Skip to main content
. 2021 Sep 30;99(11):819–827. doi: 10.2471/BLT.20.285227

Table 1. The trade-off between targeting amenable or resistant individuals with behavioural interventions.

Subset of population targeted by the intervention Effect of the intervention
Direct effect Indirect effect
Amenable individuals
Targeting those most likely to change behaviour maximizes the direct effect of the intervention
Targeting those most likely to change behaviour means relying on the indirect effect of the intervention to influence those least likely to change. For a given magnitude of direct effect, targeting those most likely to change minimizes the indirect effect of the intervention and, by extension, behavioural spillover
Resistant individuals
Targeting those least likely to change behaviour minimizes the direct effect of the intervention
For a given magnitude of direct effect, targeting those least likely to change behaviour maximizes the indirect effect of the intervention because those most likely to change will be affected indirectly but were not directly targeted
Randomly selected individuals The size of the direct effect will be intermediate between the effects of targeting either amenable or resistant individuals The size of the indirect effect will be intermediate between the effects of targeting either amenable or resistant individuals