ABA Fundamentals

Effects of episodic future thinking on discounting: Personalized age-progressed pictures improve risky long-term health decisions.

Kaplan et al. (2016) · Journal of applied behavior analysis 2016
★ The Verdict

A quick look at an age-progressed photo of yourself makes future health feel real and cuts risky discounting.

✓ Read this if BCBAs who help adults or teens make health choices in clinics or schools.
✗ Skip if Practitioners working with clients who cannot recognize self-photos or lack health decision control.

01Research in Context

01

What this study did

Researchers added a twist to episodic future thinking. They showed people computer-made photos of themselves at an older age.

Then they asked the people to pick between risky health choices. The team wanted to see if the aged photos would make future health feel real.

02

What they found

The new picture prompt worked. People took the safer, long-term health option more often.

Standard future-thinking words were not as strong as seeing your own older face.

03

How this fits with other research

Lahav et al. (2015) saw that teens care less about the future when money is on the line. The photo fix may help those same teens choose safer health bets.

Geurts et al. (2008) found that framing money as "gaining" beats "losing" for quitting smoking. Both studies tweak how choices are shown to boost healthy picks.

Beaulieu et al. (2024) taught adults to set SMART health goals with a short BST package. Pairing their goal lesson with the aged-photo view could lock in the plan.

Goodwin et al. (2012) used four talk-therapy sessions to help heart patients eat better. Adding a quick glance at a future self might stretch their progress even further.

04

Why it matters

You can cut discounting without long lessons. Just pull up an age-progressed photo app, show the client their future face, then run your regular health-choice program. The image takes seconds and may save you weeks of delay training.

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Before asking a client to choose between a safe and a risky health option, show them an age-progressed photo of themselves on your tablet.

02At a glance

Intervention
other
Design
other
Population
not specified
Finding
positive

03Original abstract

Many everyday choices are associated with both delayed and probabilistic outcomes. The temporal attention hypothesis suggests that individuals' decision making can be improved by focusing attention on temporally distal events and implies that environmental manipulations that bring temporally distal outcomes into focus may alter an individual's degree of discounting. One such manipulation, episodic future thinking, has shown to lower discount rates; however, several questions remain about the applicability of episodic future thinking to domains other than delay discounting. The present experiments examine the effects of a modified episodic-future-thinking procedure in which participants viewed age-progressed computer-generated images of themselves and answered questions related to their future, on probability discounting in the context of both a delayed health gain and loss. Results indicate that modified episodic future thinking effectively altered individuals' degree of discounting in the predicted directions and demonstrate the applicability of episodic future thinking to decision making of socially significant outcomes.

Journal of applied behavior analysis, 2016 · doi:10.1002/jaba.277