Behavioural Science and the Future of Health Tech: Designing for Better Outcomes

In a world where your smartwatch can monitor your heart rate, count your steps, and even remind you to breathe, health tech is no longer just about medical devices—it’s about understanding and influencing human behaviour. As we hurtle towards a future where technology and health are increasingly intertwined, it’s not the tech itself that will determine success, but how well it taps into the psychological undercurrents that drive human actions. Enter behavioural science, the unsung hero of the health tech revolution.

From Data to Behavioural Insights

Imagine this: you’ve just bought the latest wearable device, a sleek bracelet that promises to transform your health. It tracks your sleep, your activity levels, and even your eating habits. But after the initial excitement wears off, it ends up in the drawer, next to last year’s fitness tracker. Why? Because while the data was interesting, it didn’t change your behaviour.

This is the crux of the challenge facing health tech today. Collecting data is the easy part—getting people to act on it is where the real work begins. This is where behavioural science comes into play, bridging the gap between information and action.

Take Fitbit’s evolution as an example. Early iterations of the device focused on step counts and calorie burn—metrics that were easy to understand but didn’t necessarily lead to sustained behavioural change. It wasn’t until the company began integrating behavioural nudges—such as reminders to move, personalised goal setting, and social challenges—that it saw a more profound impact on user engagement and health outcomes. These nudges, rooted in the principles of behavioural science, turned abstract data into actionable insights, making the path to better health clearer and more attainable.

Designing for Adherence: The Psychology of Stickiness

One of the most significant hurdles in health tech is adherence—getting users to stick with a health regime long enough to see results. The harsh reality is that human beings are notoriously bad at sticking to health goals, whether it’s taking medication, exercising regularly, or maintaining a healthy diet.

This is where behavioural design becomes crucial. By understanding the psychological barriers to adherence—such as forgetfulness, lack of motivation, or the tendency to prioritise short-term comfort over long-term benefits—health tech companies can create solutions that make it easier for users to stay on track.

Consider the case of PillPack, an online pharmacy that packages medication by dose and delivers it straight to the customer’s door. This service addresses a fundamental behavioural issue: the complexity of managing multiple medications. By simplifying the process, PillPack removes a significant barrier to adherence, making it easier for patients to take their medications as prescribed. The success of PillPack, which was acquired by Amazon in 2018, underscores the power of behavioural design in health tech.

The Role of Gamification

Gamification—using game-like elements in non-game contexts—has emerged as a powerful tool in health tech, leveraging our natural tendencies for competition, reward, and achievement to drive behavioural change. By turning mundane health tasks into engaging activities, gamification taps into the psychological rewards that keep users motivated and engaged.

An example of this is the app Pokémon GO, which, while not initially designed as a health app, inadvertently became one of the most successful fitness tools of its time. By encouraging users to walk around their neighbourhoods in search of virtual creatures, the app turned exercise into a fun and social experience. This shows the potential of gamification to not just motivate, but to create new behavioural patterns that align with health goals.

Health tech companies are increasingly adopting similar strategies. Apps like SuperBetter, which gamifies mental health and resilience-building exercises, and Zombies, Run!, which turns running into a thrilling escape from zombies, are harnessing the motivational power of gamification to drive better health outcomes.

Challenges and Ethical Considerations

While the integration of behavioural science into health tech holds great promise, it’s not without its challenges. One of the most significant is the ethical dilemma of balancing influence with autonomy. There’s a fine line between guiding users towards healthier choices and manipulating them.

For example, consider the use of push notifications—seemingly harmless reminders that can encourage users to take their medication or go for a run. But when do these reminders become intrusive or even coercive? When does the nudge become a shove?

Health tech companies must navigate these ethical waters carefully, ensuring that their interventions respect user autonomy and are designed with the user’s best interests in mind. This requires transparency, user consent, and a commitment to ethical design principles that prioritise the well-being of the user over corporate profits.

Looking Ahead: The Future of Behavioural Science in Health Tech

As health tech continues to evolve, the role of behavioural science will only become more central. The next frontier lies in personalisation—not just in terms of data, but in understanding the unique behavioural drivers of each individual user.

Imagine a health app that doesn’t just track your steps, but also knows that you’re more likely to exercise in the morning, enjoys competition, and tends to skip workouts on rainy days. By integrating these behavioural insights, the app could tailor its nudges to fit your lifestyle, offering a gentle reminder to work out before the weather turns or a challenge to beat a friend’s step count. This level of personalisation, powered by AI and machine learning, could revolutionise the way we approach health tech.

Furthermore, as we move towards a more connected and data-driven healthcare system, the integration of behavioural science will play a crucial role in designing interventions that are not only effective but also scalable. From AI-driven chatbots that provide personalised mental health support to wearables that monitor chronic conditions and offer tailored lifestyle advice, the future of health tech will be defined by its ability to understand and influence human behaviour.

Conclusion: The Human Element in Health Tech

In the race to innovate, it’s easy to get caught up in the allure of technology—its speed, its precision, its capacity for transformation. But as health tech continues to advance, it’s crucial to remember that at its core, it’s not just about the technology; it’s about the people who use it.

Behavioural science offers a powerful lens through which to view this relationship, reminding us that the success of any health tech innovation ultimately depends on how well it aligns with the complexities of human behaviour. By designing for better outcomes, not just in terms of health metrics but in terms of human experience, we can create health tech solutions that are not only innovative but also truly transformative.

In the end, the future of health tech lies not just in understanding the data, but in understanding the people behind the data—their needs, their motivations, and their behaviours. And in this future, behavioural science will be the guiding star, illuminating the path towards better health, one nudge at a time.