Which is an ethical obligation in behavior-change practice?

• A. Privacy breach
• B. Coercive incentives
• C. Public shaming
• D. Obtain informed consent

Answer: (D)

Respecting client autonomy through informed consent is the ethical obligation in behavior-change practice. Obtaining informed consent means clearly explaining what the program involves, what data will be collected and how it will be used, any possible risks and benefits, available alternatives, and the right to participate, decline, or withdraw at any time. This ensures the person can make a voluntary, informed decision in language they understand, which upholds autonomy, builds trust, and supports ethical and legal standards.

The other options represent practices that violate ethical principles: a privacy breach undermines confidentiality, coercive incentives pressure someone into participation, and public shaming can cause harm and social stigma. These are not ethical obligations; they are actions to avoid in professional practice.