We have compiled a range of resources about Behaviour Change techniques and theories.
These are books published by the Centre for Behaviour Change and its associates. You can order all books online.
A Guide to Development and Evaluation of Digital Behaviour Change Interventions in Healthcare.
Behaviour change interventions are increasingly being delivered through digital channels including websites, smartphone apps, and wearables. While these new channels of delivery offer huge opportunities for novel and personalised interventions, they also come with their own specific challenges and difficulties. This comprehensive guide written by Professors Susan Michie and Robert West outlines the current state of research around digital behaviour change interventions and provide guidelines for the development of new digital interventions. It discusses intervention techniques uniquely possible with digital technology such as personalised and just-in-time interventions as well as general intervention design and evaluation rules and guidance. This monograph is an ideal starting point for anyone wanting to understand more about digital behaviour change interventions, offering plenty of references and links for more in depth reading on each of the topics discussed.
- Order online
- Michie, S. & West, R. A Guide to Development and Evaluation of Digital Behaviour Change Interventions in Healthcare. (2016).
Thinking about behaviour change: an interdisciplinary dialogue
How should we think about and understand human behaviour? What’s the role of theoretical models? How can – and should – such models be used in practice? And what can we learn from the many different academic and practical perspectives on the subject? This book, aimed at anyone with an interest in behaviour change, offers a fresh and challenging take on these questions. It comprises a Dialogue, which sets out key debates in a lively and accessible way, and 21 commentaries written from a wide range of standpoints, including academic, commercial and public sector.
- Order Online
- Christmas, S., Michie, S., West, R. [Eds]. Thinking about behaviour change: an interdisciplinary dialogue (2015)
The Behaviour Change Wheel Guide
by Susan Michie, Lou Atkins, and Robert West, the Behaviour Change
Wheel Guide is aimed to be useable across a wide range of disciplines,
of expertise and approaches. It puts “flesh on the bones” of good
guidelines, such as the UK’s Medical Research Council’s (MRC) guidance
to systematically develop and evaluate complex interventions (Craig et al.,
2008), specifically its recommendation that interventions should be
relevant theories and specified by their component behaviour change
techniques. The Guide provides a practical, step-by-step method,
illustrated by examples
from a wide range of domains and disciplines.
- Order Online
- Michie, S, Atkins, L, West, R. The Behaviour Change Wheel: A Guide to Designing Interventions (2014)
ABC of Behaviour Change Theories
by Susan Michie, Robert West, Rona Campbell, Jamie Brown, and Heather
Gainforth, this book describes 83 theories relevant to design of
behaviour change interventions together with an analysis of the role and
application of theory in this vital area. The theories were identified
expert panel of psychologists, sociologists, anthropologists and
For each theory, the book provides a brief summary, a list of its
constructs, a more extended description and a network analysis to show
links with other theories in the book.
- Order Online
- Michie, S., West, R., Campbell, R., Brown, J., Gainforth, H. (2014)
PRIME Theory of Motivation
Motivation is more than just our reasons for doing things.
It includes our innate reactions, habits, drives, desires, goals, plans and so
PRIME Theory brings together what we know about motivation into a single model. Its goal is to improve our ability to explain, predict and influence behaviour. It sticks as closely as possible to everyday language and aims to be as simple as possible.
Written by Robert West and Jamie Brown.
- Find out more at: www.primetheory.com
- Order Online
- West R, Brown J. Theory of Addiction. 2nd ed: John Wiley & Sons Ltd; 2013.
The SmokeFree Formula
Developed by Robert West, the SmokeFree Formula is the ultimate guide to stopping smoking. It explains why it is hard for smokers to stop and identifies 29 ingredients they can put into their own formula for stopping, each one with a star rating denoting the strength of evidence to support it.
Robert West is a world authority on smoking and addiction and has been helping smokers stop for more than 30 years. He is an advisor to the Department of Health and helped set up the NHS Stop Smoking Services.
The book was written with Chris Smyth, Health Correspondent at The Times, and Jamie West.
- Find out more and order online
- West, R. The SmokeFree Formula. 1st ed: Orion Publishing Co; 2013.
- Series on Evaluating Digital Interventions
We are delighted to make publicly available, with the agreement of the publishers of the American Journal of Preventive Medicine, six papers arising from the 2015 workshop: ‘How to create, evaluate and implement effective digital healthcare interventions: development of guidance’.
Led by Professor Susan Michie, the workshop was hosted in London by the Medical Research Council, with funding from the Medical Research Council (MRC)/National Institute for Health Research (NIHR) Methodology Research Program, the NIH Office of Behavioral and Social Sciences Research (OBSSR) and the Robert Wood Johnson Foundation. This set of articles discusses key issues facing the development and evaluation of digital behaviour change interventions.
Click on the paper titles below to download.
- Advancing Models and Theories for Digital Behavior Change Interventions
- Current Issues and Future Directions for Research Into Digital Behavior Change Interventions
- Designing and Undertaking a Health Economics Study of Digital Health Interventions
- Digital Technologies and Disease Prevention
- Evaluating Digital Health Interventions: Key Questions and Approaches
- The Pace of Technologic Change: Implications for Digital Health Behavior Intervention Research
- Understanding and Promoting Effective Engagement With Digital Behavior Change Interventions
The Behaviour Change Wheel (BCW)
- Michie S, van Stralen M, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science. 2011;6:42. Link to pdf
Applying the COM-B model
- Jackson C, Eliasson L, Barber N, Weinman J. Applying COM-B to medication adherence: A suggested framework for research and interventions. The European Health Psychologist. 2014;16(1):7-17. Link to pdf
Behaviour Change Technique Taxonomy v1 (BCTTv1)
- Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J.,
Hardeman, W., ... & Wood, C. E. (2013). The behavior change
technique taxonomy (v1) of 93 hierarchically clustered techniques:
building an international consensus for the reporting of behavior change
interventions. Annals of behavioral medicine, 46(1), 81-95. Link to abstract
- The BCTTv1 was developed and evaluated by a three-year
project funded by the Medical Research Council. More details about the project can be found at: http://www.ucl.ac.uk/behaviour-change-techniques
- Michie, S, Richardson, M, Johnston, M, Abraham, C, Francis, J, Hardeman, W, Eccles, MP, Cane, J, Wood, CE. The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques: Building an International Consensus for the Reporting of Behavior Change Interventions. Annals of Behavioral Medicine. 2013;46(1):81-95. Link to abstract
- Michie, S, Abraham, C, Eccles, MP, Francis, JJ, Hardeman, W, Johnston, M. Strengthening evaluation and implementation by specifying components of behaviour change interventions: a study protocol. Implementation Science. 2011:6-10. Link to pdf
- Abraham C, Michie S. A taxonomy of behavior change techniques used in interventions. Health Psychology. 2008;27(3):379-87. Link to abstract
- An interactive online training site is currently available at www.bct-taxonomy.com
Behaviour Change Theory
Applying the Behaviour Change Wheel - A very brief guide
This one page guide aims to provide a brief overview of the purpose and functionality of the behaviour change wheel.
The Learning Healthcare Project
This report, which was commissioned by The Health Foundation, outlines how routinely collected data, outcomes measurement and behaviour change techniques can enable real change within healthcare. It also explores some of the implications and looks at where the field might be going over the years to come.
This website contains most of the conducted interviews, focus groups and references.
NICE Public Health Guidance
- National Institute for Health and Care Excellence. Behaviour Change: Individual Approaches (PH49). London: National Institute for Health and Care Excellence; 2014. http://guidance.nice.org.uk/PH49
- National Institute for Health and Care Excellence. Behaviour Change: The Principles for Effective Interventions (PH6). London: National Institute for Health and Care Excellence; 2007. http://guidance.nice.org.uk/PH6
Science & Technology Committee Report
Understanding behaviour and behaviour change are necessary for developing effective and efficient policies in all areas. Although this report draws on case studies that focus on the Department of Health and the Department for Transport, conclusions and recommendations are directed to all Government departments.
- Science and Technology Committee. Second Report on Behaviour Change. 2011. Link to online article
BPS Behaviour Change Briefings
The British Psychological Society's (BPS) Behaviour Change Advisory Group (BCAG) works to provide expert advice on behaviour change in the context of public policy. It co-ordinates production of Society publications on behaviour change issues and supports our responses to consultations on related topics. It provides an expert interface between the Society and government and other policy making bodies in relation to behaviour change issues.
This series of short briefings is aimed at emphasising the role psychology can play in achieving behaviour change. Each of these briefings is designed to focus specifically on the role psychology can play in addressing a societal issue. This portfolio is freely available and is aimed at policy-makers and opinion formers. It will also be of interest to researchers and practitioners.
- School attendance, exclusion and persistent absence
- Energy conservation
- Physical (in)activity
- Tax and tax compliance
- Personal debt
Today's policy makers are in the business of influencing behaviour - they need to understand the effects their policies may be having. The aim of MINDSPACE is to help them do this, and in doing so get better outcomes for the public and society. The report explores how behaviour change theory can help meet current policy challenges, such as how to: reduce crime, tackle obesity, ensure environmental sustainability.
Institute for Government and the Cabinet Office. MINDSPACE: Influencing behaviour through public policy. 2010 Link to pdf
Medical Research Council Guidance
- Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655. Link to pdf
The Ethics of Behaviour Change
A chapter looking at the terminology associated with behaviour change, including "nudging". Includes discussion of factors that may be relevant to determining whether a behaviour change intervention will be publicly and ethically acceptable.
- Science and Technology Committee. Second Report on Behaviour Change: Chapter 2: Definitions, Categorisation and the Ethics of Behaviour Change Interventions. 2011. Link to online article
There are several strategies to promote health in individuals and populations. Two general approaches to health promotion are behavior change and empowerment. The aim of this article is to present those two kinds of strategies, and show that the behavior-change approach has some moral problems, problems that the empowerment approach (on the whole) is better at handling.
- Tengland, Behaviour Change or Empowerment: On the ethics of health promotion strategies. Public Health Ethics. 2012; 5(2): 140-153. Link to abstract
Emphasis on personal lifestyle choices has recently come under scrutiny. Some critics point out that the attempts at risk reduction have simply not had impressive results; others have criticised the field on various ethical grounds.
- Solomon, MZ. The ethics of and efficacy of behaviour change research. The Hastings Center Report. 2001;31(1):43-45. Link to online article
- Databases/Public Resources
The COCHRANE library - www.thecochranelibrary.com
The Cochrane Library is a collection of six databases that contain different types of high-quality, independent evidence to inform healthcare decision-making, and a seventh database that provides information about groups in The Cochrane Collaboration.
The website links through to other resources such as:
- Cochrane Database of Systematic Reviews
- Cochrane Central Register of Controlled Trials
- Cochrane Methodology Register
- Database of Abstracts of Reviews of Effects
- Health Technology Assessment Database
- NHS Economic Evaluation Database
- About The Cochrane Collaboration
NICE evidence search - www.evidence.nhs.uk
NICE Evidence Services are a suite of services that provide internet access to high quality authoritative evidence and best practice. The services cover health, social care and public health evidence. Evidence Services aim to help professionals make better and quicker evidence based decisions.
NICE Evidence Services consists of the following 6 resources:
- Evidence Search
- which provides free open access to a unique index of selected and authoritative health and social care evidence-based information.Healthcare Database Advanced Search (HDAS), which provides access to an extensive set of journals and bibliographic databases. These are purchased by NICE on behalf of the NHS.
- Clinical Knowledge Summaries (CKS) which provide primary care practitioners with access to evidence-based guidance on over 300 key conditions presenting in primary care.
- BNF microsite which provides open access to BNF content across the UK.
- UK DUETS, a database of Evidence Uncertainties which provides research funders and researchers access to the ‘known unknowns’ in the evidence base.
- Bulletins, Alerts and Evidence Awareness service which helps busy professionals keep up to date with important new evidence.
All Trials - www.alltrials.net
The AllTrials campaign is an initiative of Bad Science, the BMJ, Centre for Evidence-based Medicine, Cochrane Collaboration, James Lind Initiative, PLOS and Sense About Science and is being led in the US by Dartmouth’s Geisel School of Medicine and the Dartmouth Institute for Health Policy and Clinical Practice. The AllTrials campaign was launched in January 2013 and calls for all past and present clinical trials to be registered and their results reported. The campaign has published a detailed plan on how all clinical trials can be registered and all results reported.
NICE guidance - www.nice.org.uk/guidance
NICE guidance sets the standards for high quality healthcare and encourages healthy living. NICE Guidance can be used by the NHS, Local Authorities, employers, voluntary groups and anyone else involved in delivering care or promoting wellbeing.
CONSORT guidelines - www.consort-statement.org
CONSORT, which stands for Consolidated Standards of Reporting Trials, encompasses various initiatives developed by the CONSORT Group to alleviate the problems arising from inadequate reporting of randomized controlled trials (RCTs). The main product of CONSORT is the CONSORT Statement, which is an evidence-based, minimum set of recommendations for reporting RCTs. It offers a standard way for authors to prepare reports of trial findings, facilitating their complete and transparent reporting, and aiding their critical appraisal and interpretation.
CONSORT is part of a broader push to produce reporting guidelines (RGs) for many different types of research:
- ASSERT (A Standard for the Scientific and Ethical Review of Trials) initiative is a proposed standard for the review and monitoring of randomized clinical trials by research ethics committees. Among other items, its checklist incorporates certain elements of CONSORT, to ensure fulfillment of the requirements for scientific validity in the ethical conduct of clinical research.
- PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Statement provides an evidence-based minimum set of items that for reporting systematic reviews and meta-analyses, and is an update and expansion of the QUOROM Statement. Although it focuses on randomized trials, the PRISMA Statement can also be used as a basis for reporting systematic reviews of other types of research, particularly evaluations of interventions.
For information about reporting guidelines for different types of research, visit:
- EQUATOR (Enhancing the QUAlity and Transparency Of health Research) project aims to help fulfill the potential impact of reporting guidelines on the quality of research.
Jim McManus’s blog
Jim McManus, Director of Public Health in Hertfordshire, sets out a conceptual framework for behaviour change in local government highlighting the need for better linkage between public health practice and academia:
- Making behaviour change work in the new world…some thoughts for the Evidence into practice conference (2014)
Prof Robert West's blog
Prof Robert West, Director of Tobacco Studies and Professor of Health Psychology at UCL, discusses topics such tobacco control, e-cigarettes, addiction, and other health relatead topics:
The Behavioural Insights team (Cabinet office ‘Nudge’ unit)
The Behavioural Insights Team (Director: David Halpern), often called the ‘Nudge Unit’, applies insights from academic research in behavioural economics and psychology to public policy and services. In addition to working with almost every UK government department, the unit works with local authorities, charities, NGOs, private sector partners and foreign government, developing proposals and testing them empirically across the full spectrum of government policy:
- Read the team’s blog here: http://www.behaviouralinsights.co.uk/blog/
Prof Muki Haklay's blog
Prof Muki Haklay, Professor of Geographical Information Science at UCL, writes about, amongst other topics, behaviour change that is not planned or directed – e.g. crowdsourcing and citizen science (which are about what people do and therefore behaviour):
- Levels of participation in citizen science and scientific knowledge production (2011)
- Assertions on crowdsourced geographic information & citizen science #3 (2014)
Prof Richard Moorhead's blog
Prof Richard Moorhead, Professor of Law and Professional Ethics and Director of Centre for Ethics and Law at UCL, shares research and commentary on the Legal Professions:
Dr Rosie Webster's blog post
Dr Rosie Webster, Research Associate, Research Department of Primary Care and Population Health at UCL, shares her thoughts on the E-health Unit technology-sharing seminars:
Dr Emma Beard's blog
During the workshop 'Using Bayesian methods for evaluating behaviour change interventions' organised by the Centre for Behaviour Change on 12 May 2014, Dr Emma Beard reported what was covered in the workshop:
‘Health Chatter’: The UCL Health Behaviour Research Centre Blog
The Health Behaviour Research Centre (HBRC) undertakes research aimed at advancing our understanding of behaviours that have a major impact on health and to contribute to the development of interventions to promote healthy lifestyles. The Centre is part of the Department of Epidemiology and Public Health, UCL.
- Dr Lou Atkins, DHP 2014: An adaptive interviewing approach using the Theoretical Domains Framework to identify influences on variation in adenoma detection rates
- Theories and Techniques of Behaviour Change and their
Application to Speech and Language Therapy Interventions - 8 July 2014
- Theories and Models of Behaviour Change: How useful are
they? - 2 June 2014
- Designing and characterising behaviour change interventions: Launch of Behaviour Change Wheel Guide and BCTTv1 online training programme - 6 May 2014
- Improving sustainability via behaviour change - 25 March 2014
Follow us on YouTube
- In this One-on-One interview, Medscape Editor-in-Chief Dr Eric J. Topol talks to Prof. Donna Spruijt-Metz, an expert in pediatric obesity, about how mobile data collection and wearable sensor technology can potentially reduce the epidemic of "diabesity" in the United States.
- Prof Susan Michie discusses smartphone apps for behaviour change at the NUIG mHealth conference 2016
- Over 100 delegates gathered at Wayra UK, Telefonica O2’s startup accelerator, to hear some inspiring talks from our speakers and judges, watch pitches from the competition finalists and forge strong networks across the science and digital space.
Theories and Models of Behaviour Change: How useful are they? - June 2014
- Prof Susan Michie (Director, UCL Centre for Behaviour Change) introduces a panel discussion with three leading figures from three UCL Faculties addressing the question of what makes for a "good" theory and how they are best applied, and Prof Kate Jeffery (Professor of Behavioural Neuroscience, UCL Faculty of Brain Sciences) presents examples of models and theories used in neuroscience
- Prof Anthony Finkelstein (Professor of Software Systems Engineering and Dean of UCL Faculty of Engineering Science) explains how models and theories are conceptualised in Engineering
- Prof Robert West (Professor of Health Psychology, UCL Faculty of Population Sciences) demonstrates how theories and models are applied in behavioural science
Behaviour Change Wheel Guide Launch - May 2014
- Dr Lou Atkins describes how to use the Behaviour Change Wheel Guide
- Dr Kristina Curtis describes her experience of using the Behaviour Change Wheel
BCT Taxonomy Online Training Launch - May 2014
BCT Taxonomy App Launch - May 2014
CBC Launch - February 2014
- Photo montage of the launch
- Intro talk by Prof Susan Michie
- Talk by Prof David Price
- Talk by Prof Alexi Marmot
- Talk by Prof Mike Kelly
The Behaviour Change Wheel - 2013
- Prof Susan Michie speaks to the Global Alliance for Chronic Diseases about the Behaviour Change Wheel
Which behaviour change approach should I use? An introduction to the Behaviour Change Wheel - 2013
- Prof Susan Michie provides an introduction to the Behaviour Change Wheel at Behaviour Works, Australia
What does it take to achieve desired behaviour change? - 2012
- Prof Susan Michie speaks to the British Nutrition Foundation about what it takes to achieve the desired behaviour change
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European Food Information Council (EUFIC), 2015
- Prof Susan Michie talks about the principles of behaviour change
University of Oxford, 2013
- Prof Susan Michie gives a talk at Kellogg College for the Centre for Evidence Based Medicine, University of Oxford, providing a behavioural perspective of translating evidence to policy and practice.
Radio National Podcast: 'Health Report', Australia, 2012
- Prof Susan Michie talks with with Lynne Malcolm about behaviour change in relation to obesity. This interview recorded for the Radio National Podcast 'Health Report', presented by Norman Swan, Australia, 2012.
Royal Society for Public Health, 2012
- Prof Susan Michie discusses behaviour change and the circumstances required to support people in making changes to their lifestyles. This interview was recorded as part of the 'In Conversation with...' series of the Royal Society for Public Health, 2012.
BCT Taxonomy App
To support the BCT Taxonomy and the online training programme, an easy-to-navigate and fully searchable smartphone version of the taxonomy has been developed by Dave Crane.
Comprising 93 behaviour change techniques (BCTs) with labels, definitions and examples, organised into 16 groupings to increase speed of use, the taxonomy is a valuable tool for anyone involved in designing, reporting or evaluating interventions to change behaviour.
Available for free at: iTunes (iOS) for iphone and ipad
Smoke Free 28 (SF28) App
SF28 offers a guide through the first 28 days of a quit attempt as well as helping prepare for quitting. It sets up the challenge of being completely smoke free for 28 days. That is the period when craving and withdrawal symptoms are at their worst and it has been shown that if people can make it through without a single puff on a cigarette they are 20 times more likely to stay off cigarettes for good.
The development was led by Robert West, based on the latest scientific research and provides a range of tools and advice on how to quit smoking for good.
Available for free at: itunes (iOS) for iphone
- Related Projects
Behaviour Change Techniques and Theories
The effectiveness of behaviour change interventions depends on good understanding of the links between behaviour change techniques (BCTs) and their mechanisms of action (i.e. the processes through which they affect behaviour). Considerable progress has been made in developing a method for specifying BCTs. The aim of this research is to develop and test a methodology for linking BCTs to their mechanisms of action, based on behavioural theory.
Behaviour Change Taxonomy
We lack a shared language for describing the content, especially the active ingredients, of behaviour change interventions (i.e. the techniques that lead to behaviour change). This limits the possibility of replicating effective interventions, of synthesising evidence, and of understanding the causal mechanisms underlying behaviour change. In order to strengthen the knowledge base required for such interventions to be more effective, replicable and implementable, this study will develop methods to produce, and develop, an electronically accessible nomenclature of BCTs, together with evidence of its scientific rigour and acceptability to potential users.