Skip to main content

Leveraging Social Norms and Implementation Intentions for Better Health

  • Conference paper
  • First Online:
Smart Health (ICSH 2017)

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 10347))

Included in the following conference series:

Abstract

One in eleven adults worldwide suffers from diabetes, and the disease accounts for 12% of global health expenditure(http://www.idf.org/about-diabetes/facts-figures). Although self-management and monitoring are critical for general control of the disease and for preventing diabetes-related complications, most patients fail to adhere to self-management regimens. We study what type of external intervention will amplify the self-monitoring frequency of Type-2 diabetes (T2d) patients. We conducted a randomized field experiment on a mobile health application with more than 500 T2d patients, and tested two well-known mechanisms for behavior change: social norms, and implementation intentions. Further, we combined social norms and implementation intentions and tested whether these two mechanisms can complement each other. Our results show that individuals who receive a message containing both social norms and implementation intentions perform the best in regard to self-monitoring. Our research paves the way to further investigate how different mechanisms may be combined to help users’ form healthy habits.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Mobile benchmark Q3 2016 by “adjust” https://www.adjust.com/downloads/resources/mobile-benchmarks-q3-2016.pdf.

References

  1. Haas, L., et al.: National standards for diabetes self-management education and support. Diabetes Care 36(Supplement 1), S100–S108 (2013)

    Article  Google Scholar 

  2. Welschen, L.M., et al.: Self-monitoring of blood glucose in patients with type 2 diabetes who are not using insulin a systematic review. Diabetes Care 28(6), 1510–1517 (2005)

    Article  Google Scholar 

  3. Karter, A.J., et al.: Self-monitoring of blood glucose levels and glycemic control: the Northern California Kaiser Permanente Diabetes registry∗. Am. J. Med. 111(1), 1–9 (2001)

    Article  Google Scholar 

  4. Evans, J.M., et al.: Frequency of blood glucose monitoring in relation to glycaemic control: observational study with diabetes database. BMJ 319(7202), 83–86 (1999)

    Article  Google Scholar 

  5. McCaul, K.D., Glasgow, R.E., Schafer, L.C.: Diabetes regimen behaviors: predicting adherence. Med. Care, 868–881 (1987)

    Google Scholar 

  6. Sigurðardóttir, Á.K.: Self-care in diabetes: model of factors affecting self-care. J. Clin. Nurs. 14(3), 301–314 (2005)

    Article  Google Scholar 

  7. McAndrew, L., et al.: Does patient blood glucose monitoring improve diabetes control? A systematic review of the literature. Diab. Educ. 33(6), 991–1010 (2007)

    Article  Google Scholar 

  8. Sutton, S.: How does the health action process approach (HAPA) bridge the intention–behavior gap? An examination of the model’s causal structure. Appl. Psychol. 57(1), 66–74 (2008)

    Article  Google Scholar 

  9. Gollwitzer, P.M., Oettingen, G.: Implementation Intentions. Springer, New York (2013). doi:10.1007/978-1-4419-1005-9_1710

    Google Scholar 

  10. Clapp, J.D., et al.: A failed norms social marketing campaign. J. Stud. Alcohol 64(3), 409–414 (2003)

    Article  Google Scholar 

  11. Burchell, K., Rettie, R., Patel, K.: Marketing social norms: social marketing and the ‘social norm approach’. J. Consum. Behav. 12(1), 1–9 (2013)

    Article  Google Scholar 

  12. Higgs, S.: Social norms and their influence on eating behaviours. Appetite 86, 38–44 (2015)

    Article  Google Scholar 

  13. Allcott, H.: Social norms and energy conservation. J. Public Econ. 95(9), 1082–1095 (2011)

    Article  Google Scholar 

  14. Goldstein, N.J., Cialdini, R.B., Griskevicius, V.: A room with a viewpoint: using social norms to motivate environmental conservation in hotels. J. Consum. Res. 35(3), 472–482 (2008)

    Article  Google Scholar 

  15. Neighbors, C., et al.: Are social norms the best predictor of outcomes among heavy-drinking college students? J. Stud. Alcohol Drugs 68(4), 556 (2007)

    Article  Google Scholar 

  16. Schultz, P.W., et al.: The constructive, destructive, and reconstructive power of social norms. Psychol. Sci. 18(5), 429–434 (2007)

    Article  Google Scholar 

  17. Gollwitzer, P.M., et al.: Planning promotes goal striving. In: Handbook of Self-regulation: Research, Theory, and Applications, vol. 2, pp. 162–185 (2011)

    Google Scholar 

  18. Milkman, K.L., et al.: Using implementation intentions prompts to enhance influenza vaccination rates. Proc. Natl. Acad. Sci. 108(26), 10415–10420 (2011)

    Article  Google Scholar 

  19. Nickerson, D.W., Rogers, T.: Do you have a voting plan? Implementation intentions, voter turnout, and organic plan making. Psychol. Sci. 21(2), 194–199 (2010)

    Article  Google Scholar 

  20. Luszczynska, A., Sobczyk, A., Abraham, C.: Planning to lose weight: randomized controlled trial of an implementation intention prompt to enhance weight reduction among overweight and obese women. Health Psychol. 26(4), 507 (2007)

    Article  Google Scholar 

  21. Prestwich, A., Perugini, M., Hurling, R.: Can implementation intentions and text messages promote brisk walking? A randomized trial. Health Psychol. 29(1), 40 (2010)

    Article  Google Scholar 

  22. Prestwich, A., Perugini, M., Hurling, R.: Can the effects of implementation intentions on exercise be enhanced using text messages? Psychol. Health 24(6), 677–687 (2009)

    Article  Google Scholar 

  23. Ajzen, I.: From intentions to actions: a theory of planned behavior. In: Kuhl, J., Beckmann, J. (eds.) Action Control. SSSP Springer Series in Social Psychology, pp. 11–39. Springer, Heidelberg (1985). doi:10.1007/978-3-642-69746-3_2

    Chapter  Google Scholar 

  24. Hardeman, W., et al.: Application of the theory of planned behaviour in behaviour change interventions: a systematic review. Psychol. Health 17(2), 123–158 (2002)

    Article  Google Scholar 

  25. Norman, P.: Predicting health behaviour: a social cognition approach. Predicting Health Behav., 1 (2005)

    Google Scholar 

  26. Orbeil, S., Hodgldns, S., Sheeran, P.: Implementation intentions and the theory of planned behavior. Pers. Soc. Psychol. Bull. 23(9), 945–954 (1997)

    Article  Google Scholar 

  27. Gollwitzer, P.M.: Goal achievement: the role of intentions. Eur. Rev. Soc. Psychol. 4(1), 141–185 (1993)

    Article  Google Scholar 

  28. Blanchard, C.M.: Heart disease and physical activity: looking beyond patient characteristics. Exerc. Sport Sci. Rev. 40(1), 30–36 (2012)

    Article  Google Scholar 

  29. Trafimow, D., Fishbein, M.: The moderating effect of behavior type on the subjective norm-behavior relationship. J. Soc. Psychol. 134(6), 755–763 (1994)

    Article  Google Scholar 

  30. Doran, R., Larsen, S.: The relative importance of social and personal norms in explaining intentions to choose eco-friendly travel options. Int. J. Tourism Res. 18(2), 159–166 (2016)

    Article  Google Scholar 

  31. Lapinski, M.K., Rimal, R.N.: An explication of social norms. Comm. Theory 15(2), 127–147 (2005)

    Article  Google Scholar 

  32. List, J.A., Rasul, I.: Field experiments in labor economics. Handbook Labor Econ. 4, 103–228 (2011)

    Article  Google Scholar 

  33. Adair, J.G.: The Hawthorne effect: a reconsideration of the methodological artifact. J. Appl. Psychol. 69(2), 334–345 (1984)

    Article  Google Scholar 

  34. Sunstein, C.R.: Nudging: a very short guide. J. Consum. Policy 37(4), 583–588 (2014)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Che-Wei Liu , Weiguang Wang , Guodong (Gordon) Gao or Ritu Agarwal .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this paper

Cite this paper

Liu, CW., Wang, W., Gao, G.(., Agarwal, R. (2017). Leveraging Social Norms and Implementation Intentions for Better Health. In: Chen, H., Zeng, D., Karahanna, E., Bardhan, I. (eds) Smart Health. ICSH 2017. Lecture Notes in Computer Science(), vol 10347. Springer, Cham. https://doi.org/10.1007/978-3-319-67964-8_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-67964-8_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-67963-1

  • Online ISBN: 978-3-319-67964-8

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics