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Table 1 Randomized 2 × 2 factorial design yielding 4 independent study arms

From: Behavioral economic implementation strategies to improve serious illness communication between clinicians and high-risk patients with cancer: protocol for a cluster randomized pragmatic trial

  

Patient

  

No nudge

Nudge

Clinician

Nudge

Arm 1: Nudge to clinician only

Identification of high-risk patients + performance feedback with clinician peer comparison

Arm 3: Nudge to clinician and patient

Strategies from arms 1 and 2 in combination

No nudge

Arm 4: Usual care (active control)

Identification of high-risk patients + performance feedback without clinician peer comparison

Arm 2: Nudge to patient only

Normalizing message + patient priming questionnaire