Horizon scanning for Arden GEM CSU: behaviour change

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Monday, 6 July 2020

How to use a behaviour change techniques review to evaluate a digital health product.
Part of a guide to evaluating digital health products.

In a new draft guideline, NICE says that digital interventions such as apps, wearable devices and online programmes and websites may help people achieve health goals. This includes helping people to be more physically active, manage their weight, quit smoking, reduce alcohol intake or reduce unsafe sexual behaviour.
Consultation closes 6 March 2020.

One approach that has been shown to help individuals adhere to weight loss programmes is by leveraging the nudge theory, which advocates that regular, subtle communication is more effective at influencing people to change behaviour than just telling them to do so.
This article by Dr Vincent Grasso, IPSoft Inc, discusses the potential of conversational AI to provide the regular nudges shown to support those on weight loss programmes make behavioural change.

Conclusion: Behavior change interventions including education, training, and enablement in the context of collaborative team-based approaches are effective to change practice of primary healthcare professionals. Environmental restructuring approaches including nurse-led care and modeling need further evaluation. Financial incentives to family physicians do not influence long-term practice change.

Abstract