When you register for a driver's license in the U.S., you fill out a form that has an opportunity to register as an organ donor. Did the clerk who accepts your form ask you if you had checked the box? Would it help if he/she got feedback on how many organ donor registrations she had facilitated?
Here's an experiment about the equivalent interaction in Canada, where "most of the organ donor registrations in Ontario (pre-Covid-19 pandemic: 85 %) occurred during in-person visits to ServiceOntario centers (Trillium Gift of Life, 2017), which through their customer service representatives (CSRs) provide a wide range of services to residents ranging from issuing driver and vehicle licensing to public health insurance registration and business licensing."
House, Julian, Nicola Lacetera, Mario Macis, and Nina Mazar. "Nudging the Nudger: Performance Feedback and Organ Donor Registrations." Journal of Health Economics (2024): 102914.
"Abstract: In a randomized controlled trial conducted in three waves over 2.5 years and involving nearly 700 customer-service representatives (CSRs) from a Canadian government service agency, we studied how providing CSRs with repeated performance feedback, with or without peer comparison, affected their subsequent organ donor registration rates. The feedback resulted in a 25 % increase in daily signups compared to otherwise equivalent encouragements and reminders. Adding benchmark information about peer performance did not amplify or diminish this effect. We observed increased registration rates for both high and low performers. A post-intervention survey indicates that CSRs in all conditions found the information included in the treatments helpful and motivating, and that signing up organ donors makes their job more meaningful. We also found suggestive evidence that performance feedback with benchmark information was the most motivating and created the least pressure to perform."
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