Developing interventions for promoting prosocial behavior might be more cost-effective at increasing well-being than providing psychotherapy

TLDR

I present a proof-of-concept for the feasibility of predicting the cost-effectiveness of behavioral science research. The results suggest that funding EA-aligned behavioral science research could be more cost-effective at promoting well-being than investing in deploying the best existing interventions for promoting global (mental) health.

Introduction

We now live in a time when people’s decisions are more influential than ever before (Ord, 2020). On the one hand, bad decisions could destroy the future of humanity (e.g., through nuclear war, engineered pandemics, or misaligned advanced AI). On the other hand, good decisions could enable a vast future that is substantially better than the present (e.g., by averting existential risks and ending extreme poverty). Behavioral science can help improve those decisions by elucidating the underlying cognitive and affective mechanisms and the conditions under which they lead to good versus bad decisions. Applying behavioral science to crucial questions could therefore put us into a much better position to develop, improve, select, and deploy effective interventions preventing catastrophic decisions and fostering impactful altruistic contributions (Lieder & Prentice, 2022; Lieder, Prentice, & Corwin-Renner, 2022).

Consistent with this argument, we recently found that funding research projects that are designed to enable or develop better interventions can be substantially more cost-effective than investing everything into interventions that are already available today. This general finding could be especially true for high-quality behavioral science research on crucial questions. Much of the previous behavioral science research did not live up to this standard (Simmons, Nelson, & Simonsohn, 2011). This means that behavioral science can become substantially much more effective at generating impactful insights and interventions than it has been in the past. This requires asking better questions and answering them with better methods. Thus far, most efforts to improve behavioral science have focused on how questions are answered (Hales, Wesselmann, & Hilgard, 2019). I believe that asking the right questions is at least as important as answering them well. I therefore think that we should be at least as methodical about choosing our questions as we are about answering them. So far, there are virtually no principled methods for choosing good scientific questions. The Research Priorities Project aims to change that by developing a method that helps behavioral scientists choose more impactful research questions.

A good scientific question is one whose investigation leads to a large gain in knowledge that has impactful applications that substantially increase the wellbeing of humanity. This requires that the question has three properties (Gainsburg, et al., 2022): i) It has to be important, ii) it has to be tractable, and iii) it has to be neglected. The Research Priority Project’s team of behavioral scientists and effective altruists is currently developing a method for identifying such questions.

A general method for identifying impactful behavioral science research questions

So far, our method proceeds in four steps:

  1. Ask many researchers from a wide range of research areas within psychology what the most important questions of psychology might be.

  2. Select a subset of the questions that score the highest on importance, tractability, and neglectedness.

  3. Estimate the expected increase in human well-being that will be enabled by researching each topic per dollar invested.

  4. Rank the potential topics by their expected cost-effectiveness

We are currently working on Step 3 of our first iteration of this process. Our plan for Step 3 is to apply our general model of the cost-effectiveness of scientific research to perform quantitative cost-effectiveness analyses of the positive social impact of researching different topics. Concretely, we aim to develop Guesstimate models of how effective the resulting interventions can be expected to be and how beneficial the behaviors promoted by those interventions are for the well-being of humanity. This model will allow us to probabilistically simulate how impactful the deployment of the resulting interventions might be. We can then combine this information with the cost of deploying those interventions to estimate their cost-effectiveness. We can then compare the cost-effectiveness of the new intervention(s) to the cost-effectiveness of the best existing intervention. Based on this comparison, we can then evaluate how high the likelihood is that our intervention will be more effective and how those potential benefits compare to the cost of research.

Proof of Concept: the value of research on promoting prosocial behavior

As a proof of concept, we applied this approach to the research topic of how people find and adopt a prosocial purpose. The following sections describe the model we developed to estimate the cost-effectiveness of such research and the results of this analysis.

A simple model

The logic of our model of the impact of research on promoting prosocial behavior is as follows. Understanding how people can find a highly beneficial prosocial purpose might improve the effectiveness of existing online interventions for fostering purpose (Baumsteiger, 2019). Deploying the improved interventions might increase the frequency of kindness, which in turn increases the well-being of the people who commit the acts of kindness and their beneficiaries.

I have built a first probabilistic model using Guesstimate (https://​​www.getguesstimate.com/​​models/​​21450). Each of the rectangles in this model specifies the probability distribution of a variable, such as the frequency of prosocial behavior, given the values of other variables and data from the literature. The arrows show which variables influence which other variables. This model has three parts. The first part models the effect of the research on the effectiveness of the intervention, the resulting increase in kindness, and its effect on well-being. The second part models the cost of deploying the improved intervention. And the third part of the model combines the estimates generated by the first two parts to estimate the cost-effectiveness of conducting the research as opposed to investing all the money in the deployment of the best existing intervention. We now briefly describe each of the three parts of the model in turn.

Figure 1. Screenshot from the part of the probabilistic model concerning the effect of the intervention on well-being.

Predicting the effect of the intervention resulting from the research

As illustrated in Figure 1, the first part of the model describes how the research might lead to increased well-being. This part has two components: i) the effect of the intervention on prosocial behavior, and ii) the effect of prosocial behavior on well-being. We combine the predictions of these two parts to obtain a probabilistic prediction of the total increase in well-being we can expect to achieve per person who is reached by the intervention. The model measures this benefit by the number of hours for which a person’s subjective well-being was increased by one standard deviation. We call this measure hours of happiness.

The first component describes how much the newly developed intervention might increase the frequency of prosocial behavior and how long that effect might last. These two predictions are combined into an overall estimate of the number of additional acts of prosocial behavior that a person who has been exposed to the intervention will perform because of it. We make the conservative assumption that, for the new intervention, those quantities will not be systematically better or worse than they were for previous interventions. Our model, therefore, samples their values from the corresponding empirical distribution of effect sizes reported in meta-analyses (Menting et al., 2013; Mesurado et al., 2019; Shin & Lee, 2021) and an additional relevant recent study they overlooked (Bausteiger, 2019). We thereby use the variability in the effectiveness of recently developed interventions as an estimate of the upside potential of developing a new intervention.

The second component estimates the additional hours of happiness that each act of prosocial behavior brings to its beneficiaries and the person who performs it. This estimate combines the intensity of the positive emotions people experience when they act prosocially (Curry et al., 2018) or benefit from someone’s prosocial behavior (Pressman et al., 2015) with how long those positive emotions typically last (Verduyn et al., 2009). Figure 2 shows one of the model’s building blocks, namely the effect of one act of kindness on the beneficiaries’ happiness. As you can see, this is a simple Normal distribution that reflects the confidence interval on the corresponding effect size from the meta-analysis by Curry et al. (2018).

Figure 2. Probabilistic model of the initial effect of performing an act of kindness on well-being. The values in the box are the empirical estimates based on 5000 samples. They may therefore slightly deviate from the expected value of the corresponding distribution.

Predicting the cost of deploying the intervention

We assumed that the most cost-effective intervention resulting from the research on promoting prosocial behavior would be a digital intervention similar to the one developed by Baumsteiger (2019). We, therefore, modeled the cost of deploying the intervention per person who completes it as the product of the cost of online advertising per install times the proportion of people who complete the intervention upon starting it. This led to an estimated cost of $11 per person who completes the intervention.

Predicting the relative cost-effectiveness of investing in the research

We modeled the cost-effectiveness of the new intervention as the ratio between the hours of happiness created per person who completes the intervention and the deployment cost per person who completes the intervention. Similarly, the cost-effectiveness of research (CE_research) is the quotient of the value of research (VOR) and the research costs (RC), that is, CE_research = VOR/​RC.

Building on the value of information framework (Howard, 1966), we model the VOR as the expected value of the best opportunity we will have to invest money in good causes after the research has been completed minus the expected value of the opportunities that are already available. To obtain a lower bound on the value of research, we assume that its only benefit will be to add a new intervention to the repertoire of interventions that EAs and EA organizations can fund. We model the value of either decision situation as the amount of human happiness that can be created with the remaining amount of money. The amount of happiness we can create without the research is the product of the budget and the cost-effectiveness of the best intervention that already exists (i.e., budget*CE_prev). The amount of human happiness that can be created after a research project has produced a new intervention with cost-effectiveness CE_new is the product of the amount of money that is left after the research has been completed (budget-RC) and the maximum of the cost-effectiveness of the new intervention and the best previous intervention (i.e., max (CE_prev, CE_new)). Under these assumptions, the value of research is

VOR = E[(budget-RC)*max(CE_prev, CE_new)] - E[budget*CE_prev],

where E[X] denotes the expected value of X.

This assumes that the intervention resulting from the research will be deployed if and only if it is more cost-effective than the best existing intervention. Moreover, the present analysis modeled the total amount of funds that will be deployed to increase human well-being as a log-Normal distribution with a 95% confidence interval ranging from 10 million dollars to 1 billion dollars.

Building on McGuire and Plant (2021), we used delivering task-shifted CBT group therapy for depression to women in Africa as our placeholder for the most effective intervention. McGuire and Plant (2021) found this intervention to be 9 to 12 times as cost-effective as cash transfers. Moreover, we assume that the budget that can be invested into the new intervention is the minimum of the amount of money that could be cost-effectively invested in the intervention (scalability) and the portion of the budget remaining after the research has been funded. We model the scalability of the intervention as the product of the number of people who have internet access, the proportion of them who would click on an ad to the intervention if it is presented to them often enough, and the cost per click of online advertising.

Preliminary Results

Running Monte Carlo simulations with our probabilistic model allowed us to estimate i) the cost-effectiveness of interventions that might result from research on promoting prosocial behavior and the cost-effectiveness of conducting such research. We found that the expected value of the cost-effectiveness of the interventions that further research on promoting prosocial behavior might produce is about 24 hours of happiness per dollar, and its median is about 6.6 hours of happiness per dollar (see Figure 3a). The uncertainty about the cost-effectiveness of new interventions for promoting prosocial behavior is very high (standard deviation: 53.1 hours of happiness per dollar). Importantly, the probability distribution of the cost-effectiveness of the resulting interventions has a long right tail. Therefore, there is a very high upside potential (95th percentile: 116.8 hours of happiness per dollar).

Figure 3. Results of our cost-effectiveness analysis of research on promoting prosocial behavior.

(a) Predicted cost-effectiveness of interventions resulting from the research.(b) Cost-effectiveness of funding research and then selecting either the new intervention or the best previous intervention. c) Ratio of the cost-effectiveness of funding research and then selecting the best intervention vs. investing everything into already existing interventions.

The expected cost-effectiveness of the best existing intervention for promoting global mental health (88 hours of happiness per dollar) is higher than the expected value of this distribution, but significantly lower than its 95th percentile. This suggests that research on promoting prosocial behavior has the potential to lead to an intervention that is even more cost-effective. Crucially, we only have to deploy the new intervention if it is more cost-effective than the previous one. If it turns out to be less cost-effective, then we continue deploying the best previous intervention, and we only lose a small amount of money for conducting the research. Moreover, because online interventions are highly scalable and the total amount of money that EA funding organizations have earmarked for increasing human well-being is many orders of magnitude larger than the cost of a research project, an online intervention whose cost-effectiveness is even slightly higher than the cost-effectiveness of the best existing intervention could have a massive positive impact. Our model takes this into account and therefore predicts that the cost-effectiveness of conducting the research and then deciding which intervention to deploy is about 7.5 times the cost-effectiveness of the best existing intervention (see Figure 3b-c). Moreover, our estimate of the cost-effectiveness of research on promoting prosocial behavior is about 3 times as high as our estimate of the cost-effectiveness of strategically investing in scientific research in general. This suggests that research on promoting prosocial behavior is especially cost-effective compared to both interventions and general scientific research.

Our model makes a number of assumptions. To determine which of these assumptions are critical for our conclusions, we performed a sensitivity analysis. We found that our estimate of the cost-effectiveness of research on prosocial behavior is not overly sensitive to any of the individual assumptions. Some of the more important assumptions are the proportion of people who follow through with the intervention upon starting it, and the effect of kindness on the well-being of the beneficiary. If the proportion of people who complete the intervention upon encountering it was only half as high, then the cost-effectiveness of the research would also be only half as high. Future research should therefore refine our assumptions about these variables based on a more thorough review of existing research findings. By contrast, many other assumptions, such as the cost of the research, were not crucial within the range of possible values we considered.

Discussion

The proof-of-concept cost-effectiveness analysis suggests that it is possible to quantitatively estimate the positive social impact of psychological research on a given topic. Moreover, it indicates that, despite the high uncertainty, such estimates can be useful for deciding whether a potential research topic is worth pursuing. Encouragingly, we found that psychological research could have a larger positive social impact than some of the best existing interventions for improving global (mental) health.

Perhaps the most important takeaway from this case study is that scientific research and R&D could be more cost-effective than investing directly in interventions when it has a non-negligible chance to produce new or improved interventions that are substantially more cost-effective than the best existing interventions. This can be the case even if the interventions that result from the research are less cost-effective than the best existing intervention on average. What matters most is that there is high upside potential. That is, the crucial factor is whether there is a non-negligible chance that the research projects will lead to at least one new intervention that is (much) more cost-effective than the best existing intervention. Our case study suggests that some research on motivating and enabling people to engage in (effective) altruism could have this property.

We should keep in mind that the cost-effectiveness analysis presented in this post was just the very first exploration of the feasibility of making predictions about the potential impact of behavioral science research. It is therefore difficult to assess how much credence we should put into its conclusions. Constructive criticism and future improvements to the model are likely to change our estimate moving forward. We would be in a much better position to ascertain how much trust we should put in the cost-effectiveness estimate if it were based on a systematic, objective method whose reliability had already been established empirically.

Next steps

To address these limitations, our next step will be to translate what we have learned into a general method for predicting the cost-effectiveness of (behavioral science) research in hours of happiness per dollar invested. Once we have developed the method, we will test if it is sufficiently objective (“Does it lead to similar estimates when different teams apply it?”) and sufficiently accurate (“Can it reliably discern highly impactful research from less impactful research?”).

We hope that once we have developed a method that is sufficiently objective and sufficiently accurate to be useful, we will be able to apply it to identify the most important scientific questions in increasingly larger research areas, culminating in a prioritized list of the most important research topics of the behavioral science along with cost-effectiveness estimates. This will also make it possible to compare the cost-effectiveness of behavioral science research on specific topics to the cost-effectiveness of best existing interventions of established causes, such the charities recommended by GiveWell.

I hope that, in the long run, this line of work will shift the priorities of the behavioral sciences and the criteria of academic funding agencies towards research that is highly beneficial for the long-term flourishing of humanity. This is a big and audacious project that will require the joint efforts of methodologists and domain experts. We invite you to join us in estimating the cost-effectiveness of behavioral science research and helping behavioral scientists ask more impactful research questions. There are many opportunities for you to contribute that cover a range of skill sets and interests, and it is conceivable that funding for part-time or full-time roles might become available in the future. So if you are potentially interested in collaborating on this project, please contact us.

Acknowledgements

This analysis is part of the research priorities project, which is an ongoing collaboration with Izzy Gainsburg, Philipp Schönegger, Emily Corwin-Renner, Abbigail Novick Hoskin, Louis Tay, Isabel Thielmann, Mike Prentice, John Wilcox, Will Fleeson, and many others. The model is partly inspired by Jack Malde’s earlier post on whether effective altruists should fund scientific research. I would like to thank Joel McGuire and Michael Plant from the Happier Lives Institute, Emily Corwin-Renner, Cecilia Tilli, and Andreas Stuhlmüller for helpful pointers, feedback, and discussions. I would also like to thank Rachel Baumsteiger and Isabel Thielmann for sharing information on research projects that this analysis is based on.

References

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