Motivational Dynamics in Health Behavior Change

Post on 28-Jan-2015

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Health behavior change has proven to be extremely difficult to accomplish, and the adoption and maintenance of beneficial health regimens has surfaced as a daunting task for the average individual. While many people voice a desire to more frequently engage in healthy behaviors, the evidence is clear that human desire and motivation can be undermined and our commitments can be easily broken. If we, as designers, want to create systems to facilitate behavior change, we need to better understand how to initiate and support people's intrinsic motivations while balancing extrinsic design factors to optimize success. In this talk, we'll take a high level look at the psychology of motivation and deep-dive into key points to consider when creating systems to bridge the gap between people's intentions and their actions.

Transcript of Motivational Dynamics in Health Behavior Change

GETTING A HORSE TO DRINK  MOTIVATIONAL DYNAMICS  IN HEALTH BEHAVIOR CHANGE

DUSTIN DITOMMASO VP, Experience Design dustin@madpow.net | @DU5TB1N | #hxdfconf

GETTING A HORSE TO DRINK  ENGAGEMENT  

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GETTING A HORSE TO DRINK  ENGAGEMENT  

INTRINSIC VALUE  

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GETTING A HORSE TO DRINK  ENGAGEMENT  

EFFECTIVE BEHAVIOR CHANGE  

INTRINSIC VALUE  

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GETTING A HORSE TO DRINK  

MOTIVATIONAL DESIGN?  

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CHANGE IS HARD  

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COM-B MODEL  

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Michie et al

“ Motivation is the

process which gives

behavior its energy

and direction.”

JOHNMARSHALL REEVE  

Understanding Motivation and Emotion, 2005 @DU5TB1N | #hxdconf

INTRINSIC VS. EXTRINSIC MOTIVATIONS  Intrinsic Motivation  

Extrinsic Motivation  

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INTRINSIC VS. EXTRINSIC MOTIVATIONS  

« Acts for the fun or challenge rather than because of external prods, pressures or rewards

« Feelings of satisfaction when engaged in interesting activities

Intrinsic Motivation  

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Extrinsic Motivation  

INTRINSIC VS. EXTRINSIC MOTIVATIONS  

« Acts for the fun or challenge rather than because of external prods, pressures or rewards

« Feelings of satisfaction when engaged in interesting activities

Intrinsic Motivation  

« Behaviors performed in order to obtain some separable outcome

« Such as a tangible reward, an avoidance of punishment, or the attainment of recognition, achievement, or approval

Extrinsic Motivation  

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INTRINSIC OR EXTRINSIC MOTIVATION?  

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SELF-DETERMINATION CONTINUUM  

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AMOTIVATION  NON-REGULATION  Lacks intentionality and a sense of personal causation Results from not valuing an activity (Ryan, 1995)

Not feeling competent to do it (Deci, 1975)

Not believing it will yield a desired outcome (Seligman, 1975)

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EXTRINSIC MOTIVATION  EXTERNAL REGULATION  Operant Conditioning Activities are done purely to satisfy external demands Behavior is fueled by the possibility of reward and punishment Behaviors cease when reward or punishment is not explicitly applied People typically feel controlled or alienated performing externally regulated activities

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EXTRINSIC MOTIVATION  INTROJECTED REGULATION  Based upon internal rewards and punishments Still controlled behavior, but represents a greater degree of internalization Avoid guild or anxiety Boost the ego with pride

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EXTRINSIC MOTIVATION  IDENTIFIED REGULATION  Conscious valuing of a behavioral goal Individual "identi!es with" or personally values the behaviors they engage in Ways of thinking and behaving are seen as personally important Behaviors persist independently of environmental rewards

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EXTRINSIC MOTIVATION  INTEGRATED REGULATION  Occurs when Identi!ed regulations have been fully assimilated into the self Values, behaviors and needs brought into congruence with other values, behaviors and needs Rivals intrinsic motivation in the relative autonomy experience by the actor

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INTRINSIC MOTIVATION  INTRINSIC REGULATION  Pinnacle of self-determined activity Activity is carried out purely for the inherent satisfaction of doing so

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SELF-DETERMINATION CONTINUUM  

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GETTING A HORSE TO DRINK  

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GETTING A HORSE TO DRINK  Tell it that water is good for it

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GETTING A HORSE TO DRINK  Tell it that water is good for it

Show it enticing pictures of refreshing water

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GETTING A HORSE TO DRINK  Tell it that water is good for it

Show it enticing pictures of refreshing water

Offer it money

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GETTING A HORSE TO DRINK  Tell it that water is good for it

Show it enticing pictures of refreshing water

Offer it money

Warn it that if it doesn’t it will be punished

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GETTING A HORSE TO DRINK  Tell it that water is good for it

Show it enticing pictures of refreshing water

Offer it money

Warn it that if it doesn’t it will be punished

Set up a water-drinking skills training program

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GETTING A HORSE TO DRINK  Tell it that water is good for it

Show it enticing pictures of refreshing water

Offer it money

Warn it that if it doesn’t it will be punished

Set up a water-drinking skills training program

Devise water-drinking regulations

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GETTING A HORSE TO DRINK  Tell it that water is good for it

Show it enticing pictures of refreshing water

Offer it money

Warn it that if it doesn’t it will be punished

Set up a water-drinking skills training program

Devise water-drinking regulations

Put up signs pointing the way to the pond

@DU5TB1N | #hxdconf

GETTING A HORSE TO DRINK  Tell it that water is good for it

Show it enticing pictures of refreshing water

Offer it money

Warn it that if it doesn’t it will be punished

Set up a water-drinking skills training program

Devise water-drinking regulations

Put up signs pointing the way to the pond

Show another horse doing it

@DU5TB1N | #hxdconf

GETTING A HORSE TO DRINK  Tell it that water is good for it

Show it enticing pictures of refreshing water

Offer it money

Warn it that if it doesn’t it will be punished

Set up a water-drinking skills training program

Devise water-drinking regulations

Put up signs pointing the way to the pond

Show another horse doing it

Give it straw

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GETTING A HORSE TO DRINK  EDUCATION

PERSUASION

INCENTIVISATION

RESTRICTION

TRAINING

COERCION

ENVIRONMENTAL RESTRUCTURING

MODELING

ENABLING

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REGULATORS, RIDE!  EDUCATION

PERSUASION

INCENTIVISATION

RESTRICTION

TRAINING

COERCION

ENVIRONMENTAL RESTRUCTURING

MODELING

ENABLING

Tell it that water is good for it

Show it enticing pictures of refreshing water

Give it straw

Offer it money

Warn it that if it doesn’t it will be punished

Set up a water-drinking skills training program

Devise water-drinking regulations

Put up signs pointing the way to the pond

Show another horse doing it

@DU5TB1N | #hxdconf

+  Promote  Iden,fied  Regula,on  +  

PUTTING IT TOGETHER  

1.  Provide the rationale for doing the activity

2.  Acknowledge that the person might not want to do what you are asking them to do

3.  Ensure that the language and style used to initiate participation in the activity involves minimal pressure

+ Promote Identi!ed Regulation +

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+  Promote  Iden,fied  Regula,on  +  

PUTTING IT TOGETHER  

1.  Seek out ways to make uninteresting and boring activities not boring

2.  Enhance the challenge offered by an activity to test participant’s skill

3.  Add novelty and variety to repetitive tasks, where possible

4.  Frame the context within story or even fantasy

5.  Behavior Change Games FTW!

+ Promote Interest +

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+  Promote  Iden,fied  Regula,on  +  

PUTTING IT TOGETHER  

1.  Provide clear instructions and individualized goals

2.  Break complex tasks down (Make it easy!)

3.  Tolerate and forgive failures

4.  Provide positive (& juicy!) feedback

5.  Use extrinsic rewards to mark achievement not to motivate action

+ Promote Competence +

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“ There is nothing

so practical as a

good theory.”

KURT LEWIN  

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“ Buy it Beer! ”

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SOME REFERENCES  Baumeister, R. F., Heatherton, T. F., & Tice, D. M. (1994). Losing control: How and why people fail and self-regulation. San Diego, CA: Academic Press.

DeCharms, Richard (1968), Personal Causation: The Internal Affective Determinants of Behavior. New York: Academic Press.

Deci, E.L., & Ryan, R.M. (1985). Intrinsic motivation and self-determination in human behavior. New York: Plenum Press.

Deci, Edward L., Halah Eghrari, Brian C. Patrick, and Dean Leone (1994), “Facilitating Internalization: The Self-Determination Theory Perspective,” Journal of Personality, 62 (1), 119–42.

Deci, E. L., & Ryan, R. M. (2000). The ‘‘what’’ and ‘‘why’’ of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227–268.

Michie et al.: The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science 2011 6:42.

Ryan, R. M. (1995). Psychological needs and the facilitation of integrative processes. Journal of Personality, 63, 397–427.

Ryan, R. M., Frederick, C. M., Lepes, D., Rubio, N., & Sheldon, K. M. (1997). Intrinsic motivation and exercise adherence. International Journal of Sport Psychology, 28, 335–354.

Ryan, R. M., and Edward L. Deci (2000a), “Intrinsic and Extrinsic Motivation: Classic De!nitions and New Directions,” Contem-porary Educational Psychology, 25 (1), 54–67.

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SOME MORE REFERENCES  Vallerand, R. J., & Bissonnette, R. (1992). Intrinsic, extrinsic, and amotivational styles as predictors of behavior: A prospective study. Journal of Personality, 599–620.

Vallerand, R. J., & Reid, G. (1984). On the causal effects of perceived competence on intrinsic motivation: A test of cognitive evaluation theory. Journal of Sport Psychology, 6, 94–102.

Vallerand, R. J. (1997). Toward a hierarchical model of intrinsic and extrinsic motivation. In M. P. Zanna (Ed.), Advances in experimental social psychology (pp. 271–360). New York: Academic Press.

Williams, G. C., Grow, V. M., Freedman, Z., Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology, 70, 115–126.

Cover: http://wallpaper-s.org/12__Color_Flow_Light_Effect.htm Smoke: http://portablewheelchairrampsguide.com Burger: http://us.123rf.com/ KettleBell: http://3.bp.blogspot.com/ Kurt Lewin (MIT) HorseDrinking Painting: salliesart.blogspot.com HoseHorse: DineDashDeadlift.com BeerHorse: Lee Sanders/newsteam.co.uk 22/09/09

IMAGE CREDITS  

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“ Give it Beer! ”

THANK YOU ! !  

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We deliver research-inspired design aimed at improving the experiences people have with technology, organizations, and each other.

DUSTIN DITOMMASO VP, Experience Design dustin@madpow.net | @DU5TB1N