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Not sure what you mean by programs. Could you elaborate Shane? BJ probably has tons of stories of real life interventions. I know for myself I lost 22lbs using this method along with a lot of discipline.

The selection process of the PERSON and their MOTIVATION level is the most critical foundation I think. Dont bother with people that are not interested in changing is the idea. Its a waste of time. Find people who want to do something and just give them easier ways to do it. There are lots of ways to train a new behavior. The best way is to add on to existing habits instead of trying to interject a new one.

after I brush my teeth every morning (time and context, existing habit) (trigger) I will floss top set of teeth (new habit) .Reward for the action (Tell myself Good Job man. ). Its comes AFTER an existing entrenched habit. The trigger for the behavior is brushing of teeth in morning. The reward for doing it is self celebration saying something great about myself.

Anything BEFORE an existing habit is harder because it interrupts the routine and makes it harder for someone to repeat until its a habit.

Habits in this population when it comes to food choice or how much they eat or how much sugar they take in are so quickly made with poor choices that they become habits without evening knowing they are entrenched. This creates a biological effect in the brain like being addicted to cocaine. It registers in the brain with same level of pleasure. Breaking this cycle requires a lot of self awareness and work.

So lets say you had 1million people living in Los Angeles and 30% were of this population the study is addressing. Lets say 5% of them were actually interested in changing. That would be the 5% I would bother with and leave the other 25% alone as its really a waste of time until that 25% becomes highly motivated or motivated enough to reach out or desire to make some changes. Weight Watchers and some of those programs are effective because they focus on someone who is motivated then they just make it EASY for them to follow this point system to eat but then they offer social support to enforce the changes and give them social reward system for sticking to it.

If IDEO is going to do anything of value here they would need to understand Weight Watchers approach and Jenny Craig, etc and see how they are addressing the ABILITY WINDOW (making eating choices easier- frozen meals, food delivered, point systems, etc) and the MOTIVATION level of the people participating along with the SOCIAL component that keeps people accountable.

Wearables, technology in general becomes bothersome with alerts and so on when the person is not engaged properly with the device or what they are trying to change. The participation rate on all these health trackers and fitness apps with contests, etc might not appeal to this culture. What might be more powerful is how to get their family involved in supporting them as this population is heavily invested in family more than others. The younger population of this demographic is still highly connected to family. I think the biggest population to address are the younger kids in this demographic as their parents heavily influence their eating and exercising behaviors. If you target the young adults that are living away from family already they might be easier to target but once again just giving more tech to them isn't going to solve the issue. Just sending an alert or notifications doesn't change behavior. Those triggers lose their effect quickly and become annoying. The triggers that are used must be carefully selected for them to really work to trigger the behavior they are seeking. Key word is SEEKING.

Hope that helps.

Hi Hannah. I can tell you it works. The main cause of a lot of the weight issues with this demographic in society is not just access to healthy food but conditioning of the culture and their eating patterns in their family upbringing. The only real way to engage change with any of this population is to first root out the ones that are engaging in the behavior already and help them do more of it instead of worrying about the rest who do not want to change. The hardest thing to change is someone's attitude toward something. The even harder one is to try to work on motivation. The best thing to do to get behavior change is to make something EASIER to do that someone wants to do already so they can do MORE of it until it becomes a habit. Finding those that are already motivated and engaging in behaviors or reaching out to help them change are the population to attack with any solution. Its hard to accept but in human behavior you just have to realize you cannot help those that don't want to change or want help. Its better to focus on helping those that want help and just those only.

You have uphill behaviors (like climbing a mountain that takes a lot of effort but people are highly motivated to do it so you just help them with ways to make it easier)

You have downhill behaviors like stop smoking or eating fat foods but people are less motivated to stop doing it or its just much harder to stop. The key factor is their ABILITY window to do things. If they have busy schedule and cannot eat healthy but little motivation to make change then its waste of time. If they want to change but just want tools then you can have impact there.

Tiny Habits is based on baby steps. You condition the behavior in small steps or sequences until it takes root and becomes a habit. But to make it successful it requires some conditions to be met and those conditions start with the persons motivation level and ability window. If these are too hard or not in place than no behavior modification with lasting sustainability will be achieved long term where the person owns it and it becomes part of their new lifestyle.