Public humiliation as self-tracking motivation

I use a low-tech/high-sparkle method for motivating myself to exercise every day. It’s a small calendar hanging inside the bathroom cabinet door on which I post shiny kids’ stickers (the sparklier, the better) on each date that has included at least one hour of exercise.

I find that this self-tracking method is highly effective, particularly since I discovered individual little stickers with peel-off backings, not just the easy-peasey kind you lift off from a whole sheet of stickers. In the direct mail marketing business, my stickers would be called involvement devices (like tokens, peel-offs, stamps and tear-offs) that require a time commitment from potential customers. Marketers know that the more time we spend peeling, tearing or inserting these involvement devices, the more likely we’ll actually be to follow through to subscribe to their magazines or enter their sweepstakes contests.

But I digress. I love seeing an entire calendar page crammed with those shiny sparkles! Rewarding myself with a little sticker for my efforts is positive reinforcement.

Consider, however, these three self-tracking technology helpers that are designed to alter your behaviour not through rewarding you for your efforts, but through shame, humiliation and embarrassment when you screw up: Continue reading

Does knowing change behaving?

“Skate to where the puck is going.”  That’s a common expression here in Canada, largely attributed to hockey great Wayne Gretsky.  It basically says if you want to accomplish something, go directly to where it will really count. Or, as I like to translate that advice for the benefit of all you Silicon Valley start-ups working away on developing yet another new self-tracking health app: “For Pete’s sake, go find some Real Live Patients to talk (and listen) to first before you decide where you’re going!”

And as one sage pondered on Twitter:

“Why do we think self-tracking devices will work when mirrors and bathroom scales have so far failed?”

Speaking of Real Live Patients, here’s one who contacted me in response to a recent blog post I wrote about health apps for smartphones: Continue reading

How other doctors (not you) are influenced by Big Pharma

The pharmaceutical industry spends billions of dollars each year on handing out free samples of their expensive brand name drugs to physicians, who in turn hand them out to their patients.  As I’ve written about here and here, the obvious marketing truth is that no company would be doing this unless the strategy resulted in a significant increase in sales of those drugs.  When you’re looking at a global market for pharmaceuticals expected to top $1.1 trillion by 2014, that’s a substantial incentive to keep up this practice. Still, very few physicians believe that doctors accepting billions of dollars in free drug samples annually has the slightest bit of influence on the way they practice medicine. Except, of course, when it’s those other docs out there who are accepting the freebies.  Continue reading

Top 10 Nags of 2012 from The Ethical Nag

2012 blue

Yes, darling readers, it is indeed that time once again when all navel-gazing pundits whip up their Top 10 or Best Of lists for the year that is quickly passing. Let’s do that too here on The Nag.

But first, I want to say Happy New Year to all my readers, and especially to those of you:

  • who choose to share what you like here with friends, family or perfect strangers
  • who take the time to leave your astute, challenging or sometimes downright funny comments here – I love reading your feedback!
  • who follow The Nag via RSS feed, Twitter, or email subscriptions (you too can do this just by clicking the appropriate Follow The Nag buttons on the right sidebar of the homepage). I sincerely appreciate your company here.

Now here’s that Top 10 List of the most widely read Nags for 2012: Continue reading