Effective techniques in healthy eating and physical activity interventions: A meta-regression.

Michie, Susan; Abraham, Charles; Whittington, Craig; McAteer, John; Gupta, Sunjai

doi:10.1037/a0016136

Cited by 1,942 publications

(1,968 citation statements)

References 129 publications

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“…It updates previous systematic reviews and metaanalyses of sexual health interventions -the most recently published of which searched papers published up until 2008 (Henny et al, 2012), 2009(Shepherd et al, 2011TolouShams et al, 2010), and 2010 (Lopez et al, 2011). In addition, previous meta-analyses concerned with sexual health have tended to focus on specific issues such as contraceptive use (Lopez et al, 2011) andHIV prevention (Albarracín et al, 2005), or on specific population groups like juvenile offenders (Tolou-Shams et al, 2010) and African American men (Henny et al, 2012).…”

Section: Discussionmentioning

confidence: 70%

Theory of planned behavior interventions for reducing heterosexual risk behaviors: A meta-analysis.

Tyson¹,

Covey²,

Rosenthal³

2014

Health Psychology

130

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. (2014) 'Theory of planned behavior interventions for reducing heterosexual risk behaviors : a meta-analysis. ', Health psychology., 33 (12). pp. 1454-1467. Further information on publisher's website:http://dx.doi.org/10.1037/hea0000047Publisher's copyright statement:c 2014 APA, all rights reserved. This article may not exactly replicate the nal version published in the APA journal. It is not the copy of record.Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-pro t purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. Methods: Studies were eligible for inclusion if they were either randomized control trials or quasi-experimental studies which compared the TPB-based intervention against a control group. Search strategy consisted of papers identified in previous reviews, keyword search through search engines, examination of key journals, and contacting key experts.Results: Forty-seven intervention studies were included in the meta-analysis. Random effects models revealed that pooled effect sizes for TPB-based interventions had small but significant effects on behavior and other secondary outcomes (i.e., knowledge, attitudes, normative beliefs, perceived behavioral control, and intentions). Significant heterogeneity found between effect sizes was explored using meta-regression. Larger effects were found for interventions that provided opportunities for social comparison. Conclusions:The TPB provides a valuable framework for designing interventions to change heterosexual risk behaviors. However, effect sizes varied quite substantially between studies and further research is needed to explore the reasons why. They also linked their findings to specific components of the TPB. Interventions that included strategies addressing either attitudinal or behavioral skills arguments increased behavior change across many populations. Although the findings of this review do not provide direct evidence of the efficacy of using the TPB as a framework for intervention design, it has highlighted the benefits of targeting specific constructs.The systematic review and meta-analysis reported in this paper aims to build upon this work. It includes studies reporting evaluations of interventions that have been explicitly informed in their design by the TPB or its predecessor the TRA (both referred to hereafter as TPB-based interventions). Its focus is also somewhat broader than some of the existing reviews. It does not restrict itself to a particular population group or demographic and includes studies concerned with the prevention of all types of STDs contracted through heterosex...

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Section: Discussionmentioning

confidence: 70%

Theory of planned behavior interventions for reducing heterosexual risk behaviors: A meta-analysis.

Tyson¹,

Covey²,

Rosenthal³

2014

Health Psychology

130

View full text Add to dashboard Cite

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“…Despite this there was less of a focus on maintenance and relapse prevention. While all but one of the apps used a recognized BCT, none specifically referred to any specific BCT taxonomy [5][6][7][8][9]. Documentation was poor, with only a small number of apps providing adequate descriptions of the theory behind the behavior change techniques employed.…”

Section: Discussionmentioning

confidence: 99%

Quality assessment of a sample of mobile app-based health behavior change interventions using a tool based on the National Institute of Health and Care Excellence behavior change guidance

McMillan

Hickey

Patel

et al. 2016

Patient Education and Counseling

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Quality assessment of health behaviour change apps using a tool developed from NICE guidance 2 AbstractObjective: To quality assess a sample of health behavior change apps from the NHS Apps Library using a rating tool based on the 2014 National Institute for Health and Care Excellence behavior change guidance (NICE BCG).Methods: A qualitative analysis of the NICE BCG identified themes and questions for a quality assessment of health behavior change apps. These were refined by further discussion and piloting, and applied by two independent raters to a sample of NHS Library apps (N=49). Disagreements were resolved following discussions with a third rater.Results: Themes identified were; purpose, planning, usability, tailoring, behavior change technique BCT), maintenance, evaluation, data security and documentation. Overall, purpose of the apps was clear, but evidence for collaboration with users or professionals was lacking. Usability information was poor and tailoring disappointing. Most used recognized BCTs but paid less attention to behavior maintenance than initiation. Information on app evaluation and documentation was sparse.Conclusions: This study furthers the work of the NHS apps library, adapting the NICE (2014) behavior change guidance for quality assessment of behavior change apps.Practice Implications: This study helps lay the foundations for development of a quality assurance tool for mobile health apps aimed at health behavior change.Quality assessment of health behaviour change apps using a tool developed from NICE guidance 3 Quality assessment of a sample of mobile app-based health behavior change interventions using a tool developed using the National Institute of Health and Care Excellence behavior change guidance.

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“…The session titles/topics were as follows: (1) exploring motivators for weight loss/ getting started being active, (2) making wise food and beverage choices, (3) be strategic: three ways to reduce your calories in, (4) reading nutrition labels/ food substitutions, tasting new foods, (5) cutting the budget while cutting calories, (6) taking charge of what's around you, (7) taking charge of what's within you (talking back to negative thoughts), and (8) dealing with slips and staying motivated. Only eight sessions that focused on critical topics to the target population (as opposed to all 16 sessions in the DPP) were included because of challenges to committing to a longer program on the part of WIC participants, as evidenced in our developmental work and literature [4].…”

Section: Methodsmentioning

confidence: 99%

“…These interventions have not used or translated existing evidence-based programs or strategies [5,6] (i.e., limited focus on creating an energy deficit; nonsystematic use of self-monitoring, goal-setting and problem-solving, and limited hands-on opportunities and support to develop healthy cooking skills and physical activity behaviors). In addition, studies reported poor attendance and high attrition rates.…”

mentioning

confidence: 99%

Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women

Rosal¹,

Lemon²,

Nguyen³

et al. 2011

Behav. Med. Pract. Policy Res.

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The Women Infants and Children (WIC) program is a promising venue in which to implement weight loss interventions for low-income postpartum women. The goals of this study were to describe formative steps to translate the DPP lifestyle intervention to be delivered to diverse low-income postpartum women who are served by the WIC program, and to present the results of a pilot trial of the intervention. The steps of intervention translation involved were the following: (1) building partnerships, (2) understanding the target setting, (3) understanding the target population, (4) re-designing the intervention, and (5) refining the intervention. The pilot trial was a single group pre/post test comparison among 27 overweight/obese postpartum WIC clients. The intervention resulted in an average weight loss of 4.6lb at a 4-month follow-up (p=0.004). A dose-response association between intervention attendance and weight loss was observed. This translation of the DPP for diverse low-income postpartum women has potential for widespread implementation. KEYWORDS Weight loss, Health disparities, Intervention, Translational researchThe postpartum period is a critical time for targeting weight loss, as on average, women retain approximately 3 kg per pregnancy over the life course [1]. Low SES and minority women are at greatest risk of postpartum weight retention, and these populations also experience significant weight gain after the first few postpartum weeks [2]. The Women Infants and Children (WIC) program is a promising setting in which to implement evidence-based weight loss interventions for low SES women. WIC is a federaland state-funded program with a mission to promote health of low-income women, infants, and children up to age 5 who are at nutritional risk. WIC serves approximately 18 million individuals a year via 9,000 clinics across the country. The program does not systematically provide weight loss services per se, but addressing weight loss among its participants is within the mission of WIC.Only a few interventions have aimed to promote postpartum weight loss among WIC clients and have had minimal or no success [2][3][4]. These interventions have not used or translated existing evidence-based programs or strategies [5,6] (i.e., limited focus on creating an energy deficit; nonsystematic use of self-monitoring, goal-setting and problem-solving, and limited hands-on opportunities and support to develop healthy cooking skills and physical activity behaviors). In addition, studies reported poor attendance and high attrition rates.Despite the promise of efficacious weight loss interventions such as the Diabetes Prevention Program (DPP) Lifestyle Intervention [5,7], to date only a few studies have demonstrated a positive effect of using the DPP intervention in real world settings and populations [8]. There are sizeable barriers to widespread implementation and dissemination of efficacious weight loss interventions like the DPP to real world settings and populations, such as WIC clinics and the low SES postpartum ...

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Effective techniques in healthy eating and physical activity interventions: A meta-regression.

Cited by 1,942 publications

References 129 publications

Theory of planned behavior interventions for reducing heterosexual risk behaviors: A meta-analysis.

Theory of planned behavior interventions for reducing heterosexual risk behaviors: A meta-analysis.

Quality assessment of a sample of mobile app-based health behavior change interventions using a tool based on the National Institute of Health and Care Excellence behavior change guidance

Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women

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