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      Behaviour Centred Design: towards an applied science of behaviour change

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          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.

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

          ABSTRACT Background: Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice. Methods: Potentially relevant theories were identified through systematic searches of electronic databases (Ovid MEDLINE, Embase, PsycINFO). In addition, an existing database of 80 theories was searched, and 25 theory experts were consulted. Theories were included if they formulated hypotheses about behaviour change maintenance. Included theories were synthesised thematically to ascertain overarching explanations for behaviour change maintenance. Initial theoretical themes were cross-validated. Findings: One hundred and seventeen behaviour theories were identified, of which 100 met the inclusion criteria. Five overarching, interconnected themes representing theoretical explanations for behaviour change maintenance emerged. Theoretical explanations of behaviour change maintenance focus on the differential nature and role of motives, self-regulation, resources (psychological and physical), habits, and environmental and social influences from initiation to maintenance. Discussion: There are distinct patterns of theoretical explanations for behaviour change and for behaviour change maintenance. 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.
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            Social Foundations of Thought and Action: A Social-Cognitive View

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              Behavioral theories and the neurophysiology of reward.

              The functions of rewards are based primarily on their effects on behavior and are less directly governed by the physics and chemistry of input events as in sensory systems. Therefore, the investigation of neural mechanisms underlying reward functions requires behavioral theories that can conceptualize the different effects of rewards on behavior. The scientific investigation of behavioral processes by animal learning theory and economic utility theory has produced a theoretical framework that can help to elucidate the neural correlates for reward functions in learning, goal-directed approach behavior, and decision making under uncertainty. Individual neurons can be studied in the reward systems of the brain, including dopamine neurons, orbitofrontal cortex, and striatum. The neural activity can be related to basic theoretical terms of reward and uncertainty, such as contiguity, contingency, prediction error, magnitude, probability, expected value, and variance.
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                Author and article information

                Journal
                Health Psychol Rev
                Health Psychol Rev
                RHPR
                rhpr20
                Health Psychology Review
                Routledge
                1743-7199
                1743-7202
                1 October 2016
                18 August 2016
                : 10
                : 4
                : 425-446
                Affiliations
                [ a ]Department of Infectious Disease, London School of Hygiene and Tropical Medicine , London, UK
                Author notes
                [CONTACT ] Robert Aunger robert.aunger@ 123456lshtm.ac.uk
                Article
                1219673
                10.1080/17437199.2016.1219673
                5214166
                27535821
                1de409b9-f2ff-4cad-a752-a680974ca015
                © 2016 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License ( http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.

                History
                : 18 February 2016
                : 22 July 2016
                Page count
                Figures: 3, Tables: 1, Equations: 0, References: 125, Pages: 22
                Funding
                Funded by: Wellcome Trust 10.13039/100004440
                Funded by: Unilever 10.13039/100007190
                Funded by: DFID, ESRC, SHARE, UNICEF 10.13039/100006641
                Funded by: World Bank 10.13039/100004421
                Funded by: GoJo Industries, Bill and Melinda Gates Foundation 10.13039/100000865
                Funded by: Global Alliance for Improved Nutrition
                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.
                Categories
                Article
                Conceptual Review

                behaviour change,evolutionary psychology,reinforcement learning,programme development

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