (which is also the case if we make changes
without measuring impact, but then we won’t know if the result was negative). That said, it is
critical to keep in mind that the fundamental purpose of experimentation in government is to test
interventions for effectiveness at a small scale before large scale funding decisions are made and
implemented to the whole population. In this sense, experimentation is a necessary safety
measure that can prevent large losses in public funds and adverse outcomes for a target
population. Thus, an important change in attitude is required to fully benefit from
5. 5
experimentation in government: we must not treat negative or null results as failures and instead
appropriately value knowledge of what is not effective just as much as knowledge of what is
effective, for informing future policy, program, and service design.
In regard to nudging specifically, most nudges are designed specifically to enable people to
devote their limited time and attention to their most important concerns. Given people’s inherent
information processing limitations and potential negative impacts of information overload on
well-being (e.g., information overload syndrome4), integrating nudging in service and program
design is an important testimony to the Government of Canada’s commitment to the delivery of
high-quality services and well-being of Canadians.
4 Afari, N., & Buchwald, D. (2003). Chronic fatigue syndrome: A review. American Journal of Psychiatry, 160(2),
221-236.
6. 6
Five Ethics Principles for Ethical Experimentation and Nudging
The development of these principles was facilitated by many sources, including the Tri-Council Policy Statement: Ethical Conduct for
Research Involving Humans (TCPS-2)5, Ethical Considerations for Nudging by Cass Sunstein6, Policy Horizons’ Ethics of Applying
Behavioural Sciences to Policy7, and The Behavioral Scientist’s Ethics Checklist8.
Note that these principles are not meant to supplace, and should be used in conjunction with, a human research ethics code (see Doing the
Right Thing: A Practical Guide for Research Ethics in Government) and evaluation, legal and privacy codes of conduct.
1. We will use experimentation only when it is consistent with and actively intended to promote people’s welfare.
a. When we say “promote people’s welfare” we broadly mean aiming to increase people’s well-being (or reduce harm/suffering).
i. Because definitions of well-being can be contentious (i.e., some people think X is harmful whereas others do not), we
aim only to experiment with outcomes that can be clearly linked to scientifically validated indicators of well-being
(e.g., we know that living below a certain income threshold has negative consequences for physical and psychological
health).
b. We experiment only if we think that a new, different way of doing things that has a high potential of improving people’s well-
being.
2. Our experimentation initiatives will rely on the best available current evidence about the subject matter.
a. To ensure that experimentation has the greatest possible likelihood of leading to a positive outcome, we will ensure that the
new approaches we try are based on the most current state of knowledge and best evidence available.
i. A thorough review of the relevant available evidence on the problem under investigation, such as academic literature,
evaluation results, policy or operational insights, and raw existing data will be conducted.
ii. Knowledge gained from the review process will be thoughtfully used to design the new approach.
5 http://www.pre.ethics.gc.ca/eng/education/tutorial-didacticiel/
6 Sunstein, C. R. (2015). Nudging and Choice Architecture: Ethical Considerations (SSRN Scholarly Paper No. ID 2551264). Rochester,NY: Social Science Research
Network.
Cass Sunstein,The Ethicsof Nudging,32 Yale J. on Reg. (2015).
7 http://www.horizons.gc.ca/en/content/behavioural-insight-brief-ethics-applying-behavioural-sciences-policy
8 http://behavioralscientist.org/behavioral-scientists-ethics-checklist/
7. 7
3. We will make our experimentation initiatives as transparent as possible.
a. In line with the Government of Canada’s commitment to open government (i.e., open data, open information, and open
dialogue)9, experimentation initiatives will be communicated clearly and openly within and outside of government (i.e., to the
public) as much as possible.
i. This includes the goals, intentions, and justification for experimentation initiatives, as well as their results and
implications.
b. The level and type of transparency should be appropriate for the type of experimentation.
i. Minor interventions, such as simplifying forms, changing the wording or emphasis in a letter, or changing the layout of
a website, require a different level of transparency than changing the eligibility requirements and benefit amounts
associated with a program. For example, it would be too resource intensive to inform Canadians every time small
changes are tested (e.g., mailing 100,000 people to inform them that we will be changing the framing of a few
sentences in a letter, adding clarifying information to online forms).
ii. For major interventions, we will be as transparent as possible by communicating about the initiative prior to its
implementation (e.g., post on a GoC website, use of consent forms for participants), throughout the process (e.g.,
answering questions that arise), and afterward (e.g., making the results and implications available internally and to the
public)
c. In the case of certain study designs, such randomized controlled trials, where people receive different versions of the new
approach, it may not be possible to be fully transparent prior to implementation of the trial. That is, although it is possible to
give general information about the trial, it may not be possible to inform participants about which version of the intervention
they will receive and what the other interventions in the trial are, as this would lead them to react differently to the intervention
than they would naturally, biasing the results. In these cases thorough debriefing immediately after the trial is crucial. For more
information on the ethics of partial disclosure and deception in Doing the Right Thing: A Practical Guide for Research Ethics
in Government and the TCPS-2 recommendations on the subject at http://www.pre.ethics.gc.ca/eng/policy-
politique/initiatives/tcps2-eptc2/chapter3-chapitre3/#toc03-1b .
4. We will rigorously evaluate the effectiveness of experimentation.
a. To understand whether the new approaches we try are effective, we will conduct robust research design, data collection,
statistical analyses, and interpretation of results.
i. Regardless of the potential of a new intervention, how favourably it is viewed by upper management, how well it
worked in other contexts, or how many positive testimonials it received, if we do not rigorously measure its
9 https://www.canada.ca/en/employment-social-development/corporate/transparency.html
8. 8
effectiveness in the current context, we cannot be sure that it has a positive effect (for a cautionary tale see Box 1.0 on
“Scared Straight” programs).
Box 1.0
Why we must rigorously evaluate the effectiveness of new approaches
An Example Case: Scared Straight and Other Juvenile Awareness Programs for Preventing Juvenile Delinquency
“Scared Straight” programs were designed to deter juvenile participants from future criminal offenses. Program participants visited and interacted with
adult inmates, and observed prison life first-hand. The idea was that juveniles who see how horrible prison really is will be deterred from breaking the law
in the future. These programs were routinely implemented, most frequently in the United States, over the span of at least 30 years, beginning in the 1970s
and as late at the early 2000s, with the occasional program still operating today. Initially, little systematic, rigorous research on their effectiveness was
conducted. In 2002, a large high-quality meta-analysis of the program was published10
. This review found that “Scared Straight” interventions were not
only ineffective, but “are likely to have a harmful effect and increase delinquency relative to doing nothing at all to the same youths”. The findings clearly
illustrate the importance of robust testing to understand the impact of well-intentioned new approaches/interventions before rolling them out at a large
scale, and the risks associated with failing to do so.
5. We will engage in careful risk-benefit analysis to ensure that potential benefits of experimentation outweigh potential risks11
(see also Potential Benefits and Risks” in )
a. In some cases, the risk of experimentation will be clearly minimal because harm is unlikely. For example, nudging may
involve simplifying forms (reducing jargon, increasing readability), emphasizing important information while keeping the total
information content constant, or adding motivational messaging or step-by-step guides to help people achieve their goals. In
these cases, where the level of risk is clearly no greater than what people would encounter in their everyday lives, we can often
be assured that any potential benefits will outweigh the minimal risks.
i. Regardless, it can be beneficial to consult with a third party independent of the initiative, with research ethics training,
to get a second opinion about any potential overlooked risks.
b. In other cases, new approaches that promise great benefit may come with greater risk and require in depth risk-benefit
assessment. For example, new approaches that require individuals to engage in activities or be exposed to products/events that
they do not encounter regularly in everyday life or were accustomed to previously (e.g., medications, psychological therapies,
10 Petrosino, A., Turpin-Petrosino, C., Hollis-Peel, M. E., & Lavenberg, J. G. (2013). 'Scared Straight' and otherjuvenile awareness programs for preventing juvenile
delinquency. Cochrane Database of Systematic Reviews.
11 For more details, see the section on potential benefits and risks of research in Doing the Right Thing: A Practical Guide for Research Ethics in Government and the
TCPS-2 recommendations on the subject at http://www.pre.ethics.gc.ca/eng/policy-politique/initiatives/tcps2-eptc2/chapter2-chapitre2/#toc02-1b
9. 9
financial products, new technologies) would require careful analysis prior to experimentation to ensure that these costs (e.g.,
burdens on time, cognitive resources) are likely to be outweighed by the benefits people will receive in return.
i. If there appears to be real risk of harm or perceived harm, we will consult with an independent, third-party consultant
that is an expert on research ethics to produce a formal risk-benefit analysis.
10. 10
Common Ethical Concerns with Nudging and Experimentation Q & A
Question 1: Doesn’t nudging involve manipulating people’s preferences and decisions, often
without their knowledge or consent, which robs them of freedom of choice?
Answer: Although nudging can operate through subtle influences below conscious awareness,
a) freedom of choice is preserved because nudging doesn’t change or hide the choices
available to individuals,
b) nudging is not so powerful that people will be unaware of or unable to consider the
available choices,
c) any choice context (i.e., existing choice architecture), regardless of whether a nudge has
been applied or not, has some influence on people’s preferences, consciously adding a
nudge simply aims to alter the choice architecture so that the option believed to be most
consistent with people’s well-being is more salient, easily processed, or appears more
attractive, without any deception about the objective benefits/drawbacks of any of the
options
Question 2: Experimentation often involves comparing the effectiveness of a new approach with
the effectiveness of the status quo. This comparison often involves random assignment of
individuals to receive either the new approach or the status quo. People sometimes ask, isn’t this
is unethical because it means that some people are receiving better treatment than others?
Answer: This concern often arises from the assumption that the new approach MUST be
superior to the current approach, although we cannot be sure of this until we have directly
compared the two approaches. Second, it is often very important to rigorously measure to what
extent one approach is better than the other. There are often substantial costs for implementing a
new approach, so if it is not significantly better than another approach, it may not be worth it to
make the change. Third, although some people receive the less effective approach during testing,
if the new approach is superior, that new approach can be provided to everyone once testing is
completed.