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Health Educ Behav . 2025 Mar 27;52(4):469–477. doi: 10.1177/10901981251327185 The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations Kimberley A Baxter Kimberley A Baxter , PhD, BHlthSc (Nutr & Diet) (Hons), BFoodTech (Hons) 1 Centre for Childhood N... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.552 | 0.84 | ["education", "resume"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.975924 | [
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Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia Find articles by Kimberley A Baxter 1, 2, ✉ , Nidhi Sachdeva Nidhi Sachdeva , PhD, MA, BSc (Hons) 3 Ontario Institute for Studies in Education, University of Toronto, Toronto, Ontario, Canada Find articles by Nidhi Sac... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.512 | 0.704 | ["education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976293 | [
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ology, Brisbane, Queensland, Australia 2 School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia Find articles by Sabine Baker 1, 2 Author information Article notes Copyright and License information 1 Centre for Childhood Nutrition Research,... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.492 | 0.686 | ["education", "philosophy"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976422 | [
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of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia 3 Ontario Institute for Studies in Education, University of Toronto, Toronto, Ontario, Canada ✉ Kimberley A. Baxter, Postdoctoral Research Fellow, Centre for Childhood Nutrition Research and Centre for Children’s Health Research, Facult... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.513 | 0.82 | ["education", "family"] | 483 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976511 | [
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erley.baxter@qut.edu.au Collection date 2025 Aug. © The Author(s) 2025 This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/ ) which permits any use, reproduction and distribution of the work without further permission provided the ori... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.486 | 0.664 | ["innovation"] | 449 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976584 | [
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//us.sagepub.com/en-us/nam/open-access-at-sage ). PMC Copyright notice PMCID: PMC12246501 PMID: 40145544 Abstract Health and behavior change programs play a crucial role in improving health behaviors at individual and family levels. However, these programs face challenges with engagement and retention and typically sho... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.396 | 0.832 | ["crisis", "family", "education", "philosophy"] | 509 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976658 | [
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ty to process new information (“working memory”). Learning, engagement, and performance are negatively impacted when working memory is exceeded. Cognitive load theory is grounded in an understanding of human cognition and conceptualizes different types of cognitive loads imposed on individuals by a learning experience.... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.575 | 0.836 | ["education", "philosophy", "leadership"] | 481 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976723 | [
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eading to more meaningful and effective learning. Cognitive load theory is increasingly applied to domains outside the classroom, such as designing patient and clinical education. Applying cognitive load theory to the design of health programs, their materials, and interfaces can provide insights. By considering the co... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.374 | 0.84 | ["education"] | 499 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976787 | [
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better facilitate learning and behavior adoption. This may enhance engagement, retention, and effectiveness of programs. Cognitive load theory may be particularly valuable for individuals with diminished working memory due to high levels of mental load and stress. Design principles are presented to consolidate knowledg... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.407 | 0.816 | ["education"] | 432 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976846 | [
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esearchers, policymakers, and health programmers. Further research and interdisciplinary collaboration are needed to realize the potential of cognitive load theory in health. Keywords: health programs, health literacy, health behavior, cognitive load theory, health equity Health and behavior change programs are a corne... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.552 | 0.824 | ["communication", "economy", "rhetoric"] | 461 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976906 | [
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ons and optimize health and well-being behaviors. These programs are evaluated by their ability to modify behaviors related to an outcome or problem at an individual, community, or population level ( Abraham et al., 2009 ). Unfortunately, promising behavioral programs may encounter challenges translating to real-world ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.529 | 0.856 | ["crisis"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.976972 | [
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have worse health than those who are more advantaged ( Siegrist & Marmot, 2006 ). Although the burden of poor health is greatest in socio-economically disadvantaged populations, the evidence does not support consistent, positive impacts of health behavior programs in such populations ( Karran et al., 2023 ; Veinot et a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.394 | 0.858 | [] | 500 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977028 | [
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cultural misalignment ( Gallegos et al., 2023 ). Understanding how people process new information and the factors that influence this cognitive processing could provide valuable insights into designing health and behavior change programs that aim to modify behaviors. Cognitive load theory (CLT) is a theory of instructi... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.563 | 0.824 | ["philosophy"] | 414 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977091 | [
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n cognition and working memory ( Sweller, 1988 ). Working memory is the small amount of information that can be held and applied to tasks, whereas long-term memory is the cumulative stored knowledge from one’s life ( Cowan, 2014 ). According to CLT, learning is more effective when cognitive resources are properly manag... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.46 | 0.862 | ["education", "philosophy"] | 496 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977230 | [
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h new information, in both capacity and duration. Learning and performance are optimized when instruction is designed according to the human cognitive architecture ( Kirschner, 2002 ). CLT has been applied extensively in education and instructional design and is gaining recognition within medical and clinical education... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.445 | 0.846 | ["education", "philosophy"] | 446 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977308 | [
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rriënboer & Sweller, 2010 ; Young et al., 2016 ). It has also been used to a lesser extent in developing health consumer education handouts ( Kennedy & Parish, 2021 ; Wilson & Wolf, 2009 ) and interventions ( Antonio et al., 2023 ; D. W. Baker et al., 2011 ). However, there are limited applied examples of CLT in the de... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.342 | 0.708 | ["education"] | 430 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977379 | [
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es that could be used across a range of contexts. Health and behavior programs typically incorporate an educational component, requiring individuals to absorb, process, and apply new information and behaviors to a range of situations in their life contexts. By viewing health programs through the lens of “learning,” (i.... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.56 | 0.852 | ["education", "philosophy"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977441 | [
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s that minimize cognitive load and optimize delivery and impact. This article explores the potential of an interdisciplinary approach drawing on CLT and provides future research and practice recommendations. We present the main ideas and implications of CLT and explore the theory’s potential application in the design a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.592 | 0.858 | ["networking", "resume", "education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977504 | [
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memory depletion ( Chen et al., 2018 ; Choi et al., 2014 ), emphasizing the particular value of CLT in designing programs for those experiencing high stress and disadvantage. We offer a series of design principles that consolidate knowledge from CLT and other health theories that can be applied to improve the design of... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.56 | 0.836 | ["education"] | 410 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977565 | [
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individuals engage with ( Feldon et al., 2023 ). Cognitive Load Theory—A Concise Overview CLT is a scientific approach to designing learning materials and content that considers the limits of working memory. Our working memory is limited in both capacity and duration ( Miller, 1956 ). New information must be processed ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.444 | 0.862 | ["philosophy", "education"] | 511 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977616 | [
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ssary demands, the cognitive load on working memory increases, producing cognitive overload. Learners can feel confused and frustrated when overloaded, and motivation and engagement decrease. However, if working memory is properly managed, there is sufficient capacity for learning to be productive and enjoyable. CLT co... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.4 | 0.846 | ["education", "motivation", "philosophy"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977676 | [
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complexity, the rate of information flow, and the learner’s expertise and prior knowledge. This load is necessary for learning and should be optimized by responding to and adjusting the difficulty level of the learning content for the intended audience. Extraneous cognitive load refers to any part of the process that d... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.374 | 0.84 | ["education", "philosophy", "communication", "crisis"] | 468 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977734 | [
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tion presentation and is detrimental to learning. Reducing this load is important and can be achieved by creating clean, simple, and easy-to-follow learning experiences. Germane cognitive load is the working memory devoted by the learner to make sense of the new material and store it in long-term memory. In practice, t... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.421 | 0.862 | ["education", "communication"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977807 | [
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lable to deal with the intrinsic load of the material, reducing learning ( Sweller, 2010 ). Recently, empirical studies have found that when extraneous cognitive load was reduced, the total cognitive load also decreased ( Sweller et al., 2019 ). Therefore, germane load is not considered an independent source of cogniti... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.542 | 0.858 | ["education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977865 | [
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ul for learning while minimizing extraneous load as it impedes learning. Instructional effectiveness will be compromised by the extent to which instructional choices require learners to apply working memory resources to extraneous cognitive load ( Sweller, 2010 ). Germane cognitive load is not an independent load but r... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.409 | 0.848 | ["education", "decision_making", "negotiation", "resume"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.977922 | [
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r change programs are coordinated sets of activities designed to change specified behavior patterns of individuals, communities, and/or populations through hypothesized or known means ( Michie et al., 2011 ). Programs can be designed to target discreet behaviors or sets of behaviors, such as a parenting approach. In th... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.4 | 0.842 | [] | 475 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978018 | [
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e existing disease, or promote desired practices. Modifiable behaviors for disease prevention might include reducing smoking and alcohol consumption, improving nutrition, managing stress, or increasing physical activity; disease management could consist of medication or therapy adherence programs and health screening (... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.533 | 0.82 | ["management", "philosophy"] | 477 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978105 | [
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n behavior and informed intervention development. Behavior change theories focus on the complexities of achieving lasting behavior change and can guide program developmsent, implementation, and evaluation. Several behavior change theories can be applied across populations and health contexts ( Barley & Lawson, 2016 ). ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.518 | 0.854 | ["governance", "philosophy"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978161 | [
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Bandura, 1986 ), the transtheoretical model ( Prochaska & Velicer, 1997 ), and the behavior change wheel with the COM-B model ( Michie et al., 2011 ). Each uses a combination of constructs reliant on beliefs, social norms, self-efficacy, and motivation. Digital technologies and increasing community access to such techn... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.514 | 0.824 | ["motivation"] | 421 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978261 | [
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ndividuals in their communities and environments. This has resulted in an upsurge in digital health interventions such as mobile applications, SMS-based programs, and online health websites and platforms ( Brewer et al., 2020 ). From this focus, program development models specific to digital health have also emerged; e... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.335 | 0.844 | ["resume", "philosophy"] | 469 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978357 | [
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e health interventions ( Voorheis et al., 2022 ). These models and frameworks inform the development of a theory of change to explicitly identify the targeted behavior, the mechanisms of how the behavior will be modified, and the expected outcomes. These established models help plan and articulate a program’s what, how... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.331 | 0.86 | ["philosophy"] | 509 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978417 | [
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nt and high attrition ( Middleton et al., 2013 ). CLT provides a framework for developing health materials and aspects of programs that individuals engage with that consider human cognitive factors. By understanding and managing the different types of cognitive loads, programs and materials can be tailored to enhance l... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.399 | 0.856 | ["management", "education", "philosophy"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978476 | [
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be particularly pronounced for programs aimed at individual behavior change, where an educational or learning component is included, rather than policy or legislative initiatives that aim to influence human behavior through environmental changes or disincentives. Contextual Factors While CLT focuses on the cognitive lo... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.408 | 0.696 | ["education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978535 | [
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the broader environment and is influenced by contextual factors. Learning cannot happen without the learner, who possesses certain characteristics and is impacted by their environment ( Choi et al., 2014 ). CLT has primarily been applied in educational settings where learning or instruction happens in a controlled envi... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.365 | 0.83 | ["education", "networking"] | 439 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978595 | [
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en the person and health program is more blurred. The physical environment interacts with the learner’s characteristics, the learning task’s characteristics, or a combination of both ( Choi et al., 2014 ; Jamieson et al., 2000 ; Tanner, 2008 ). Affective factors, such as emotional state, stress, and anxiety, are though... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.391 | 0.844 | ["education"] | 439 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978705 | [
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de Almeida et al., 2024 ; Sweller et al., 2019 ). For individuals living with disadvantage or poverty, contextual factors may increase cognitive load and impede learning. For example, their home environment may not be conducive to learning (e.g., unsafe, crowded, noisy, or distracting). Managing with limited resources ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.399 | 0.702 | ["management", "education", "economy", "family"] | 497 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978779 | [
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ment and budgeting ( Boswell Dean et al., 2017 ). A recent qualitative study exploring family food and mealtimes with parents who struggled financially found a common experience was high mental load from the cognitive and emotional work of getting enough food to feed the family with limited economic resources ( Baxter,... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.381 | 0.854 | ["family", "economy", "education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978831 | [
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r, or diminished access to high-quality nutrition, education, and health care ( Szaszi et al., 2023 ). Another critical consideration in the design of materials and programs is the individual’s health literacy. Health literacy is the personal, cognitive, and social skills that determine one’s ability to gain access to,... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.512 | 0.86 | ["philosophy", "education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978890 | [
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ing of health information and adverse outcomes ( Dewalt et al., 2004 ). These examples underscore the importance of considering psychosocial and contextual factors that may increase mental load and decrease cognitive capacity. The design of health programs, materials, and interfaces should use strategies that minimize ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.427 | 0.826 | ["philosophy"] | 427 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.978946 | [
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equalities in health are not further exacerbated. Applying CLT and other cognitive considerations of learning to health and behavioral program design can lead to programs better suited to the cognitive needs of end-users ( Pusic et al., 2014 ). Design Principles for the Development of Health and Behavioral Programs Fig... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.548 | 0.844 | ["education"] | 480 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979017 | [
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LT and existing health and behavioral approaches. These design principles aim to organize programs, interfaces, and materials to reduce extraneous cognitive load, thereby directing working memory to learning. Health researchers and program designers can utilize these strategies alongside a plain language approach, cont... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.548 | 0.842 | ["education", "philosophy"] | 511 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979074 | [
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ely to materials and content development in a way that makes sense for the program. Figure 1. Open in a new tab Design Principles for Use in Health and Behavior Change Programs. Plain Language principles are a commonly used and recommended approach in developing health communications, and established guidelines exist f... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.335 | 0.852 | ["communication", "resume"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979137 | [
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ntences, without unnecessary complexity and jargon. Studies suggest that using plain language can improve the comprehensibility of complex health information ( Grene et al., 2017 ). Using pictorial aids is also recommended to help understand abstract ideas and complex instructions and is commonly employed for individua... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.387 | 0.852 | ["philosophy"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979193 | [
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ons of working memory can further promote comprehension and recall. Intrinsic load is often overlooked by designers, in part because designers can possess “expert blindness” (i.e., the inability of experts to perceive the kinds of confusion that a novice might have ( Nathan et al., 2001 )). For any set of educational m... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.401 | 0.846 | ["education"] | 463 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979260 | [
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lexity and the knowledge an individual possesses. For example, if the educational materials use language unfamiliar to a learner, that person will experience higher levels of intrinsic load. This is important when designing materials for large audiences with varying literacy levels. Thus, one way to reduce intrinsic lo... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.419 | 0.836 | ["education", "philosophy"] | 464 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979315 | [
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clear, easy-to-understand images and animations. Another strategy for reducing intrinsic load is to reduce the inherent complexity of the instruction. This can be accomplished by chunking new information and presenting the material bit by bit ( Paas et al., 2004 ). Effective chunking requires the designer to think care... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.546 | 0.84 | ["education", "philosophy", "strategy"] | 464 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979373 | [
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owledge is taught before more advanced knowledge. Providing examples, stories, scenarios, and models contextualizes and applies information. Designers can minimize the extraneous load within educational materials by eliminating unnecessary information, eliminating ambiguities, using clear language, and removing visual ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.369 | 0.832 | ["philosophy", "education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979428 | [
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ity in health information and programs, thus freeing up cognitive resources for processing essential information ( Kalyuga & Sweller, 2021 ). Learning can be encouraged by designing materials that promote the integration of new information with existing knowledge, facilitating the embedding of knowledge and practice in... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.408 | 0.85 | ["education", "philosophy"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979482 | [
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on the materials; this scaffolds opportunities to make connections and organize information. This is especially important in health programs as behaviors happen within an individual’s broader life; therefore, addressing previous behaviors and knowledge and integrating them with new practices are essential to long-term ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.406 | 0.83 | ["education", "communication", "networking", "philosophy"] | 477 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979534 | [
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y of multimedia learning (CTML) ( Mayer, 2021a ). Based on cognitive load and information processing theories, it proposes a series of evidence-based multimedia principles to design content that promotes active learning, wherein the learner can select information, organize it, and integrate it with previous knowledge. ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.563 | 0.85 | ["education", "philosophy"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979586 | [
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res rather than words alone), spatial contiguity principle (to present text and corresponding graphics close to one another), coherence principle (to remove distracting content from materials), and segmenting principle (to divide the content into segments, so as not to overload working memory). While generally useful f... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.389 | 0.816 | ["education"] | 430 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.979647 | [
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cially beneficial for developing digital content. Exemplary Approaches Applying CLT Techniques informed by CLT have been successfully applied to specific settings where integrating knowledge sets and practical skills is essential. Such an example is a multisession education program for heart failure management among lo... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.414 | 0.852 | ["education", "philosophy", "management"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.980737 | [
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rning mastery theory to improve the design of education curricula and programs ( D. W. Baker et al., 2011 ). Another cognitive theory-informed approach is microlearning, which is gaining significant traction in clinical training and health settings ( De Gagne et al., 2019 ). Microlearning refers to small lesson modules... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.415 | 0.84 | ["education", "philosophy", "resume"] | 461 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.980814 | [
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applications, mobile gaming devices, and videos. The key feature of microlearning is the small content size, which can be completed in short bursts ( Torgerson, 2016 ). The asynchronous nature of microlearning allows the individual to control the place, time, and pace of the learning interaction and applies well to dig... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.563 | 0.856 | ["education", "philosophy", "career", "resume", "salary"] | 511 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.980882 | [
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ess, and increased engagement ( De Gagne et al., 2019 ). In parenting support settings, microlearning has been identified to address barriers, such as the logistics of attending face-to-face sessions, declining enrolment, high attrition, and lower uptake in socioeconomic and racial groups ( Grodberg & Smith, 2022 ). Di... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.382 | 0.846 | ["communication", "education"] | 468 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.980940 | [
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g higher-risk families ( S. Baker et al., 2017 ). A recent study that developed a child-feeding program identified digital microlearning as a mode and delivery method aligned with the needs of low-income families who experienced high stress and food insecurity ( Baxter, Kerr, et al., 2024 ). It has also been shown in a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.349 | 0.854 | ["education"] | 485 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981001 | [
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f-care and health literacy ( Wang et al., 2020 ). Approaches that consider CLT, offer opportunities within health and behavior programs that address some of the barriers and challenges associated with traditional techniques and methods of delivery. Recommendations and Implications for Practice and Research Innovative a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.356 | 0.82 | ["communication", "crisis"] | 422 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981054 | [
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es in health programs and offer new perspectives. Researchers and program developers can gain insights from educational theory that considers the learning process and cognitive factors. CLT provides a promising framework for optimizing health programs, materials, and interfaces. Central to CLT is the recognition that i... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.389 | 0.83 | ["education", "philosophy"] | 478 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981109 | [
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stractions, and affective factors such as stress. For populations experiencing disadvantage and poverty, considerations of reduced mental resources are often compounded by systemic barriers to health program access, lower literacy levels, and higher experiences of psychosocial stress ( Evans & Kim, 2013 ). Research sug... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.398 | 0.84 | ["economy", "war_conflict", "family"] | 511 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981166 | [
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sing instability, and exposure to family conflict and tension, which contribute to elevated levels of cognitive load ( Mani et al., 2013 ). In addition, lower literacy levels among individuals may be partly explained by cognitive effects, such as reduced working memory ( Federman et al., 2009 ; Wilson et al., 2010 ). T... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.431 | 0.856 | ["war_conflict", "family"] | 491 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981228 | [
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considering readability and simplifying language. Designing health programs and materials in ways that optimize intrinsic load and reduce extraneous load can reduce the cognitive demands placed on individuals, thereby enhancing accessibility, engagement, and effectiveness. It is important to recognize that within educa... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.415 | 0.844 | ["education"] | 499 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981284 | [
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proposed by CLT ( de Jong, 2010 ; Martin, 2018 ). Further advances in measuring intrinsic and extraneous loads are needed to empirically test theoretical explanations of the effects of manipulating instructional designs ( Schnotz & Kürschner, 2007 ). However, the assertion that individuals have a limited working memory... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.37 | 0.838 | ["education"] | 443 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981355 | [
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n of instruction impacts the learning experience. For this article, we propose that an understanding of the concepts of intrinsic and extraneous cognitive load provides a framework that can be used to optimize modifiable design elements. Furthermore, we have presented connections with the complex factors surrounding in... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.426 | 0.848 | ["networking", "education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981493 | [
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nd consider the limits of individuals’ working memory. The process of developing health program materials and interfaces should consider cognitive factors. Intrinsic and extrinsic loads place cognitive demands on individuals, which can be reduced through thoughtful design, such as the principles and strategies presente... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.457 | 0.842 | [] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981626 | [
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nd retain individuals in promoting behaviors for positive health change. This may improve long-term learning and behavior adoption, leading to better outcomes and higher satisfaction and engagement. Moving forward, further research and interdisciplinary collaboration are needed to fully realize the potential of CLT to ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.523 | 0.834 | ["education", "leadership", "communication", "war_conflict", "economy"] | 511 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981749 | [
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fessor Rebecca Byrne at the Queensland University of Technology and Associate Professor Jim Hewitt at the University of Toronto for their support in discussing early ideas related to this topic and for providing feedback on the manuscript. Footnotes Author Contributions: All authors contributed to conceptualizing the m... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.553 | 0.836 | ["education"] | 462 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.981882 | [
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g the manuscript and agreed to the final version. The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: KAB and SB have no conflicts to declare. NS has consulted for Mytonomy, a provider of health care video-based patient educa... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.513 | 0.852 | ["war_conflict", "education"] | 512 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.982009 | [
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publication of this article: This research was supported by a grant from the Children’s Hospital Foundation (reference number WCCNR03) as part of the Centre for Childhood Nutrition Research (CCNR). The CCNR was established in 2018 by founding partners Woolworths and the Children’s Hospital Foundation. This grant funds ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.495 | 0.854 | ["family", "decision_making", "education"] | 510 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.982128 | [
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of data in the report’s writing, or the decision to submit the article for publication. ORCID iDs: Kimberley A. Baxter https://orcid.org/0000-0001-5180-1455 Nidhi Sachdeva https://orcid.org/0009-0000-7567-7161 Sabine Baker https://orcid.org/0000-0001-8524-1302 References Abraham C., Kelly M. P., West R., Michie S. (200... | https://pmc.ncbi.nlm.nih.gov/articles/PMC12246501/ | The Application of Cognitive Load Theory to the Design of Health and Behavior Change Programs: Principles and Recommendations - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.529 | 0.674 | ["decision_making"] | 493 | Prioritization Time Attention Management | topic | 2026-04-11T19:46:25.982255 | [
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