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  • Print publication year: 2020
  • Online publication date: July 2020

42 - Economic and Behavioral Economic Approaches to Behavior Change

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

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.

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.2005.08.002
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.
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.2019.01.036
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.2012.09.006
Basu, S., & Madsen, K. (2017). Effectiveness and equity of sugar-sweetened beverage taxation. PLoS Medicine, 14, e1002327. https://doi.org/10.1371/journal.pmed.1002327
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.
Becker, G. S., & Becker, G. S. (2009). A Treatise on the Family. Cambridge, MA: Harvard University Press.
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.pdf
Benartzi, S., & Thaler, R. H. (2013). Behavioral economics and the retirement savings crisis. Science, 339, 1152–1153. https://doi.org/10.1126/science.1231320
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-z
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/
Chaiken, S., & Trope, Y. (Eds.). (1999). Dual-Process Theories in Social Psychology. New York: Guilford Press.
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/10.1177/0002716218766268
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.
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.12093
Deaton, A., & Muellbauer, J. (1980). Economics and Consumer Behavior. Cambridge: Cambridge University Press.
Dhami, S. (2016). The Foundations of Behavioral Economic Analysis. Oxford: Oxford University Press.
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.2011.10.009
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.l967
Frey, B. (1997). Not Just for the Money: An Economic Theory of Personal Motivation. Cheltenham: Edward Elgar.
Friedman, M., & Friedman, M. (1953). Essays in Positive Economics. Chicago: University of Chicago Press.
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.e5
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.0090347
Gilovich, T., Griffin, D., & Kahneman, D. (Eds.). (2002). Heuristics and Biases: The Psychology of Intuitive Judgment. Cambridge: Cambridge University Press.
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.89.9.1322
Hanoch, Y., Barnes, A., & Rice, T. (Eds.). (2017). Behavioral Economics and Healthy Behaviors: Key Concepts and Current Research. New York: Routledge.
Heshmat, S. (2006). Applying behavioral economics to changing health behavior: The case of weight-loss management. Californian Journal of Health Promotion, 4, 2129.
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/10.1080/17437199.2015.1138093
Kahneman, D. (2011). Thinking, Fast and Slow. New York: Farrar, Straus, and Giroux.
Kahneman, D., & Tversky, A. (2001). Choices, Values, and Frames. Cambridge: Cambridge University Press.
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.2012.1348
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/ncomms8455
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/spc3.12019
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.2014.07.010
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.2013.4.01
Lin, Y., Osman, M., & Ashcroft, R. (2017). Nudge: Concept, effectiveness, and ethics. Basic and Applied Social Psychology, 39, 293306. https://doi.org/10.1080/01973533.2017.1356304
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.pdf
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-interventions
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=2609347
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.html
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.d228
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/10.1186/1748-5908
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.2013.04.008
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.2013.38
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-en
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-projects
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/pcd12.140346
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-031912-114353
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-for
Roberto, C. A., & Kawachi, I. (Eds.). (2015). Behavioral Economics and Public Health. Oxford: Oxford University Press.
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.
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.2035
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_5
Thaler, R. H., & Sunstein, C. R. (2008). Nudge: Improving Decisions About Health, Wealth, and Happiness. New Haven, CT: Yale University Press.
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.html
Tversky, A. (1975). A critique of expected utility theory: Descriptive and normative considerations. Erkenntnis, 9, 163173. https://doi.org/10.1007/BF00226380
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.pdf
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)
Von Neumann, J., & Morgenstern, O. (1953). Theory of Games and Economic Behavior. Princeton: Princeton University Press.
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.2007.05.019
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