| Literature DB >> 34983836 |
Stephanie Mertens1, Mario Herberz2,3, Ulf J J Hahnel2,3, Tobias Brosch1,3.
Abstract
Over the past decade, choice architecture interventions or so-called nudges have received widespread attention from both researchers and policy makers. Built on insights from the behavioral sciences, this class of behavioral interventions focuses on the design of choice environments that facilitate personally and socially desirable decisions without restricting people in their freedom of choice. Drawing on more than 200 studies reporting over 450 effect sizes (n = 2,149,683), we present a comprehensive analysis of the effectiveness of choice architecture interventions across techniques, behavioral domains, and contextual study characteristics. Our results show that choice architecture interventions overall promote behavior change with a small to medium effect size of Cohen's d = 0.45 (95% CI [0.39, 0.52]). In addition, we find that the effectiveness of choice architecture interventions varies significantly as a function of technique and domain. Across behavioral domains, interventions that target the organization and structure of choice alternatives (decision structure) consistently outperform interventions that focus on the description of alternatives (decision information) or the reinforcement of behavioral intentions (decision assistance). Food choices are particularly responsive to choice architecture interventions, with effect sizes up to 2.5 times larger than those in other behavioral domains. Overall, choice architecture interventions affect behavior relatively independently of contextual study characteristics such as the geographical location or the target population of the intervention. Our analysis further reveals a moderate publication bias toward positive results in the literature. We end with a discussion of the implications of our findings for theory and behaviorally informed policy making.Entities:
Keywords: behavior change; behavioral insights; choice architecture; meta-analysis; nudge
Mesh:
Year: 2022 PMID: 34983836 PMCID: PMC8740589 DOI: 10.1073/pnas.2107346118
Source DB: PubMed Journal: Proc Natl Acad Sci U S A ISSN: 0027-8424 Impact factor: 12.779
Fig. 1.Number of citations of Thaler and Sunstein (1) between 2008 and 2020. Counts are based on citation search in Web of Science.
Taxonomy of choice architecture categories and intervention techniques
| Psychological barrier | Intervention category | Intervention technique |
| Limited access to decision-relevant information | Decision information: increase the availability, comprehensibility, and/or personal relevance of information | Translate information: adapt attributes to facilitate processing of already available information and/or shift decision maker’s perspective |
| Make information visible: provide access to relevant information | ||
| Provide social reference point: provide social normative information to reduce situational ambiguity and behavioral uncertainty | ||
| Limited capacity to evaluate and compare choice options | Decision structure: alter the utility of choice options through their arrangement in the decision | Change choice defaults: set no action default or prompt active choice to address behavioral inertia, loss aversion, and/or perceived endorsement |
| environment or the format of decision making | Change option-related effort: adjust physical or financial effort to remove friction from desirable choice option | |
| Change range or composition of options: adapt categories or grouping of choice options to facilitate evaluation | ||
| Change option consequences: adapt social consequences or microincentives to address present bias, bias in probability weighting, and/or loss aversion | ||
| Limited attention and self-control | Decision assistance: facilitate self-regulation | Provide reminders: increase the attentional salience of desirable behavior to overcome inattention due to information overload |
| Facilitate commitment: encourage self or public commitment to counteract failures of self-control |
Fig. 2.Forest plot of all effect sizes (k = 455) included in the meta-analysis with their corresponding 95% confidence intervals. Extracted Cohen’s d values ranged from –0.69 to 4.69. The proportion of true to total variance was estimated at I2 = 99.67%. ***
Fig. 3.Funnel plot displaying each observation as a function of its effect size and SE. In the absence of publication bias, observations should scatter symmetrically around the pooled effect size indicated by the gray vertical line and within the boundaries of the 95% confidence intervals shaded in white. The asymmetric distribution shown here indicates a one-tailed publication bias in the literature that favors the reporting of successful implementations of choice architecture interventions in studies with small sample sizes.
Fig. 4.Forest plot of effect sizes across categories of choice architecture intervention techniques (see Table 1 for more detailed description of techniques). The position of squares on the x axis indicates the effect size of each respective intervention technique. Bars indicate the 95% confidence intervals of effect sizes. The size of squares is inversely proportional to the SE of effect sizes. Diamond shapes indicate the average effect size and confidence intervals of intervention categories. The solid line represents an effect size of Cohen’s d = 0. The dotted line represents the overall effect size of choice architecture interventions, Cohen’s d = 0.45, 95% CI [0.39, 0.52]. Identical letter superscripts indicate statistically significant (P < 0.05) pairwise comparisons.
Fig. 5.Forest plot of effect sizes across categories of choice architecture interventions and behavioral domains. The position of squares on the x axis indicates the effect size of each intervention category within a behavioral domain. Bars indicate the 95% confidence intervals of effect sizes. The size of squares is inversely proportional to the SE of effect sizes. Diamond shapes indicate the overall effect size and confidence intervals of choice architecture interventions within a behavioral domain. The solid line represents an effect size of Cohen’s d = 0. The dotted line represents the overall effect size of choice architecture interventions, Cohen’s d = 0.45, 95% CI [0.39, 0.52]. Identical letter superscripts indicate statistically significant (P < 0.05) pairwise comparisons.
Parameter estimates of three-level meta-analytic models showing the overall effect size of choice architecture interventions as well as effect sizes across categories, techniques, behavioral domains, and contextual study characteristics
| Effect size | ||||||
| Effect |
|
|
| 95% CI | Test statistic |
|
| Random-effects model | ||||||
| Overall effect size | 455 | 2,149,683 | 0.45 | [0.39, 0.52] | <0.001 | |
| Mixed-effects models: substantive moderators | ||||||
| Choice architecture category | <0.001 | |||||
| Decision informationa | 130 | 913,963 | 0.38 | [0.29, 0.47] | ||
| Decision structurea,b | 227 | 357,179 | 0.55 | [0.45, 0.64] | ||
| Decision assistanceb | 98 | 878,541 | 0.31 | [0.23, 0.39] | ||
| Choice architecture technique | <0.001 | |||||
| Translationc | 50 | 52,230 | 0.31 | [0.18, 0.43] | ||
| Visibilityd | 31 | 822,242 | 0.36 | [0.26, 0.45] | ||
| Social referencee | 49 | 39,491 | 0.40 | [0.29, 0.51] | ||
| Defaultc,d,e,f,g | 132 | 139,948 | 0.62 | [0.50, 0.73] | ||
| Effort | 23 | 8,033 | 0.43 | [0.19, 0.67] | ||
| Composition | 53 | 7,434 | 0.55 | [0.22, 0.88] | ||
| Consequence | 19 | 201,764 | 0.43 | [0.29, 0.58] | ||
| Reminderf | 69 | 870,381 | 0.30 | [0.20, 0.39] | ||
| Commitmentg | 29 | 8,160 | 0.30 | [0.13, 0.46] | ||
| Behavioral domain | <0.001 | |||||
| Healthh | 84 | 122,762 | 0.34 | [0.22, 0.45] | ||
| Foodh,i,j,k,l | 111 | 12,515 | 0.72 | [0.49, 0.95] | ||
| Environmenti,m | 76 | 105,848 | 0.43 | [0.32, 0.54] | ||
| Financej,m | 45 | 38,730 | 0.25 | [0.12, 0.37] | ||
| Prosocialk | 66 | 1,041,629 | 0.44 | [0.29, 0.59] | ||
| Otherl | 73 | 828,199 | 0.29 | [0.05, 0.54] | ||
| Mixed-effects models: contextual study characteristics | ||||||
| Location | 0.599 | |||||
| Outside United States | 186 | 1,214,499 | ||||
| Inside United States | 269 | 935,184 | ||||
| Population | 0.258 | |||||
| Children and adolescents | 27 | 9,891 | ||||
| Adults | 428 | 2,139,792 | ||||
| Type of experiment | 0.846 | |||||
| Conventional laboratory | 124 | 12,723 | 0.44 | [0.33, 0.55] | ||
| Artifactual field | 160 | 49,118 | 0.43 | [0.24, 0.62] | ||
| Framed field | 81 | 15,595 | 0.52 | [0.34, 0.70] | ||
| Natural field | 90 | 2,072,247 | 0.44 | [0.11, 0.77] | ||
| Year of publication | 1982 to 2021 | 2,149,683 | <0.001 | |||
k, number of effect sizes; n, sample size. Within each moderator with more than two subgroups, identical letter superscripts indicate statistically significant (P < 0.05) pairwise comparisons between subgroups.
*Values refer to range of publication years rather than number of effect sizes.