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. 2019 Mar 18;3:886. [Version 1] doi: 10.12688/gatesopenres.12923.1

Table 1. Behavioral models surveyed, and their main advantages and limitations.

Models of behavior surveyed
Origin sector Main advantage Main limitation
Main focus: perceptual drivers
Health Belief Model Psychology, public
health
Very widely used, wealth of data demonstrating that
components explain some variance of behavior.
Neglects factors other than beliefs (biases, emotions,
habits) and context/environment.
MINDSPACE Checklist Public policy
(interdisciplinary
influences)
Concrete, practical checklist of evidence-based
techniques to effect change across many sectors.
Focuses almost entirely on unconscious processes and
corresponding nudges.
Integrative Model of Behavioral
Prediction/Reasoned Action
Approach/Theory of Reasoned
Action
Psychology Differentiates between different kinds of beliefs. Context/environment is only accounted for superficially.

Does not elaborate on how beliefs are formed; neglects
intention–action gap (focus on intention, but intentions do
not equal actions) and unconscious processes
(e.g. biases).
Transtheoretical Model
(Stages of Change)
Psychology Change-as-process over time is unique component. Evidence for six clearly delineated stages of change is
weak.
Health Action Approach Psychology Stages of change extended to repeat behaviors. No recognition of biases or contextual factors.
Self-determination Theory Psychology Differentiates between extrinsic and intrinsic motivations
and names drivers for intrinsic motivation.
Focused on only one aspect of decision-making: ignores
all non-motivational individual and systemic factors.
OCEAN model of Personality Psychology Trait-based models of personality reliably explain part of
the variance in (health) behaviors.
Factors only account for part of an individual’s personality,
which in turn only accounts for parts of their behavior.

Personality has limited predictive power for a specific
behavior, but rather for patterns of behavior.
Theoretical Domains Framework Psychology Validated and extensive list of barriers and facilitators. Biases and personality mostly absent.
COM-B ('capability',
'opportunity', 'motivation' and
'behavior')
Psychology Emerging from the Theoretical Domains Framework,
the first model to link different intervention and policy
categories to behavioral drivers in a systematic and
parsimonious way.
Limited dimensions of drivers of behavior makes the model
easy to understand, but it does not provide much detail.
Fogg Behavior Model Psychology Similar to COM-B: behavior is understood as a mixture of
motivation, ability, and prompts. Uniquely, strong focus on
characteristics of contextual cues that are most effective in
shifting behaviors.
Model’s view of motivation and ability is simplistic.
Expected Utility Theory and
Prospect Theory
Behavioral economics Gives insight into appraisal process of a decision. Accounts for a small subset of drivers of behavior.
Collection of cognitive biases
and heuristics
Behavioral economics,
psychology,
neuroscience
Insight into ‘automatic’ and unconscious drivers of
behavior.
Accounts for only one aspect of decision-making.
Evo-Eco Approach Evolutionary biology,
neuroscience
Evolutionary aspects of behavior and embodiment given
due importance (e.g. disgust as a primal emotional
reaction).
Views behavior as largely caused by automatic/habitual
processes.
Main focus: contextual drivers
Social-Ecological Model Psychology Shows the dynamic ways that different strata of the social
sphere influence each other.
Does not account for perceptual drivers of behavior.
Social Cognitive Theory Psychology Shows how social influence can mediate some perceptual
drivers.
Focuses most on self-efficacy, little emphasis on context.
Practice Theory Sociology, anthropology Focuses on environmental constraints on behavior. Neglects individuals, focus on theoretical level rather than
testing components’ explanatory value.
Diffusion of Innovations Theory Communication studies/
sociology
Clear guidance on techniques to reach different segments
of a population to adopt a novel behavior.
Segments individuals in a specific way (how receptive
they are to an innovation), does not account for other
environmental and cognitive factors driving decision-making.