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The TIPPME intervention typology for changing environments to change behaviour

  • Nature Human Behaviour volume 1, Article number: 0140 (2017)
  • doi:10.1038/s41562-017-0140
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Abstract

Reflecting widespread interest in concepts of ‘nudging’ and ‘choice architecture’, there is increasing research and policy attention on altering aspects of the small-scale physical environment, such as portion sizes or the placement of products, to change health-related behaviour at the population level. There is, however, a lack of clarity in characterizing these interventions and no reliable framework incorporating standardized definitions. This hampers both the synthesis of cumulative evidence about intervention effects, and the identification of intervention opportunities. To address this, a new tool, TIPPME (typology of interventions in proximal physical micro-environments), has been developed and here applied to the selection, purchase and consumption of food, alcohol and tobacco. This provides a framework to reliably classify and describe, and enable more systematic design, reporting and analysis of, an important class of interventions. In doing so, it makes a distinct contribution to collective efforts to build the cumulative evidence base for effective ways of changing behaviour across populations.

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Acknowledgements

The study was funded by the United Kingdom Department of Health Policy Research Programme (Policy Research Unit in Behaviour and Health (PR-UN-0409-10109)). D.O. is supported by the Medical Research Council (unit programme number MC_UU_12015/6). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Author information

Affiliations

  1. Behaviour and Health Research Unit, University of Cambridge, Institute of Public Health, Robinson Way, Cambridge CB2 0SR, UK.

    • Gareth J. Hollands
    • , Giacomo Bignardi
    •  & Theresa M. Marteau
  2. Institute of Applied Health Sciences, University of Aberdeen, Polwarth Building, Aberdeen AB25 2ZD, UK.

    • Marie Johnston
  3. Department of Public Health and Primary Care, University of Cambridge, Institute of Public Health, Robinson Way, Cambridge CB2 0SR, UK.

    • Michael P. Kelly
    •  & Stephen Sutton
  4. MRC Epidemiology Unit, University of Cambridge, University of Cambridge School of Clinical Medicine, Box 285 Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK.

    • David Ogilvie
  5. Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

    • Mark Petticrew
  6. School of Psychology, University of Leeds, Leeds LS2 9JT, UK.

    • Andrew Prestwich
  7. EPPI-Centre, UCL Institute of Education, University College London, 18 Woburn Square,London WC1H 0NR, UK.

    • Ian Shemilt

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Contributions

G.J.H., M.P.K., D.O., I.S., S.S. and. T.M.M. conceived the study. G.J.H., G.B., M.P.K., D.O., I.S., S.S. and T.M.M. designed and conducted the workshops and reliability testing exercises. All authors conducted and interpreted the analysis. G.J.H. prepared the original manuscript, with input from G.B., S.S. and T.M.M. All authors drafted and approved the final manuscript.

Competing interests

The authors declare no competing interests.

Corresponding author

Correspondence to Gareth J. Hollands.

Supplementary information

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    Supplementary Information

    Supplementary Notes, Supplementary Figure 1.