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Behavior change and behavior design models

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
Attention, Belief, Choice, Determination
TYPE
Behavior design process / heuristics
ORGANIZATION
OECD

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

MODELS
Fogg Behavior Model
TYPE
Behavior model
PEOPLE
BJ Fogg

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

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

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
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
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
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
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
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
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.
Products that change behavior

PRODUCTS
APDS
Behaviors
Crime
Tactics
Social Support, Reminders, Cues +5 more

PRODUCTS
Advanced Brain Monitoring

PRODUCTS
2Morrow Stress (and Anxiety) Program
Behaviors
Mental Health & Self-Care
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
AbleTo
Behaviors
Mental Health & Self-Care
Tactics
Personalization, Skill Coaching, Coaching or Counselling

PRODUCTS
Accion

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

PRODUCTS
10% Happier
Behaviors
Mental Health & Self-Care
Tactics
Reminders, Cues, & Triggers +5 more
Research on behavior change
PAPERS
The program for rheumatic independent self-management: a pilot evaluation.
BEHAVIOR
Physical Activity
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
Designing prenatal care messages for low-income Mexican women.
BEHAVIOR
Other
TACTICS
Education or Information
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
Continuous glucose monitoring counseling improves physical activity behaviors of individuals with type 2 diabetes: A randomized clinical trial.
BEHAVIOR
Physical Activity, Disease Management
PAPERS
Value-Based Insurance Design Improves Medication Adherence Without An Increase In Total Health Care Spending
PAPERS
A Digital Diabetes Prevention Program (Transform) for Adults With Prediabetes: Secondary Analysis
PRODUCT
Transform
BEHAVIOR
Physical Activity, Diet & Nutrition
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