Behaviour Centred Design: towards an applied science of behaviour change

  title={Behaviour Centred Design: towards an applied science of behaviour change},
  author={Robert Aunger and Val Curtis},
  journal={Health Psychology Review},
  pages={425 - 446}
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… 

Development of a behaviour change intervention using a theory-based approach, Behaviour Centred Design, to increase nurses’ hand hygiene compliance in the US hospitals

This intervention will allow us to test how specific psychological processes contribute to the problem of low HH rates, how the proposed intervention changes these processes in the hospital setting, and how the expected change in nurses’ cognition transforms over time because of the intervention.

Unpacking the black box: theory-based design & evaluation of a multiple behaviour change intervention to control diarrhoeal disease.

The development and evaluation of a theory-based, multiple behaviour change intervention to improve uptake of these diarrhoea control practices in Lusaka Province, Zambia revealed that the intervention was popular and memorable, but it achieved low and variable levels of reach and did not change psychological mediators of behaviour.


This paper illustrates a unique burst mode blended teaching model that fuses teams of mixed healthcare, design, and other diverse backgrounds with the use of digital technologies to pre-empt unwanted behaviour and assist behaviour change.

Behaviour Insight Shadowing: examining daily life settings for the prevention of neglected tropical disease

Abstract Background Adaptation of daily behaviours can play a significant role in disease prevention. Behaviour Insight Shadowing (BIS) is a novel qualitative methodology, designed and used for the

Known knowns and known unknowns on behavior change interventions and mechanisms of action*

Findings indicate that tests of mechanisms of behaviour change interventions are not routinely conducted in primary studies and research syntheses, and reviews and studies do not sufficiently account for study quality.

Cluster-randomised trial to test the effect of a behaviour change intervention on toilet use in rural India: results and methodological considerations

The study highlights the challenge in achieving high intervention intensity in settings where the proportion of the total population that are potential beneficiaries is small, and suggests over-reporting of toilet use may be further reduced by avoiding repeated surveys in the same households.

Developing Behaviour Change Interventions for Improving Access to Health and Hygiene for People with Disabilities: Two Case Studies from Nepal and Malawi

This paper documents the development of two behaviour change interventions to improve uptake of referral for ear and hearing services for children in Malawi and Nepal and demonstrates how these frameworks can be applied.

Disentangling the effects of a multiple behaviour change intervention for diarrhoea control in Zambia: a theory-based process evaluation

The Komboni Housewives intervention tested a novel strategy employing motives including affiliation and disgust to improve caregiver practice of four diarrhoea control behaviours, but was only associated with small changes in the other behaviours in areas with greater intervention exposure.



The behaviour change wheel: A new method for characterising and designing behaviour change interventions

Interventions and policies to change behaviour can be usefully characterised by means of a BCW comprising: a 'behaviour system' at the hub, encircled by intervention functions and then by policy categories, and a new framework aimed at overcoming their limitations is developed.

Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories

The findings from this review can guide the development and evaluation of interventions promoting maintenance of health behaviours and help in the development of an integrated theory of behaviour change maintenance.

How to promote healthy behaviours in patients? An overview of evidence for behaviour change techniques

None of the behaviour change techniques demonstrated clear effects in a convincing majority of the studies in which they were evaluated, but self-monitoring of behaviour, risk communication and use of social support are most effective.

Everything should be as simple as possible, but no simpler: towards a protocol for accumulating evidence regarding the active content of health behaviour change interventions

An iterative protocol for evidence base accumulation is proposed that integrates evidence derived from both experimental and applied behaviour change research, and combines theory development in experimental settings with theory testing in applied real-life settings as evidence gathered in this manner accumulates.

A taxonomy of behaviour change methods: an Intervention Mapping approach

The IM taxonomy of behaviour change methods and its potential to be developed into a coding taxonomy are introduced and a minimal set of intervention characteristics that may be reported when intervention descriptions and evaluations are published are recommended.

From Theory-Inspired to Theory-Based Interventions: A Protocol for Developing and Testing a Methodology for Linking Behaviour Change Techniques to Theoretical Mechanisms of Action

  • S. MichieR. Carey L. Connell
  • Psychology, Medicine
    Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
  • 2018
A formal methodology for linking BCTs to their hypothesised mechanisms of action can contribute to the development and evaluation of behaviour change interventions and is a step towards developing a behaviour change ‘ontology’.

Theory of Change: a theory-driven approach to enhance the Medical Research Council's framework for complex interventions

This work proposes a theory-driven approach to the design and evaluation of complex interventions by adapting and integrating a programmatic design and Evaluation tool, Theory of Change (ToC), into the MRC framework for complex interventions and urges researchers developing and evaluating complex interventions to consider using it.

Which Behaviour Change Techniques Are Most Effective at Increasing Older Adults’ Self-Efficacy and Physical Activity Behaviour? A Systematic Review

Many commonly used self-regulation intervention techniques that are effective for younger adults may not be effective for older adults.

Specifying and reporting complex behaviour change interventions: the need for a scientific method

Implementation Science is introducing a policy of initially encouraging and subsequently requiring the scientific reporting of complex behaviour change interventions.

Food hygiene intervention to improve food hygiene behaviours,and reduce food contamination in Nepal: an exploratory trial

Nepal’s policy environment can enable the integration of food hygiene promotion within ongoing WASH, nutrition and health programmes and the need for research into improving food hygiene behaviour to reduce contamination in food and improve health outcomes in low-income settings is identified.