Embedding Behavioural Science In Good Thinking Behavioural .

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Embedding Behavioural Science in Good ThinkingBehavioural change and theory of change modelDr Tim ChadbornHead of Behavioural Insights and Evaluation Lead5 Sept 2019

Logic model of Theory of Change2PHEBI– PublicHealthPublicHeath EnglandBehaviouralBehaviouralInsights Insights TeamPHE BIT– updateMayEngland2018Good Thinking London Event – 5 Sept 2019

Rationale and emergent need3PHEBI– PublicHealthPublicHeath EnglandBehaviouralBehaviouralInsights Insights TeamPHE BIT– updateMayEngland2018Good Thinking London Event – 5 Sept 2019

Underlying principles4PHEBI– PublicHealthPublicHeath EnglandBehaviouralBehaviouralInsights Insights TeamPHE BIT– updateMayEngland2018Good Thinking London Event – 5 Sept 2019

Inputs (programme components)5PHEBI– PublicHealthPublicHeath EnglandBehaviouralBehaviouralInsights Insights TeamPHE BIT– updateMayEngland2018Good Thinking London Event – 5 Sept 2019

Output (products and services)6PHEBI– PublicHealthPublicHeath EnglandBehaviouralBehaviouralInsights Insights TeamPHE BIT– updateMayEngland2018Good Thinking London Event – 5 Sept 2019

Outcomes7PHEBI– PublicHealthPublicHeath EnglandBehaviouralBehaviouralInsights Insights TeamPHE BIT– updateMayEngland2018Good Thinking London Event – 5 Sept 2019

Impact (long-term aims)8PHEBI– PublicHealthPublicHeath EnglandBehaviouralBehaviouralInsights Insights TeamPHE BIT– updateMayEngland2018Good Thinking London Event – 5 Sept 2019

Behavioural science approachStage 1: Understandingthe behaviour9Stage 2: IdentifyIntervention OptionsStage 3: Identify contentand implementation optionsPublic Heath England - Behavioural Insights (PHEBI)

Behavioural Science embedded1. A behaviour change strategy to underpin the whole programmebased on theory and evidence2. Advise on and help analyse qualitative and user needs research3. Identified drivers of behaviour and developed the behaviouralpathway to advise on design of the end-to-end user journey4. Recommendations on user targeting, platform design and digitalformat to maximise the flow of users to and through the system5. Enhancement of the national app endorsement process forincreased due diligence on evidence of effectiveness10PHEBI – Public Health England Behavioural InsightsGood Thinking London Event – 5 Sept 2019

BehaviouralPathway11PHEBI5 Sept 2019

Behaviour Change Options for Service designPotential examples of intervention options using the EAST FrameworkInterventionReduce stigma ofseeking help forsymptoms related tomental health byincreasing socialnorms.EASY (or NOT)(or NOT)Ordering effects:Health professionalsencouraged to mentionmental wellbeing at thebeginning or the end of thetherapy/visit.Reduce Friction costs goal-setting chunking:Users should be able to seetheir progress on GoodThinking and complete smallobjectivesSOCIAL(or NOT)TIMELY(or NOT)Messenger effect:Work places promoteGood ThinkingPersonalisation:Consider personalising theadvert/ link depending onthe search that triggeredits appearance, making itmore relevant and salientfor the searcherIncrease visibility ofthe service/ advert/linkIncrease adherence,users first experienceof the websiteATTRACTIVEPersonalise Salience:Homepage should be asrelevant as possible to theusers initial search andtheir profileMessenger effect:Health professionalrecommends GoodThinking.Consider importance ofbranding/ logo – from atrusted reliable source.Descriptive norm:consider the use ofdescriptive norms toencourage the user. i.e.other people like you arefinding this service helpfulPrompt, reminder or pushnotifications as part of appto encourage continueduse/ engagement.

Example: Optimising engagementAmbiguity around ‘you’re not alone’Should be more explicitly about supportSome people will feel extremely isolated- being told they are not alone just maynot connect in with their experience13PHEBI– PublicHealthPHE BIT– updateMayEngland2018 Behavioural InsightsGood Thinking London Event – 5 Sept 2019

Example: Optimising app uptakeSome users struggled to find theright resource for themHigh number of resources shownDid not feel personalisedMajority of users complete the 3personalisation questions“So I have 26 resources, that’s a lot of resourcesfor someone suffering from anxiety. That’s waytoo much, it’s like which one is going to work?Should I use this or should I not?14PHEBI– PublicHealthPHE BIT– updateMayEngland2018 Behavioural InsightsImprovements to the filtering interfaceHide resources until options selectedShow a “loading” screen after userselects “get your results”Reduce number of resources shown“If I'm going on this to find the best one for my specificcondition and you give me 47 options it doesn't feellike it’s really narrowed it down that much.Good Thinking London Event – 5 Sept 2019

Enhanced app selection: three domainsUsability FeaturesEngagementFeaturesContent features15PHEBI – Public Health England Behavioural InsightsGood Thinking London Event – 5 Sept 2019

PHEBI: Making healthy behaviours easierDevelop and embed effective behavioural scienceevidence into public health practiceAnalyseDesignTrialAdviseTrain StrategicBehavioural Analysis Interventions RCTs Policy Masterclasses Systematic literaturereview Programmes Quasi-experimentalstudies Programmes Workshops DIGITAL Evaluation Communication Seminars Qualitative researchINTENTION – BEHAVIOUR GAP:We all have good intentions but often don’t follow through.“Changing behaviour by changing minds is unscaleable, increases inequalities, not very effective”Professor Theresa Marteau, /behavioural-insights-public-health16PHEBI – Public Health England Behavioural InsightsGood Thinking London Event – 5 Sept 2019

Behavioural Science embedded 1. A behaviour change strategy to underpin the whole programme based on theory and evidence 2. Advise on and help analyse qualitative and user needs research 3. Identified drivers of behaviour and developed the behavioural pathway to advise on design of the end-to-end user journey 4.

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