Flying can constitute as much as a third of an academic institution’s total emissions and there’s a growing concern among researchers around their academic travel contributing to global warming. This paper is part of KTH FLIGHT, a research project for decreased CO2-emissions in flight-intensive organizations through creation and testing of practical tools. It is a Research through Design work that provides new knowledge about a previously largely unexplored implementation area of emission trading systems like Cap and Trade. These have previously helped reduce emissions at lower costs than tax based systems in various settings but little research exists in terms of design and important factors for a university to promote more sustainable travel patterns. This paper reveals challenges and opportunities regarding implementation and shows current feasibility in implementing in a Swedish university (KTH), and provides suggestions for choosing suitable users and direction of future research. / Flygresor kan utgöra upp till en tredjedel av en akademisk institutions totala utsläpp och det finns en växande oro bland forskare kring att deras resande bidrar till den globala uppvärmningen. Denna rapport är en del av KTH FLIGHT, ett forskningsprojekt med syfte att minska CO2 -utsläpp i flygintensiva organisationer genom att skapa och testa praktiska verktyg. Detta är ett Research through Design-arbete som bidrar med ny kunskap om ett tidigare till stor del outforskat område för implementeringar av utsläppshandelssystem såsom Cap and Trade. Dessa har i olika sammanhang tidigare bidragit till minskade utsläpp med lägre kostnader än skattebaserade system. Men i dagsläget finns det lite forskning gällande dess design och viktiga faktorer för att främja mer hållbara resvanor på ett universitet. Denna uppsats visar på utmaningar och möjligheter vid en implementering och visar aktuell genomförbarhet i ett svenskt universitet (KTH), samt ger förslag på val av lämpliga användare samt inriktning för framtida forskning.

After cancer patients have completed active cancer treatment, they have specific follow-up care needs. These needs include ongoing surveillance for new and recurring cancers, managing the side effects of cancer treatment, and psychosocial concerns (Rushton et al., 2015). In the past, cancer centres and oncology specialists provided follow-up care; however, new models of care are needed because cancer centres can no longer provide treatment and follow-up care to all cancer survivors (Jefford et al., 2022). To allocate health care resources, low risk cancer survivors (i.e., breast and colorectal cancer survivors) are being discharged from cancer centres after primary treatment back to their primary care provider (PCP) for follow-up care. Survivorship care plans (SCPs) have been identified as a tool to help survivors and their PCPs with this transition (Rushton et al., 2015). SCPs generally consist of a treatment summary, a schedule for follow-up and surveillance tests, and general health recommendations (i.e., diet and exercise; Howell et al., 2011; Ruston et al., 2015). While SCPs are widely accepted, research on their effectiveness as transition tools has been inconclusive (Hill et al., 2019; Jacobsen et al., 2018). Some studies show positive, neutral, and negative impacts of SCP use, and there are three potential reasons for these mixed findings: 1) there is wide variety in the content, format, delivery, and timing of SCPs which adds considerable variance when studying the impact of SCPs; 2) the use of outcomes to measure the usefulness of SCPs as transition tools that are beyond the scope that information about treatment history and follow-up guidelines could impact and; 3) that SCPs are not effective as transition tools (Hill et al., 2019; Jacobsen et al., 2018). An important first step in clarifying whether SCPs are effective transition tools is to understand how SCPs are being used in real world practice (Hill et al., 2019; Jacobsen et al., 2018). The overall purpose of this study was to develop best practice recommendations for implementing SCPs. This was achieved through three study objectives: 1) to comprehensively identify barriers and facilitators perceived to influence SCP use among cancer survivors and primary care providers (PCPs); 2) to identify evidence-based approaches to address barriers and enhance facilitators of SCP use; and 3) to develop best practice recommendations that can be used by implementors of SCPs that are adaptable across different contexts. Article 1 presents the results of semi-structured interviews with breast and colorectal cancer survivors who had received a SCP at least 12 months prior to the interview. The interviews were based on the Theoretical Domains Framework, version two (TDF-2; Cane et al., 2012) and comprehensively identified barriers and facilitators of SCP use amongst breast and colorectal cancer survivors. Thirty cancer survivors (17 female, 13 male) participated in the 30–45-minute interviews, which were then analyzed using content and thematic analysis. Survivors who had received education about the purpose of SCPs and how to use them reported finding their SCP helpful and that they used it to schedule appointments and communicate with their healthcare providers. Barriers to SCP use that were reported by cancer survivors included having lost or not remembering receiving a SCP, not understanding the importance of their SCP, and wanting information about additional supports to be able to follow the SCP (e.g., regular contact from the cancer centre, avenues for peer support). Overall, study 1 found that in order to SCPs to be used as intended transition tools, survivors benefit from receiving education about how to use them and be informed of the expectation that they be actively involved in their follow-up care. Article 2 presents the TDF-based semi-structured interviews with primary care providers (PCPs). Thirteen PCPs completed 15-20 minute interviews, and content and thematic analysis was conducted. PCPs reported finding SCPs helpful and that they contained relevant information to provide follow-up care. A key facilitator of using the SCP was the table of follow-up tasks (e.g., mammography, colonoscopy) and their frequencies included in the SCP. Two significant barriers for PCPs using SCPs were: a) logistical issues with ordering follow-up tests and receiving results; and b) a lack of clear avenues to consult with oncology specialists (e.g., managing side effects of medications, actions that need to be taken when follow-up tests are abnormal). Overall, article 2 showed that PCPs appreciate and readily use SCPs, and contextual changes to facilitate clear avenues of communication between primary and tertiary care may be beneficial when implementing SCPs. Article 3 is a methodology article that presents a detailed explanation and rationale for the implementation science frameworks used and the data analysis chosen. The TDF-2 and Behaviour Change Techniques Taxonomy (BCTTv1; Michie, et al., 2008; Michie et al., 2013). The Human Behaviour Change Project researchers have empirically linked the 14 TDF domains to behaviour change techniques (BCTs), which allowed for multiple options to be developed to address barriers (and promote facilitators) of SCP use among breast and colorectal cancer survivors and PCPs (https://theoryandtechniquetool.humanbehaviourchange.org/tool; Michie et al., 2021). Using the TDF and BCTTv1 showed a dynamic between oncology specialists (e.g., oncologists, oncology nurses), cancer survivors, and PCPs that is involved in ensuring SCPs are implemented in an optimal way. A logic model was used to organize the barriers and enablers into different phases of SCP development, content, delivery, and use by PCPs and cancer survivors in their follow-up care (Mills et al., 2019). A flowchart organizing the recommendations of implementing SCPs was developed, and comprised 10 steps representing interrelationships between cancer centers, PCPs, and cancer survivors. The detailed methodology article also includes lessons learned and suggestions for implementation science researchers using the TDF and BCTTv1. Finally, article 4 is written for anyone looking for guidance implementing SCPs or improving upon how SCPs have been implemented already. It differs from article 3 in that it provides practical solutions for implementers. Because this work generated many recommendations, article 4 provides a worked example of how to use the results of this study. It is written in a way that outlines who would benefit from using the recommendations, and how to use the flow chart to narrow down the recommendation to those most relevant to implementors. The recommendations are organized into one of the 10 relationships in the flow chart, along with the purpose of the recommendations, how to implement it, to whom the recommendation targets, and those responsible for enacting the recommendations. The core factors associated with facilitating SCP use by PCPs and cancer survivors were: a) a treatment summary and follow-up guidelines included in the SCP; b) SCP provided to both cancer survivors and their PCP; and c) educating cancer survivors about their role as self-managers of their own care and the expectation that they participate in their follow-up cancer care. Future research on the usefulness of SCPs in follow-up care should include detailed information about the content, format, and receivers of SCPs and the outcomes most realistically influenced by the information included in SCPs. Before throwing the proverbial baby out with the bathwater, the implementation of SCPs requires additional standardization before meaningful investigation of their effectiveness as transition tools can be conducted.

Conserving energy and reducing electricity consumption have become critical issues. Measuring when different appliances use electricity can be an effective way to save money on electricity bills. By providing information about hourly electricity prices and peak consumption times, people can subconsciously adopt energy saving habits to reduce the electricity consumption in their households. The challenge, however, lies in ensuring that all household members are informed and made aware of the right times to use electricity. This study will research how nudging can be utilized to reduce electricity consumption in households and what information the people in the households need to be able to make informed decisions to reduce their electricity consumption.

Det finns många fördelar med att arbeta för att barn ska kunna transportera sig på ett aktivt sätt genom gång och cykel till skolan. Fördelarna är i flera fall kopplade till hälso- och miljöaspekterna. Utöver det får barn möjlighet att interagera med den bebyggda miljön och utvecklas som självständiga individer. Dock finns det en del hinder som gör att alla barn inte har den möjligheten idag. Syftet med det här examensarbetet är att undersöka vilka möjliga redskap och metoder som rektorer på grundskolor inom Nacka kommun kan använda sig av för att förändra föräldrarnas resebeteende från bilburet till att gå eller cykla med sina barn till och från skolan, alternativt låta barnen själva gå eller cykla till skolan. Syftet är också att undersöka hur Nacka kommuns projekt ‘Gå och cykla till skolan’ har bidragit till för effekter. För att besvara syftet kommer studien gå djupare in på varför föräldrar skjutsar sina barn med bil till och från skolan men även undersöka vilka strategiska åtgärder som kan implementeras för att minska bilskjutsandet. Slutligen går studien in på hur Nacka kommun och grundskolorna inom kommunen kan ta lärdom av föräldrarnas resebeteende.  Studien är gjord med semistrukturerade intervjuer med flertalet relevanta respondenter från grundskolesektorn inom Nacka kommun. Utöver intervjuerna har även två enkätundersökningar gjorts. Den ena enkäten skickades ut till resterande rektorer på grundskolor inom Nacka kommun och den andra enkäten riktades till föräldrar som har ett eller flera barn i en av grundskolorna inom Nacka kommun. Resultatet av studien visar att ungefär en tredjedel av föräldrarna skjutsar sina barn till och från skolan med bil. De två främsta anledningarna är att föräldern ska vidare till arbete eller på grund av tidsbrist. Resultatet visar även på att majoriteten av föräldrarna inte har någon kännedom om projektet ’Gå och cykla till skolan’.  För att ta reda på hur arbetet kan analyseras för att minska antalet föräldrar som skjutsar sina barn med bil till och från skolan, användes två beteendeteorier, theory of planned behaviour och social practice theory. Det som framgick av studien är att nya vanemönster så som att arbeta mer hemifrån gav mer utrymme för att gå eller cykla med sitt barn till skolan. Arbeta hemifrån gav också möjligheter för barn att gå själv till och från skolan samt att tidspressen minskade. Studien visar även att brister i infrastrukturen för gång och cykel behöver åtgärdas för att skapa tillförlitlighet hos föräldrarna och barnen. Slutligen behöver Nacka kommun skapa mer uppmärksamhet runt sitt projekt ’Gå och cykla till skolan’ för att nå ut till fler föräldrar. / There are many benefits for children to walk or cycle to and from school, for example, benefits linked to health and environmental aspects. In addition, children can interact with the urban landscape and develop as independent individuals. However, some barriers indicate that not all children have that opportunity. This degree project aims to investigate what possible tools principals in primary schools in Nacka municipality can use to be able to increase the number of parents walking or cycling with their children to and from school. To achieve the aim, questions were made to answer why parents are driving their children by car to and from school, and what strategic measures could be implemented to reduce the transportation of children by car. Also, the study aims to investigate in what way Nacka municipality's project 'Walking and cycling to school' has had any effect.  The study consists of semi-structured interviews with several respondents working in the primary school sector in Nacka municipality. In addition to the interviews, two surveys have also been conducted. One of the surveys was sent out to primary school principals in Nacka municipality and the second survey was aimed for parents who had one or more children in one of the primary schools in Nacka municipality. The result of the study showed that about a third of the parents who responded to the survey drive their children by car to and from school. With the most answered reason for this being that the school is on the way to the parent’s work. And the second most answered reason being lack of time. The result also showed that most of the parents did not have any knowledge of the project ‘Walking and cycling to school’.  An analysis of the parents who drive their children by car to and from school was made, with the two behavioral theories, theory of planned behavior and social practice theory. What could be highlighted in the result and analysis is that new habit patterns, such as parents working more from their home, giving them more time to walk or cycle with their children to school. Also, it provided opportunities for children to go to and from school independently, and lastly, the time pressure decreased. Deficiencies in the infrastructure for walking and cycling need to be fixed to create reliability for parents and children. Finally, Nacka municipality needs to pay attention to their project 'Walking and cycling to school' to a greater extent to reach more parents.

Yes / Clinical guidelines are an integral part of healthcare. Whilst much progress has been made in ensuring that guidelines are well developed and disseminated, the gap between routine clinical practice and current guidelines often remains wide. A key reason for this gap is that implementation of guidelines typically requires a change in the behaviour of healthcare professionals – but the behaviour change component is often overlooked. We adopted the Theoretical Domains Framework Implementation (TDFI) approach for supporting behaviour change required for the uptake of a national patient safety guideline to reduce the risk of feeding through misplaced nasogastric tubes.

The global AIDS pandemic with more than 30 million people being infected, with the greatest impact in sub-Saharan Africa, remains an enormous challenge to all societies including the churches. Especially young Africans, aged 15 to 24, face a high risk of getting infected with HIV. However, multifaceted and contextual preventive measures for this age group have good chances of curbing the epidemic. This dissertation in Practical Theology attempts to explore the potential contribution of Christian curriculum-based AIDS prevention in the Ghanaian context. It does this by relating practical-theological insights to the lifeworld of young people in Ghana. Thus the specific opportunities and limitations of Christian prevention programmes are identified. Their relevance for religious education in Ghana is finally examined in three exemplary curricula with Christian and secular approaches. The findings result in practical recommendations for the design of Christian AIDS prevention programmes within the Ghanaian context. / Practical theology / D. Th. (Practical Theology)

Transport Policy in the United Kingdom from the 1950s to the early 1990s has been focused on increasing car use at the expense of investment in public transport services and infrastructure. This has culminated in a poorly integrated public transport network that has seen continued decline in use outside of London. The Competition Act (1998) has exacerbated this, as public operators risked prosecution if they were seen to collaborate. A policy shift in 1998 introduced the concept of Local Transport Plans, Organisational Travel Plans and Quality Partnerships as local policy tools for developing and implementing travel solutions using the planning process. Travel Plans today are viewed by the UK Government as a local delivery tool for transport policy, inspired by the successes in Europe and the United States in changing individual travel behaviour, where the Smart Growth Agenda has emerged as a mass transit based planning response to urban sprawl. In the UK, success in delivering significant modal shift away from private car use has seen limited success, hence the rationale for this research. Using this wider policy context, this research uses the University of Hertfordshire as a case study with the objective to research the development and implementation processes of a Travel Plan. The research conducts a review of travel behaviour within the case study, providing recommendations for implementing alternative interventions to car-based travel. Making use of national policy tools, using insights from both Smarter Travel / Smarter Choice agenda, the research includes the development process of a complex city wide Quality Partnership – a delivery mechanism for travel behaviour change incorporating multiple stakeholders. This thesis uses an embedded and reflective critical realist approach to researching Travel Plans from the perspective of a Travel Plan Coordinator. Through applying a multi-method dimension to empirical data collection, the use of structured quantitative commuter surveys, semi structured qualitative interviews and supporting secondary data sources are all utilised. Using such an approach provides the research with the flexibility for reporting complex social and empirical data, including the researcher’s embedded reflective insights throughout the process. An evaluative matrix ‘lens’ has been developed for reporting back the multitude of factors, including identifying Critical Success Factors and Key Performance Indicators that underpin the success or failure of such travel planning approaches. The research culminates in the development of a Travel Plan for the University of Hertfordshire and a voluntary Quality Partnership for the City and District of St Albans. A conclusion is drawn based on the unique perspective of an embedded reflective researcher as an active practitioner in the field of travel planning. In order to be successful a Travel Plan should feed into the wider quality partnership structures for mutual benefit where multiple stakeholders are able to influence the development of interventions at the local level, which could lead to significant travel behaviour changes. It is argued that this will ultimately help Travel Plans and quality partnerships achieve their key performance objectives and help meet government policy agenda.

Le concept du Management de la Mobilité agit dans la perspective d’optimiser l’usage de l’offre alternative de mobilité existante et de la développer en créant les conditions favorables d’un changement de culture et de pratiques en matière de déplacements. Notre contribution à travers cette recherche a pour ambition d’éclaircir les bases de débat sur la pertinence des approches du Management de la Mobilité en les examinant de près. Il s’agit de cerner l’efficacité de ces approches, leur fonctionnement, ainsi que leurs apports et leurs limites.Partant de l'hypothèse que les pistes qui mènent à l'objectif de concrétisation d'une mobilité plus durable afin d'atteindre le « facteur 4 » sont multiples, notre démarche repose sur l'analyse de plusieurs terrains de recherche où on tentera de vérifier la pertinence et l'efficacité de l'approche du Management de la Mobilité à travers deux voies possibles de régulation des mobilités quotidiennes.Une première voie que nous l'appelons la « voie corrective » où Il s'agit d'influencer les choix individuels et même plus, des modes de vie entiers par la mise en route des processus de changement à travers des mesures incitatives. Une deuxième voie indissociable de la première, car elle accroit son efficacité et sa pérennité, est plutôt une « voie intégrative ». Pour explorer cette voie, notre recherche nécessite un travail de nature exploratoire pour déterminer les pré-conditions de réalisation du transfert modal afin d’augmenter le potentiel d'usage et la crédibilité des modes alternatifs. Ceci serait possible par l’anticipation des besoins de la mobilité à travers l’intégration du Management de la Mobilité dans le processus de planification urbaine. / The concept of Mobility Management aims to optimize the use of available and alternative mobility modes by providing and creating optimal conditions for travel patterns change. Our contribution through this research is to provide basis for discussion on the relevance of mobility management approaches by analysing them in depth. The research consists in clarifying the effectiveness of these approaches, the way they are implemented, their benefits and limits.Assuming that the ways to lead to more sustainable mobility and achieve the national target of reduction by a factor of four greenhouse gas emissions by 2050 are various, our strategy is based on the investigation of several research fields where we will attempt to validate the adequacy and the effectiveness of mobility management approaches through two assumed ways of mobility regulation. A first way, that we’ve called the « corrective way », consists in influencing individual travel choices by enacting behaviour change processes and implementing incentives measures. A second way which is inseparable from the first, because it increases its long term efficiency, is rather an « integrative way ». It requires for our research an exploratory method to set out pre-conditions for achieving modal shift and increasing potential use and credibility of alternative modes. This could be possible by anticipating travel demand through an integration of mobility management measures into urban planning process.

Abstract Health behaviour change is challenging and is addressed by the international community. Many people try to effect change for a healthier lifestyle, but they find it difficult to sustain their new habits. Today, technological applications support people who want to change their behaviour, oftentimes by utilising social influence: The influence of others on one’s behaviour. Social influence consists of different aspects, the particularities of which are often neglected in design. This thesis focusses on the design of the social comparison aspect of social influence. Social comparison psychology supports the view that when facing a lack of objective measurements, people tend to compare themselves to others who are similar to them for self-evaluation, self-enhancement, self-prediction, and coping. In psychology, social comparison theory has shown great potential in the aforementioned areas as well as challenges regarding its application. In the design of technology, social comparison theory has been utilised but lacks extensive exploration. In this thesis, four perspectives are considered to better understand social comparison in design: Existing designs, designers’ perspective, healthcare professionals’ perspective, and user research for social comparison. The four perspectives are explored using qualitative methodologies and through design science research. The knowledge took the form of a Multiple-perspective Approach Design (MAD) for social comparison features in technology that supports health behaviour change. MAD aims to support designers when working with social comparison in health behaviour change, by presenting social comparison potentials and challenges informed by the different perspectives. MAD builds upon the knowledge transferred from the field of psychology regarding social comparison and on the research conducted to understand the four perspectives of social comparison. / Tiivistelmä Terveyskäyttäytymisen muutos on haastavaa ja sitä käsittelee kansainvälinen yhteisö. Monet ihmiset yrittävät tehdä muutoksia kohti terveellisempiä elämäntapoja, mutta heidän on vaikea ylläpitää uusia tapojaan. Tänä päivänä teknologiset sovellukset tukevat ihmisiä, jotka haluavat muuttaa käyttäytymistään, usein hyödyntämällä sosiaalista vaikutusta: toisten vaikutusta omaan käyttäytymiseen. Sosiaalinen vaikutus koostuu erilaisista näkökulmista, joiden erityispiirteitä on usein laiminlyöty suunnittelussa. Tässä opinnäytetyössä keskitytään sosiaalisen vertailun näkökulman suunnitteluun sosiaalisessa vaikutuksessa. Sosiaalisen vertailun psykologia tukee näkemystä siitä, että objektiivisten mittausten puuttuessa, ihmiset pyrkivät vertaamaan itseään muihin, jotka ovat samankaltaisia, itsearvioinnin, itsensä vahvistamisen, itsearvioinnin ja selviytymisen kannalta. Psykologiassa sosiaalisen vertailun teoria on osoittanut potentiaalinsa edellä mainituilla aloilla, mutta sen soveltamiseen liittyy haasteita. Sosiaalisen vertailun teoriaa on hyödynnetty teknologian suunnittelussa, mutta laaja-alaisempi tutkimus aiheesta on puutteellista. Tässä opinnäytetyössä tarkastellaan neljää näkökulmaa ymmärtämään paremmin sosiaalista vertailua suunnittelussa: Olemassa olevat mallit, suunnittelijoiden näkökulma, terveydenhuollon ammattilaisten näkökulma ja käyttäjätutkimus sosiaaliseen vertailuun. Näitä neljää näkökulmaa tutkitaan käyttämällä laadullisia tutkimusmenetelmiä ja suunnittelutieteellistä tutkimusta. Kerätyn tiedon perusteella muodostettiin monia toimijoita tarkasteleva lähestymistapa suunnitteluun (MAD), joka koskee sosiaalisen vertailun ominaisuuksia teknologiassa, joka tukee terveyskäyttäytymisen muutosta. MAD pyrkii tukemaan suunnittelijoita, jotka työskentelevät sosiaalisen vertailun parissa terveyskäyttäytymisen muutoksessa, esittämällä sosiaalisen vertailun mahdollisuuksia ja haasteita, joita on kerätty eri näkökulmista. MAD perustuu psykologian alalta kerättyyn tietämykseen sosiaalista vertailusta ja toteutettuun tutkimukseen, joka on tehty sosiaalisen vertailun neljän näkökulman ymmärtämiseksi.

The aim of this multi-disciplinary research was to explore the power of digital, interactive or participatory storytelling to influence human behaviour in the context of public health. It addressed three related questions: RQ1: Does digital storytelling have the power to influence human behaviour? RQ2: If digital storytelling can influence human behaviour then how might it do so? RQ3: Is a ‘digital storytelling framework’ feasible as an approach to behaviour change? Four linked qualitative studies were conducted: a scoping review, in-depth interviews with 11 international ‘digital storytellers’, two case studies of ‘digital storytelling designed to influence human behaviour’ and six focus groups with 35 adolescent ‘digital story participants’. The research found that: RA1: Digital storytelling appears to influence human behaviour. RA2: Digital storytelling appears to influence by engaging at ever deepening emotional and non-conscious levels. Commerce appears to understand and embrace this power: But public health appears to rely on traditional uni-directional, non-participatory message led approaches and appeals to cognition. This presents threats and opportunities to public health. RA3: The proposed ‘digital storytelling framework’ is feasible and desirable as a behaviour change paradigm. The thesis concludes that Digital Storytelling appears to influence human behaviour. It appears to derive its power to influence by facilitating unprecedented depths of emotional engagement potentially en route to behaviour change. The current imbalance in how commerce and public health corral the power of digital storytelling suggests that the latter might embrace its potential; and tougher regulation might constrain how the former uses it to market harmful products. The proposed digital storytelling framework makes a valuable creative, analytical and critical contribution to both of these ends. Its core principles have informed the design of numerous story-led digital health interventions; and they now sit at the core of a counter-marketing campaign to reduce harmful effects of marketing on children’s health.