Engagement measures activity. Completion depends on readiness.

Opening an email, watching a video, or clicking a link shows that a patient responded. It does not show whether participation can hold.Patients complete when the trial remains understandable, feasible, supported, and worth sustaining.Jumo Health applies behavioral science to identify what threatens that state and intervene before readiness deteriorates.

Behavior is where trial execution succeeds or breaks.

Most patient engagement is optimized for visible activity: views, clicks, responses, and completed tasks. Those signals show contact with a message. They do not reveal whether the patient understands the burden, can manage it, trusts the process, or has the support to continue.

Behavioral readiness is the state beneath sustained participation. It strengthens when patients have the capability to act, the practical opportunity to follow through, and motivation that can withstand the realities of the protocol. That is the difference between communication that was delivered and participation that can endure.

Activity

Patient Engagement

Tracks opens, clicks, views, responses, and completed tasks.

It tells you what the patient did.
State Change

Patient Readiness

Evaluates whether understanding, feasibility, motivation, and support have changed.

It tells you whether participation can hold.

SPUR detects. COM-B diagnoses. Fogg triggers.

Three complementary frameworks create one behavioral pipeline. Each answers a different question. Together, they turn readiness signals into targeted action.

01

SPUR

Detect the signal.

Social, Psychological, Usage, and Rational dimensions reveal what may be driving behavioral risk.

What is happening?
02

COM-B

Diagnose the barrier.

Capability, Opportunity, and Motivation distinguish what must change for a behavior to occur.

What must change?
03

Fogg

Design the trigger.

Motivation, Ability, and Prompt shape the action at the moment readiness can shift.

What should happen next?

Different friction demands different intervention.

The same visible behavior can have entirely different causes. Friction profiling keeps a logistical barrier from being treated like a motivation problem, and a trust problem from being treated like a comprehension gap.

Structural Friction

Transportation, scheduling, cost, access, caregiving, work, and geographic constraints.

The response: remove or reduce the practical barrier.

Cognitive Friction

Comprehension, health literacy, language, information processing, and expectation gaps.

The response: create clarity in a form the patient can use.

Behavioral Friction

Fear, trust, motivation, identity, decisional conflict, and confidence in participation.

The response: address the belief or condition shaping the decision.

One science. Two application surfaces.

The frameworks remain consistent. Their role changes depending on whether Jumo is designing the readiness experience or governing it in real time.

CORE

Behavioral science applied to readiness education.

CORE uses behavioral diagnosis to determine what patients and caregivers must understand, when they need it, and what the experience must accomplish.

  • SPUR identifies the barriers education must address.
  • COM-B defines whether the intervention targets capability, opportunity, or motivation.
  • Fogg shapes sequencing, timing, and the action the experience should support.
Explore CORE →
PRISM

Behavioral science applied to readiness operations.

PRISM uses behavioral signals to assess readiness, select the appropriate intervention, and monitor whether participation remains sustainable.

  • SPUR informs continuous signal detection and behavioral risk profiling.
  • COM-B guides diagnosis and determines the intervention type.
  • Fogg informs when and how the intervention is delivered.
Explore PRISM →

Readiness is dynamic. The model must be too.

A patient can be ready at consent and unready three visits later. Burden accumulates. Support changes. Confidence fades. New information alters the decision. Behavioral readiness must be reassessed as participation changes.

Jumo applies the same closed logic throughout the trial: detect the signal, diagnose the barrier, deliver the intervention, and evaluate whether readiness changed.

  1. 01DetectSurface a change in readiness.
  2. 02DiagnoseIdentify the barrier beneath it.
  3. 03InterveneDeliver the proportionate response.
  4. 04ReassessMeasure whether the state changed.

Behavioral science is how equity moves from intention to execution.

Different populations enter clinical trials with different friction profiles. Language barriers create cognitive friction. Transportation gaps create structural friction. Cultural mistrust creates behavioral friction. Naming the barrier is not enough. The intervention must reflect the condition creating it.

The same behavioral logic applies to every patient, with the specificity required to recognize different histories, resources, decision roles, and support environments.

Frequently Asked Questions

What behavioral science frameworks does Jumo Health use?

Jumo Health applies three complementary frameworks: SPUR for profiling behavioral risk, COM-B for diagnosing what must change, and the Fogg Behavior Model for designing the right action prompt at the right moment. The three operate together across CORE and PRISM.

What is the SPUR model?

SPUR stands for Social, Psychological, Usage, and Rational. It profiles the behavioral dimensions influencing patient readiness and helps identify what may be driving participation or adherence risk.

What is the COM-B model?

COM-B examines whether Capability, Opportunity, and Motivation are present for a Behavior to occur. Jumo uses it to distinguish different barrier types so the intervention fits the actual problem.

How does Jumo Health apply the Fogg Behavior Model?

The Fogg Behavior Model describes behavior as the convergence of motivation, ability, and a prompt. Jumo uses it to shape the timing and form of interventions at important trial decision points.

How do CORE and PRISM use behavioral science differently?

CORE applies behavioral science to readiness education and experience design. PRISM applies the same behavioral logic to readiness assessment, orchestration, intervention, and monitoring throughout the trial lifecycle.

What is behavioral readiness?

Behavioral readiness is the patient state that determines whether participation is understood, feasible, supported, and sustainable. It measures more than activity by examining whether capability, opportunity, and motivation are sufficient for informed action.

Send us your protocol and site list.

In two days, you get three execution diagnostics on your program.

01 · The Baseline

Trial Readiness Index

How likely each eligible patient cluster is to activate, persist, and complete, before any intervention.

02 · The Diagnosis

Readiness Friction Map

The barriers most likely to suppress activation, enrollment, and completion in each cluster, and how to mitigate them.

03 · The Prescription

Readiness
Blueprint

Which clusters to target, which barriers to address, which interventions to deploy, and what completion lift to expect.