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ENGAGEMENT IS EVERYTHING:
HOW TO APPLY PSYCHOLOGY TO
IMPROVE DIGITAL EXPERIENCES
Amy Bucher, Ph.D.
Behavior Change Design Director
Mad*Pow
PEOPLE DON’T PARTICIPATE
IN HEALTH AND WELLNESS
PROGRAMS
Fewer than ½ of employees complete
wellness screenings and HRAs when
offered
Just 10% of eligible participants enroll in
employer-based weight loss interventions
Participation in disease management
programs is around 16% for eligible
employees
Only 7% of eligible employees participate
in smoking cessation programs
Mattke, S., Liu, H., Caloyeras, J. P., Huang,
C. Y., Van Busum, K. R., Khodyakov, D., &
Shier, V. (2013). Workplace wellness
programs study. Rand Corporation.
OUTCOMES
=
EFFICACY
x
PARTICIPATION
PARTICIPATION ≠ ENGAGEMENT
ENGAGEMENT
MOTIVATION
DESIRE WITH VELOCITY
“IT’S NOT THAT I’M LAZY, IT’S THAT I
JUST DON’T CARE.”
SELF-DETERMINATION THEORY
OVERVIEW
TYPES OF MOTIVATION: SELF
DETERMINATION THEORY
AutonomousControlled
Long-term change
happens here!
Sources:
Ryan & Deci (2000)
Segar & Hall (2011)
Amotivated
I have no desire
to do this.
External
Someone told
me I have to
do this.
Introjected
I’ve internalized
the nagging:
Better do this.
Identified
Doing this will
help me achieve
goals I really
value.
Integrated
Doing this is part
of who I am.
Intrinsic
I love doing
this; it feels
great!
Wrzesniewski, A., Schwartz, B., Cong, X., Kane, M., Omar, A., & Kolditz, T. (2014). Multiple types of motives don’t multiply the motivation of West Point cadets. Proceedings of the
National Academy of Sciences, 111(30), 10990-10995. doi: 10.1073/pnas.1405298111
EFFECTS OF MULTIPLE MOTIVES IN THE
MILITARY
Mostly Intrinsic
Mostly Extrinsic
Mixed Motives
Outcomes:
• More likely to
become an officer
• More likely to be
considered for early
promotion
• More likely to stay in
the military after
mandatory service
Outcomes:
• Less likely to become
an officer
• Less likely to be
considered for early
promotion
• Less likely to stay in
the military after
mandatory service
“I can make my own meaningful choices”
“I am learning, growing, and succeeding.”
“I am part of something bigger than myself. I belong.”
Autonomy
Competence
Relatedness
Motivation
THE LEVERS OF MOTIVATION
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68-78.
HOW TO SUPPORT FUNDAMENTAL NEEDS
Autonomy Support
• Establish shared rules of engagement
• Minimize external pressure
• Provide maximum choice
Competence Support
• Make developmentally appropriate demands
• Offer relevant feedback
• Create optimal challenge
Relatedness Support
• Communicate warmth
• Create a sense of involvement
• Convey belongingness
PERCEIVED AUTONOMY
Help people feel they have control
SHARED RULES OF ENGAGEMENT
Patients educated about
the experience via Emmi
Solutions intervention
before undergoing a
colonoscopy had better
outcomes including:
• 18% less sedation
medication
• 14% decrease in
procedure duration
• 11% more knowledgeable
MINIMIZE EXTERNAL PRESSURE
• Calibrate reward amounts
• Tie rewards to meaningful
behaviors
• Consider non-financial
rewards when possible,
preferably goal-consistent
Personal ChoiceValue Expression
THE SECRET TO
WEIGHT LOSS
CALORIES IN
CALORIES OUT
Value-
Consistent
Framing
Emphasize the benefits
to the preferred choice
Show what’s missing
from the non-preferred
choice
Use design to create
visual appeal
PERCEIVED COMPETENCE
Help people feel they can do it
ENHANCE USER ABILITY
EFFECTS OF BASELINE MEASUREMENT ON
BEHAVIOR: EFFICIENT FLIGHT BEHAVIOR FOR
AIRLINE PILOTS
Gosnell, G. K., List, J. A., & Metcalfe, R. (working paper). A new approach to an age-old problem: Solving
externalities by incenting workers directly. NBER Working Paper No. 22316. June 2016. JEL No.
D01.J3,Q5,R4. Retrieved June 29, 2016 from http://papers.nber.org/tmp/821-w22316.pdf
Before After Change
Monitoring Only 31% 48% +17%
Feedback 31% 52% +21%
Personal Target 31% 53% +22%
Charity Donation 31% 51% +20%
2xweight loss in people who track food
6+ days per week vs. people who track
less than 11
1. Hollis, J. F. et al. (2008). Weight loss during the intensive intervention phase of the weight-loss maintenance trial. American Journal of Preventative Medicine, 32(5),
118-126.
2. Kruger, J., Blanck, H. M., & Gillespie, C. (2006). Dietary and physical activity behaviors among adults successful at weight loss maintenance. International Journal of
Behavioral Nutrition and Physical Activity, 3.
3. Bravata, D. M., et al. (2007). Using pedometers to increase physical activity and improve health: A systematic review. Journal of the American Medical Association,
298(19), 2296-2304.
18%of successful dieters kept a calorie
diary, vs. 8% of unsuccessful dieters2
People using pedometers keep their
physical activity at 27%above baseline
levels3
Opower.com
1.4 – 3.3% energy use reduction per household (Alcott, 2011)
MULTIPLE LEVELS OF FEEDBACK
YOU’VE EARNED A BADGE!
“One reported
reason for
ending these
badges is
precisely what
would be
predicted by
self-
determination
theory: users
began to ‘game’
the system,
looking to
circumvent the
health behavior
simply to get
the badge.”
Rigby, C. S. (2015). “Gamification and motivation,” in S. P. Walz & S. Deterding (eds.), The Gameful World: Approaches, Issues, Applications. Cambridge, MA: MIT Press.
1. http://www.fool.com/investing/general/2016/01/26/just-how-big-is-starbucks-mobile-order-pay-and-wha.aspx,
retrieved May 10, 2016
2. http://www.bizjournals.com/seattle/news/2016/04/21/starbucks-posts-highest-revenue-of-any-non-holiday.html,
retrieved May 10, 2016
22%
of transactions
in
December 2015
1
8 million
mobile transactions
per month
2
WHAT IF?
TASK ORDER MATTERS
• Time-consuming,
draining tasks? Go hard
to easy
• Learning, growth-
oriented tasks? Go easy
to hard
1 2
3
DOES IT WORK?
http://duolingo.com/#/effectiveness-study
34 Hours of
Duolingo
1 University
Semester
PERCEIVED RELATEDNESS
Show people they’re connected
Harlow Maslow
Reactive
Proactive
NORMATIVE FEEDBACK: A DELICATE
BALANCE
”It’s ok . . . Everyone has
trouble quitting so I
don’t need to try that
hard.”
“I’m not alone in this
struggle; other people
have succeeded and I
can too.”
Recent research shows that many people may try
to quit smoking more than thirty times before they
finally succeed.
PERSONALIZATION CREATES A
RELATIONSHIP
EVERYTHING IS BETTER WITH FRIENDS
WHEN IS ENGAGEMENT NOT
EVERYTHING?
Behavior
happens
away from
the digital
experience
Behavior
doesn’t
happen
frequently
The user’s
needs
change
over time
PULLING IT ALL TOGETHER
Physical Therapy is a pain (literally). Regimens
can be uncomfortable, hard to remember and
relentlessly boring resulting in low-adherence,
longer, frustrating recovery times and additional
costs for both the patient and the provider.
Our focus centered on designing a stimulating,
immersive and rewarding experience where
patients could safely and accurately perform their
PT regime while providing enough sensory
stimulus / juicy feedback to curb monotony and
instill a sense of personal mastery.
Clinics using Vera for PT see an astonishing
70% adherence rate to 30 minutes per day
regimens.
Inspiring PT patients at
every step of their Rehab
Journey
SDT APPLIED TO FITNESS: THE
MAPMYRUN 2015 YEAR IN REVIEW
Autonomy &
Competence
Competence
Autonomy &
Relatedness
VOTE FOR US TO GO TO SXSW!
PANELPICKER.SXSW.COM
Moral Issues in Designing
for
Behavior Change
Motivational science tells us
that to engage people in
behavior change, we must
respect and support their
autonomy—their ability to
make what we as experts
may think is the wrong choice.
We’ll explore the boundaries
and limitations of this science.
When do business goals take
precedence over user goals?
THANK YOU!
Amy Bucher, Ph.D.
amybucherphd.com
@amybphd
abucher@madpow.net

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Engagement Is Everything, How To Apply Psychology to Improve Digital Experiences - Webinar Aug 2016 - Amy Bucher

  • 1. ENGAGEMENT IS EVERYTHING: HOW TO APPLY PSYCHOLOGY TO IMPROVE DIGITAL EXPERIENCES Amy Bucher, Ph.D. Behavior Change Design Director Mad*Pow
  • 2.
  • 3. PEOPLE DON’T PARTICIPATE IN HEALTH AND WELLNESS PROGRAMS Fewer than ½ of employees complete wellness screenings and HRAs when offered Just 10% of eligible participants enroll in employer-based weight loss interventions Participation in disease management programs is around 16% for eligible employees Only 7% of eligible employees participate in smoking cessation programs Mattke, S., Liu, H., Caloyeras, J. P., Huang, C. Y., Van Busum, K. R., Khodyakov, D., & Shier, V. (2013). Workplace wellness programs study. Rand Corporation.
  • 8. “IT’S NOT THAT I’M LAZY, IT’S THAT I JUST DON’T CARE.”
  • 9.
  • 11. TYPES OF MOTIVATION: SELF DETERMINATION THEORY AutonomousControlled Long-term change happens here! Sources: Ryan & Deci (2000) Segar & Hall (2011) Amotivated I have no desire to do this. External Someone told me I have to do this. Introjected I’ve internalized the nagging: Better do this. Identified Doing this will help me achieve goals I really value. Integrated Doing this is part of who I am. Intrinsic I love doing this; it feels great!
  • 12. Wrzesniewski, A., Schwartz, B., Cong, X., Kane, M., Omar, A., & Kolditz, T. (2014). Multiple types of motives don’t multiply the motivation of West Point cadets. Proceedings of the National Academy of Sciences, 111(30), 10990-10995. doi: 10.1073/pnas.1405298111 EFFECTS OF MULTIPLE MOTIVES IN THE MILITARY Mostly Intrinsic Mostly Extrinsic Mixed Motives Outcomes: • More likely to become an officer • More likely to be considered for early promotion • More likely to stay in the military after mandatory service Outcomes: • Less likely to become an officer • Less likely to be considered for early promotion • Less likely to stay in the military after mandatory service
  • 13. “I can make my own meaningful choices” “I am learning, growing, and succeeding.” “I am part of something bigger than myself. I belong.” Autonomy Competence Relatedness Motivation THE LEVERS OF MOTIVATION Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68-78.
  • 14. HOW TO SUPPORT FUNDAMENTAL NEEDS Autonomy Support • Establish shared rules of engagement • Minimize external pressure • Provide maximum choice Competence Support • Make developmentally appropriate demands • Offer relevant feedback • Create optimal challenge Relatedness Support • Communicate warmth • Create a sense of involvement • Convey belongingness
  • 15. PERCEIVED AUTONOMY Help people feel they have control
  • 16. SHARED RULES OF ENGAGEMENT Patients educated about the experience via Emmi Solutions intervention before undergoing a colonoscopy had better outcomes including: • 18% less sedation medication • 14% decrease in procedure duration • 11% more knowledgeable
  • 17. MINIMIZE EXTERNAL PRESSURE • Calibrate reward amounts • Tie rewards to meaningful behaviors • Consider non-financial rewards when possible, preferably goal-consistent
  • 18.
  • 19.
  • 20.
  • 22. THE SECRET TO WEIGHT LOSS CALORIES IN CALORIES OUT
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. Emphasize the benefits to the preferred choice Show what’s missing from the non-preferred choice Use design to create visual appeal
  • 30.
  • 31. PERCEIVED COMPETENCE Help people feel they can do it
  • 33. EFFECTS OF BASELINE MEASUREMENT ON BEHAVIOR: EFFICIENT FLIGHT BEHAVIOR FOR AIRLINE PILOTS Gosnell, G. K., List, J. A., & Metcalfe, R. (working paper). A new approach to an age-old problem: Solving externalities by incenting workers directly. NBER Working Paper No. 22316. June 2016. JEL No. D01.J3,Q5,R4. Retrieved June 29, 2016 from http://papers.nber.org/tmp/821-w22316.pdf Before After Change Monitoring Only 31% 48% +17% Feedback 31% 52% +21% Personal Target 31% 53% +22% Charity Donation 31% 51% +20%
  • 34. 2xweight loss in people who track food 6+ days per week vs. people who track less than 11 1. Hollis, J. F. et al. (2008). Weight loss during the intensive intervention phase of the weight-loss maintenance trial. American Journal of Preventative Medicine, 32(5), 118-126. 2. Kruger, J., Blanck, H. M., & Gillespie, C. (2006). Dietary and physical activity behaviors among adults successful at weight loss maintenance. International Journal of Behavioral Nutrition and Physical Activity, 3. 3. Bravata, D. M., et al. (2007). Using pedometers to increase physical activity and improve health: A systematic review. Journal of the American Medical Association, 298(19), 2296-2304. 18%of successful dieters kept a calorie diary, vs. 8% of unsuccessful dieters2 People using pedometers keep their physical activity at 27%above baseline levels3
  • 35. Opower.com 1.4 – 3.3% energy use reduction per household (Alcott, 2011)
  • 36.
  • 37.
  • 38. MULTIPLE LEVELS OF FEEDBACK
  • 39.
  • 41. “One reported reason for ending these badges is precisely what would be predicted by self- determination theory: users began to ‘game’ the system, looking to circumvent the health behavior simply to get the badge.” Rigby, C. S. (2015). “Gamification and motivation,” in S. P. Walz & S. Deterding (eds.), The Gameful World: Approaches, Issues, Applications. Cambridge, MA: MIT Press.
  • 42. 1. http://www.fool.com/investing/general/2016/01/26/just-how-big-is-starbucks-mobile-order-pay-and-wha.aspx, retrieved May 10, 2016 2. http://www.bizjournals.com/seattle/news/2016/04/21/starbucks-posts-highest-revenue-of-any-non-holiday.html, retrieved May 10, 2016 22% of transactions in December 2015 1 8 million mobile transactions per month 2
  • 44. TASK ORDER MATTERS • Time-consuming, draining tasks? Go hard to easy • Learning, growth- oriented tasks? Go easy to hard
  • 45. 1 2 3
  • 46. DOES IT WORK? http://duolingo.com/#/effectiveness-study 34 Hours of Duolingo 1 University Semester
  • 47. PERCEIVED RELATEDNESS Show people they’re connected
  • 49.
  • 50.
  • 52.
  • 53. NORMATIVE FEEDBACK: A DELICATE BALANCE ”It’s ok . . . Everyone has trouble quitting so I don’t need to try that hard.” “I’m not alone in this struggle; other people have succeeded and I can too.” Recent research shows that many people may try to quit smoking more than thirty times before they finally succeed.
  • 55.
  • 56. EVERYTHING IS BETTER WITH FRIENDS
  • 57. WHEN IS ENGAGEMENT NOT EVERYTHING?
  • 61. PULLING IT ALL TOGETHER
  • 62. Physical Therapy is a pain (literally). Regimens can be uncomfortable, hard to remember and relentlessly boring resulting in low-adherence, longer, frustrating recovery times and additional costs for both the patient and the provider. Our focus centered on designing a stimulating, immersive and rewarding experience where patients could safely and accurately perform their PT regime while providing enough sensory stimulus / juicy feedback to curb monotony and instill a sense of personal mastery. Clinics using Vera for PT see an astonishing 70% adherence rate to 30 minutes per day regimens. Inspiring PT patients at every step of their Rehab Journey
  • 63. SDT APPLIED TO FITNESS: THE MAPMYRUN 2015 YEAR IN REVIEW Autonomy & Competence Competence Autonomy & Relatedness
  • 64. VOTE FOR US TO GO TO SXSW! PANELPICKER.SXSW.COM Moral Issues in Designing for Behavior Change Motivational science tells us that to engage people in behavior change, we must respect and support their autonomy—their ability to make what we as experts may think is the wrong choice. We’ll explore the boundaries and limitations of this science. When do business goals take precedence over user goals?
  • 65. THANK YOU! Amy Bucher, Ph.D. amybucherphd.com @amybphd abucher@madpow.net

Editor's Notes

  1. And these results aren’t limited to health programs. World at Work found that financial education and well-being programs were even less utilized than health programs at work (https://www.worldatwork.org/adimLink?id=59455). There are a number of reasons for this. Some people aren’t motivated to get started—they haven’t reached a point in their personal lives where they feel any urge to change. Some people aren’t aware programs are available. Sometimes people distrust programs offered by an employer, or prefer not to mix health and work. But another issue, and the one I’m going to talk about addressing, is that people aren’t engaged by the programs they’re offered. The programs are not designed in a way that psychologically hooks people and gets them to keep going with the experience.
  2. x
  3. Emmi Solutions case study: https://cdn2.hubspot.net/hubfs/491490/Case_Studies/Dartmouth_Colonoscopy_Case_Study.pdf?t=1470326721747
  4. Mass Effect 2
  5. Witcher 3
  6. Fallout 4
  7. Discuss ABILITY Function of scarcest resource: Time, energy, money, information, tools
  8. The Results The EmmiPrevent campaign successfully reached 47% of the targeted population. Of the women reached, 21% reported they already had a received a mammogram. 30% of the identified women reached reported they had not had a mammogram and asked to connect to their doctor’s office to schedule an appointment. And, of the women who transferred to scheduling, 43% went on to complete their mammogram.
  9. Another way to create a sense of ability or competence is through normative feedback—what others like you are doing. Opower launched a normative feedback program for energy consumption. People participating in the program got a neighborhood report showing how much energy others in the area were using. People who participated ended up using significantly less energy than people who didn’t get the comparison report—about 1.4-3.3% less per measurement period. That may not seem like a lot for any one individual, but when you think about the energy savings across a neighborhood or city, it starts to really add up. We also use normative feedback a lot with health related behaviors. For example, did you know that most people who successfully quit smoking have failed about 7 times before? Use of positive/hopeful feedback vs. unrealistic or lofty feedback
  10. Feedback on performance builds competence Call of Duty: Advanced Warfare
  11. The granularity of feedback also matters. Ideally, you want to give a few levels of feedback. Here in Guitar Hero, you see both feedback on each individual action, and cumulative feedback on overall performance over the course of the game
  12. Used in Europe to reduce messes in men’s restrooms
  13. Kip Williams
  14. BMJ Open 2016;6:e011045 doi:10.1136/bmjopen-2016-011045
  15. Amazon—recommends products both based on what you purchased, and on what people like you have bought
  16. Someone