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Behavior change and behavior design models

MODELS
Intervention Design Process
TYPE
Behavior design process / heuristics
PEOPLE
Matt Wallaert

MODELS
Health Belief Model
TYPE
Behavior model
PEOPLE
Irwin Rosenstock, Godfrey Hochbaum, S. Stephen Kegeles

MODELS
Behavioral Design Process
TYPE
Behavior design process / heuristics
PEOPLE
Anthony Barrows, Natalie Dabney, Jon Hayes, Rachel Rosenberg
ORGANIZATION
ideas42

MODELS
Integrated Behavior Model
TYPE
Behavior model
PEOPLE
Martin Fishbein, Icek Ajzen

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

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

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
Checklists
Checklists are an age-old tactic for remembering to do certain tasks. Checklists are sometimes used to measure behaviors that should take place with a certain frequency, e.g. every day or X times per week, and other times, to ensure certain steps are followed every time a person does a complex behavior.For behavior designers, the challenges of checklists often entail choosing the right behaviors, breaking them down to the correct level of granularity for a given population, and serving them up in the proper context or sometimes with personalization. They are likely underutilized and consistently improve the performance of even experts, like pilots and surgeons.

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
Commitment Devices
Commitment devices are tools that attempt to bridge the gap between a person's initial motivation to perfrom the behavior and the typical pattern of noncompliance as time goes on.One prominent example is the "Ulysses Pact," where Filipino banking customers were offered the option to enroll in an account where their ability to make withdrawals would be limited. In a study by Ashraf and Karlan (2005), participants with the commitment account saved 81% more than those with typical accounts. There are many other examples of commitment devices. Temptation bundling is a form of commitment device where people only engage in an enjoyable activity when it's simultaneous with an activity they intend to do more (for example, only listening to a certain podcast or audiobook while walking on a treadmill). Pre-paying for a service is a basic form of commitment device, and one used by Dan Ariely when he intended to increase his fruit and vegetable consumption. He paid for a year of biweekly deliveries from a local CSA program up-front.

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.

TACTICS
Clawback Incentives
Clawback incentives refer to a framing effect applied to rewards where participants are intended to experience losing the reward via noncompliance rather than accruing it for successful performance of the behavior.For example, a hypertension management program may credit its participants $200 at the beginning of the month, and reduce or "claw back" the amount by $3 each time the patient does not take their medication. The alternative would be starting the month at zero or the previous ballance and adding $3 each time the patient takes the medication.

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
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.
Products that change behavior
PRODUCTS
ALICE
Behaviors
Medication Adherence

PRODUCTS
AbleTo
Behaviors
Mental Health & Self-Care
Tactics
Personalization, Skill Coaching, Coaching or Counselling

PRODUCTS
10% Happier
Behaviors
Mental Health & Self-Care
Tactics
Reminders, Cues, & Triggers +5 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
PRODUCTS
Accupedo
Behaviors
Physical Activity
Tactics
Education or Information, Reminders, Cues +3 more

PRODUCTS
AdhereTech
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
The program for rheumatic independent self-management: a pilot evaluation.
BEHAVIOR
Physical Activity
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
The PULSE (Prevention Using LifeStyle Education) trial protocol: a randomised controlled trial of a Type 2 Diabetes Prevention programme for men.
BEHAVIOR
Physical Activity, Diet & Nutrition
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
PAPERS
The effects of a multimodal intervention trial to promote lifestyle factors associated with the prevention of cardiovascular disease in menopausal and postmenopausal Australian women.
BEHAVIOR
Physical Activity
PAPERS
Nutrition education worksite intervention for university staff: application of the health belief model.
BEHAVIOR
Diet & Nutrition
PAPERS
The Effectiveness of Prompts to Promote Engagement With Digital Interventions: A Systematic Review.
BEHAVIOR
Other