Learn how to change behavior.
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Behavior change and behavior design models

MODELS
Operant Conditioning
TYPE
Behavior model
PEOPLE
BF Skinner, Edward Thorndike

MODELS
EAST | Easy Attractive Social Timely
TYPE
Behavior design process / heuristics
PEOPLE
Owain Service, Michael Hallsworth, David Halpern
ORGANIZATION
UK Behavioural Insights Team (BIT)

MODELS
COM-B | Capability, Oppportunity, Motivation → Behavior
TYPE
Behavior model
PEOPLE
Susan Michie, Robert West, Maartje van Stralen

MODELS
Cognitive-Behavioral Therapy
TYPE
Therapeutic approach
PEOPLE
Aaron Beck
PRODUCTS USING
NASH, Sleepio, Learn to Live, Ieso Digital Health, myStrength, MoodHacker, Sanvello, UpLift, TAO Connect, Stoic, wayForward, Daylight, Braive, Youper, MoodMission, MoodKit, MindBeacon, Workit Health, Woebot

MODELS
Health Action Process Approach
TYPE
Behavior model
PEOPLE
Ralf Schwarzer

MODELS
Self-Determination Theory
TYPE
Behavior model
PEOPLE
Richard Ryan, Edward Deci
Tactics that change behavior

TACTICS
Behavioral Economics
Behavioral economics is the exploration of how people make consequential decisions where psychological and sociological factors may influence the outcome or process. It is often considered the fusion of economics and psychology (which itself was an interdisciplinary field entailing medicine and philosophy). The exploration of psychological factors in economic decision-making, including deviation from rationality, traces well back to classical and neoclassical economics (i.e. Gabriel Tarde, Wilfredo Pareto, and John Maynard Keynes) and prior to psychology becoming a formal discipline. Behavioral economics is often associated with behavior change tactics like smart defaults, reducing friction or barriers, increasing salience, incentives, active choice, and commitment devices.

TACTICS
Automation
Automation refers to having another person, group, or technology system perform part or all of the intended behavior. A prominent example is Thaler & Bernartzi's Save More Tomorrow intervention, which invested a portion of employees' earnings into retirement funds automatically and even increased the contribution level to scale with pay raises. Other examples include automatically scheduling medical appointments so the patient needn't do it themselves and mailing healthy recipe ingredients to the person's home to reduce the burden of shopping.

TACTICS
Active Choice
Active choice, sometimes referred to as enhanced active choice or forced choice, refers to removing default options and often increasing the salience of potential decisions through emphasizing the consequences of one or more of the options. Coined by Punam Anand Keller and colleagues in 2011, it was originally intended to address concerns around paternalistic nudging for use in situations where forcing the default option may be considered unethical. In one of the original studies, CVS customers were given the choice to enroll in automatic refills of medications via delivery. The choices they were presented were ""Enroll in refills at home"" vs “I Prefer to Order my Own Refills.”

TACTICS
Behavioral Activation (BA)
Behavioral activation is a therapeutic approach that typically pairs activity scheduling with either monitoring tools or goal-setting. For example, someone might aim to balance activities they "should" do but underperform, like self-care behaviors, with activities they enjoy. Users of this technique may also track which activities cause certain cognitions or affective states, like those associated with depression.

TACTICS
Behavior Substitution
Behavior substitution refers to attempting to eliminate a problematic behavior by replacing it with another one. Often, the substituted behaviors are intended to have similar sensory qualities (e.g. drink flavored sparkling water instead of soda). The goal is typically to disassociate the original behavior from its cue, enabling the more positive behavior to be triggered automatically.

TACTICS
Acceptance and Commitment Therapy (ACT)
ACT is a therapeutic approach originalled developed by Steven Hayes. It borrows from previous concepts like cognitive behavioral therapy and Morita therapy. The principles of ACT are fairly systematic and lend themselves well to program design, finding empirical support in adaptations like 2morrow's smoking cessation and pain management interventions.

TACTICS
Coaching or Counselling
Coaching or counselling here refers to having a trained person provide guidance to someone attempting a behavior. Many mental health and lifestyle programs utilize coaching in various forms, including phone calls, video chat, text messaging, or in-person sessions. Some programs have replaced some or all of these traditionally human-delivered touchpoints with AI or rules-based interactions.

TACTICS
Change Effort
Changing effort refers to modifying the difficulty, or sometimes perceived difficulty, of a behavior in order to change its likelihood of occurrence. This often entails making a behavior easier by reducing its intensity or frequency. This is a tactic advocated by BJ Fogg’s model of behavior change.
Products that change behavior

PRODUCTS
Aduri
Behaviors
Mental Health & Self-Care

PRODUCTS
Accion

PRODUCTS
AbleTo
Behaviors
Mental Health & Self-Care
Tactics
Personalization, Skill Coaching, Coaching or Counselling
PRODUCTS
2Morrow Chronic Pain Program
Behaviors
Mental Health & Self-Care, Other, Disease Management
Tactics
Acceptance and Commitment Therapy (ACT), Behavioral Activation (BA)
Models
Acceptance and Commitment Therapy
PRODUCTS
Accupedo
Behaviors
Physical Activity
Tactics
Education or Information, Reminders, Cues +3 more
PRODUCTS
2Morrow Weight Management Program
Behaviors
Diet & Nutrition, Physical Activity
Tactics
Acceptance and Commitment Therapy (ACT), Behavioral Activation (BA)
Models
Acceptance and Commitment Therapy

PRODUCTS
Acorns
Behaviors
Savings
Tactics
Framing Effects, Reduce Friction or Barriers, Automation +2 more

PRODUCTS
APDS
Behaviors
Crime
Tactics
Social Support, Reminders, Cues +5 more
Research on behavior change
PAPERS
A Digital Diabetes Prevention Program (Transform) for Adults With Prediabetes: Secondary Analysis
PRODUCT
Transform
BEHAVIOR
Physical Activity, Diet & Nutrition
PAPERS
Enhancing the effectiveness of community stroke risk screening: a randomized controlled trial.
BEHAVIOR
Other
PAPERS
Nutrition education worksite intervention for university staff: application of the health belief model.
BEHAVIOR
Diet & Nutrition
PAPERS
Interrupting pathways to sepsis: Effectiveness of an intervention to reduce delays in timely care for sick children in rural Bangladesh.
BEHAVIOR
Other
PAPERS
Randomized Controlled Pilot Study Testing Use of Smartphone Technology for Obesity Treatment
PRODUCT
Lose It!
BEHAVIOR
Physical Activity, Diet & Nutrition
TACTICS
Education or Information, Reminders, Cues, & Triggers, Self-Monitoring or Tracking, Social Support, Feedback
PAPERS
Pathway to health: cluster-randomized trial to increase fruit and vegetable consumption among smokers in public housing.
BEHAVIOR
Diet & Nutrition
TACTICS
Motivational Interviewing
PAPERS
Designing prenatal care messages for low-income Mexican women.
BEHAVIOR
Other
TACTICS
Education or Information
PAPERS
Value-Based Insurance Design Improves Medication Adherence Without An Increase In Total Health Care Spending
PAPERS
A comparison of two delivery modalities of a mobile phone based assessment for serious mental illness: native smartphone application vs text-messaging only implementations.
BEHAVIOR
Mental Health & Self-Care