Solving the obesity crisis: knowledge, nudge or nanny?


BioMedCentral Blog: ” The 5th Annual Oxford London Lecture (17 March 2015) was delivered by Professor Susan Jebb from Oxford University. The presentation was titled: ‘Knowledge, nudge and nanny: Opportunities to improve the nation’s diet’. In this guest blog Dr Helen Walls, Research Fellow at the London School of Hygiene and Tropical Medicine, covers key themes from this presentation.

“Obesity and related non-communicable disease such as diabetes, heart disease and cancer poses a significant health, social and economic burden in countries worldwide, including the United Kingdom. Whilst the need for action is clear, the nutrition policy response is a highly controversial topic. Professor Jebb raised the question of how best to achieve dietary change: through ‘knowledge, nudge or nanny’?

Education regarding healthy nutrition is an important strategy, but insufficient. People are notoriously bad at putting their knowledge to work. The inclination to overemphasise the importance of knowledge, whilst ignoring the influence of environmental factors on human behaviours, is termed the ‘fundamental attribution error’. Education may also contribute to widening inequities.

Our choices are strongly shaped by the environments in which we live. So if ‘knowledge’ is not enough, what sort of interventions are appropriate? This raises questions regarding individual choice and the role of government. Here, Professor Jebb introduced the Nuffield Intervention Ladder.

 

Nuffield Intervention Ladder
Nuffield Intervention Ladder
Nuffield Council on Bioethics. Public health ethical issues. London: Nuffield Council on Bioethics. 2007.

The Nuffield Intervention Ladder or what I will refer to as ‘the ladder’ describes intervention types from least to most intrusive on personal choice. With addressing diets and obesity, Professor Jebb believes we need a range of policy types, across the range of rungs on the ladder.

Less intrusive measures on the ladder could include provision of information about healthy and unhealthy foods, and provision of nutritional information on products (which helps knowledge be put into action). More effective than labelling is the signposting of healthier choices.

Taking a few steps up the ladder brings in ‘nudge’, a concept from behavioural economics. A nudge is any aspect of the choice architecture that alters people’s behaviour in a predictable way without forbidding options or significantly changing economic incentives. Nudges are not mandates. Putting fruit at eye level counts as a nudge. Banning junk food does not.

Nudges are not mandates. Putting fruit at eye level counts as a nudge. Banning junk food does not.

The in-store environment has a huge influence over our choices, and many nudge options would fit here. For example, gondalar-end (end of aisle) promotions create a huge up-lift in sales. Removing unhealthy products from this position could make a considerable difference to the contents of supermarket baskets.

Nudge could be used to assist people make better nutritional choices, but it’s also unlikely to be enough. We celebrate the achievement we have made with tobacco control policies and smoking reduction. Here, we use a range of intervention types, including many legislative measures – the ‘nanny’ aspect of the title of this presentation….(More)”

Ready Steady Gov


Joshua Chambers at FutureGov: “…two public servants in Western Australia have come up with an alternative way of pushing forwards their government’s digital delivery.

Their new project, Ready Steady Gov, provides free web templates based on an open source CMS so that any agency can quickly upgrade their web site, for free. The officials’ templates are based on the web site guidance published by the state: the Web Governance Framework and the Common Website Elements documentation.

The site was motivated by a desire to quickly improve government web sites. “I’m sure you’ve heard the phrase… ‘Everything takes longer in government’. We want building websites to become an exception to this rule,” wrote Jessy Yuen and Vincent Manera, the project’s founders.

They have created five open source templates “which are lightly styled so that you can easily integrate your own branding”. They are responsive so that they fit all screen sizes, and meet the required accessibility standards….(More)”

Mobileview

Rebooting Democracy


 John Boik, Lorenzo Fioramonti, and Gary Milante at Foreign Policy: “….The next generation of political and economic systems may look very different from the ones we know today.

Some changes along these lines are already happening. Civil society groups, cities, organizations, and government agencies have begun to experiment with a host of innovations that promote decentralization, redundancy, inclusion, and diversity. These include participatory budgeting, where residents of a city democratically choose how public monies are spent. They also include local currency systems, open-source development, open-design, open-data and open-government, public banking, “buy local” campaigns, crowdfunding, and socially responsible business models.

Such innovations are a type of churning on the edges of current systems. But in complex systems, changes at the periphery can cascade to changes at the core. Further, the speed of change is increasing. Consider the telephone, first introduced by Bell in 1876. It took about 75 years to reach adoption by 50 percent of the market. A century later the Internet did the same in about 35 years. We can expect that the next major innovations will be adopted even faster.

Following the examples of the telephone and Internet, it appears likely that the technology of new economic and political decision-making systems will first be adopted by small groups, then spread virally. Indeed, small groups, such as neighborhoods and cities, are among today’s leaders in innovation. The influence of larger bodies, such as big corporations and non-governmental organizations, is also growing steadily as nation states increasingly share their powers, willingly or not.

Changes are evident even within large corporations. Open-source software development has become the norm, for example, and companies as large as Toyota have announced plans to freely share their intellectual property.

While these innovations represent potentially important parts of new political and economic systems, they are only the tip of the iceberg. Systems engineering design could eventually integrate these and other innovations into efficient, user-friendly, scalable, and resilient whole systems. But the need for this kind of innovation is not yet universally acknowledged. In its list of 14 grand challenges for the 21st century, the U.S. National Academy of Engineering addresses many of the problems caused by poor decision making, such as climate change, but not the decision-making systems themselves. The work has only just begun.

The development of new options will dramatically alter how democracy is used, adjusted, and exported. Attention will shift toward groups, perhaps at the city/regional level, who wish to apply the flexible tools freely available on the Internet. Future practitioners of democracy will invest more time and resources to understand what communities want and need — helping them adapt designs to make them fit for their purpose — and to build networked systems that beneficially connect diverse groups into larger political and economic structures. In time, when the updates to next-generation political and economic near completion, we might find ourselves more fully embracing the notion “engage local, think global.”…(More)

We, the government


Davied van Berlo has published a new book about the role of government in the network society. It has not yet been published in English  but can be downloaded in Dutch at boek.ambtenaar20.nl.

The Civil Servant 2.0 book is available Uk_flag_300.png in English.”

About “We, the government”:

“The network society. Everybody’s talking about it, but what does it really mean? What effect does the networking age in society have on government? The public good is no longer just a government issue but a cocreation between government and society. However, what will this collaboration look like and will we be able to execute political goals in such a networked society?

In his third book Davied van Berlo, writer of Civil Servant 2.0 and Civil Servant 2.0 beta, explores the role of government in the network society. “We, the government” gives a new perspective on the working of government and offers civil servants and public officials a hand in shaping their new role in society.”…

Davied has used parts of his new book in the presentation he gave to the Dutch chapter of the Internet Society, see the video. Below the video an english version of the Prezi is available….(More)”

Knight Cities Challenge Winners


Carol Coletta at Knight Foundation: “32 civic innovators receive $5 million in funding in first Knight Cities Challenge…

Several themes emerged among the winning applications, which all sought to accelerate talent, opportunity or engagement—the three primary drivers of city success—in some way. “Bringing life back to public and vacant space” was the theme of our largest category of winners, representing almost a third of the group. The second largest category was “changing the stories people tell about their cities” with almost 20 percent. Three more themes each represented 13 percent of the winning ideas: “reimagining the civic commons,” “retaining talent” and “promoting civic engagement.” A full list of the winners appears below…. (More)”

Improving public policy through behavioral economics


Professor Chetty has been widely recognized for his research that combines empirical evidence and economic theory to help design more effective government policies. This is Part One of our conversation.

For part 2 of our conversation, on the use of administrative data (or “big data”) for research on what works in public policy, click here.”

The perils of extreme democracy


The Economist: “California cannot pass timely budgets even in good years, which is one reason why its credit rating has, in one generation, fallen from one of the best to the absolute worst among the 50 states. How can a place which has so much going for it—from its diversity and natural beauty to its unsurpassed talent clusters in Silicon Valley and Hollywood—be so poorly governed? ….But as our special report this week argues, the main culprit has been direct democracy: recalls, in which Californians fire elected officials in mid-term; referendums, in which they can reject acts of their legislature; and especially initiatives, in which the voters write their own rules. Since 1978, when Proposition 13 lowered property-tax rates, hundreds of initiatives have been approved on subjects from education to the regulation of chicken coops.

This citizen legislature has caused chaos. Many initiatives have either limited taxes or mandated spending, making it even harder to balance the budget. Some are so ill-thought-out that they achieve the opposite of their intent: for all its small-government pretensions, Proposition 13 ended up centralising California’s finances, shifting them from local to state government. Rather than being the curb on elites that they were supposed to be, ballot initiatives have become a tool of special interests, with lobbyists and extremists bankrolling laws that are often bewildering in their complexity and obscure in their ramifications. And they have impoverished the state’s representative government. Who would want to sit in a legislature where 70-90% of the budget has already been allocated?

This has been a tragedy for California, but it matters far beyond the state’s borders. Around half of America’s states and an increasing number of countries have direct democracy in some form (article). Next month Britain will have its first referendum for years (on whether to change its voting system), and there is talk of voter recalls for aberrant MPs. The European Union has just introduced the first supranational initiative process. With technology making it ever easier to hold referendums and Western voters ever more angry with their politicians, direct democracy could be on the march.

And why not? There is, after all, a successful model: in Switzerland direct democracy goes back to the Middle Ages at the local level and to the 19th century at the federal. This mixture of direct and representative democracy seems to work well. Surely it is just a case of California (which explicitly borrowed the Swiss model) executing a good idea poorly?

Not entirely. Very few people, least of all this newspaper, want to ban direct democracy. Indeed, in some cases referendums are good things: they are a way of holding a legislature to account. In California reforms to curb gerrymandering and non-partisan primaries, both improvements, have recently been introduced by initiatives; and they were pushed by Arnold Schwarzenegger, a governor elected through the recall process. But there is a strong case for proceeding with caution, especially when it comes to allowing people to circumvent a legislature with citizen-made legislation.

The debate about the merits of representative and direct democracy goes back to ancient times. To simplify a little, the Athenians favoured pure democracy (“people rule”, though in fact oligarchs often had the last word); the Romans chose a republic, as a “public thing”, where representatives could make trade-offs for the common good and were accountable for the sum of their achievements. America’s Founding Fathers, especially James Madison and Alexander Hamilton, backed the Romans. Indeed, in their guise of “Publius” in the “Federalist Papers”, Madison and Hamilton warn against the dangerous “passions” of the mob and the threat of “minority factions” (ie, special interests) seizing the democratic process.

Proper democracy is far more than a perpetual ballot process. It must include deliberation, mature institutions and checks and balances such as those in the American constitution. Ironically, California imported direct democracy almost a century ago as a “safety valve” in case government should become corrupt. The process began to malfunction only relatively recently. With Proposition 13, it stopped being a valve and instead became almost the entire engine.

….More important, direct democracy must revert to being a safety valve, not the engine. Initiatives should be far harder to introduce. They should be shorter and simpler, so that voters can actually understand them. They should state what they cost, and where that money is to come from. And, if successful, initiatives must be subject to amendment by the legislature. Those would be good principles to apply to referendums, too….(More)”

Design in policy making


at the Open Policy Making Blog: “….In recent years, notable policy and business experts have been discussing the value of design and ‘design thinking’ as an approach to improving the way Government delivers services in one form or another for (and with) citizens.  Examples include Roger Martin from Rotman Business School, Christian Bason formerly of Mindlab, Marco Steinberg of Sitra, Hilary Cottam of Participle, and many more who have been promoting the use of design as a tool for service transformation.

So what is design and how is it being applied in government?  This is the question that has been posed this week at the Service Design in Government conference in London.  This week is also the launch of some of the Policy Lab tools in the Policy Toolkit.

The Policy Lab have produced a short introduction to design, service design and design thinking.  It serves to explain how we are defining and using the term design in various ways in a policy context as well as provide practical tools and examples of design being used in policy making.

We tend to spot design when it goes wrong: badly laid out forms, websites we can’t navigate, confusing signage, transport links that don’t join together, queues for services that are in demand. Bad design is a time thief.  We can also spot good design when we see it, but how is it achieved?…(More)”

Big Data for Social Good


Introduction to a Special Issue of the Journal “Big Data” by Catlett Charlie and Ghani Rayid: “…organizations focused on social good are realizing the potential as well but face several challenges as they seek to become more data-driven. The biggest challenge they face is a paucity of examples and case studies on how data can be used for social good. This special issue of Big Data is targeted at tackling that challenge and focuses on highlighting some exciting and impactful examples of work that uses data for social good. The special issue is just one example of the recent surge in such efforts by the data science community. …

This special issue solicited case studies and problem statements that would either highlight (1) the use of data to solve a social problem or (2) social challenges that need data-driven solutions. From roughly 20 submissions, we selected 5 articles that exemplify this type of work. These cover five broad application areas: international development, healthcare, democracy and government, human rights, and crime prevention.

“Understanding Democracy and Development Traps Using a Data-Driven Approach” (Ranganathan et al.) details a data-driven model between democracy, cultural values, and socioeconomic indicators to identify a model of two types of “traps” that hinder the development of democracy. They use historical data to detect causal factors and make predictions about the time expected for a given country to overcome these traps.

“Targeting Villages for Rural Development Using Satellite Image Analysis” (Varshney et al.) discusses two case studies that use data and machine learning techniques for international economic development—solar-powered microgrids in rural India and targeting financial aid to villages in sub-Saharan Africa. In the process, the authors stress the importance of understanding the characteristics and provenance of the data and the criticality of incorporating local “on the ground” expertise.

In “Human Rights Event Detection from Heterogeneous Social Media Graphs,” Chen and Neil describe efficient and scalable techniques to use social media in order to detect emerging patterns in human rights events. They test their approach on recent events in Mexico and show that they can accurately detect relevant human rights–related tweets prior to international news sources, and in some cases, prior to local news reports, which could potentially lead to more timely, targeted, and effective advocacy by relevant human rights groups.

“Finding Patterns with a Rotten Core: Data Mining for Crime Series with Core Sets” (Wang et al.) describes a case study with the Cambridge Police Department, using a subspace clustering method to analyze the department’s full housebreak database, which contains detailed information from thousands of crimes from over a decade. They find that the method allows human crime analysts to handle vast amounts of data and provides new insights into true patterns of crime committed in Cambridge…..(More)

Institutional isomorphism, policy networks, and the analytical depreciation of measurement indicators: The case of the EU e-government benchmarking


Paper by Cristiano Codagnone et al: “This article discusses the socio-political dimension of measurement in the context of benchmarking e-government within the European Union׳s Open Method of Coordination. It provides empirical evidence of how this has resulted in institutional isomorphism within the self-referential policy network community involved in the benchmarking process. It argues that the policy prominence retained by supply-side benchmarking of e-government has probably indirectly limited efforts made to measure and evaluate more tangible impacts. High scores in EU benchmarking have contributed to increasing the institutionally-perceived quality but not necessarily the real quality and utility of e-government services. The article concludes by outlining implications for policy and practical recommendations for filling the gaps identified in measurement and evaluation of e-government. It proposes a more comprehensive policy benchmarking framework, which aims to ensure a gradual improvement in measurement activities with indicators that reflect and follow the pace of change, align measurement activities to evaluation needs and, eventually, reduce measurement error….(More)”