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Learn how to change behavior.

The world's largest collection of resources and data on behavioral science.

Tactics that change behavior

Checklists

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.

Cognitive Behavioral Therapy (CBT)

TACTICS

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is a therapuetic approach to improving mental and behavioral health. The core philosophy is that behavior can be modified by noticing and correcting patterns in thought that influence the behavior. Modern CBT is typically associated with Albert Ellis and Alan Beck.The structured and rules-based nature of CBT have made it a popular candidate for digital interventions and application by lightly-trained or even untrained practitioners.

Acceptance and Commitment Therapy (ACT)

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.‍

Coaching or Counselling

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.

Automation

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.‍

Active Choice

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.”‍

Clawback Incentives

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.

Behavior Substitution

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.‍

Research on behavior change

PAPERS

Increasing screening mammography in asymptomatic women: evaluation of a second-generation, theory-based program.

BEHAVIOR

Other

PAPERS

Continuous glucose monitoring counseling improves physical activity behaviors of individuals with type 2 diabetes: A randomized clinical trial.

BEHAVIOR

Physical Activity, Disease Management

PAPERS

A Digital Diabetes Prevention Program (Transform) for Adults With Prediabetes: Secondary Analysis

PRODUCT

Transform

BEHAVIOR

Physical Activity, Diet & Nutrition

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

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

Interrupting pathways to sepsis: Effectiveness of an intervention to reduce delays in timely care for sick children in rural Bangladesh.

BEHAVIOR

Other

PAPERS

Designing prenatal care messages for low-income Mexican women.

BEHAVIOR

Other

TACTICS

Education or Information

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

The Effectiveness of Prompts to Promote Engagement With Digital Interventions: A Systematic Review.

BEHAVIOR

Other