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Behavior change and behavior design models

MODELS
Health Action Process Approach
TYPE
Behavior model
PEOPLE
Ralf Schwarzer

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

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

MODELS
BASIC | Behavior, Analysis, Strategy, Intervention, Change
TYPE
Behavior design process / heuristics
ORGANIZATION
OECD

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

TACTICS
Education or Information
Education refers to empowering a person with more knowledge or training than they had previously. While providing information alone is often a suboptimal way to drive meaningful behavior change or long-term interventions, the right message at the right time can be a powerful part of a behavior change strategy.

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
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
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
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
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
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.
Products that change behavior

PRODUCTS
Aaptiv

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

PRODUCTS
Acorns
Behaviors
Savings
Tactics
Framing Effects, Reduce Friction or Barriers, Automation +2 more
PRODUCTS
Accupedo
Behaviors
Physical Activity
Tactics
Education or Information, Reminders, Cues +3 more

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
Advanced Brain Monitoring

PRODUCTS
AdhereTech

PRODUCTS
Accion
Research on behavior change
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
Interrupting pathways to sepsis: Effectiveness of an intervention to reduce delays in timely care for sick children in rural Bangladesh.
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
Pathway to health: cluster-randomized trial to increase fruit and vegetable consumption among smokers in public housing.
BEHAVIOR
Diet & Nutrition
TACTICS
Motivational Interviewing
PAPERS
Physical activity with spiritual strategies intervention: a cluster randomized trial with older African American women.
BEHAVIOR
Physical Activity
TACTICS
Spirituality
PAPERS
The program for rheumatic independent self-management: a pilot evaluation.
BEHAVIOR
Physical Activity
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
Nutrition education worksite intervention for university staff: application of the health belief model.
BEHAVIOR
Diet & Nutrition
PAPERS
Value-Based Insurance Design Improves Medication Adherence Without An Increase In Total Health Care Spending