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Hal G.

Rainey, Editor

R. Kent Weaver
Georgetown University

Theory to Practice Getting People to Behave: Research Lessons for Policy Makers

R. Kent Weaver is professor Abstract: Many government policies attempt to change the behavior of individuals and businesses. This article argues
of public policy and government at
Georgetown University and senior fellow
that policy makers and administrators should (1) think comprehensively about the barriers that may keep target
in the Governance Studies Program at the populations from complying with government policies, (2) match policy instruments to the most important barriers
Brookings Institution. His current research that inhibit compliance, and (3) take into account heterogeneity within the target population. Relatively nonintrusive
focuses on policy implementation, compara-
tive social policy, and the role of political
strategies such as social marketing, providing resources to targets to help them comply, and manipulating options and
blame generating in shaping policy choices. defaults (choice architecture) are politically attractive but unlikely to secure compliance when incentives for non-
E-mail: kent.weaver@georgetown.edu compliance are high. Based on the three basic principles outlined in the article, the author recommends strategies to
increase compliance, including the use of leverage points and secondary targets, adjusting for unanticipated behavioral
responses, and employing long-term, multiphase strategic management of behavior change initiatives.

Practitioner Points
• Potential barriers to compliance with public policies by individuals and businesses can and should be
anticipated in the design of policies as well as during their implementation.
• When compliance with public policy is low, it is often because target populations confront multiple
barriers to compliance.
• Both the instruments chosen to address compliance issues and the settings on those instruments should
focus on the most important barriers to compliance and may have to be adjusted over time and with
experience.
• Because target populations are heterogeneous, policies that secure compliance by some elements of a target
population may not succeed with others.
• Addressing compliance problems often requires long-term strategizing with multiple policy phases.

M
any government policies can achieve their When governments are very specific and insistent in
objectives only if individuals and busi- the behavior they seek (e.g., not carrying weapons on
nesses in society engage in specific behav- airplanes), adherence to those standards is frequently
iors that are consistent with those objectives. If referred to as “compliance” (Sparrow 1994, 2000). In
traffic fatalities are to be reduced, individuals must these sectors, governments often devote substantial
wear seat belts, obey stop signs, and avoid drinking resources to monitoring and enforcement to ensure
before driving and texting while driving. Individuals that there is universal adherence to the policy. In other
must obey emergency evacuation or shelter-in-place sectors (e.g., reduced childhood obesity, saving for
orders to reduce fatalities from hurricanes (Stein et retirement, smoking cessation), governments are only
al. 2013). They must increase recycling efforts if the moderately insistent, and in other cases, government
use of landfills is to decline and refrain from car- objectives are often closer to vague aspirations (e.g.,
rying weapons and bombs on airplanes if air travel improving household energy efficiency) than clear
is to remain safe. Similarly, businesses must obey obligations. When there is a moderate or low obliga-
environmental laws to reduce pollution and follow tion to engage in a behavior sought by a government,
building codes to reduce fatalities from shoddy it may be more appropriate to refer to behaviors that
construction. They must also collect and forward to are “consistent” with governmental preferences or
government payroll tax contributions if government even, when those actions are encouraged by govern-
social insurance programs are to function properly. ment but not obligatory, “coproducing” rather than
Public Administration Review, They must obey workplace safety and child labor “compliant” (see, e.g., Alford 2007; Bovaird 2007).
Vol. 75, Iss. 6, pp. 806–816. © 2015 by
The American Society for Public Administration.
laws if government objectives in those areas are to For terminological simplicity, this article will nev-
DOI: 10.1111/puar.12412. be achieved. ertheless use the term “compliance” throughout to
806 Public Administration Review • November | December 2015
refer to behaviors that are compatible with governmental prefer- target populations may make some segments of those populations
ences while recognizing that such preferences are made with varying unresponsive to nudges and require a more diverse set of policy
degrees of insistence—and thus varying degrees of obligation responses.
imposed.
After developing these three core lessons in detail, this article pro-
In addition to how insistent and intrusive governments are in their vides a series of additional research-based strategic lessons to help
requests or demands for preferred behaviors, governmental efforts policy makers and administrators who are seeking to secure behavior
to influence individual and business behaviors vary on a number of change. While each of the lessons developed here can be applied to
other dimensions, including the breadth of the target population business behavior as well as individual behavior, the primary focus
whose behavior the policy seeks to affect, whether those policies here is on individuals.
involve single or multiple behaviors, how frequently the behavior is
demanded, and whether there are some segments of the target popu- Lesson 1: Think Comprehensively about the Causes of
lation that are at a particularly elevated risk of noncompliance (see Noncompliance and How to Address Those Causes
table 1 for examples). Paying income taxes, for example, is targeted The literature has identified several barriers to compliance with
at the entire working population (although those earning below a government policy (see, e.g., Weaver 2014). As will be discussed
specific threshold may be exempt), while child support enforcement further later, multiple barriers are often at work when compli-
policies are targeted at noncustodial parents. ance rates are low. Faced with a large number of policy problems
and complex causal processes underlying human behaviors in
Given the importance of individual and business behavior in diverse populations, policy makers and administrators are at risk
achieving governmental objectives, it is not surprising that a variety of engaging in cognitive “tunneling” (Mullainathan and Shafir
of social science disciplines have addressed why individuals and 2013), in which they focus on the most visible causes of noncom-
businesses do or do not behave in the ways that are consistent with pliance while ignoring other important contributors to a behavior.
government’s policy preferences. A substantial literature focuses on Employing a “checklist” (Gawande 2009) of potential barriers
information barriers to compliance and the design of social market- to behavior change and compliance can help avoid accepting
ing campaigns to address those barriers (see, e.g., Andreasen 1994). an incorrect or incomplete diagnosis of the barriers underlying
In recent years, behavioral economics (see Kahneman 2003, 2011; specific behaviors and aid in developing more effective policy
Kahneman and Tversky 1984; Shafir 2013) has sharpened interest responses.
in psychological, cognitive, and social influences within the target
population as barriers to compliance. Thaler and Sunstein’s Nudge Barriers to compliance can be divided into three broad clusters.
(2008) has focused attention on ways that government can promote Specific problems associated with each barrier are summarized in the
compliance through choice architecture (i.e., the provision and pres- left-hand column of table 2.
entation of alternatives made available to the targets of policy) while
minimizing both compulsion and monitoring and enforcement Incentives, Monitoring, and Enforcement Barriers
costs. A number of governments have published studies drawing on A first cluster of causes of noncompliance includes the interlinked
behavioral economics (Australian Public Service Commission 2007, factors of incentives, monitoring, and enforcement (see, e.g., Sparrow
2009; New Zealand Ministry of Economic Development 2006; 2000).
U.K. House of Lords 2011).
One obvious reason for noncompliance is that there are insufficient
The appeal to governments of relatively nonintrusive policy instru- perceived incentives for compliance. Parking tickets that have low
ments such as social marketing campaigns and manipulation of penalties and can easily be paid online make it less likely that people
choice architecture is understandable, as elected politicians do not will rush back to avoid overstaying the time on their parking meters.
like to do things that voters may find objectionable. And they are A fine of $50 for smuggling a weapon onto an airplane is unlikely to
a useful corrective to narrowly economistic approaches that stress deter many would-be hijackers or terrorists. Compliance with mass
getting incentive structures right. The argument of this article, how- drug administration efforts to eliminate tropical diseases tend to
ever, is that although behavioral economics provides many useful have lower compliance rates (i.e., people refuse to take the pills or to
analytic tools and strategies for effecting behavioral change, excessive swallow them) when disease incidence (and thus disease awareness
focus on cognitive and informational constraints on behavior also and perceived risk) is low, when there are harmful side effects, and
has shortcomings for effective analysis. First, a focus on “nudging” when those side effects are publicized in the media (see, e.g., Babu
risks gives too little attention to other reasons that individuals do and Kar 2004).
not comply with policy, such as a lack of resources, a lack of moni-
toring and enforcement, and deeply held values that conflict with It is important to have a thorough understanding of how targets
the policy. Both those who are designing policies to “get people to view those costs and benefits. The components of this calculus, and
behave” and those who administer those poli- the weights given to the various elements, may
cies must look at a more comprehensive set of not be immediately obvious to policy makers
barriers to behavior change and compliance. It may be difficult for program and program administrators. In particular, it
Second, a focus on choice architecture can administrators to fully under- may be difficult for program administrators
draw attention away from a broader repertoire stand the opportunity costs of to fully understand the opportunity costs
of policy instruments for promoting behavio- compliance. of compliance—that is, what the target is
ral change. Third, the heterogeneity of many giving up by complying. In many developing
Getting People to Behave: Research Lessons for Policy Makers 807
808
Table 1 Characteristics of Selected Compliance Regimes

Behavior Characteristics Target Population Characteristics Compliance Regime Characteristics


Complexity (e.g., single or Specificity and Boundary Breadth of Target Subgroups at Particular Risk of Degree of Insistence on Consistency of
Governmental Objective multiple behaviors) Clarity Frequency of Behavior Population Noncompliance Compliance Compliance Required
Pay taxes Complex but frequently in- Often unclear because Very frequent Entire employed popu- Businesses and individuals in Moderate High
direct (through employers of rule complexity and lation and businesses the informal economy
or vendors) policy interactions
Prevent weapons on Fairly simple Boundaries are fairly clear Depends on individual Aimed at terrorists, but Terrorists and hijackers Extremely high Extremely high
airplanes flying frequency all flyers are affected

Public Administration Review • November | December 2015


Reduce traffic fatalities Multiple (e.g., obey speed Varies across specific Whenever driving All drivers Young drivers, alcoholics Moderate; varies across Varies across specific
limits, avoid drunk driv- behaviors behaviors behaviors
ing, wear seat belts, avoid
texting while driving)
Save adequately for Multiple (e.g., reducing Unclear given complexity Ongoing over work- All workers People with low earnings and Varies across behaviors Consistent and ongoing
retirement spending, investing and variation across ing life unstable employment (e.g., high for public over long periods
wisely, resisting early individual need and pensions, low for
withdrawals) capacities voluntary savings)
Prevent spread of HIV Multiple (e.g., safe sex, no Mostly clear Varies based on Entire population, MSMs (men who have sex with High, but difficult to Extremely high
sharing of needles); varies behavior and target but some at much men), commercial sex work- monitor and enforce
with target subpopulation population greater risk ers, intravenous drug users
Emergency evacuation Highly complex Boundaries are unclear if Highly episodic Geographically concen- Persons with limited capacity to Varies; sometimes very High
in advance of hur- some are expected to trated self-evacuate high
ricanes or wildfires evacuate and others
are not
Table 2 Barriers and Strategies in Obtaining Behavioral Change

Conditions That Facilitate (+) and Limit (–) Compliant Behavioral


Problem Potential Strategic Response(s) Responses
Incentive issues
• Insufficient incentives to compel compliance; • Increase positive and/or negative incentives + Strong government financial resources and administrative re-
inertia and satisficing behavior by targets when for target compliance; lower rewards for sources to monitor and enforce
perceived stakes of compliance are low default option – Incentives create moral hazards or have perverse effects
• Visible or hidden opportunity costs associated • Increase positive incentives for compliance + Strong government financial resources
with compliance (e.g., sending potential child • Increase sanctions for noncompliance – Target inefficiency and moral hazard problems when compliance
workers to school) rates would be substantial without incentives
• Contravening incentives from “nontargets” • Increase sanctions for noncompliance by – Primary targets may have little control over their own actions
primary targets
• Treat “nontargets” as “secondary targets” – Changing incentives for nontargets or secondary targets is difficult
and change incentives and sanctions for when government has little contact or leverage with them or
them cannot identify them
Monitoring issues
• Compliance is difficult or expensive to monitor • Devote more resources to monitoring of + Outcomes are easily measured and closely related to government
because it is illegal, takes place in private, is outcomes when monitoring of compliant objectives
widely dispersed, etc. behavior is difficult or costly
• Change delivery mechanism to lower costs + Low-cost monitoring options exist
of compliance and/or monitoring (e.g., auto-
matic cameras to detect speeding motorists)
Enforcement issues
• Weak incentives and/or enthusiasm for front- • Increase monitoring of frontline workers + Strong government administrative capacity to enforce compliance
line workers to enforce and incentives and/or resources to enforce – Enforcement by frontline workers is dangerous or unpleasant
+ Performance of frontline workers in enforcement is easily
observable
Information and cognition issues
• Incorrect or missing information about pro- • Public information campaigns + Accurate information is relatively simple, uncontested,
gram and/or social problem it addresses (e.g., • Work with community, religious, and and supportive of government preferences
exaggerated fears of immunization risk, incor- political leaders to use them as “opinion – Working with local leaders is more difficult when (1) those leaders
rect information on HIV prevention strategies; leaders” in changing target perceptions have deep and long-lasting animosity to government; (2) they
incorrect theories on causes of measles) have interest in fanning animosity; and (3) they fear competition
from rival elites who will portray them as sellouts
• Lack of information about what constitutes com- • Public information campaigns with strong + Compliance is relatively simple and low cost for targets,
pliance (e.g., energy use reduction campaigns) admonition and information on how to comply is easy to convey
• Risks of noncompliance are discounted be- • Public information campaign; admonition; + Benefits of compliance are high and costs are low; action needed
cause of myopia, etc. frequent, timely reminders to comply is simple and easy to communicate
• Establish good defaults + Effective defaults are available, practical, and uncontroversial
• Ban worst options – Harmful options are popular and have strong interest group
backing
• High information costs are required for target • Lower costs of information acquisition by
clientele to make appropriate response (e.g., providing it in a simplified form; changing
choosing individual account pension provider choice architecture to lower number of
in system with many options) options and privilege “good” options
Attitudes and values
• Hostility to program providers (e.g., prison • Use framing and payoffs to improve image – Less practical where
guards) or government generally of program providers among targets Target hostility is long-standing
• Work with community, religious political Program or other provider outputs impose serious costs on targets
leaders to change perceptions
• Value-based objections to program goals or • Increase sanctions for noncompliance – Exemption strategies less appropriate where:
methods (e.g., religious objections to vaccina- • Establish exemption procedures where “Herd immunity effects” are important
tion, schooling requirements, military service, moral objections exist Moral hazard problems exist
providing abortion services)
Peer effects
• Disparity between “descriptive norms (what • Frame appeals in terms of injunctive norms; – Overall level of compliance is visibly low
most people are perceived to actually do) downplay descriptive norms
and “injunctive norms” (what it is generally
perceived that people should do)
• “Herd effects” and “broken windows” effects • Work with community, religious political + Level of trust of government in community is high
in noncompliance (e.g., littering, graffiti) leaders to engage them in compliance
• Have “zero tolerance” for noncompliance + Behavior is easy to monitor, and monitoring costs are low
and enforce compliance strictly

Getting People to Behave: Research Lessons for Policy Makers 809


• “Herd immunity” and recipient fatigue • Increase rewards for compliance or sanc- – Compliant behavior is difficult to observe
problems: lowered incentives when most have tions for noncompliance
complied (e.g., vaccination campaigns) • Use community organizations to create – Community groups are hostile to policy or government
pressure for compliance
• Relax enforcement or exempt when 100%
compliance is not needed
Target resources
• Target lacks resources needed to comply • Provide resources—either cash or free or + Government has strong financial, organizational, or human capital
(e.g., school fees, access to transportation to low cost services/goods resources that can be made available to targets
schools; low job skills for welfare recipients)
• Target has enough resources they can ignore • Increase positive and/or negative incentives – Targets have political leverage to resist strengthened sanctions
government incentives (e.g., buying SUVs or penalties for noncompliance
despite high gasoline taxes)
Target autonomy
• Target does not control own decisions because • Decrease control by secondary target over + Behavior and secondary target control are easy to observe, and
of secondary target control, addiction, etc. primary target secondary target control is easy to disrupt
• Increase monitoring
• Provide counterincentives or sanctions for
primary or secondary targets

countries, for example, possible future income gains from send- Information/Cognition, Beliefs, and Peer Effect Barriers
ing children to school must be traded against immediate family A second broad category of potential barriers to compliance
income that can be gained from child labor. If families believe that concerns information and cognition, attitudes and beliefs, and peer
the returns to education are low or if they cannot afford to defer effects. Information and cognition barriers include a simple lack of
income, they may choose child labor. Moreover, this calculus may information about the advantages and disadvantages of compliance
vary substantially across individuals. or about how to comply (e.g., HIV prevention strategies, obesity
prevention, reduction of household energy use). Information barri-
Contravening incentives from others inside or outside the primary ers are likely to be particularly important when compliance require-
target population may also lower compliance but be difficult to ments are complex and highly technical, such as environmental
observe. Pressures and threats from fathers who do not wish to reporting requirements for businesses (Brehm and Hamilton 1996).
be liable for child support may inhibit mothers’ cooperation with Information barriers can be compounded by language or cultural
paternity establishment programs, for example. barriers in the target community—for example, minority-owned
dry-cleaning establishments in the United States (see, e.g., Lee
Even if official incentive structures are adequate, compliance may 2011). Misinformation about the risks associated with compliance
be low if noncompliance is difficult to monitor. Illegal commercial (e.g., polio immunization campaigns) may also inhibit compliance
sex work, for example, is almost always conducted in private. Other (Yahya 2007).
noncompliant behaviors such as nonpayment of payroll taxes in
informal labor markets and illegal drug transactions are hard to A number of cognitive barriers may undermine compliance with
observe in part because they are so dispersed. Monitoring of work- policies. Myopia (valuing current payoffs relative to future ones), for
place safety is made more difficult by the varying hazards present example, may inhibit compliance in areas ranging from safe driving
in different industries and the substantial training and expertise to retirement savings behavior. Antismoking advertisements that
required to evaluate them (Weil 2008). stress long-term health effects have less effect on young people than
adults because the former tend to live in the present and believe
Even when behavior can be monitored, noncompliant behavior themselves to be invulnerable or believe that they can quit before
may be common when there is little enforcement. Compliance with they suffer ill effects from smoking (Goldman and Glantz 1998).
mandatory seat belt laws in the United States, for example, is higher High information acquisition and processing costs (e.g., choosing
in states that have primary enforcement (i.e., stopping a motorist for among many complex retirement savings investment vehicles) may
not wearing a seat belt when no other violation has been observed) also inhibit behavior sought by governments.
as well as those that have higher fines for violating seat belt laws
(Houston and Richardson 2005). Even when behaviors can be Beliefs on the part of target populations may also inhibit compli-
monitored and enforced, those responsible for the monitoring and ance. This may take several different forms. When most members
enforcement (usually frontline workers for government agencies) of a target populations hold beliefs that conflict with a policy (e.g.,
may have weak incentives to do so. They may resist administrative strong desire for sons, religious objections to medical treatment,
tasks that they view as onerous or uninteresting, especially when or low cultural value on girls’ schooling), they are likely to resist
their resources are very limited (Burden et al. 2012). And they may compliance. Target hostility toward or mistrust of providers, pro-
succeed at shirking in tasks for which their discretion is high and grams, or government (e.g., polio vaccination in northern Nigeria)
monitoring is low (Lipsky 2010). Corrupt influences to “turn a may also inhibit enforcement. When either the policy itself or its
blind eye” to what they have observed rather than enforcing rules enforcement is seen as unfair, both the legitimacy of the policy and
also contribute to low rates of compliance in some countries. compliance with it are likely to suffer (see, e.g., Tyler 1990, 2004).

810 Public Administration Review • November | December 2015


A large literature has established an important role for peer effects in literature on tax compliance and tax evasion has addressed multi-
compliance—that is, compliance will be higher when compliance is ple factors at both the individual and the systemic levels that make
the socially acceptable thing to do. High rates of target compliance compliance more or less likely and affect the efficacy of specific
are unlikely when there is a conflict between injunctive norms (what strategies to increase compliance. In a comparative study of tax
people generally see as the right thing to do) and descriptive norms compliance in Chile and Argentina, Bergman (2009) showed that
(what people usually do)—for example, “No one else pays taxes, so higher rates of tax compliance in Chile resulted from multiple fac-
why should I?” The literature suggests that messages seeking compli- tors, including a more effective monitoring and detection system,
ance “should focus the audience on the injunctive norm” rather than much greater difficulty in bribing tax inspectors, and more rigor-
the descriptive norm if the current prevalence of the behavior being ous and consistent enforcement (e.g., closing of businesses) that
sought is low and stress the high prevalence of approved behavior raised the perceived costs of noncompliance. In the United States,
(i.e., the descriptive norm) when that behavior—such as recycling— studies of welfare-to work initiatives have found that the women
is already very common (see, e.g., Cialdini 2003). with the worst outcomes in getting and holding jobs tended to
have multiple barriers to compliance with work requirements,
Resource and Autonomy Barriers such as very low skills and education levels, domestic violence
A third broad category of barriers to compliance suggests that problems, and previously diagnosed health or mental health issues,
noncompliance may result from a lack of capacity to comply with as well as trouble accessing public transportation and affordable
a policy rather than a lack of willingness or knowledge and beliefs. child care (Danziger and Seefeldt 2003). Higher rates of traf-
This may take two forms: resource barriers and lack of autonomy. fic accidents among young drivers in many countries are related
Resource barriers can take many different forms. Lack of monetary to higher rates of overconfidence and greater acceptance of risk
resources and transportation were major reasons why many resi- (cognition) and less experience at detecting hazards and dealing
dents of the New Orleans region did not evacuate before Hurricane with them effectively (resources); risky driving behavior is exac-
Katrina hit (Elder et al. 2007). Lack of education and skills can erbated by the presence of a male passenger and inhibited by the
inhibit successful transitions from welfare to work. In some cases, presence of adult passengers (peer effects) (see, e.g., Deery 1999;
however, a subset of the target population may have enough Simons-Morton, Lerner, and Singer 2005; Williams and Shults
resources that they do not feel constrained by policies intended to 2010). Policies that address only a subset of barriers to compliance
secure their compliance (e.g., high gasoline taxes that try to incen- are likely to fail.
tivize purchase of more fuel-efficient vehicles or fines for watering
a lawn during a drought). Lesson 2: Link Strategies for Increasing Compliance
to the Underlying Reason for Noncompliance
A final reason that research suggests compliance rates may be low Governments have a variety of strategies that they can use to pro-
is that those who are targeted for compliance may lack autonomy mote compliance. Weaver (2014) argues that these strategies can
in deciding the extent of their compliance. Restrictions on autono- be divided into seven broad categories, in rough order of increasing
mous decision making can take several forms and are frequently intrusiveness:
a matter of degree. Physical addiction is perhaps the clearest form
of autonomy deficit. Most smokers and users of narcotic drugs • Providing information about what behavior is compliant, how
are unlikely to quit simply as a result of acquiring information to comply, and the advantages of compliance
or admonitions concerning the dangers of their addiction, for • Admonition to comply on moral, self-interested, or other
example. grounds
• Providing resources to comply, which may be targeted to those
Control (or at least an effective veto) by other individuals and who would otherwise lack those resources
groups over the actions of target populations is another form of • Manipulating options and defaults (choice architecture) without
absence of autonomy. Parents exercise control over whether their substantially affecting the payoffs to individuals of doing so
children attend school, for example, while owners and customers • Providing positive incentives for compliance
in commercial sex establishments may have more leverage than sex • Having negative incentives for noncompliance
workers in determining whether 100 percent condom use policies • Prohibitions and requirements with punishments attached
required by government are adhered to (Rojanapithayakorn 2006).
Successful welfare-to-work transitions require that employers be The settings on specific instruments can also vary in their intensity
willing to hire welfare leavers. In these cases, policy makers must (Hall 1993). Taxes on cigarettes and gasoline (negative incen-
attempt to change the behavior of “secondary targets” who exercise tives) and deposits on bottles (positive incentives) can be raised
control over others. or lowered, for example. Text warnings on cigarette packages
(information plus admonition) can be increased in their intensity
Multiple Barriers and Compliance Failures through the inclusion of pictorial warnings of the risks of smoking.
There is a tendency to think that if policy makers address the most Cross-national evidence suggests that the latter are more effective in
glaring causes of noncompliance—for example, information short- preventing take-up of smoking, motivating quitting, and main-
ages or inappropriate incentive structures—that is all that needs to taining abstinence among former smokers (see, e.g., Borland et al.
be done. Less obvious or visible causes of noncompliance, such as 2009), although there may be “message wear-out” in extended use
a lack of client resources or the opportunity costs of compliance, of specific text and defensive “terror management” among some
should not be ignored, especially when those factors reinforce each smokers that reduces the effectiveness of the warning messages (see,
other in undermining compliance. For example, a vast academic e.g., Hansen, Winzeler, and Topolinskic 2010).
Getting People to Behave: Research Lessons for Policy Makers 811
The middle column of table 2 shows strategies that are frequently of socially desirable outcomes, are also relevant to this lesson.
used to address each of the barriers outlined in lesson 1, while the These principles can be seen in the New Zealand government’s
right-hand column shows conditions that are likely to affect the “KiwiSaver” program that was implemented to increase individual
efficacy of specific strategies. For example, public information strate- retirement savings, which tries to lower both information and
gies are likely to be useful in situations in which the advantages to economic costs. Although the program is not mandatory, workers
targets of compliance are high and the costs to targets of compli- are automatically enrolled unless they opt out (choice architecture).
ance are low, but targets of policy are unaware of these facts. When Workers who do not choose a fund are assigned to a default fund.
incentives, monitoring, and/or enforcement are relatively weak, In addition, there are both tax incentives for participation and direct
strengthening the weak links is an appropriate response. government subsidies for contributions (Kritzer 2007).

However, there are also numerous complications that make the Lesson 5: Prioritize the Barriers That Are Most
assumption that “stronger incentives and enforcement equal greater Important in Causing Noncompliance
compliance” much more complicated than it might seem at first Targets of policy sometimes face what Wilson (1989) called “situ-
glance. Strengthening negative incentives, for ational imperatives” to refer to conditions
example, creates a stronger impetus to try to
Policy makers who are consider- that overwhelm any other considerations in a
maneuver around those incentives rather than target group’s decision on whether to comply
comply. Increasing cigarette taxation is likely ing increasing incentives and with policy.1 For example, families in develop-
to lead to an increase in cigarette smuggling, enforcement need to consider ing countries who are desperately poor are
for example. Policy makers who are consider- the ways in which doing so may more likely to have their children engaged in
ing increasing incentives and enforcement lead to new, and potentially child labor within or outside the household
need to consider the ways in which doing more harmful, forms of rather than attending school. In this case,
so may lead to new, and potentially more being able to eat is more important than
noncompliance.
harmful, forms of noncompliance. acquiring human capital.

Lesson 3: Do Not Assume That Target Populations Governments need to develop focused strategies to respond to situ-
Are Homogeneous and That Strategies to Secure ational imperatives that put target compliance, and policy success,
Compliance from the “Modal” Target Will Work for All at risk. In the case of school attendance, for example, a number of
A strategy that may be sufficient to obtain compliance from one countries have instituted school feeding programs and conditional
segment of a target population may not work for others, especially cash transfers that require school attendance and other behaviors,
when they confront different barriers to compliance or the same such as routine immunizations, in order to receive the transfer pay-
barrier (e.g., resources or autonomy) to very different degrees. ments. Of course, responding to the situational imperatives of some
client groups will be more manageable, and more affordable, than
The situation is even more complex when different behaviors are others. But governments that fail to take account of potential situ-
required from different segments of the population—for example, ational imperatives and try to enforce policies that run contrary to
when those most at risk of a hurricane storm surge are requested those imperatives risk both high rates of noncompliance and foster-
to evacuate, but those at lower risk should shelter in place to avoid ing anger and mistrust among the targeted group.
traffic backups that could paralyze evacuation efforts (Stein et al.
2013, 321–22). Tailoring information campaigns to specific sections Lesson 6: Use Mass Media and Social Media Campaigns
of the target population may improve compliance results, but it is to Achieve Objectives, but Recognize Their Limitations
also likely to increase confusion as well as the costs and complexity Governments and civil society organizations have tried to change
of implementation. the behavior of target populations by framing issues in specific
ways (e.g., emphasizing the risks associated with noncompliance),
Lesson 4: Think about Ways to Make Complying with providing information, and, in some cases, admonishing particular
Government Policies Easier and Less Costly behaviors in a number of different sectors. The literatures on health
If compliance involves perceptions of costs by the target popula- behaviors and road safety are particularly rich (see, e.g., Elder et al.
tion—costs in time, in out-of-pocket costs or foregone income, 2004; Randolph and Viswanath 2004).
or consistency with values—it may be possible to increase compli-
ance by lowering those costs (see, e.g., Herd et al. 2013). Increased Research on campaigns to change health behaviors suggests that the
household recycling rates in wealthy countries are associated with effects of framing in information-focused campaigns are quite com-
“convenience” factors such as curbside recycling, provision of recy- plex, however. Issue framing that emphasizes the risks of noncompli-
cling bins, and frequent collection, for example (Ando and Gosselin ance (negative framing) is more effective at promoting “detection
2005; Peretz, Tonn, and Folz 2005). A recent Facebook campaign to behaviors” to discover health problems (e.g., breast self-examina-
increase organ donation registrations provided direct links to state tions), whereas positive framing (emphasizing the advantages of com-
online registration sites, lowering the risk of procrastination and the pliance) may be more effective at promoting “prevention behaviors”
costs of registration (Cameron et al. 2013) such as dental flossing and safe sex for HIV prevention, although the
size and generalizability of these differences is contested (for a skepti-
Core principles of behavioral economics, notably, the ideas that cal meta-analysis, see O’Keefe and Jensen 2009). A recent review
choices should not be too complicated and that the default option of the health behavior literature suggests that media campaigns
should be one that is consistent with the government’s perception are more likely to succeed at changing behavior “when the target
812 Public Administration Review • November | December 2015
behavior is one-off or episodic (e.g., screening, vaccination, children’s searches, and so on—what has come to be known as “Driving While
aspirin use) rather than habitual or ongoing (e.g., food choices, sun Black” or “Flying While Muslim.”
exposure, physical activity), [and c]oncurrent
availability of and access to key services and While concerns for selective enforcement are
products are crucial to persuade individuals While concerns for selective legitimate, there may be some circumstances
motivated by media messages to act on them” enforcement are legitimate, in which groups whose behavior is most likely
(Wakefield, Loken, and Hornik 2010, 1268). there may be some circum- to cause social harm can be singled out for
The effects of media campaigns are less likely special rules or for enforcement attention. For
stances in which groups whose
to have sustained effects in the face of “per- example, given the high accident rates of teen
vasive marketing for competing products or behavior is most likely to cause drivers, many jurisdictions have enacted rules
with opposing messages” (e.g., for unhealthy social harm can be singled out that prevent teen drivers from carrying multi-
foods) and when addiction and social norms for special rules or for enforce- ple other teens as passengers (because they are
constrain behavior change (Wakefield, Loken, ment attention. likely to distract drivers) or that restrict their
and Hornik 2010, 1268). driving late at night (Twisk and Stacey 2007;
Williams and Shults 2010).
The research also suggests that it is not enough to emphasize that
there is a general threat: the targets of campaigns must believe Lesson 8: Look for “Leverage Points” Where Desired
that they are personally at risk. Moreover, telling the targets of an Behavior Can Be Promoted with Minimum Cost and
admonition campaign that they are vulnerable to a threat—that is, Resistance
merely stoking fear and scaring them—is not sufficient to provoke “Leverage points” are points in the policy delivery chain where major
behavior change. It is equally important “to convince individuals increases in compliance can be achieved by reducing targets’ compli-
they are able to perform the recommended response . . . and that ance costs, reducing monitoring costs, and/or simplifying program
the recommended response effectively averts the threat” (Witte et al. delivery. Employers’ withholding of income taxes and reporting and
1998, 347; emphasis in original). In the case of HIV prevention, for transferring amounts withheld to government is a good example of
example, research suggests that campaigns that “just scare people” the use of a leverage point that is so deeply institutionalized that we
without conveying that individuals can take action to avoid the do not even think about it. Knowing that the government already
threat may cause individuals who do not feel that they can control has our money and that it has an accurate record of how much we
the danger to “instead control their fear by denying their risk of HIV have earned almost certainly increases compliance with tax laws over
infection, defensively avoiding the HIV/AIDS issue, or perceiving what the case would be if we were just asked to report our earnings
manipulation (e.g., ‘AIDS is a hoax; it’s really a government plot’)” (with no independent verification from employers) and send in a
(Witte et al. 1998, 347; emphasis in original; see also Hastings, check for the tax owed at the end of the year.
Stead, and Webb 2004). Thus, smoking cessation campaigns now
typically emphasize that quitting is possible (even for those who A more nuanced example of using leverage points comes from the
have tried and failed before) and direct their audience to specific case of paternity establishment in the United States. Over the past
resources that can help them to quit (see, e.g., Rigotti and Wakefield 15 years, state authorities in the United States have attempted to
2012). increase the establishment of paternity in cases of nonmarital births
as a mechanism to require fathers to pay child support. Many of the
Lesson 7: Analyze How Much Compliance Is “Good relationships that lead to nonmarital births are unstable, and the
Enough”—and by Whom—for the Policy to Be financial consequences for fathers of acknowledging paternity can be
a Success, and Devote More Resources to Those substantial. Two leverage points have been used in the United States
“Mission-Critical” Populations to increase paternity establishment. First, single mothers must cooper-
In cases in which government resources are limited—which is ate with state authorities in establishing paternity as part of the eligi-
almost always—it is important to analyze how much compliance is bility process for receiving benefits under the Temporary Assistance
“good enough” (Grindle 2007), and by whom, for the policy to be to Needy Families program (Mincy, Garfinckel, and Nepomnyaschy
a success. The ubiquity of resource constraints also suggests that it is 2005). Second, legislation in 1993 and 1996 required states to estab-
important to identify the most “mission-critical” elements of target lish voluntary in-hospital paternity acknowledgment programs. At the
noncompliance and develop strategies and allocate resources to deal time that births take place, many unmarried fathers do come to the
with them. It is vital to link the strategy for increasing compliance hospital, the parents are much more likely to be in a relationship, and
to the severity of consequences of noncompliance. For example, many fathers are willing to acknowledge paternity. It should be noted,
there is a strong case for compulsion in quarantining people with however, that although the rate of in-hospital paternity establishment
highly contagious and fatal diseases such as Ebola. has increased substantially, there is wide variation across states and
individual hospitals in the success of the program. Frontline workers
If governments seek to prevent certain kinds of outcomes, they in hospitals are often uncomfortable taking on the role of facilitat-
may be able to do so at a lower cost by concentrating monitoring ing paternity acknowledgment and are overwhelmed by other duties.
resources on targets deemed most likely to be noncompliant. But Research shows that when they do not focus on paternity acknowl-
on what grounds are subgroups of the target population selected for edgment, little progress is made (Turner 2001).
intensified scrutiny? Selective monitoring and enforcement prac-
tices can lead to very legitimate concerns about racial, ethnic, and Although it is important to think of potential opportunities to
other forms of profiling when they are used for traffic stops, airport use leverage points that will lower the costs of monitoring and
Getting People to Behave: Research Lessons for Policy Makers 813
the costs of compliance for program targets, it is equally impor- or (3) other implementation barriers arise. Compliance with a New
tant to be conscious of the potential implementation challenges York State law prohibiting the use of handheld cell phones initially
and risks in using leverage points. Creative use of leverage points increased after the law was implemented, for example, but was not
may require developing partnerships with entities that do not see sustained a year later after publicity on the requirement declined and
themselves as agents of government and may initially be suspicious little publicity was given to enforcement efforts (McCartt and Geary
or hostile. Programmatic and bureaucratic “silos” may also need 2004). Efforts to eliminate polio and several tropical diseases through
to be overcome to use leverage points effectively. Implementation mass vaccination or drug administration have suffered setbacks in the
may require the cooperation of frontline workers who may see developing world when civil strife made distribution more difficult
the new task as an unwanted imposition that is tangential to, or (Koroma et al. 2013) and when trust of the target population in
even conflicting with, their professional responsibilities and their those implementing the program and/or the safety and efficacy of
organizational mission. As noted earlier, paternity acknowledg- the treatment declined (Renne 2006; Yahya 2007). Peer effects in the
ment has made more headway when it is a strong agency prior- target population may decline as well. Efforts to eliminate tropical
ity that is stressed in training hospital workers than when that is diseases through mass drug administration may suffer as eradication
not the case. Use of leverage points may also put clients at risk. nears: because many people may have never seen the harm caused
Requiring unmarried mothers who receive government cash assis- by the disease, they may be less willing to consistently undertake
tance to name the fathers of their children, for example, may put the behaviors required to prevent its resurgence. To avoid long-term
some at risk of violence or a reduction in informal support from erosion of compliance, administrators need to engage in continuous
fathers who do not wish to be subject to legal child support orders monitoring of compliance rates followed by diagnosis and response
(Tolman and Raphael 2000). with appropriate settings and instruments to address barriers to com-
pliance faced by the population whose compliance is flagging.
Lesson 9: Be on the Lookout for Unanticipated
Behavioral Effects When Instituting New Mechanisms Lesson 11: Think about Behavior Change Strategy in the
to Promote Behavioral Change or Changing Old Ones Long Term and in Multiple Phases
Research has repeatedly shown that seemingly simple and obvious When harmful behaviors are widely practiced in a society and
changes in programs can have consequences that are very differ- viewed as customary and socially approved, beginning a behavior
ent from what was intended. In the Dayton (Ohio) Wage Subsidy change strategy with highly intrusive instruments and settings may
experiment evaluated by Burtless (1985), for example, welfare recip- lead to mobilization of opponents that delays any progress. More
ients were given a voucher that entitled employers to a wage subsidy modest initial steps may build public support for more aggressive
if they hired them, but workers with the vouchers actually had lower approaches. As the case of tobacco use shows, this is particularly
job placement rates than comparable workers without the vouchers. true if powerful commercial interests benefit from the behavior and
The fact that the voucher clearly stated that the voucher holder was frame government efforts to restrict its practice as an infringement
a welfare recipient apparently caused employers to stigmatize the job on individual rights and “the nanny state run amok” (Apollonio and
seeker as likely to be an unreliable worker. Bero 2007).

More subtle forms of unintended consequences are also common. Multistage strategies have been employed in many efforts to change
Instituting modest fines for parents who arrive late to pick up behavior, notably, in efforts to reduce smoking. Antismoking efforts
their children from a child care center, for example, may result in typically begin with relatively modest efforts at providing informa-
an increase rather than a decrease in late parental arrivals because tion on the health risks of smoking. This may lead over time to the
it transforms late arrivals in parents’ minds from a socially unac- “denormalization” of smoking (i.e., the erosion of views that smoking
ceptable practice to a service with a price attached (Gneezy and is an acceptable and “customary” activity) and to increased support
Rustichini 2000). for more intrusive tobacco control regimes, including higher tobacco
taxes, more graphic cigarette pack warnings, bans on sales to minors,
Lesson 10: Guard against Reversals and Erosion in and bans on smoking in public places, all of which can lead to a
Improvements in Policy Compliance reduction in tobacco use (Chapman and Freeman 2008). Similar
As the right-hand column in table 2 suggests, strategies to address patterns can be seen in the evolution of government efforts to reduce
barriers to behavioral change work better under some conditions obesity, which are made more complex by the blurry lines between
than others. When those conditions change, so may the efficacy of which behaviors are and are not unhealthy and by the absence of
behavioral change strategies and rates of compliance. Most obvi- “secondhand” effects on others that stigmatize smoking and erode
ously, gains in target population compliance are unlikely to be support for smokers rights (Stuber, Galea, and Link 2008).
sustained when perceptions of the ratio between the benefits and the
costs of compliance shift in a negative direction—for example, when Conclusions
the availability of antiretroviral drugs means that HIV is no longer Many barriers to compliance can be anticipated in advance and
perceived as a death sentence. incorporated into the design phase of behavior change policies.
Additional adjustments can and should be made once a policy is
Research suggests several additional conditions under which reversal in place to take into account changing patterns of compliance,
or erosion of compliance gains is likely to be significant. First, changing barriers to compliance, and differences in local context.
monitoring and enforcement may decline, especially when (1) But none of these practices is likely to happen unless a conscious,
frontline workers are resistant to monitoring and enforcing compli- comprehensive, and long-term strategic approach is taken by
ance, (2) top administrators stop paying attention to enforcement, both program designers and administrators to look at barriers to
814 Public Administration Review • November | December 2015
compliance, employ appropriate instruments, and take into account Lymphatic Filariasis in Orissa, India. Tropical Medicine and International Health
the heterogeneity of target populations. 9(6): 702–709.
Bergman, Marcelo. 2009. Tax Evasion and the Rule of Law in Latin America: The
Drawing on these fundamental principles, policy makers and Political Culture of Cheating and Compliance in Argentina and Chile. State
administrators can use a number of strategies—searching for College: Pennsylvania State University Press.
ways to lower compliance costs, employing leverage points, and Borland, Ron, N. Wilson, G. T. Fong, D. Hammond, K. M. Cummings, H. H.
developing long-term, multiphase strategies—to achieve these Yong, W. Hosking, G. Hastings, J. Thrasher, and A. McNeill. 2009. Impact of
objectives. Graphic and Text Warnings on Cigarette Packs: Findings from Four Countries
over Five Years. Tobacco Control 18(5): 358–64.
Of course, policy makers face a number of constraints in pursuing Bovaird, Tony. 2007. Beyond Engagement and Participation: User and Community
behavior change strategies. Many policy instruments, especially Co-Production of Public Services. Public Administration Review 67(5): 846–60.
those that are highly intrusive, are likely to face political opposition, Brehm, John, and James T. Hamilton. 1996. Noncompliance in Environmental
especially when proponents of the status quo are politically power- Reporting: Are Violators Ignorant, or Evasive, of the Law? American Journal of
ful. Limited governmental financial resources to fund incentive Political Science 40(2): 444–77.
strategies, limited administrative capacity to monitor and enforce Burden, Barry C., David T. Canon, Kenneth R. Mayer, and Donald P. Moynihan.
policy, and mistrust of government are problems in many contexts, 2012. The Effect of Administrative Burden on Bureaucratic Perception of
but especially in developing countries. Policies: Evidence from Election Administration. Public Administration Review
72(5): 741–51.
A final caveat is that widespread failures of Burtless, Gary. 1985. Are Targeted Wage Subsidies
compliance by targets of policy may signal Harmful? Evidence from a Wage Voucher
that there is something wrong with the policy, Widespread failures of compli- Experiment. Industrial and Labor Relations Review
rather than with the targets who are being ance by targets of policy may 39(1): 105–14.
uncooperative by failing to comply with it. signal that there is something Cameron, Andrew. M., A. B. Massie, C. E. Alexander, B.
Policy experts tend to think that they know wrong with the policy, rather Stewart, R. A. Montgomery, N. R. Benavides, G. D.
best, that they possess all the relative informa- Fleming, and D. L. Segev. 2013. Social Media and
than with the targets who are
tion, and that the policy they have come up Organ Donor Registration: The Facebook Effect.
being uncooperative by failing American Journal of Transplantation 13(8): 2059–65.
with is the best option, given myriad con-
straints, including political constraints. It is to comply with it. Chapman, S., and B. Freeman. 2008. Markers of the
important to remember that policy makers Denormalisation of Smoking and the Tobacco
in the past felt the same way about policies that we now regard as Industry. Tobacco Control 17(1): 25–31.
fundamentally wrongheaded, such as laws in many U.S. states that Cialdini, Robert B. 2003. Crafting Normative Messages to Protect the Environment.
prohibited interracial marriage and required racial segregation of Current Directions in Psychological Science 12(4): 105–9.
schools and other public facilities. With behavior change, as with Danziger, Sandra K., and Kristin S. Seefeldt. 2003. Barriers to Employment and the
other policy initiatives, policy makers must listen to and learn from “Hard to Serve”: Implications for Services, Sanctions, and Time Limits. Social
the “targets” of public policy—especially those who lack the political Policy and Society 2(2): 151–60.
resources to ensure that their voices are heard. Deery, Hamish. 1999. Hazard and Risk Perception among Young Novice Drivers.
Journal of Safety Research 30(4): 225–36.
Note Elder, Keith, Sudha Xirasagar, Nancy Miller, Shelly Ann Bowen, Saundra Glover, and
1. Wilson (1989) uses the term to refer to the behavior of frontline workers rather Crystal Piper. 2007. African Americans’ Decisions Not to Evacuate New Orleans
than program targets. For example, he refers to the imperative of police officers before Hurricane Katrina: A Qualitative Study. Supplement 1, American Journal
to “establish control” when they arrive at the scene of a dispute between two of Public Health 97: S124–29.
citizens. Elder, Randy W., Ruth A. Shults, David A. Sleet, James L. Nichols, Robert S.
Thompson, and Warda Rajab. 2004. Effectiveness of Mass Media Campaigns for
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