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Table 2 The ‘MINDSPACE’ framework and application for phone-based reminder messages

From: Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme

Principles

Application

Messenger

People are heavily influenced by the authority and credibility of the person sending the message, so the reminder messages should be signed-off by a trusted official/professional.

Incentives

People are more sensitive to losses than gains, so the reminders should frame non-attendance as a loss.

Norms

People want to fit in and are strongly influenced by the actions of others, so the reminders should signal that attendance is the norm.

Defaults

People tend to ‘go with the flow’ and use pre-set options, so attendance should be the default option in the reminders.

Salience

People are drawn to things that are novel and appear relevant to them, so the reminders should be personalised and stress the novelty of the opportunity.

Priming

Peoples’ decisions are commonly influenced by subconscious cues in their environment. We cannot influence this via phone-message.

Affect

Peoples’ decisions are often based on emotional associations rather than facts, so the reminders should seek to make emotive arguments for attendance.

Commitments

People seek to be consistent with public promises and reciprocate acts, so the reminders should aim to elicit a commitment to attend and stress the social expectation of attendance.

Ego

People act in ways that support the impression of a positive self-image, so the reminders should reinforce the message that attendance is consistent with recipients’ positive self-perceptions.