Behavioural Insights and Mental Health

Transcription

1 IN PARTNERSHIP WITH Behavioural Insights and Mental Health David Halpern CEO, BIT National Advisor on What Works

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3 Social networks and community matter

4 Control and worry matter too even without physical change Southgate GP consultations (seasonally adjusted odds ratio) Halpern and Reid (1992) BMJ

5 Physical layouts affect social networks and in turn mental health

6 Our government will find intelligent ways to encourage, support and enable people to make better choices for themselves.

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8 EASY ATTRACTIV E TIMELY SOCIAL

9 Easy

10 Suicide a mysterious reduction Hawton, 2007; Kreitman, 1976

11 Attractive

12 The power of personalisation % of job seekers turning up to the Jobcentre Highest performing text ( +Reciprocity ) 10% 15% 18% 27% Control + Claimant Name Total number of SMSs sent = 1,224 + Advisor Name + Reciprocity

13 Social

14 Anti-microbial resistance Hallsworth et al. (2016) Provision of social norm feedback to high prescribers of antibiotics in general practice: a pragmatic national randomised controlled trial.t

15 Chief Medical Officer letter to 3,227 GPs The great majority (80%) of practices in London prescribe fewer antibiotics per head than yours.

16 160 Antibiotic items dispensed per 1000 weighted population Control Treatment n=1, September (pre) October November December January February March April (post) Month

17 160 Antibiotic items dispensed per 1000 weighted population Control Treatment n=1, September (pre) October November December January February March April (post) Month

18 Timely

19 Text messages reduced dropouts in further education Msgs cost 3.5p each Largely automated Across the year less than 5 25% 16% Control Treatment

20 Mental health & Wellbeing

21 Digitally-assisted IAPT and beyond Online therapy has the potential to transform the way mental health services are delivered by allowing people to check their symptoms, be triaged online and receive clinically-assisted therapy over the internet much more quickly and easily. The shared society: Prime Minister s speech at the Charity Commission Annual meeting, 9 January 2017.

22 Promote soft skills and resilience

23 Trial Design 10,000 learners across 20 colleges Online Exercise 1: Grit Online Exercise 2: Values Affirmation Text Message Intervention 3: Study Supporter Primary Outcome Measures: Achievement and Attendance Rates Secondary Outcome Measures: Further Study / Employment, Well-being, Attitudes

24 Grit Teaching Perseverance

25 Values Affirmation Overcoming Stereotype Threat

26 Study Support Helping Friends and Family Help Learners So how is college going Raj? I hear you ve been learning about kilometres and miles. How many kilometres is one mile?

27 Impact of Grit and VA on mid-year attendance

28 Impact of Study Support on mid-year attendance

29 Life satisfaction (2010)

30 Office of National Statistics measurement program asking 100,000+ people a year How satisfied are you with your life nowadays? How happy did you feel yesterday? How anxious did you feel yesterday? To what extent do you feel the things you do in your life are worthwhile?

31 Ask the Danes Percent saying most important Denmark UK Bulgaria 10 0

32 De-shroud utility

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34 Appendix

35 Reducing missed hospital appointments Michael Hallsworth, Dan Berry, Michael Sanders, Anna Sallis, Dominic King, Ivo Vlaev, Ara Darzi (2015) Stating appointment costs in SMS reminders reduces missed hospital appointments: Findings from two randomised controlled trials. PLOS One /journal.pone

36 Trial Messages Name Message Control Number Norm Costs Appt at [hospital] on [Sep 16] at [10:00am]. To cancel or rearrange call the number on your appointment letter. Appt at [hospital] on [Sep 16] at [10:00am]. To cancel or rearrange call We are expecting you at [hospital] on [Sep 16] at [10:00am]. 9 out of 10 people attend. Call if you need to cancel or rearrange. We are expecting you at [hospital] on [Sep 16] at [10:00am]. Not attending costs NHS 160 approx. Call if you need to cancel or rearrange.

37 The best performing message reduced missed appointments by 25% % of appointments recorded as missed ** 11.1% 9.8% 10.0% 8.5% Control Number Norms Costs Total n = 10,111 * p < 0.05, ** p < 0.01

38 This result would lead to 5,800 fewer missed appointments if applied over one year in same location 406,740 fewer if applied in England Benefits x5 with full mobile coverage

39 Rutland Wokingham Hartlepool Blackburn

40 The commitment strip and salient booking information increased the number of women screened Women attending a breast screen appointment, by letter condition % * Behavioural Letter 12% Prize Draw Letter 14% a 17 per cent increase Control Control Letter Planning Letter N=7,754 * p < 0.05, ** p < 0.01, *** p < 0.001

41 Getting merchant bankers to give 38.0% 5.5% 5.5% 12.0% Control Volunteers Sweets Personal message

42 Easy: choosing a healthier drink (Alfred)

43 A third invitation for a first breast screen: Behaviourally-informed Plus Reframing a prize the draw prize offer letter draw offer and you could win an ipad Air for yourself or for an inspirational woman you know

44 The most effective approach was the giving prize Women booking before the deadline, by letter condition % ** *** *** Behavioural Letter Prize Draw Letter 6.4% Giving Prize Letter 6.75% 5.2% Control 0.6% Control (No letter) Behavioural Letter Prize Draw Letter Giving Prize Letter N=37,761 * p < 0.05, ** p < 0.01, *** p < 0.001

45 A growing literature Excellent summary text Guide for Policymakers Shows Implications for Policy

46 The number of visits to the Stoptober page, and the percentage who registered by Hour A more complex website did worse particularly in the morning 18% 21% 25% 20% % 15% % 5% % 5% 0%