Making the change Behavioural factors in person- and community-centred approaches for health and wellbeing

March 2016

Hannah Burd
Michael Hallsworth
The Behavioural Insights Team

Key points

  • This report highlights that a multi-faceted approach is needed to enable effective self-care. It identifies five enabling factors:
    • growth mindset, self-efficacy and ‘grit’
    • removing friction costs (i.e. removing increases in effort required to perform a behaviour)
    • social connections
    • intrinsic motivation
    • goal setting and feedback.

Drawing on robust studies of what influences behaviour, this report sets out a number of factors that can lead to greater involvement in self-care.

    This report provides a framework for understanding the drivers of behaviour and includes examples and case studies to illustrate how the theories work in practice.

    And explores the behavioural science theories that suggest new ways of enabling people and communities to take a more active role in managing their own health. These new approaches may help realise the vision set out in the NHS Five Year Forward View.

    This report provides an accessible introduction to the theories of change behind a series of action-focused guides that will be published as part of the Realising the Value programme in autumn 2016.

    It is aimed at policymakers, commissioners, service designers and organisations working to promote more person- and community-centered approaches for health and wellbeing.

    Further reading

    Research report

    Spreading change

    September 2016
    Research report

    This guide outlines how behavioural science can help spread the take-up of person- and...

    Research report

    Supporting self-management

    September 2016
    Research report

    This guide outlines how the science of behaviour can help people to self-manage their health and...

    Research report

    At the heart of health: Realising the value of people and communities

    February 2016
    Research report

    Explores the value of people and communities at the heart of health, in support of the NHS Five Year...

    You might also like...


    Putting health tech into practice


    What is required for tech implementation in the NHS to be successful, and how should this shape our...


    COVID-19 recovery: opportunities for building a relational approach to quality improvement


    Public health specialty registrar Dr Esther Kwong reflects on her personal experience of using...

    Research project

    Analysing quality of life for people with a learning disability using the Personal Outcome Scale

    Research project

    Project that is aiming to develop a better understanding of lived experience to identify what caring...

    Kjell-bubble-diagramArtboard 101 copy

    Get social

    Our long read explores improvement approaches that can increase productivity, and how to make them happen. It outl…

    Follow us on Twitter
    Kjell-bubble-diagramArtboard 101

    Work with us

    We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

    View current vacancies
    Artboard 101 copy 2

    The Q community

    Q is an initiative connecting people with improvement expertise across the UK.

    Find out more