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Behavior change and behavior design models

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
Behavioural Drivers Model
TYPE
Behavior model
PEOPLE
Vincent Petit
ORGANIZATION
UNICEF

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

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

PRODUCTS
Aduri
Behaviors
Mental Health & Self-Care
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
2Morrow Smoking Cessation Program
Behaviors
Smoking Cessation
Tactics
Acceptance and Commitment Therapy (ACT), Behavioral Activation (BA)
Models
ACT

PRODUCTS
AdhereTech
PRODUCTS
Accupedo
Behaviors
Physical Activity
Tactics
Education or Information, Reminders, Cues +3 more
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
Research on behavior change
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 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
Nutrition education worksite intervention for university staff: application of the health belief model.
BEHAVIOR
Diet & Nutrition
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
Interrupting pathways to sepsis: Effectiveness of an intervention to reduce delays in timely care for sick children in rural Bangladesh.
BEHAVIOR
Other
PAPERS
Enhancing the effectiveness of community stroke risk screening: a randomized controlled trial.
BEHAVIOR
Other
PAPERS
The Effectiveness of Prompts to Promote Engagement With Digital Interventions: A Systematic Review.
BEHAVIOR
Other
PAPERS
A Digital Diabetes Prevention Program (Transform) for Adults With Prediabetes: Secondary Analysis
PRODUCT
Transform
BEHAVIOR
Physical Activity, Diet & Nutrition
PAPERS
Value-Based Insurance Design Improves Medication Adherence Without An Increase In Total Health Care Spending