uMotif – software for compliance and goal achievement The application of behavior change literature to app design uMotif builds software applications that help people change behaviour to achieve personal goals and comply with health, education and other regimes. This short paper summarises the science of behaviour, and how uMotif draws on concepts from the literature to facilitate behaviour change. The key to Behaviour Change is Habit Replacement 45% of our behaviour is habitual (Neal et al., 2006). Habits are automatic actions given a specific situation. Habits form passively when a particular behaviour is the easiest, quickest and most rewarding. This is referred to as taking “the path of least resistance”. For example, snacking while watching TV can quickly become habit; once habitual, turning on the TV is often enough to incite the urge to snack. Habits do not form overnight; the process takes on average 66 days and varies depending on activity (Lally, 2009). The key to larger behaviour change is mastering ‘keystone’ habits that create a chain reaction that can significantly influence the success of other habits (Duhigg, 2012). Changing behavior by relying on sheer willpower and motivation alone has a success rate of just 22%. This increases to 66% by simply including the strategy of visualising when the behaviour will occur (Gollwitzer & Brandstatter, 1996). Successful behaviour change is characterized by use of visualization or other support mechanisms. Proven support mechanisms include removing temptations, implementing rewards and tracking progress. uMotif builds software tools that support behaviour change, drawing on proven strategies. How will using uMotif facilitate behaviour change? uMotif has a deep understanding of the psychological behaviour change literature and its practical application, including self-efficacy theory (Bandura, 1977), the Theory of Planned Behaviour (Azjen, 1991), selfmonitoring (Schunk, 1983 and Baker, 1993), self-regulation (Baumeister, 1998) the neurology of reward (Schultz, 1998), and positive psychology (Linley & Joseph, 2004). In particular, uMotif adopts the empowering principle of self-tracking ‘small wins’, also known as the notion of ‘what gets monitored gets managed’ (Karl Weick, 1984 and Drucker, 1954). uMotif intuitively visualizes the positive effects of ‘small wins’ on metrics such as exercise and sleep. This assists the process of self-learning, which according to Maslow’s hierarchy (1954), is key to self-actualisation and taking greater control over personal health and well-being Tracking interface for patients with Parkinson’s Disease Self-tracking is proven to aid achievement of goals, from weight loss, to increased workplace productivity, to improvements in children’s maths test scores of over 300% (Schunk, 1983). Tracking progress leads to heightened self-efficacy, feeling in control and empowered. Increased self-efficacy has a number of positive effects on health and well-being (O’Leary, 1985). Copyright uMotif 2012 Why will people keep using uMotif to help facilitate behavior change? Self-monitoring is most effective if performed daily (Boutelle & Kirschenbaum, 2012). We aim, therefore, for users to engage with uMotif on a daily basis, becoming a habit in itself. We adopt lean start-up principles (Ries, 2011) to actively test and iterate designs to maximise engagement. A key stage in development of uMotif is incorporating learning from the emerging field of persuasive technology, pioneered by B. J. Fogg at Stanford University. Fogg’s Model: B (behaviour change success) = M (motivation) A (ability) T (trigger). Fogg’s model inspires uMotif to include relevant and timely reminders to trigger simple, quick and easy use of our tools – meaning event those with low motivation are likely to continue using the app. We further draw on Nir Eyal’s ‘Desire Engine’ model to engage users by designing in a range of ‘variable rewards’ that make users want to return to uMotif to find out ‘what’s coming next’. The reward could include new content, data visualizations, personalized messages and competitive gamification. Such ‘rewards’ stimulate the brain to produce more dopamine in response to surprise/uncertainty (Skinner, 1950). Most importantly, we understand that behaviour is nothing without context. (Ariely, 2009). In particular habits are entirely driven by how strong the association is between context triggering and action (Verplanken & Aarts, 1999). A recent review on health behaviour change and mobile technology by Margaret Morris (2012) from Intel states that the key to successful future applications is the creative use of “contextual prompting”. uMotif will therefore include many features to trigger action, including linked to the user’s context. Apps to enhance the power of personal relationships uMotif tools are designed to strengthen and enhance relationships between users and trusted professionals (Doctor, personal trainer, teacher), to help people change behaviour. Our technology facilitates humanto-human interaction, which is far more powerful and sustaining than machines giving automated feedback (accountability human vs. machine). We refer to recent research that simple electronic medicines reminders can be effective, particularly when combined with other interventions (Vervloet et al, J Am Med Inform Assoc, 2012), and that use of apps and rewards can increase adherence to medical programmes (Cafazzo et al,JMIR, 2012), within the context of human-to-human engagement. Copyright uMotif 2012 For more information on uMotif and how our tools could help you and your stakeholders, please contact Bruce Hellman, bruce@uMotif.com or via Twitter @uMotif