Guidelines for Costing of Social and Behavior Change Health Interventions
Costing is the process of data collection and analysis for estimating the cost of a health intervention. High-quality cost data on SBC are critical not only for developing budgets, planning, and assessing program proposals, but can also feed into advocacy, program prioritization, and agenda setting. To better serve these data needs, these guidelines aim to increase the quantity and quality of SBC costing information. By encouraging cost analysts to use a standardized approach based on widely accepted methodological principles, we expect the SBC Costing Guidelines to result in well-designed studies that measure cost at the outset, to allow assessment of cost-effectiveness and benefit-cost ratios1 for SBC programming. Such analyses could also potentially help advocates for SBC to better make the case for greater investment in SBC programming.2 These guidelines lay out a consistent set of methodological principles that reflect best practice and that can underpin any SBC costing effort.
All that glitters is not gold - 8 ways behaviour change can fail
Before we dive in, here is a quick summary of the proposed taxonomy of behaviour change failures: No effect Backfiring Intervention is effective but it's offset by a negative side effect Intervention isn't effective but there's a positive side effect A proxy measure changes but not the ultimate target behaviour Successful treatment effect offset by later (bad) behaviour Environment doesn't support the desired behaviour change Intervention triggers counteracting forces
Learning from Behavioural Changes That Fail: Trends in Cognitive Sciences
The behavioural change enterprise disproportionately focuses on promoting successes at the expense of examining the failures of behavioural change interventions. We review the literature across different fields through a causal explanatory approach to identify structural relations that impede (or promote) the success of interventions. Based on this analysis we present a taxonomy of failures of behavioural change that catalogues different types of failures and backfiring effects. Our analyses and classification offer guidance for practitioners and researchers alike, and provide critical insights for establishing a more robust foundation for evidence-based policy. Behavioural change techniques are currently used by many global organisations and public institutions. The amassing evidence base is used to answer practical and scientific questions regarding what cognitive, affective, and environment factors lead to successful behavioural change in the laboratory and in the field. In this piece we show that there is also value to examining interventions that inadvertently fail in achieving their desired behavioural change (e.g., backfiring effects). We identify the underlying causal pathways that characterise different types of failure, and show how a taxonomy of causal interactions that result in failure exposes new insights that can advance theory and practice.
Just-in-Time Adaptive Interventions and Adaptive Interventions – The Methodology Center
Facilitation Guide for an Integrated Evaluation Methodology: Most Significant Change and PhotoVoice | Health Social Change and Behaviour Change Network
Evaluate Impact – Integrated SBCC Programs
Costing and Economic Evaluation | Breakthrough ACTION and RESEARCH
Currently Available Costing and Economic Evaluation Products The Business Case for Investing in Social and Behavior Change (report) new Guidelines for Costing Social and Behavior Change Interventions (report) new The Added Value of Costing Social and Behavior Change Interventions (brief) new Social and Behavior Change Business Case and Costing Webinar Generating Evidence to Inform Integrated Social and Behavior Change Programming in Nigeria Making the Business Case for Social and Behavior Change Programming (activity brief)
JFR - Understanding Health Behavior Technology Engagement: Pathway to Measuring Digital Behavior Change Interventions | Cole-Lewis | JMIR Formative Research
How effective is nudging? A quantitative review on the effect sizes and limits of empirical nudging studies - ScienceDirect
When and why defaults influence decisions: a meta-analysis of default effects | Behavioural Public Policy | Cambridge Core
When people make decisions with a pre-selected choice option – a ‘default’ – they are more likely to select that option. Because defaults are easy to implement, they constitute one of the most widely employed tools in the choice architecture toolbox. However, to decide when defaults should be used instead of other choice architecture tools, policy-makers must know how effective defaults are and when and why their effectiveness varies. To answer these questions, we conduct a literature search and meta-analysis of the 58 default studies (pooled n = 73,675) that fit our criteria. While our analysis reveals a considerable influence of defaults (d = 0.68, 95% confidence interval = 0.53–0.83), we also discover substantial variation: the majority of default studies find positive effects, but several do not find a significant effect, and two even demonstrate negative effects. To explain this variability, we draw on existing theoretical frameworks to examine the drivers of disparity in effectiveness. Our analysis reveals two factors that partially account for the variability in defaults’ effectiveness. First, we find that defaults in consumer domains are more effective and in environmental domains are less effective. Second, we find that defaults are more effective when they operate through endorsement (defaults that are seen as conveying what the choice architect thinks the decision-maker should do) or endowment (defaults that are seen as reflecting the status quo). We end with a discussion of possible directions for a future research program on defaults, including potential additional moderators, and implications for policy-makers interested in the implementation and evaluation of defaults.
Social and Behavior Change Monitoring Guidance | Breakthrough ACTION and RESEARCH
Breakthrough ACTION has distilled guidance on social and behavior change (SBC) monitoring methods into a collection of technical notes. Each note provides an overview of a monitoring method that may be used for SBC programs along with a description of when to use the method and its strengths and weaknesses.
Study identifies the best healthy eating nudges | EurekAlert! Science News
In a meta-analysis of real-life experiments drawn from food science, nutrition, health economics, marketing and psychology, the authors find that behavioural nudges - facilitating action rather than providing knowledge or inducing feelings - can reduce daily energy intake by up to 209 kcal, the same number of calories as in 21 cubes of sugar.
Increasing Vaccination: Putting Psychological Science Into Action
***Psychology offers three general propositions for understanding and intervening to increase uptake where vaccines are available and affordable. The first proposition is that thoughts and feelings can motivate getting vaccinated. Hundreds of studies have shown that risk beliefs and anticipated regret about infectious disease correlate reliably with getting vaccinated; low confidence in vaccine effectiveness and concern about safety correlate reliably with not getting vaccinated. We were surprised to find that few randomized trials have successfully changed what people think and feel about vaccines, and those few that succeeded were minimally effective in increasing uptake. The second proposition is that social processes can motivate getting vaccinated. Substantial research has shown that social norms are associated with vaccination, but few interventions examined whether normative messages increase vaccination uptake. Many experimental studies have relied on hypothetical scenarios to demonstrate that altruism and free riding (i.e., taking advantage of the protection provided by others) can affect intended behavior, but few randomized trials have tested strategies to change social processes to increase vaccination uptake. The third proposition is that interventions can facilitate vaccination directly by leveraging, but not trying to change, what people think and feel. These interventions are by far the most plentiful and effective in the literature. To increase vaccine uptake, these interventions build on existing favorable intentions by facilitating action (through reminders, prompts, and primes) and reducing barriers (through logistics and healthy defaults); these interventions also shape behavior (through incentives, sanctions, and requirements). Although identification of principles for changing thoughts and feelings to motivate vaccination is a work in progress, psychological principles can now inform the design of systems and policies to directly facilitate action.
Understanding how and why people change - Journal of Marketing Management
We applied a Hidden Markov Model* (see Figure 1) to examine how and why behaviours did or did not change. The longitudinal repeated measure design meant we knew about food waste behaviour at two points (the amount of food wasted before and after the program), changes in the amount of food wasted reported over time for each household (more or less food wasted) and other factors (e.g. self-efficacy). By using a new method we could extend our understanding beyond the overall effect (households in the Waste Not Want Not program group wasted less food after participating when compared to the control group).
'13 Reasons Why' Creator Refutes Studies Linking Netflix Hit to Suicide Increase (Guest Column) | Hollywood Reporter
Design and statistical considerations in the evaluation of digital behaviour change interventions | UCL CBC Digi-Hub Blog
Mass media to communicate public health messages in six health topic areas: a systematic review and other reviews of the evidence
'13 Reasons Why’ Release Was Linked To An Increase In Suicides Among Teens, & Here’s What You Should Know
The Behavioural Insights Team Annual Report 2017-18
This report is a summary of the work of the Behavioural Insights Team and its partners from September 2017 to November 2018. It includes highlights from our six offices around the world – in London, Manchester, New York, Singapore, Sydney and Wellington. We also cover our growing portfolio of BI Ventures, products that draw on behavioural insights to make positive social impact.
Changing health-promoting behaviours through narrative interventions: A systematic review - Marie-Josée Perrier, Kathleen A Martin Ginis, 2018
The objective of this review was to summarize the literature supporting narrative interventions that target health-promoting behaviours. Eligible articles were English-language peer-reviewed studies that quantitatively reported the results of a narrative intervention targeting health-promoting behaviours or theoretical determinants of behaviour. Five public health and psychology databases were searched. A total of 52 studies met inclusion criteria. In all, 14 studies found positive changes in health-promoting behaviours after exposure to a narrative intervention. The results for the changes in theoretical determinants were mixed. While narrative appears to be a promising intervention strategy, more research is needed to determine how and when to use these interventions.
When and why defaults influence decisions: a meta-analysis of default effects
Habit Change Literature Review - Duke University
Nudge Fudge Leaves Policy Makers in the Dark | Psychology Today
Our work published this week analyses all 111 cases studies of behavioral techniques used by governments compiled by the OECD (Organisation for Economic Co-operation and Development). Our analysis demonstrates that none of the techniques used have scientific proven effectiveness.
Environmental Sustainability and Behavioral Science: Meta-Analysis of Proenvironmental Behavior Experiments - Richard Osbaldiston, John Paul Schott, 2012
To provide practitioners with useful information about how to promote proenvironmental behavior (PEB), a meta-analysis was performed on 87 published reports containing 253 experimental treatments that measured an observed, not self-reported, behavioral outcome. Most studies combined multiple treatments, and this confounding precluded definitive conclusions about which individual treatments are most effective. Treatments that included cognitive dissonance, goal setting, social modeling, and prompts provided the overall largest effect sizes (Hedge’s g > 0.60).
Approaches to promote handwashing and sanitation behaviour change in low- and middle-income countries - The Campbell Collaboration
Why Sexy Ads Don't Make Money
A Comprehensive List of 90+ Gamification Cases with ROI Stats
Lifestyle Gamification Case Stats and Figures OPower: reduced measurable energy consumption by over $100M Aetna: increased daily healthy activities by 50% with an average engagement of 14 minutes on the site ClinicalAdvisor.com: embedded a social platform that improved user submission by 300%, comments by 400%, and Slideshow Visualizations by 53% Bottle Bank Arcade: gamified bottle bank was used 50 times more than conventional bottle bank. The World’s Deepest Bin: 132% more trash collected compared to conventional bin Piano Stairs: 66% more of people use the stairs, if they can produce music with it Speed Camera Lottery: a lottery system that causes a 22% reduction of driving speed Toilette Seat: 44% of increase in lifting the toilet seat when urinating Nike: used gamified feedback to drive over 5,000,000 users to beat their personal fitness goals every day of the year Recycle Bank grew a community of 4 million members by providing a gamified recycling platform. Chevrolet Volt: uses a green/amber indicator to give drivers visual feedback of their driving style and reduced the number of people exceeding the speed limit by 53%
Efficacy of text messaging-based interventions for health promotion: A meta-analysis
For Uber Drivers Following the Alcohol Pays
Social and Behavioral Sciences Team Annual Report - White House 2015
Behavioral Design: When to Fire a Cannon and When to Use a Precision Knife | Nicolae NAUMOF | LinkedIn
‘Nudge unit’ defies sceptics to change Whitehall thinking - FT.com
Online Interventions for Social Marketing Health Behavior Change Campaigns: A Meta-Analysis of Psychological Architectures and Adherence Factors
Randomized Controlled Trial of SuperBetter, a Smartphone-Based/Internet-Based Self-Help Tool to Reduce Depressive Symptoms | Abstract
USAID Evidence Summit on Population Level Behavior Change - Impact Evidence
Supporting USAID's “renewed emphasis on the application of research and evaluation to inform strategic thinking about development for low- and middle-income countries with a focus on “achieving the social and behavior changes needed to end preventable child deaths and improve under five development“. All 1,313 papers identified can be accessed, searched and filtered to your interests