Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-24T18:03:17.548Z Has data issue: false hasContentIssue false

42 - Economic and Behavioral Economic Approaches to Behavior Change

from Part III - Behavior Change Interventions: Practical Guides to Behavior Change

Published online by Cambridge University Press:  04 July 2020

Martin S. Hagger
Affiliation:
University of California, Merced
Linda D. Cameron
Affiliation:
University of California, Merced
Kyra Hamilton
Affiliation:
Griffith University
Nelli Hankonen
Affiliation:
University of Helsinki
Taru Lintunen
Affiliation:
University of Jyväskylä
Get access

Summary

This chapter provides an overview of economic and behavioral economic approaches to behavior change. The chapter begins with a description of the traditional or neoclassical economic view of decision-making using expected utility theory as its basis. Attempts by an external party (e.g., a government or agency) to change behavior are viewed as justifiable in a limited number of circumstances, such as when there are externalities or coordination failures. When behavior change is warranted, neoclassical economics has focused on four options: provide information, increase incentives, reduce prices, or increase subsidies, or impose regulations. To be successful, the approach must change the net benefits of the promoted behavior. The chapter then describes the rationale behind behavioral economic approaches to behavior change, emphasizing the role that “nudges” play in behavior change. Examples are provided of common heuristics and associated decision errors that can result, and how nudges are designed to overcome these decision errors. The underlying rationale and steps for developing nudges are summarized. Current evidence suggests that some nudges can be effective in changing behavior, but more research is needed to demonstrate the effectiveness of many nudge strategies. The chapter concludes with a discussion of the likely long-term impact of nudges in the field of behavior change.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrahamse, W., Steg, L., Vlek, C., & Rothengatter, T. (2005). A review of intervention studies aimed at household energy conservation. Journal of Environmental Psychology, 25, 273291. https://doi.org/10.1016/j.jenvp.2005.08.002Google Scholar
Aronson, E. (1969). The theory of cognitive dissonance: A current perspective. In Berkowitz, L. (Ed.), Advances in Experimental Social Psychology, Vol. 4 (pp. 134). New York: Academic Press.Google Scholar
Arshad, A., Anderson, B., & Sharif, A. (2019). Comparison of organ donation and transplantation rates between opt-out and opt-in systems. Kidney International, 95, 14531460. https://doi.org/10.1016/j.kint.2019.01.036Google Scholar
Barnes, A. P., Toma, L., Willock, J., & Hall, C. (2013). Comparing a “budge” to a “nudge”: Farmer responses to voluntary and compulsory compliance in a water quality management regime. Journal of Rural Studies, 32, 448459. https://doi.org/10.1016/j.jrurstud.2012.09.006Google Scholar
Basu, S., & Madsen, K. (2017). Effectiveness and equity of sugar-sweetened beverage taxation. PLoS Medicine, 14, e1002327. https://doi.org/10.1371/journal.pmed.1002327Google Scholar
Bates, C. (2009). Scaling new heights: Piano stairway encourages commuters to ditch the escalators, Daily Mail, April 4. www.dailymail.co.uk/sciencetech/article-1218944/Scaling-new-heights-Piano-stairway-encourages-commuters-ditch-escalators.html.Google Scholar
Becker, G. S., & Becker, G. S. (2009). A Treatise on the Family. Cambridge, MA: Harvard University Press.Google Scholar
Behavioural Insights Team. (2010). Applying behavioural insight to health. Discussion Paper, Cabinet Office Behavioural Insights, London. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/60524/403936_BehaviouralInsight_acc.pdfGoogle Scholar
Benartzi, S., & Thaler, R. H. (2013). Behavioral economics and the retirement savings crisis. Science, 339, 1152–1153. https://doi.org/10.1126/science.1231320Google Scholar
BETA (Behavioural Economics Team of Australian Government). (2019). Impact Report, April. https://behaviouraleconomics.pmc.gov.au/sites/default/files/resources/impact-report.pdf Brown, P. M., Cameron, L. D., & Ramondt, S. (2015). Sustainability of behavioral interventions: Beyond cost-effectiveness analysis. International Journal of Behavioral Medicine, 22, 425433. https://doi.org/10.1007/s12529-014–9437-zGoogle Scholar
Calamia, J. (2010). Speed bumps of the future: Creepy optical illusion children. Discovery Magazine, April 4. http://blogs.discovermagazine.com/discoblog/2010/09/07/speed-bumps-of-the-future-creepy-optical-illusion-children/Google Scholar
Chaiken, S., & Trope, Y. (Eds.). (1999). Dual-Process Theories in Social Psychology. New York: Guilford Press.Google Scholar
Congdon, W. J., & Shankar, M. (2018). The role of behavioral economics in evidence-based policymaking. The Annals of the American Academy of Political and Social Science, 678, 8192. https://doi.org/10.1177/0002716218766268Google Scholar
Correia, C. J. (2004). Behavioral economics: Basic concepts and clinical applications. In Cox, M. & Klinger, E. (Eds.), Handbook of Motivational Counseling: Goal‐Based Approaches to Assessment and Intervention with Addiction and Other Problems (pp. 4972). Chichester: Wiley.Google Scholar
Datta, S., & Mullainathan, S. (2014). Behavioral design: A new approach to development policy. Review of Income and Wealth, 60, 735. https://doi.org/10.1111/roiw.12093Google Scholar
Deaton, A., & Muellbauer, J. (1980). Economics and Consumer Behavior. Cambridge: Cambridge University Press.Google Scholar
Dhami, S. (2016). The Foundations of Behavioral Economic Analysis. Oxford: Oxford University Press.Google Scholar
Dolan, P., Hallsworth, M., Halpern, D., King, D., Metcalfe, R., & Vlaev, I. (2012). Influencing behaviour: The mindspace way. Journal of Economic Psychology, 33, 264277. https://doi.org/10.1016/j.joep.2011.10.009Google Scholar
English, V., Johnson, E., Sadler, B. L., & Sadler, A. M. (2019). Is an opt-out system likely to increase organ donation? BMJ, 364, 1967. https://doi.org/10.1136/bmj.l967Google Scholar
Frey, B. (1997). Not Just for the Money: An Economic Theory of Personal Motivation. Cheltenham: Edward Elgar.Google Scholar
Friedman, M., & Friedman, M. (1953). Essays in Positive Economics. Chicago: University of Chicago Press.Google Scholar
Galizzi, M. M. (2012). Label, nudge or tax? A review of health policies for risky behaviours. Journal of Public Health Research, 1, 14. https://doi.org/10.4081/jphr.2012.e5Google Scholar
Giles, E. L., Robalino, S., McColl, E., Sniehotta, F. F., & Adams, J. (2014). The effectiveness of financial incentives for health behaviour change: Systematic review and meta-analysis. PLoS ONE, 9, e90347. https://doi.org/10.1371/journal.pone.0090347Google Scholar
Gilovich, T., Griffin, D., & Kahneman, D. (Eds.). (2002). Heuristics and Biases: The Psychology of Intuitive Judgment. Cambridge: Cambridge University Press.Google Scholar
Glasgow, R., Vogt, T., & Boles, S. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89, 13221327. https://doi.org/10.2105/AJPH.89.9.1322Google Scholar
Hanoch, Y., Barnes, A., & Rice, T. (Eds.). (2017). Behavioral Economics and Healthy Behaviors: Key Concepts and Current Research. New York: Routledge.Google Scholar
Heshmat, S. (2006). Applying behavioral economics to changing health behavior: The case of weight-loss management. Californian Journal of Health Promotion, 4, 2129.Google Scholar
Hollands, G. J., Marteau, T. M., & Fletcher, P. C. (2016). Non-conscious processes in changing health-related behaviour: A conceptual analysis and framework. Health Psychology Review, 10, 381394. https://doi.org/10.1080/17437199.2015.1138093Google Scholar
Kahneman, D. (2011). Thinking, Fast and Slow. New York: Farrar, Straus, and Giroux.Google Scholar
Kahneman, D., & Tversky, A. (2001). Choices, Values, and Frames. Cambridge: Cambridge University Press.Google Scholar
King, D., Greaves, F., Vlaev, I., & Darzi, A. (2013). Approaches based on behavioral economics could help nudge patients and providers toward lower health spending growth. Health Affairs, 32, 661668. https://doi.org/10.1377/hlthaff.2012.1348Google Scholar
Krajbich, I., Bartling, B., Hare, T., & Fehr, E. (2015). Rethinking fast and slow based on a critique of reaction-time reverse inference. Nature Communications, 6, 7455. https://doi.org/10.1038/ncomms8455Google Scholar
Li, M., & Chapman, G. B. (2013). Nudge to health: Harnessing decision research to promote health behavior. Social and Personality Psychology Compass, 7, 187198. https://doi.org/10.1111/spc3.12019Google Scholar
Libotte, E., Siegrist, M., & Bucher, T. (2014). The influence of plate size on meal composition: Literature review and experiment. Appetite, 82, 9196. https://doi.org/10.1016/j.appet.2014.07.010Google Scholar
Lim, D., Slemrod, J., & Wilking, E. (2013). Expert and public attitudes towards tax policy: 2013, 1994, and 1934. National Tax Journal, 66, 775806. https://doi.org/10.17310/ntj.2013.4.01Google Scholar
Lin, Y., Osman, M., & Ashcroft, R. (2017). Nudge: Concept, effectiveness, and ethics. Basic and Applied Social Psychology, 39, 293306. https://doi.org/10.1080/01973533.2017.1356304Google Scholar
Lourenço, J. S., Ciriolo, E., Almeida, S. R., & Dessart, F. J. (2016). Behavioural Insights Applied to Policy-Country Overviews 2016 (No. JRC100547), June 16. Joint Research Centre (Seville site), European Commission. https://publications.jrc.ec.europa.eu/repository/bitstream/JRC100547/biap%20country%20overviews%202016.pdfGoogle Scholar
Luoto, J., & Carman, K. G. (2014). Behavioral economics guidelines with applications for health interventions. Technical Note No. IDB-TN-665, March, Inter-American Development Bank.https://publications.iadb.org/en/publication/12074/behavioral-economics-guidelines-applications-health-interventionsGoogle Scholar
Ly, K., Mazar, N., Zhao, M., & Soman, D. (2013). A practitioner’s guide to nudging. Working Paper No. 2609347, Rotman School of Management. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2609347Google Scholar
Markham, D. (2014). Could a giant musical cigarette butt reduce cigarette litter? TreeHugger, April 4. www.treehugger.com/gadgets/could-giant-musical-cigarette-butt-reduce-cigarette-litter.htmlGoogle Scholar
Marteau, T. M., Ogilvie, D., Roland, M., Suhrcke, M., & Kelly, M. P. (2011). Judging nudging: Can nudging improve population health? BMJ, 342, 228. https://doi.org/10.1136/bmj.d228Google Scholar
Michie, S., van Straalen, M., & West, R. (2011). The behaviour change wheel: A new method for characterizing and designing behaviour change interventions. Implementation Science, 6, 42. https://doi.org/10.1186/1748-5908Google Scholar
Moseley, A., & Stoker, G. (2013). Nudging citizens? Prospects and pitfalls confronting a new heuristic. Resources, Conservation and Recycling, 79, 410. https://doi.org/10.1016/j.resconrec.2013.04.008Google Scholar
Mozaffarian, D., Hemenway, D., & Ludwig, D. S. (2013). Curbing gun violence: Lessons from public health successes. Journal of the American Medical Association, 309, 551552. https://doi.org/10.1001/jama.2013.38Google Scholar
OECD (Organisation for Economic Co-operation and Development). (2019). Delivering Better Policies Through Behavioural Insights: New Approaches. Paris: OECD Publishing. https://doi.org/10.1787/6c9291e2-enGoogle Scholar
Pinto, D. M., Ibarrarán, P., Stampini, M. et al. (2014). Applying behavioral tools to the design of health projects. Policy Brief No. IDB-PB-228, July, Inter-American Development Bank. https://publications.iadb.org/en/applying-behavioral-tools-design-health-projectsGoogle Scholar
Purnell, J., Thompson, T., Kreuter, M., & McBride, T. (2015). Behavioral economics: “Nudging” underserved populations to be screened for cancer. Preventing Chronic Disease, 12: 140346. https://doi.org/10.5888/pcd12.140346Google Scholar
Rice, T. (2013). The behavioral economics of health and health care. Annual Review of Public Health, 34, 431447. https://doi.org/10.1146/annurev-publhealth-031912-114353Google Scholar
Richburg-Hayes, L., Anzelone, C., Dechausay, N. et al. (2014). Behavioral economics and social policy: Designing innovative solutions for programs supported by the Administration for Children and Families. Office of Planning, Research and Evaluation, Administration for Children and Families, US Department of Health and Human Services. www.acf.hhs.gov/opre/resource/behavioral-economics-and-social-policy-designing-innovative-solutions-for-programs-supported-by-the-administration-forGoogle Scholar
Roberto, C. A., & Kawachi, I. (Eds.). (2015). Behavioral Economics and Public Health. Oxford: Oxford University Press.Google Scholar
Rozin, P., Scott, S., Dingley, M., Urbanek, J. K., Jiang, H., & Kaltenbach, M. (2011). Nudge to obesity I: Minor changes in accessibility decrease food intake. Judgment and Decision Making, 6, 323332.Google Scholar
Szaszi, B., Palinkas, A., Palfi, B., Szollosi, A., & Aczel, B. (2018). A systematic scoping review of the choice architecture movement: Toward understanding when and why nudges work. Journal of Behavioral Decision Making, 31, 355366. https://doi.org/10.1002/bdm.2035Google Scholar
Takemura, K. (2014). Behavioral Decision Theory: Psychological and Mathematical Descriptions of Human Choice Behavior. Tokyo: Springer. https://doi.org/10.1007/978-4-431-54580-4_5Google Scholar
Thaler, R. H., & Sunstein, C. R. (2008). Nudge: Improving Decisions About Health, Wealth, and Happiness. New Haven, CT: Yale University Press.Google Scholar
Thapa, J., Lyford, C., Belasco, E. J. et al. (2014). Nudges in the supermarket: Experience from point of sale signs. Paper presented at the 2014 Annual Meeting of the Agricultural and Applied Economics Association, Minneapolis, July 27–29. https://ideas.repec.org/p/ags/aaea14/171442.htmlGoogle Scholar
Tversky, A. (1975). A critique of expected utility theory: Descriptive and normative considerations. Erkenntnis, 9, 163173. https://doi.org/10.1007/BF00226380Google Scholar
US Department of Health and Human Services. (2014). The Health Consequences of Smoking – 50 Years of Progress: A Report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services. www.ncbi.nlm.nih.gov/books/NBK179276/pdf/Bookshelf_NBK179276.pdfGoogle Scholar
Venema, T. A. G., Kroese, F. M., & De Ridder, D. T. D. (2017). I’m still standing: A longitudinal study on the effect of a default nudge. Psychology and Health, 33, 669681. https://doi.org/10.1080/08870446.2017.1385786)Google Scholar
Von Neumann, J., & Morgenstern, O. (1953). Theory of Games and Economic Behavior. Princeton: Princeton University Press.Google Scholar
Wansink, B., & Van Ittersum, K. (2007). Portion size me: Downsizing our consumption norms. Journal of the Academy of Nutrition and Dietetics, 107, 11031106. https://doi.org/10.1016/j.jada.2007.05.019Google Scholar
Zimmerman, F. J. (2009). Using behavioral economics to promote physical activity. Preventive Medicine, 49, 289291. https://doi.org/10.1016/j.ypmed.2009.07.008 Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×