Behaviour Centred Design: towards an applied science of behaviour change

Health Psychol Rev. 2016 Dec;10(4):425-446. doi: 10.1080/17437199.2016.1219673. Epub 2016 Aug 18.

Abstract

Behaviour change has become a hot topic. We describe a new approach, Behaviour Centred Design (BCD), which encompasses a theory of change, a suite of behavioural determinants and a programme design process. The theory of change is generic, assuming that successful interventions must create a cascade of effects via environments, through brains, to behaviour and hence to the desired impact, such as improved health. Changes in behaviour are viewed as the consequence of a reinforcement learning process involving the targeting of evolved motives and changes to behaviour settings, and are produced by three types of behavioural control mechanism (automatic, motivated and executive). The implications are that interventions must create surprise, revalue behaviour and disrupt performance in target behaviour settings. We then describe a sequence of five steps required to design an intervention to change specific behaviours: Assess, Build, Create, Deliver and Evaluate. The BCD approach has been shown to change hygiene, nutrition and exercise-related behaviours and has the advantages of being applicable to product, service or institutional design, as well as being able to incorporate future developments in behaviour science. We therefore argue that BCD can become the foundation for an applied science of behaviour change.

Keywords: Behaviour change; evolutionary psychology; programme development; reinforcement learning.

MeSH terms

  • Behavior Therapy / methods*
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice
  • Health Promotion / methods*
  • Humans
  • Models, Psychological
  • Motivation
  • Reinforcement, Psychology*
  • Reward

Grants and funding

During the development of this approach, the authors have been funded by the Wellcome Trust, Unilever, DFID, ESRC, SHARE, UNICEF, the World Bank, GoJo Industries, the Bill and Melinda Gates Foundation and the Global Alliance for Improved Nutrition. However, none of these funders specifically funded nor have been directly involved in the development of the approach.