Methodology Evidence base

The research behind the method.

The method is built on peer-reviewed research — the mechanisms of how a pattern forms and changes, and the evidence behind delivering that work as a self-guided digital course. Below is the foundation, grouped by what each source supports. Where the evidence is strong and replicated, we say so. Where it is real but preliminary, we say that too. Every linked source points to the original study.

How to read this

Not all evidence is equal.

So we label it. Each source carries one of three marks, and we are open about which one applies.

Well established

Replicated across independent studies over many years. The tools are built directly on it.

Moderate

Solid and useful, but with limits the authors themselves note: a smaller sample, a single trial, or a setting still being extended to this area.

Preliminary

Real, but not settled. We mention it, and we do not build promises on it.

Every link below was checked and points to the original source: a journal page, a DOI, or open-access full text. On this page the foundations are largely well established; more preliminary, program-specific findings are shown on each program’s page.

The research

What the method rests on.

01

How an urge actually works

The mechanism the method uses, kept to the parts that hold up: an urge as a learned prediction, the gap between wanting and liking, and the emotional job a behavior is doing before any attempt to change it.

Well established

Schultz, Dayan & Montague (1997). A Neural Substrate of Prediction and Reward. Science, 275(5306), 1593–1599.

The brain’s dopamine signal is a learning signal about predictions, not a pleasure button. This is the basis for treating an urge as a learned prediction.

Read the source
Well established

Berridge & Robinson (2016). Liking, Wanting, and the Incentive-Sensitization Theory of Addiction. American Psychologist, 71(8), 670–679.

Wanting something and liking it are two different brain processes. With a repeated behavior, the wanting can grow sharper even as the enjoyment flattens.

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Well established

Gross (2015). Emotion Regulation: Current Status and Future Prospects. Psychological Inquiry, 26(1), 1–26.

People use behaviors to manage emotional states. Recognizing the job a behavior is doing comes before changing it.

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02

What works: the methods the course is built on

The clinical approaches the program adapts — relapse prevention, urge surfing, and mindfulness-based work — with the trials behind them. Developed for substance use; the course adapts them to other patterns.

Well established

Marlatt & Donovan (Eds.) (2005). Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors (2nd ed.). Guilford Press.

Foundational. The framework behind treating a slip as a lapse rather than total failure, and behind mapping high-risk situations. The spine of the whole approach.

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Moderate

Bowen & Marlatt (2009). Surfing the urge: brief mindfulness-based intervention for college student smokers. Psychology of Addictive Behaviors, 23(4), 666–671.

The basis for urge surfing: an urge, left unfed, rises, peaks, and comes back down. You change the response to it, not the urge itself. A small early study; the principle is well supported.

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Well established

Bowen et al. (2014). Relative Efficacy of Mindfulness-Based Relapse Prevention, Standard Relapse Prevention, and Treatment as Usual for Substance Use Disorders. JAMA Psychiatry, 71(5), 547–556.

A randomized trial showing mindfulness-based relapse prevention reduced relapse over a year. Strong for substance use; the transfer to other patterns is plausible, and the course adapts the model.

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03

How change is built, and made to stick

Habit, planning, and learning: how long a new pattern really takes, how a plan survives the moment, and what makes a skill stay usable.

Well established

Lally et al. (2010). How are habits formed: Modelling habit formation in the real world. European Journal of Social Psychology, 40(6), 998–1009.

How long a new pattern takes to settle ranged from 18 to 254 days across people. This is why the course uses reference points, not deadlines.

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Well established

Gollwitzer (1999). Implementation intentions: Strong effects of simple plans. American Psychologist, 54(7), 493–503.

Pre-formed "if this happens, then I do that" plans help people act on intentions in the moment. The basis for preparing a response to a cue in advance.

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Well established

Roediger & Karpicke (2006). Test-Enhanced Learning: Taking Memory Tests Improves Long-Term Retention. Psychological Science, 17(3), 249–255.

Recalling something yourself, rather than rereading it, is what makes it stick. This is why each step asks you to do something, not just take it in.

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04

How the program is delivered

Headscovery is a self-guided digital course. These are the studies behind that format: that it works, that human support keeps people in it, and that how material is presented decides whether it lasts.

Well established

Carlbring, Andersson, Cuijpers, Riper & Hedman-Lagerlöf (2018). Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis. Cognitive Behaviour Therapy, 47(1), 1–18.

Across two decades of randomized trials, internet-delivered CBT produces effects on par with face-to-face treatment. The digital format is not a compromise on what works.

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Well established

Mohr, Cuijpers & Lehman (2011). Supportive Accountability: A Model for Providing Human Support to Enhance Adherence to eHealth Interventions. Journal of Medical Internet Research, 13(1), e30.

What sustains engagement in a digital program is accountability to a person seen as trustworthy and competent — not the technology. This is why self-guided work is paired with human support.

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Well established

Dunlosky, Rawson, Marsh, Nathan & Willingham (2013). Improving Students’ Learning With Effective Learning Techniques. Psychological Science in the Public Interest, 14(1), 4–58.

Among common study methods, retrieval practice and spacing have the highest, most generalizable payoff; rereading and highlighting the least. The course is built around the former.

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Further foundations

The frameworks underneath.

Beyond the studies above, the method draws on four established bodies of work. These are the frameworks it is built on, one set per area.

Behavioral psychology

The Transtheoretical Model of change (Prochaska & DiClemente), cognitive behavioral therapy, acceptance and commitment therapy (Hayes), motivational interviewing (Miller & Rollnick), and the COM-B model of behavior (Michie et al.).

Neuroscience

Reward prediction error and reinforcement learning, the wanting-and-liking distinction, cue-elicited craving, and self-perception theory (Bem) on how identity follows from action. The strongest of these are linked in full above.

Learning

Cognitive load theory (Sweller), spaced and distributed practice (Cepeda et al.), desirable difficulties (Bjork), self-determination theory (Deci & Ryan), mastery learning (Bloom), and deliberate practice (Ericsson).

Communication

Person-centered communication (Rogers), validation (Linehan), nonviolent communication (Rosenberg), the Elaboration Likelihood Model (Petty & Cacioppo), inoculation theory (McGuire), and supportive accountability (Mohr).

These are the primary frameworks the method draws on, each linked to a primary source where one exists. A few rest on foundational books rather than a single paper.

Read the reasoning

See how this fits together.

The methodology page explains how these fields connect, how the program is built on them, and how the line between what is settled and what is preliminary is handled.

Headscovery is not a clinical service and does not replace professional psychotherapy.