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Behaviour Centred Design

Behaviour Centred Design

A general framework for behaviour change programming, founded in the latest behavioural science and design thinking.

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Behaviour Centred Design (BCD) has been developed over the past decade by academics from LSHTM’s Environmental Health Group. The approach combines evolutionary and environmental psychology and best marketing practice to design and test imaginative and provocative behaviour change interventions.

Resources

Those interested in BCD can take advantage of a number of resources and publications available on this website.

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About
About BCD
People
Team BCD
Projects
Projects BCD

The BCD approach has been used to change behaviour in a number of programs around the world.

Our projects  

Project Name: SuperAmma (‘SuperMom’)
Active Dates: 2009
Target Behaviour(s): Handwashing with soap after defecation
Target Population: Mothers of children under 5
Country: India (rural)
Funder(s): Wellcome Trust
Website: Superamma.org,
Description: Cluster randomized control trial of a handwashing with soap intervention in a rural Indian population. Successful in increasing handwashing rates from a state of near absence to sustained practice in nearly one-third of the target population.
Documentation:
1. Biran A, Schmidt W, Varadharajan K, Rajaraman D, Kumar R, Greenland K, Gopalan B, Aunger R, Curtis V (2014).  The Lancet Global Health 2(3): e145-e154.

2. Rajaraman D, Varadharajan K, Greenland K, Curtis V, Kumar R, Schmidt W, Aunger R and Biran A (2014).  BMC Public Health

Project Name: Komboni Housewives
Active Dates: 2011-13
Target Behaviour(s): Handwashing with soap, Use of ORS and zinc when child has diarrhoea, Exclusive breastfeeding until 6 months
Target Population: Mothers of children under 5
Country: Zambia
Funder(s): Absolute Return for Kids (ARK)
Website: Kombonihousewives.org
Documentation:
1. Greenland K, Chipungu J, Chilengi R and Curtis V (2016) . BMC Public Health.

2. Greenland K, Chipungu J, Curtis V, Schmidt W, Siwale Z, Mudenda M, Chilekwa J, Lewis J, Chilengi R (2016). "." The Lancet Global Health 4(12): e966-e977.

Kombonis
Project Name: 3P
Active Dates: 2015-present
Target Behaviour(s): Use, of and adherence to, oral PrEP
Target Population: Adolescent girls and young women
Country: South Africa
Funder(s): Gates Foundation
3P

Project Name: Nepal Food Hygiene Project
Active Dates: 2014-5
Target Behaviour(s): Handwashing with soap before serving food,
Target Population: Mothers of children under 5
Country: Nepal
Funder(s): WaterAid, Sanitation and Hygiene Applied Research for Equity
Website:
Documentation:
1. Gautam, Omprasad (2015) Food hygiene intervention to improve food hygiene behaviours, and reduce food contamination in Nepal: an exploratory trial. PhD thesis, °®ÍþÄÌapp of Hygiene & Tropical Medicine. DOI: 10.17037/PUBS.02531624

Nepal food hygiene

Project Name: Project Baduta
Active Dates: 2013-4
Target Behaviour(s): Exclusive breastfeeding, Reduced snacking, increased nutritional diversity
Target Population: 0-2 year olds and their mothers
Country: Indonesia
Funder(s): Global Alliance for Improved Nutrition
Website:
Description: Trial of intervention to increase the use of affordable nutritious complementary foods, reduce use of industrial milks and support mothers to continue breastfeeding. Intervention uses ‘gossip’ to manipulate social norms.
Documentation:
White S, Schmidt W, Sahanggamu D, Fatmaningrum D, van Liere M, Curtis V.(2016). . Trop Med Int Health.

Project Baduta
Project Name: Respect Campaign
Active Dates: 2015-17
Target Behaviour(s): Handwashing with soap
Target Population: Mothers of children under five
Country: Nigeria
Funder(s): WSSCC
Respect
Project Name: Lusaka Sanitation Demand
Active Dates: 2016-present
Target Behaviour(s): Latrine improvement
Target Population: Landlords
Country: Zambia
Funder(s): Sanitation and Hygiene Applied Research for Equity
 

Project Name: Exercise Promotion in Cancer Patients
Active Dates: 2012-15
Target Behaviour(s): Walking
Target Population: Prostate cancer patients
Country: UK
Documentation:

Doyle, Ciaran. (2015). Evaluation of a Home-Based Walking Exercise Program on Fatigue and Health Related Quality of Life in Prostate Cancer Patients Undergoing Radiation Therapy: A Pilot Study. (DrPH), °®ÍþÄÌapp of Hygiene and Tropical Medicine, London.   

 
Project Name: Hand Hygiene Compliance Improvement
Active Dates: 2014-present
Target Behaviour(s): Handwashing with soap
Target Population: Nurses
Country: USA
Funder(s): GoJo Industries
 

BCD has also been used in a number of projects with various commercial and creative clients not reported here.

Publications
Scientific Papers
Publications List
BCD Resources
This peer-refereed paper provides a brief, non-technical introduction to the approach.
BCD Manual
For behaviour change practitioners, the BCD Manual is a user-friendly means of learning how to use BCD during the program development process.
BCD Guide
For researchers, the BCD Guide provides a more theoretical foundation for BCD.
BCD Infographic
The BCD Infographic is a simple, graphically-oriented introduction to the main tenants of the approach.
BCD Formative Research Protocols
These Protocols provide a wide range of techniques for eliciting information during formative research fieldwork.
Evidence of impact
Biran A, Schmidt W, Varadharajan K, Rajaraman D, Kumar R, Greenland K, Gopalan B, Aunger R, Curtis V (2014)
The Lancet Global Health 2(3): e145-e154
Rajaraman D, Varadharajan K, Greenland K, Curtis V, Kumar R, Schmidt W, Aunger R and Biran A (2014)
BMC Public Health
Greenland K, Chipungu J, Chilengi R and Curtis V (2016)
BMC Public Health
Greenland K, Chipungu J, Curtis V, Schmidt W, Siwale Z, Mudenda M, Chilekwa J, Lewis J, Chilengi R (2016)
The Lancet Global Health 4(12): e966-e977
Gautam, Omprasad (2015)
PhD thesis, °®ÍþÄÌapp of Hygiene & Tropical Medicine. DOI: 10.17037/PUBS.02531624
White S, Schmidt W, Sahanggamu D, Fatmaningrum D, van Liere M, Curtis V.(2016)
Trop Med Int Health
Judah G, Aunger R, Schmidt WP, Michie S, Granger S, Curtis V
American Journal of Public Health. 2009 October 24: 05-11
Judah, G, Sood B, and Aunger B
British Journal of Health Psychology
Aunger, Robert (2007)
International Dental Journal 57 (5): 364-376
Theoretical frameworks
Aunger, Robert and Valerie Curtis (2014)
Applied Evolutionary Anthropology, ed. by David Lawson and Mhairi Gibson. Springer
Curtis, Valerie, Lisa Danquah and Robert Aunger (2009)
Health Education Research 24(4): 655-673
Sniehotta, Falko and Robert Aunger (2010)
Health Psychology (2nd edition), edited by David P French, A Kaptein, K Vedhara and John Weinman. Oxford: Wiley/Blackwell
Aunger, Robert (2010)
‘Three roads to cultural replication’. Evolutionary Psychology and Information Systems Research. Edited byNed Kock. New York: Springer Verlag, pp. 341-354
Curtis, Valerie and Robert Aunger (in press)
Practical Uses of Evolutionary Psychology, ed. by Craig Roberts. Oxford University Press
Rubio-Godoy, M., R. Aunger, and CURTIS V. (2007)
Medical Hypotheses 68(1): 61-66
Aunger, Robert and Val Curtis (2013)
Biological Theory 8:49-63
Aunger, Robert, Wolf-Peter Schmidt, Ashish Ranpura, Yolande Coombes, Peninnah Mukiri Maina, Carol Nkatha Matiko and Valerie Curtis (2010)
Social Science and Medicine 70: 383-391
Aunger, Robert, and Valerie Curtis (2008)
Biology and Philosophy 23(3):317-345
Curtis, Valerie, Míchèal DeBarra and Robert Aunger (2011)
Philosophical Transactions of the Royal Society B: Biological Sciences 366: 389-401
Curtis, V. (2011)
Philos Trans R Soc Lond B Biol Sci
De Barra, Míchèal, Robert Aunger, Diana Fleischman, and Valerie Curtis (submitted)
Journal of Personality and Social Psychology
CURTIS V, AUNGER R and RABIE T (2003)
Proceedings of the Royal Society Biology Letters Supplement, 2003, 0144
Curtis, V and Biran, A
Perspectives in Biology and Medicine, 44.1, 2001
CURTIS V. (2001)
Journal of Infection 2001: 43: 75 – 79
Curtis V, Voncken N and Singh S
Medische Antropologie 11 (1) 143-158 1999
Resources
BCD publication

BCD Resources


This peer-refereed paper provides a brief, non-technical introduction to the approach.

BCD Manual
For behaviour change practitioners, the BCD Manual is a user-friendly means of learning how to use BCD during the program development process.

BCD Guide
For researchers, the BCD Guide provides a more theoretical foundation for BCD.

BCD Infographic
The BCD Infographic is a simple, graphically-oriented introduction to the main tenants of the approach.

BCD Formative Research Protocols
These Protocols provide a wide range of techniques for eliciting information during formative research fieldwork.

BCD Checklist
The BCD Checklist is a tool for understanding the causes of behaviour that can be used in collaboration with formative research, behavioural observation, theory of change development and other tasks.

Webinars

The following links are to a series of six roughly hour-long webinars about BCD theory and process for designing behaviour change programs, with a focus on hygiene, and some general background on behaviour change.

WaterAid BCD Webinar 1
WaterAid BCD Webinar 2
WaterAid BCD Webinar 3
WaterAid BCD Webinar 4
WaterAid BCD Webinar 5
WaterAid BCD Webinar 6

A set of lecture notes to accompany these webinars are also available as a set of pdfs below:

Evidence of impact

 
Biran A, Schmidt W, Varadharajan K, Rajaraman D, Kumar R, Greenland K, Gopalan B, Aunger R, Curtis V (2014) The Lancet Global Health 2(3): e145-e154


Rajaraman D, Varadharajan K, Greenland K, Curtis V, Kumar R, Schmidt W, Aunger R and Biran A (2014), BMC Public Health


Greenland K, Chipungu J, Chilengi R and Curtis V (2016), BMC Public Health


Greenland K, Chipungu J, Curtis V, Schmidt W, Siwale Z, Mudenda M, Chilekwa J, Lewis J, Chilengi R (2016), The Lancet Global Health 4(12): e966-e977


Gautam, Omprasad (2015), PhD thesis, °®ÍþÄÌapp of Hygiene & Tropical Medicine. DOI: 10.17037/PUBS.02531624


White S, Schmidt W, Sahanggamu D, Fatmaningrum D, van Liere M, Curtis V.(2016), Trop Med Int Health


Judah G, Aunger R, Schmidt WP, Michie S, Granger S, Curtis V, American Journal of Public Health. 2009 October 24: 05-11


Judah, G, Sood B, and Aunger B, British Journal of Health Psychology


Aunger, Robert (2007), International Dental Journal 57 (5): 364-376

Theoretical frameworks


Aunger, Robert and Valerie Curtis (2014), Applied Evolutionary Anthropology, ed. by David Lawson and Mhairi Gibson. Springer


Curtis, Valerie, Lisa Danquah and Robert Aunger (2009), Health Education Research 24(4): 655-673


Sniehotta, Falko and Robert Aunger (2010), Health Psychology (2nd edition), edited by David P French, A Kaptein, K Vedhara and John Weinman. Oxford: Wiley/Blackwell


Aunger, Robert (2010), ‘Three roads to cultural replication’. Evolutionary Psychology and Information Systems Research. Edited byNed Kock. New York: Springer Verlag, pp. 341-354


Curtis, Valerie and Robert Aunger (in press), Practical Uses of Evolutionary Psychology, ed. by Craig Roberts. Oxford University Press


Rubio-Godoy, M., R. Aunger, and CURTIS V. (2007), Medical Hypotheses 68(1): 61-66


Aunger, Robert and Val Curtis (2013), Biological Theory 8:49-63


Aunger, Robert, Wolf-Peter Schmidt, Ashish Ranpura, Yolande Coombes, Peninnah Mukiri Maina, Carol Nkatha Matiko and Valerie Curtis (2010), Social Science and Medicine 70: 383-391


Aunger, Robert, and Valerie Curtis (2008), Biology and Philosophy 23(3):317-345


Curtis, Valerie, Míchèal DeBarra and Robert Aunger (2011), Philosophical Transactions of the Royal Society B: Biological Sciences 366: 389-401


Curtis, V. (2011), Philos Trans R Soc Lond B Biol Sci


De Barra, Míchèal, Robert Aunger, Diana Fleischman, and Valerie Curtis (submitted), Journal of Personality and Social Psychology


CURTIS V, AUNGER R and RABIE T (2003), Proceedings of the Royal Society Biology Letters Supplement, 2003, 0144


Curtis, V and Biran, A, Perspectives in Biology and Medicine, 44.1, 2001


CURTIS V. (2001), Journal of Infection 2001: 43: 75 – 79


Curtis V, Voncken N and Singh S, Medische Antropologie 11 (1) 143-158 1999

Updates
Updates list
Updates List
Behaviour Centred Design used to guide programming around COVID-19 public health responses around the world

Behaviour Centred Design is being used to guide programming around COVID-19 public health responses around the world. 

This guide shows how governments in LDICs can use this approach effectively.

Contact
Contact BCD

Contact us by email on BCDFrame@gmail.com