Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Making health habitual

The psychology of ‘habit-formation’ and general practice

Bibliographic Data

ID23344813
AuthorsBenjamin Gardner (0000-0003-1223-5934, University College London), Phillippa Lally (0000-0002-4847-4163, King's College London), Jon Wardle (0000-0002-1691-593X, London Health Sciences Centre), Jane Wardle
Year2012
Volume62
Issue605
Pages664-666
Publication date2012-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueBritish Journal of General Practice (JOURNAL)
Journal identifiersISSN: 0960-1643 • E-ISSN: 1478-5242
PublisherRoyal College of General Practitioners (PUBLISHER • GB)
DOI10.3399/bjgp12x659466
PMID23211256
PMCIDPMC3505409
OpenAlexW1987192180
LanguageEN
Citations received56
References cited16

The Secretary of State recently proposed that the NHS: ‘... take every opportunity to prevent poor health and promote healthy living by making the most of healthcare professionals’ contact with individual patients.’ 1 Patients trust health professionals as a source of advice on ‘lifestyle’ (that is, behaviour) change, and brief opportunistic advice can be effective.2 However, many health professionals shy away from giving advice on modifying behaviour because they find traditional behaviour change strategies time-consuming to explain and difficult for the patient to implement.2 Furthermore, even when patients successfully initiate the recommended changes, the gains are often transient3 because few of the traditional behaviour change strategies have built-in mechanisms for maintenance. Brief advice is usually based on advising patients on what to change and why (for example, reducing saturated fat intake to reduce the risk of heart attack). Psychologically, such advice is designed to engage conscious deliberative motivational processes, which Kahneman terms ‘slow’ or ‘System 2’ processes.4 However, the effects are typically short-lived because motivation and attention wane. Brief advice on how to change, engaging automatic (‘System 1’) processes, may offer a valuable alternative with potential for long-term impact. Opportunistic health behaviour advice must be easy for health professionals to give and easy for patients to implement to fit into routine health care. We propose that simple advice on how to make healthy actions into habits — externally-triggered automatic responses to frequently encountered contexts — offers a useful option in the behaviour change toolkit. Advice for creating habits is easy for clinicians to deliver and easy for patients to implement: repeat a chosen behaviour in the same context, until it becomes automatic and effortless. While often used as a synonym for frequent or customary behaviour in everyday parlance, within psychology, ‘habits’ are defined as actions that ...

Advice (programming) · Behavior change · Behaviour change · Habit · Health care · Health professionals · Psychological intervention · Applied Psychology · Behavioral Health and Interventions · Computer Science · Health Policy Implementation Science · Medicine · Mental Health and Psychiatry · Nursing · Psychology · Social Psychology

  • Dimensiones relacionadas con las enfermedades psicosociales post Covid en personal de servicio de la Universidad de Guayaquil, Ecuador

    Open Access•Edwin Leónidas Moreno Guambo, José Antonio Baculima Suárez et al.•Pacha Revista de Estudios…•2023

  • Move-It

    Open Access•Harry Blake, Betsy Lai et al.•International Journal of…•2019

  • Volume 66.3 (2021)

    Open Access•Mark Graybill Nostalgia, Mark S Graybill et al.•Amerikastudien/American Studies•2021

  • Promoting sunscreen use and skin self-examination to improve early detection and prevent skin cancer

    Open Access•Gill Hubbard, Richard G Kyle et al.•BMC Public Health•2018

  • Using Behavioral Science to help fight the Coronavirus

    Open Access•Peter D Lunn, Cameron A Belton et al.•Journal of Behavioral Public…•2020

  • Sensitive periods of substance abuse

    Open Access•Chloe J Jordan, Susan L Andersen•Developmental Cognitive…•2017

  • Effects of the preventive hypertension self-management education program for deaf and hard of hearing adults

    Open Access•Yujin Park, Y Kim et al.•The Journal of Deaf Studies and…•2026

  • Next Level Health

    Open Access•Victoria Chinn, Eva Neely et al.•Health Promotion International•2023

  • Bodies In and Out of Shape

    Open Access•Sabine Sielke•Amerikastudien/American Studies•2021

  • The effectiveness of a theory -based health education program on waterpipe smoking cessation in Iran

    Open Access•Nahid Shahabi, Shirin Shahbazi Sighaldeh et al.•BMC Public Health•2024

  • Hand Hygiene Habits of Ghanaian Youths in Accra

    Open Access•Timothy Bonney Oppong, Haiyan Yang et al.•International Journal of…•2019

  • Using an e-Health Intervention to Reduce Prolonged Sitting in UK Office Workers

    Open Access•Sophie E Carter, Richard Draijer et al.•International Journal of…•2020

  • Reducing screen-time and unhealthy snacking in 9–11 year old children

    Open Access•Natalie Pearson, Stuart Biddle et al.•BMC Public Health•2020

  • Green Mind Theory

    Open Access•Jules Pretty, Mike Rogerson et al.•International Journal of…•2017

  • Athletic Trainer’s Varying Levels of Awareness and Use of Disablement Model Frameworks

    Open Access•Rylee Haffey, Matthew J Rivera et al.•International Journal of…•2023

  • Occupational Physical Activity Habits of UK Office Workers

    Open Access•Lee Smith, Alexia Sawyer et al.•International Journal of…•2018

  • Physical Activity during the Covid-19 Pandemic in the UK

    Open Access•Verity Hailey, Alexandra Burton et al.•International Journal of…•2022

  • Evaluation of an intervention to promote walking during the commute to work

    Open Access•Suzanne Audrey, Hilary Fisher et al.•BMC Public Health•2019

  • Time-Use Sequences

    Open Access•Brittany V Barber, George Kephart et al.•International Journal of…•2024

  • The Role of Parental Health Literacy in Establishing Health-Promoting Habits in Early Childhood

    Open Access•Melinda Csima, Judit Podráczky et al.•Children•2024

  • Protocol for Minute Calisthenics

    Open Access•Joshua C Hollingsworth, Kaelin C Young et al.•BMC Public Health•2020

  • Effectiveness of a personalized health profile on specificity of self-management goals among people living with HIV in Canada

    Open Access•Maryam Mozafarinia, Fateme Rajabiyazdi et al.•Quality of Life Research•2022

  • Nature-Based Interventions and Mind–Body Interventions

    Open Access•Jules Pretty, Josh Barton•International Journal of…•2020

  • Acceptability of a theory-based sedentary behaviour reduction intervention for older adults (‘On Your Feet to Earn Your Seat’)

    Open Access•Raluca Matei, Ingela Thuné‐Boyle et al.•BMC Public Health•2015

  • Adaptation of diabetes prevention program for Chinese Americans – a qualitative study

    Open Access•Ming-Chin Yeh, Ming‐Chin Yeh et al.•BMC Public Health•2022

  • Fashion consumption during Covid-19

    Open Access•Katia Vladimirova, Claudia Elisabeth Henninger et al.•Cleaner and Responsible Consumption•2022

  • Changes in mental health during participation in Art Pharmacy

    Open Access•Lucy Rabinowitz Bailey, Peter R DiMilia•Frontiers in Public Health•2026

  • Beyond the 150 min target

    Open Access•Ning Kang, Chengmeng Zhang et al.•Frontiers in Public Health•2026

  • Mixed method assesses Chinese rehabilitation students' knowledge, attitude, and practice of physical activity guidelines

    Open Access•Manyue Luo, Wei An Chen et al.•Frontiers in Public Health•2026

  • The usage divide of digital health technology in age-friendly home modifications

    Open Access•Hong Zhang, Shuang Liang et al.•Frontiers in Public Health•2026

  • Proof of Concept for a Novel Social-Emotional Learning Programming

    Open Access•Ewelina Swierad, Ewelina Maria Swierad et al.•Education Sciences•2023

  • Exploring Workers' Subjective Experiences of Habit Formation in Cybersecurity

    Open Access•Emily I M Collins, John Hinds•Cyberpsychology Behavior and…•2021

  • Motivation and successful goal pursuit

    Open Access•Kyra Bobinet, Jeni L Burnette et al.•Current Psychology•2026

  • What can Jane Goodall teach us about addiction

    Open Access•Martin Frisher•Drugs Education Prevention and…•2023

  • The feasibility and acceptability of a single-session Acceptance and Commitment Therapy (ACT) intervention to support women self-reporting fear of childbirth in a first pregnancy

    Open Access•Sarah Howard, Consultant Midwife Gillian Houghton et al.•Psychology & Health•2023

  • Very small effects of an imagery-based randomised trial to promote adherence to wearing face coverings during the Covid-19 pandemic and identification of future intervention targets

    Dominic Conroy, Debbie Smith et al.•Psychology & Health•2023

  • Investigating the effectiveness of self-control and habit strength based interventions in reducing discretionary food consumption

    Open Access•Jenna Elliott, Jessica Charlesworth et al.•British Food Journal•2026

  • Reducing littering in the UK

    Open Access•Julia Kolodko, Karan Arora et al.•Behavioural Public Policy•2025

  • Digital self-tracking, habits and the myth of discontinuance

    Open Access•Marianne Clark, Clare Southerton et al.•New Media & Society•2022

  • Threshold occupational science concepts for lifestyle change

    Elizabeth Larson•Journal of Occupational Science•2019

  • Psychological needs satisfaction in physical education predicts a positive development of motivation in early adolescence

    Open Access•Sanga Yun, Timo Jaakkola et al.•European Physical Education Review•2024

  • The problem of obesity and dietary nudges

    Open Access•Eliah White, Eliah J White•Politics and the Life Sciences•2018

  • Incentivizing dietary choices among children

    Open Access•Michèle Belot, Jonathan James•Food Policy•2022

  • A mindful eating program improved home eating environment and reduced food insecurity among rural economically marginalized families

    Open Access•Jiying Ling, Nagwan R Zahry et al.•Critical Public Health•2025

  • The impact of an online stress intervention on burnout and teacher efficacy

    Open Access•Brandis Ansley, Brandis M Ansley et al.•Teaching and Teacher Education•2020

  • Experiences of men who have sex with men when initiating, implementing and persisting with HIV pre‐exposure prophylaxis

    Open Access•David Gillespie, F Wood et al.•Health Expectations•2022

  • Self‐directed self‐management interventions to prevent or address distress in young people with long‐term physical conditions

    Open Access•Nadia Corp, Lucy Bray et al.•Health Expectations•2023

  • Improving adherence to multiple medications in older people in primary care

    Open Access•Deborah E Patton, Cathal A Cadogan et al.•Health Expectations•2018

  • Evaluation of the Small Changes, Healthy Habits Pilot Program

    Open Access•Praja Adhikari, Elizabeth Gollub•European Journal of Investigation…•2021

  • Can existing mobile apps support healthier food purchasing behaviour? Content analysis of nutrition content, behaviour change theory and user quality integration

    Open Access•Sarah Jane Flaherty, Sarah-Jane Flaherty et al.•Public Health Nutrition•2018

  • Drivers and barriers of successful short-term dietary behavior change

    Open Access•Nora Chaaban, MoezAlIslam Faris et al.•Appetite•2026

  • Nudging healthier food choices in a cafeteria setting

    Open Access•Jan M Bauer, Sabine Bietz et al.•Appetite•2021

  • Self-reported eating behaviors of military recruits are associated with body mass index at military accession and change during initial military training

    Open Access•Heather S Fagnant, Nicholes J Armstrong et al.•Appetite•2019

  • Evaluating the Evidence on Sitting, Smoking, and Health

    Jeff K Vallance, Paul A Gardiner et al.•American Journal of Public Health•2018

  • Metacognition, Desire Thinking, and Problematic Social Media Use

    Open Access•Andrew Allen, Geraldine Sanders‐Westerhof et al.•Scandinavian Journal of Psychology•2025

  • Documentary Film as Interreligious Dialogue

    Open Access•Jenn Lindsay•Religions•2023

  • Reflective and Automatic Processes in the Initiation and Maintenance of Dietary Change

    Alexander J Rothman, Paschal Sheeran et al.•Annals of Behavioral Medicine•2009

  • Promoting habit formation

    Phillippa Lally, Benjamin Gardner•Health Psychology Review•2013

  • A new look at habits and the habit-goal interface.

    Wendy Wood, David T Neal•Psychological Review•2007

  • A Systematic Review and Meta-analysis of Applications of the Self-Report Habit Index to Nutrition and Physical Activity Behaviours

    Benjamin Gardner, Gert-Jan De Bruijn et al.•Annals of Behavioral Medicine•2011

  • Long-term maintenance of weight loss

    Robert W Jeffery, Leonard H Epstein et al.•Health Psychology•2000

  • Health benefits of physical activity

    Open Access•Darren E R Warburton•Canadian Medical Association…•2006

  • A perspective on judgment and choice

    Daniel Kahneman•American Psychologist•2003

  • Study protocol for the 10 Top Tips (10TT) Trial

    Open Access•Rebecca J Beeken, Helen Croker et al.•BMC Public Health•2012

  • How are habits formed

    Open Access•Phillippa Lally, Cornelia H M Van Jaarsveld et al.•European Journal of Social…•2010

  • How do habits guide behavior? Perceived and actual triggers of habits in daily life

    Open Access•David T Neal, Wendy Wood et al.•Journal of Experimental Social…•2011

  • The support of autonomy and the control of behavior

    Edward L Deci, Richard M Ryan•Journal of Personality and Social…•1987

  • Social Cognitive Theory

    Albert Bandura•Annual Review of Psychology•2001

Unique citing works56
Citations per year5,09
Citation span2015 - 2026 (12)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 53

Tools

Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae