MOTIVATIONAL DYNAMICS	
  
GETTING A HORSE TO DRINK	
  
 IN HEALTH BEHAVIOR CHANGE




                               DUSTIN DITOMMASO VP, Experience Design
                               dustin@madpow.net | @DU5TB1N | #hxdfconf
GETTING A HORSE TO DRINK	
  
                         ENGAGEMENT	
  




   @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
                          ENGAGEMENT	
  

                         INTRINSIC VALUE	
  



   @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
                          ENGAGEMENT	
  

                         INTRINSIC VALUE	
  

   EFFECTIVE BEHAVIOR CHANGE	
  
   @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  


         MOTIVATIONAL DESIGN?	
  



   @DU5TB1N | #hxdconf
CHANGE IS HARD	
  




@DU5TB1N | #hxdconf
COM-B MODEL	
   Michie et al




        @DU5TB1N | #hxdconf
JOHNMARSHALL
                      REEVE	
  
                      “ Motivation is the
                      process which gives
                      behavior its energy
                      and direction.”




@DU5TB1N | #hxdconf   Understanding Motivation and Emotion, 2005
INTRINSIC VS. EXTRINSIC MOTIVATIONS	
  
Intrinsic Motivation	
  



Extrinsic Motivation	
  



  @DU5TB1N | #hxdconf
INTRINSIC VS. EXTRINSIC MOTIVATIONS	
  
Intrinsic Motivation	
  
« Acts for the fun or challenge rather than because of
   external prods, pressures or rewards
« Feelings of satisfaction when engaged in interesting
   activities


Extrinsic Motivation	
  



  @DU5TB1N | #hxdconf
INTRINSIC VS. EXTRINSIC MOTIVATIONS	
  
Intrinsic Motivation	
  
« Acts for the fun or challenge rather than because of
   external prods, pressures or rewards
« Feelings of satisfaction when engaged in interesting
   activities


Extrinsic Motivation	
  
« Behaviors performed in order to obtain some
   separable outcome
« Such as a tangible reward, an avoidance of
   punishment, or the attainment of recognition,
   achievement, or approval
  @DU5TB1N | #hxdconf
INTRINSIC OR EXTRINSIC MOTIVATION?	
  




 @DU5TB1N | #hxdconf
SELF-DETERMINATION CONTINUUM	
  




 @DU5TB1N | #hxdconf
AMOTIVATION	
  
NON-REGULATION	
  
Lacks intentionality and a sense of
personal causation

Results from not valuing an activity
(Ryan, 1995)

Not feeling competent to do it
(Deci, 1975)

Not believing it will yield a desired
outcome (Seligman, 1975)




                             @DU5TB1N | #hxdconf
EXTRINSIC MOTIVATION	
  
EXTERNAL REGULATION	
  
Operant Conditioning

Activities are done purely to satisfy
external demands

Behavior is fueled by the possibility of
reward and punishment

Behaviors cease when reward or
punishment is not explicitly applied

People typically feel controlled or
alienated performing externally
regulated activities
                              @DU5TB1N | #hxdconf
EXTRINSIC MOTIVATION	
  
INTROJECTED REGULATION	
  
Based upon internal rewards and
punishments

Still controlled behavior, but represents
a greater degree of internalization

Avoid guild or anxiety

Boost the ego with pride




                             @DU5TB1N | #hxdconf
EXTRINSIC MOTIVATION	
  
IDENTIFIED REGULATION	
  
Conscious valuing of a behavioral goal

Individual "identifies with" or personally
values the behaviors they engage in

Ways of thinking and behaving are seen
as personally important

Behaviors persist independently of
environmental rewards




                             @DU5TB1N | #hxdconf
EXTRINSIC MOTIVATION	
  
INTEGRATED REGULATION	
  
Occurs when Identified regulations have
been fully assimilated into the self

Values, behaviors and needs brought
into congruence with other values,
behaviors and needs

Rivals intrinsic motivation in the
relative autonomy experience by the
actor




                           @DU5TB1N | #hxdconf
INTRINSIC MOTIVATION	
  
INTRINSIC REGULATION	
  
Pinnacle of self-determined activity

Activity is carried out purely for the
inherent satisfaction of doing so




                             @DU5TB1N | #hxdconf
SELF-DETERMINATION CONTINUUM	
  




 @DU5TB1N | #hxdconf
@DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  




                           @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it




                                    @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it
Show it enticing pictures of refreshing water




                                                @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it
Show it enticing pictures of refreshing water
Offer it money




                                                @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it
Show it enticing pictures of refreshing water
Offer it money
Warn it that if it doesn’t it will be punished




                                                 @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it
Show it enticing pictures of refreshing water
Offer it money
Warn it that if it doesn’t it will be punished
Set up a water-drinking skills training program




                                                 @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it
Show it enticing pictures of refreshing water
Offer it money
Warn it that if it doesn’t it will be punished
Set up a water-drinking skills training program
Devise water-drinking regulations




                                                 @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it
Show it enticing pictures of refreshing water
Offer it money
Warn it that if it doesn’t it will be punished
Set up a water-drinking skills training program
Devise water-drinking regulations
Put up signs pointing the way to the pond




                                                 @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it
Show it enticing pictures of refreshing water
Offer it money
Warn it that if it doesn’t it will be punished
Set up a water-drinking skills training program
Devise water-drinking regulations
Put up signs pointing the way to the pond
Show another horse doing it



                                                 @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
Tell it that water is good for it
Show it enticing pictures of refreshing water
Offer it money
Warn it that if it doesn’t it will be punished
Set up a water-drinking skills training program
Devise water-drinking regulations
Put up signs pointing the way to the pond
Show another horse doing it
Give it straw

                                                 @DU5TB1N | #hxdconf
GETTING A HORSE TO DRINK	
  
EDUCATION
PERSUASION
INCENTIVISATION
RESTRICTION
TRAINING
COERCION
ENVIRONMENTAL RESTRUCTURING
MODELING
ENABLING

  @DU5TB1N | #hxdconf
REGULATORS, RIDE!	
  
EDUCATION               Tell it that water is good for it

PERSUASION              Show it enticing pictures of refreshing water

INCENTIVISATION         Offer it money

RESTRICTION             Warn it that if it doesn’t it will be punished

TRAINING                Set up a water-drinking skills training program

COERCION                Devise water-drinking regulations

ENVIRONMENTAL           Put up signs pointing the way to the pond
RESTRUCTURING
MODELING                Show another horse doing it

ENABLING                Give it straw

  @DU5TB1N | #hxdconf
PUTTING IT TOGETHER	
  

  + Promote Identified Regulation +
+	
  Promote	
  Iden,fied	
  Regula,on	
  +	
   for doing the activity
      1.  Provide the rationale

  2.  Acknowledge that the person might not want to do what you
      are asking them to do

  3.  Ensure that the language and style used to initiate
      participation in the activity involves minimal pressure




                                                                        @DU5TB1N | #hxdconf
PUTTING IT TOGETHER	
  

 + Promote Interest +
+	
  Promote	
  Iden,fied	
  Regula,on	
  +	
  
      1.  Seek out ways to make uninteresting and boring activities
     not boring

 2.  Enhance the challenge offered by an activity to test
     participant’s skill

 3.  Add novelty and variety to repetitive tasks, where possible

 4.  Frame the context within story or even fantasy

 5.  Behavior Change Games FTW!                              @DU5TB1N | #hxdconf
PUTTING IT TOGETHER	
  

  + Promote Competence +
+	
  Promote	
  Iden,fied	
  Regula,on	
  +	
  
      1.  Provide clear instructions and individualized goals

  2.  Break complex tasks down (Make it easy!)

  3.  Tolerate and forgive failures

  4.  Provide positive (& juicy!) feedback

  5.  Use extrinsic rewards to mark achievement
      not to motivate action
                                                                @DU5TB1N | #hxdconf
KURT LEWIN	
  
“ There is nothing
so practical as a
good theory.”




            @DU5TB1N | #hxdconf
“ Buy it Beer! ”




 @DU5TB1N | #hxdconf
SOME REFERENCES	
  
Baumeister, R. F., Heatherton, T. F., & Tice, D. M. (1994). Losing control: How and
why people fail and self-regulation. San Diego, CA: Academic Press.
DeCharms, Richard (1968), Personal Causation: The Internal Affective Determinants
of Behavior. New York: Academic Press.
Deci, E.L., & Ryan, R.M. (1985). Intrinsic motivation and self-determination in
human behavior. New York: Plenum Press.
Deci, Edward L., Halah Eghrari, Brian C. Patrick, and Dean Leone (1994),
“Facilitating Internalization: The Self-Determination Theory Perspective,” Journal of
Personality, 62 (1), 119–42.
Deci, E. L., & Ryan, R. M. (2000). The ‘‘what’’ and ‘‘why’’ of goal pursuits: Human
needs and the self-determination of behavior. Psychological Inquiry, 11, 227–268.
Michie et al.: The behaviour change wheel: A new method for characterising and
designing behaviour change interventions. Implementation Science 2011 6:42.
Ryan, R. M. (1995). Psychological needs and the facilitation of integrative processes.
Journal of Personality, 63, 397–427.
Ryan, R. M., Frederick, C. M., Lepes, D., Rubio, N., & Sheldon, K. M. (1997). Intrinsic
motivation and exercise adherence. International Journal of Sport Psychology, 28,
335–354.
Ryan, R. M., and Edward L. Deci (2000a), “Intrinsic and Extrinsic Motivation: Classic
Definitions and New Directions,” Contem-porary Educational Psychology, 25 (1), 54–
67.
                                                                        @DU5TB1N | #hxdconf
SOME MORE REFERENCES	
  
Vallerand, R. J., & Bissonnette, R. (1992). Intrinsic, extrinsic, and amotivational
styles as predictors of behavior: A prospective study. Journal of Personality, 599–
620.
Vallerand, R. J., & Reid, G. (1984). On the causal effects of perceived competence on
intrinsic motivation: A test of cognitive evaluation theory. Journal of Sport
Psychology, 6, 94–102.
Vallerand, R. J. (1997). Toward a hierarchical model of intrinsic and extrinsic
motivation. In M. P. Zanna (Ed.), Advances in experimental social psychology (pp.
271–360). New York: Academic Press.
Williams, G. C., Grow, V. M., Freedman, Z., Ryan, R. M., & Deci, E. L. (1996).
Motivational predictors of weight loss and weight-loss maintenance. Journal of
Personality and Social Psychology, 70, 115–126.
IMAGE CREDITS	
  
Cover: http://wallpaper-s.org/12__Color_Flow_Light_Effect.htm
Smoke: http://portablewheelchairrampsguide.com
Burger: http://us.123rf.com/
KettleBell: http://3.bp.blogspot.com/
Kurt Lewin (MIT)
HorseDrinking Painting: salliesart.blogspot.com

HoseHorse: DineDashDeadlift.com
BeerHorse: Lee Sanders/newsteam.co.uk 22/09/09
                                                                       @DU5TB1N | #hxdconf
THANK YOU ! !	
  

“ Give it Beer! ”   Portsmouth	
  	
  	
  |	
  	
  	
  Boston	
  	
  	
  |	
  	
  	
  Louisville	
  
                    We deliver research-inspired design
                    aimed at improving the experiences
                    people have with technology,
                    organizations, and each other.




                    DUSTIN DITOMMASO
                    VP, Experience Design
                    dustin@madpow.net | @DU5TB1N

Motivational Dynamics in Health Behavior Change, v1

  • 1.
    MOTIVATIONAL DYNAMICS   GETTINGA HORSE TO DRINK   IN HEALTH BEHAVIOR CHANGE DUSTIN DITOMMASO VP, Experience Design dustin@madpow.net | @DU5TB1N | #hxdfconf
  • 2.
    GETTING A HORSETO DRINK   ENGAGEMENT   @DU5TB1N | #hxdconf
  • 3.
    GETTING A HORSETO DRINK   ENGAGEMENT   INTRINSIC VALUE   @DU5TB1N | #hxdconf
  • 4.
    GETTING A HORSETO DRINK   ENGAGEMENT   INTRINSIC VALUE   EFFECTIVE BEHAVIOR CHANGE   @DU5TB1N | #hxdconf
  • 5.
    GETTING A HORSETO DRINK   MOTIVATIONAL DESIGN?   @DU5TB1N | #hxdconf
  • 6.
    CHANGE IS HARD   @DU5TB1N | #hxdconf
  • 7.
    COM-B MODEL  Michie et al @DU5TB1N | #hxdconf
  • 8.
    JOHNMARSHALL REEVE   “ Motivation is the process which gives behavior its energy and direction.” @DU5TB1N | #hxdconf Understanding Motivation and Emotion, 2005
  • 9.
    INTRINSIC VS. EXTRINSICMOTIVATIONS   Intrinsic Motivation   Extrinsic Motivation   @DU5TB1N | #hxdconf
  • 10.
    INTRINSIC VS. EXTRINSICMOTIVATIONS   Intrinsic Motivation   « Acts for the fun or challenge rather than because of external prods, pressures or rewards « Feelings of satisfaction when engaged in interesting activities Extrinsic Motivation   @DU5TB1N | #hxdconf
  • 11.
    INTRINSIC VS. EXTRINSICMOTIVATIONS   Intrinsic Motivation   « Acts for the fun or challenge rather than because of external prods, pressures or rewards « Feelings of satisfaction when engaged in interesting activities Extrinsic Motivation   « Behaviors performed in order to obtain some separable outcome « Such as a tangible reward, an avoidance of punishment, or the attainment of recognition, achievement, or approval @DU5TB1N | #hxdconf
  • 12.
    INTRINSIC OR EXTRINSICMOTIVATION?   @DU5TB1N | #hxdconf
  • 13.
  • 14.
    AMOTIVATION   NON-REGULATION   Lacksintentionality and a sense of personal causation Results from not valuing an activity (Ryan, 1995) Not feeling competent to do it (Deci, 1975) Not believing it will yield a desired outcome (Seligman, 1975) @DU5TB1N | #hxdconf
  • 15.
    EXTRINSIC MOTIVATION   EXTERNALREGULATION   Operant Conditioning Activities are done purely to satisfy external demands Behavior is fueled by the possibility of reward and punishment Behaviors cease when reward or punishment is not explicitly applied People typically feel controlled or alienated performing externally regulated activities @DU5TB1N | #hxdconf
  • 16.
    EXTRINSIC MOTIVATION   INTROJECTEDREGULATION   Based upon internal rewards and punishments Still controlled behavior, but represents a greater degree of internalization Avoid guild or anxiety Boost the ego with pride @DU5TB1N | #hxdconf
  • 17.
    EXTRINSIC MOTIVATION   IDENTIFIEDREGULATION   Conscious valuing of a behavioral goal Individual "identifies with" or personally values the behaviors they engage in Ways of thinking and behaving are seen as personally important Behaviors persist independently of environmental rewards @DU5TB1N | #hxdconf
  • 18.
    EXTRINSIC MOTIVATION   INTEGRATEDREGULATION   Occurs when Identified regulations have been fully assimilated into the self Values, behaviors and needs brought into congruence with other values, behaviors and needs Rivals intrinsic motivation in the relative autonomy experience by the actor @DU5TB1N | #hxdconf
  • 19.
    INTRINSIC MOTIVATION   INTRINSICREGULATION   Pinnacle of self-determined activity Activity is carried out purely for the inherent satisfaction of doing so @DU5TB1N | #hxdconf
  • 20.
  • 21.
  • 22.
    GETTING A HORSETO DRINK   @DU5TB1N | #hxdconf
  • 23.
    GETTING A HORSETO DRINK   Tell it that water is good for it @DU5TB1N | #hxdconf
  • 24.
    GETTING A HORSETO DRINK   Tell it that water is good for it Show it enticing pictures of refreshing water @DU5TB1N | #hxdconf
  • 25.
    GETTING A HORSETO DRINK   Tell it that water is good for it Show it enticing pictures of refreshing water Offer it money @DU5TB1N | #hxdconf
  • 26.
    GETTING A HORSETO DRINK   Tell it that water is good for it Show it enticing pictures of refreshing water Offer it money Warn it that if it doesn’t it will be punished @DU5TB1N | #hxdconf
  • 27.
    GETTING A HORSETO DRINK   Tell it that water is good for it Show it enticing pictures of refreshing water Offer it money Warn it that if it doesn’t it will be punished Set up a water-drinking skills training program @DU5TB1N | #hxdconf
  • 28.
    GETTING A HORSETO DRINK   Tell it that water is good for it Show it enticing pictures of refreshing water Offer it money Warn it that if it doesn’t it will be punished Set up a water-drinking skills training program Devise water-drinking regulations @DU5TB1N | #hxdconf
  • 29.
    GETTING A HORSETO DRINK   Tell it that water is good for it Show it enticing pictures of refreshing water Offer it money Warn it that if it doesn’t it will be punished Set up a water-drinking skills training program Devise water-drinking regulations Put up signs pointing the way to the pond @DU5TB1N | #hxdconf
  • 30.
    GETTING A HORSETO DRINK   Tell it that water is good for it Show it enticing pictures of refreshing water Offer it money Warn it that if it doesn’t it will be punished Set up a water-drinking skills training program Devise water-drinking regulations Put up signs pointing the way to the pond Show another horse doing it @DU5TB1N | #hxdconf
  • 31.
    GETTING A HORSETO DRINK   Tell it that water is good for it Show it enticing pictures of refreshing water Offer it money Warn it that if it doesn’t it will be punished Set up a water-drinking skills training program Devise water-drinking regulations Put up signs pointing the way to the pond Show another horse doing it Give it straw @DU5TB1N | #hxdconf
  • 32.
    GETTING A HORSETO DRINK   EDUCATION PERSUASION INCENTIVISATION RESTRICTION TRAINING COERCION ENVIRONMENTAL RESTRUCTURING MODELING ENABLING @DU5TB1N | #hxdconf
  • 33.
    REGULATORS, RIDE!   EDUCATION Tell it that water is good for it PERSUASION Show it enticing pictures of refreshing water INCENTIVISATION Offer it money RESTRICTION Warn it that if it doesn’t it will be punished TRAINING Set up a water-drinking skills training program COERCION Devise water-drinking regulations ENVIRONMENTAL Put up signs pointing the way to the pond RESTRUCTURING MODELING Show another horse doing it ENABLING Give it straw @DU5TB1N | #hxdconf
  • 34.
    PUTTING IT TOGETHER   + Promote Identified Regulation + +  Promote  Iden,fied  Regula,on  +   for doing the activity 1.  Provide the rationale 2.  Acknowledge that the person might not want to do what you are asking them to do 3.  Ensure that the language and style used to initiate participation in the activity involves minimal pressure @DU5TB1N | #hxdconf
  • 35.
    PUTTING IT TOGETHER   + Promote Interest + +  Promote  Iden,fied  Regula,on  +   1.  Seek out ways to make uninteresting and boring activities not boring 2.  Enhance the challenge offered by an activity to test participant’s skill 3.  Add novelty and variety to repetitive tasks, where possible 4.  Frame the context within story or even fantasy 5.  Behavior Change Games FTW! @DU5TB1N | #hxdconf
  • 36.
    PUTTING IT TOGETHER   + Promote Competence + +  Promote  Iden,fied  Regula,on  +   1.  Provide clear instructions and individualized goals 2.  Break complex tasks down (Make it easy!) 3.  Tolerate and forgive failures 4.  Provide positive (& juicy!) feedback 5.  Use extrinsic rewards to mark achievement not to motivate action @DU5TB1N | #hxdconf
  • 37.
    KURT LEWIN   “There is nothing so practical as a good theory.” @DU5TB1N | #hxdconf
  • 38.
    “ Buy itBeer! ” @DU5TB1N | #hxdconf
  • 39.
    SOME REFERENCES   Baumeister,R. F., Heatherton, T. F., & Tice, D. M. (1994). Losing control: How and why people fail and self-regulation. San Diego, CA: Academic Press. DeCharms, Richard (1968), Personal Causation: The Internal Affective Determinants of Behavior. New York: Academic Press. Deci, E.L., & Ryan, R.M. (1985). Intrinsic motivation and self-determination in human behavior. New York: Plenum Press. Deci, Edward L., Halah Eghrari, Brian C. Patrick, and Dean Leone (1994), “Facilitating Internalization: The Self-Determination Theory Perspective,” Journal of Personality, 62 (1), 119–42. Deci, E. L., & Ryan, R. M. (2000). The ‘‘what’’ and ‘‘why’’ of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227–268. Michie et al.: The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science 2011 6:42. Ryan, R. M. (1995). Psychological needs and the facilitation of integrative processes. Journal of Personality, 63, 397–427. Ryan, R. M., Frederick, C. M., Lepes, D., Rubio, N., & Sheldon, K. M. (1997). Intrinsic motivation and exercise adherence. International Journal of Sport Psychology, 28, 335–354. Ryan, R. M., and Edward L. Deci (2000a), “Intrinsic and Extrinsic Motivation: Classic Definitions and New Directions,” Contem-porary Educational Psychology, 25 (1), 54– 67. @DU5TB1N | #hxdconf
  • 40.
    SOME MORE REFERENCES   Vallerand, R. J., & Bissonnette, R. (1992). Intrinsic, extrinsic, and amotivational styles as predictors of behavior: A prospective study. Journal of Personality, 599– 620. Vallerand, R. J., & Reid, G. (1984). On the causal effects of perceived competence on intrinsic motivation: A test of cognitive evaluation theory. Journal of Sport Psychology, 6, 94–102. Vallerand, R. J. (1997). Toward a hierarchical model of intrinsic and extrinsic motivation. In M. P. Zanna (Ed.), Advances in experimental social psychology (pp. 271–360). New York: Academic Press. Williams, G. C., Grow, V. M., Freedman, Z., Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology, 70, 115–126. IMAGE CREDITS   Cover: http://wallpaper-s.org/12__Color_Flow_Light_Effect.htm Smoke: http://portablewheelchairrampsguide.com Burger: http://us.123rf.com/ KettleBell: http://3.bp.blogspot.com/ Kurt Lewin (MIT) HorseDrinking Painting: salliesart.blogspot.com HoseHorse: DineDashDeadlift.com BeerHorse: Lee Sanders/newsteam.co.uk 22/09/09 @DU5TB1N | #hxdconf
  • 41.
    THANK YOU !!   “ Give it Beer! ” Portsmouth      |      Boston      |      Louisville   We deliver research-inspired design aimed at improving the experiences people have with technology, organizations, and each other. DUSTIN DITOMMASO VP, Experience Design dustin@madpow.net | @DU5TB1N