The Role of Behavioral Science Theory in Development and Implementation of Public Health Interventions

Glanz, Karen; Bishop, Donald B.

doi:10.1146/annurev.publhealth.012809.103604

Cited by 1,769 publications

(1,530 citation statements)

References 89 publications

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“…Some evidence suggests that reporting the use of theory to inform the development of behavior change interventions is associated with larger intervention effects (Albada, Auseums, Bensing, & van Dulsem, 2009;Ammerman, Lindquist, Lohr, & Hersey, 2002;Fisher & Fisher, 2000;Glanz & Bishop, 2010;Kim et al, 1997;Swann et al, 2003;Taylor, Conner, & Lawton, 2012;Webb, Joseph, Yardley, & Michie, 2010).…”

mentioning

confidence: 99%

Does theory influence the effectiveness of health behavior interventions? Meta-analysis.

Prestwich¹,

Sniehotta²,

Whittington³

et al. 2014

Health Psychology

486

374

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Objective: To systematically investigate the extent and type of theory use in physical activity and dietary interventions, as well as associations between extent and type of theory use with intervention effectiveness.Methods: An in-depth analysis of studies included in two systematic reviews of physical activity and healthy eating interventions (k = 190). Extent and type of theory use was assessed using the Theory Coding Scheme (TCS) and intervention effectiveness was calculated using Hedges's g. Meta-regressions assessed the relationships between these measures.Results: Fifty-six percent of interventions reported a theory base. Of these, 90% did not report links between all of their behavior change techniques (BCTs) with specific theoretical constructs and 91% did not report links between all the specified constructs with BCTs. The associations between a composite score or specific items on the TCS and intervention effectiveness were inconsistent. Interventions based on Social Cognitive Theory or the Transtheoretical Model were similarly effective and no more effective than interventions not reporting a theory base. Conclusions:The coding of theory in these studies suggested that theory was not often used extensively in the development of interventions. Moreover, the relationships between type of theory used and the extent of theory use with effectiveness were generally weak. The findings suggest that attempts to apply the two theories commonly used in this review more extensively are unlikely to increase intervention effectiveness.

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mentioning

confidence: 99%

Does theory influence the effectiveness of health behavior interventions? Meta-analysis.

Prestwich¹,

Sniehotta²,

Whittington³

et al. 2014

Health Psychology

486

374

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“…Early recognition of the "black box" problem focused on encouraging the specification of the underlying theoretical basis for the intervention [17,[23][24][25][26] and the constructs targeted by an intervention. Following methods to systematically plan and develop interventions with links between theory and intervention components were introduced [e.g., 4,27,28].…”

Section: Deconstructing Interventions or Unpacking The "Black Box"mentioning

confidence: 99%

Deconstructing interventions: approaches to studying behavior change techniques across obesity interventions

Tate

Lytle

Sherwood

et al. 2016

Behav. Med. Pract. Policy Res.

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Deconstructing interventions into the specific techniques that are used to change behavior represents a new frontier in behavioral intervention research. This paper considers opportunities and challenges in employing the Behavior Change Techniques Taxonomy (BCTTv1) developed by Michie and colleagues, to code the behavior change techniques (BCTs) across multiple interventions addressing obesity and capture dose received at the technique level. Numerous advantages were recognized for using a shared framework for intervention description. Coding interventions at levels of the social ecological framework beyond the individual level, separate coding for behavior change initiation vs. maintenance, fidelity of BCT delivery, accounting for BCTs mode of delivery, and tailoring BCTs, present both challenges and opportunities. Deconstructing interventions and identifying the dose required to positively impact health-related outcomes could enable important gains in intervention science.

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“…Over the past few decades, the Health Belief Model (HBM) 21 has been widely employed in health promotion efforts with varying degrees of success 22,23 . The HBM integrates components that impact on behavior: perceptions of susceptibility to and severity of a disease, cues to taking recommended action, perceptions of barriers to and benefits of taking action, and self-efficacy 24 .…”

Section: The Health Belief Model (Hbm) and Social Marketing In Healthmentioning

confidence: 99%

“…The cumulative effect of self-efficacy, and the barriers to and benefits of taking a prescribed action, represents an individual's expectations about the outcomes of taking action, and signifies the likelihood of that individual undertaking a specific health behavior. The HBM has shown particular usefulness when applied in the formative stages of program development to better understand the beliefs of a target population 22,23 .…”

Section: The Health Belief Model (Hbm) and Social Marketing In Healthmentioning

confidence: 99%

The asthma knowledge and perceptions of older Australian adults: Implications for social marketing campaigns

Evers

Jones

Caputi

et al. 2013

Patient Education and Counseling

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Objective: The purpose of this research is to gain an understanding of the asthma perceptions of older adults and identify gaps in their asthma knowledge. Methods: In regional New South Wales, Australia, a stratified, random sample of 4066 adults, aged 55 years and over, both with and without an asthma diagnosis, completed a survey based on the Health Belief Model about asthma knowledge and perceptions. Results: Almost half of the sample had experienced symptoms of breathlessness in the past four weeks. Breathlessness was a predictor of lower health ratings and poorer mood. Older adults reported low susceptibility to developing asthma. The sample demonstrated poor knowledge of key asthma symptoms including shortness of breath, tightness in the chest and a cough at night. Conclusion: There is a general lack of asthma awareness in this age group. This could result in not seeking medical help, and thus a reduced quality of life. Practical Implications: Older adults should be made aware of key symptoms and the prevalence of asthma in the older adult population, and be empowered to take control of their respiratory health. Audience segmentation for an intervention should be based on recent experience of breathlessness and asthma diagnosis. AcknowledgementsThe study was supported by the Australian Research Council, in collaboration with the Asthma Foundation NSW. The electoral roll data was supplied by the Australian Electoral Commission in conformity with sections 91(4 A)(e) and 91(2 A)(c) of the Commonwealth Electoral Act 1918 and regulation 10 of the Electoral and Referendum Regulations. The asthma knowledge and perceptions of older Australian adults: Implications for social marketing campaigns AbstractObjective: The purpose of this research is to gain an understanding of the asthma perceptions of older adults and identify gaps in their asthma knowledge.Methods: In regional New South Wales, Australia, a stratified, random sample of 4,066 adults, aged 55 years and over, both with and without an asthma diagnosis, completed a survey based on the Health Belief Model about asthma knowledge and perceptions.Results: Almost half of the sample had experienced symptoms of breathlessness in the past four weeks. Breathlessness was a predictor of lower health ratings and poorer mood. Older adults reported low susceptibility to developing asthma. The sample demonstrated poor knowledge of key asthma symptoms including shortness of breath, tightness in the chest and a cough at night. Conclusion:There is a general lack of asthma awareness in this age group. This could result in not seeking medical help, and thus a reduced quality of life.Practical Implications: Older adults should be made aware of key symptoms and the prevalence of asthma in the older adult population, and be empowered to take control of their respiratory health.Audience segmentation for an intervention should be based on recent experience of breathlessness and asthma diagnosis.1

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The Role of Behavioral Science Theory in Development and Implementation of Public Health Interventions

Cited by 1,769 publications

References 89 publications

Does theory influence the effectiveness of health behavior interventions? Meta-analysis.

Does theory influence the effectiveness of health behavior interventions? Meta-analysis.

Deconstructing interventions: approaches to studying behavior change techniques across obesity interventions

The asthma knowledge and perceptions of older Australian adults: Implications for social marketing campaigns

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