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Effectiveness of Interventions for changing more than one behavior at a time to manage chronic conditions: A systematic review and meta-analysis

2024Journal article Open access
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dc.contributor.authorSilva, Carolina C.
dc.contributor.authorPresseau, Justin
dc.contributor.authorVan Allen, Zack
dc.contributor.authorSchenk, Paulina
dc.contributor.authorMoreto, M.
dc.contributor.authorDinsmore, John
dc.contributor.authorMarques, Marta M.
dc.date.accessioned2024-07-08T16:11:16Z
dc.date.available2024-07-08T16:11:16Z
dc.date.issued2024
dc.description.abstractBackground Health behaviors play a significant role in chronic disease management. Rather than being independent of one another, health behaviors often co-occur, suggesting that targeting more than one health behavior in an intervention has the potential to be more effective in promoting better health outcomes. Purpose We aimed to conduct a systematic review and meta-analysis of randomized trials of interventions that target more than one behavior to examine the effectiveness of multiple health behavior change interventions in patients with chronic conditions. Methods Five electronic databases (Web of Science, PubMed, CINAHL, EMBASE, and Cochrane) were systematically searched in November 2023, and studies included in previous reviews were also consulted. We included randomized trials of interventions aiming to change more than one health behavior in individuals with chronic conditions. Two independent reviewers screened and extracted data, and used Cochrane’s Risk of Bias 2 tool. Meta-analyses were conducted to estimate the effects of interventions on change in health behaviors. Results were presented as Cohen’s d for continuous data, and risk ratio for dichotomous data. Results Sixty-one studies were included spanning a range of chronic diseases: cardiovascular (k = 25), type 2 diabetes (k = 15), hypertension (k = 10), cancer (k = 7), one or more chronic conditions (k = 3), and multiple conditions (k = 1). Most interventions aimed to change more than one behavior simultaneously (rather than in sequence) and most targeted three particular behaviors at once: “physical activity, diet and smoking” (k = 20). Meta-analysis of 43 eligible studies showed for continuous data (k = 29) a small to substantial positive effect on behavior change for all health behaviors (d = 0.081–2.003) except for smoking (d = −0.019). For dichotomous data (k = 23) all analyses showed positive effects of targeting more than one behavior on all behaviors (RR = 1.026–2.247). Conclusions Targeting more than one behavior at a time is effective in chronic disease management and more research should be directed into developing the science of multiple behavior change.pt_PT
dc.description.sponsorshipFundação para a Ciência e Tecnologia - FCTpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSilva, C. C., Presseau, J., Allen, Z. van, Schenk, P. M., Moreto, M., Dinsmore, J., & Marques, M. M. (2024). Effectiveness of interventions for changing more than one behavior at a time to manage chronic conditions: A Systematic review and meta-analysis. Annals of Behavioral Medicine, 58(6), 432–444. https://doi.org/10.1093/abm/kaae021pt_PT
dc.identifier.doi10.1093/abm/kaae021pt_PT
dc.identifier.issn15324796
dc.identifier.urihttp://hdl.handle.net/10400.12/9836
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.relationr SFRH/BD/146762/2019pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectNoncommunicable diseasespt_PT
dc.subjectHealth behaviorpt_PT
dc.subjectBehavior changept_PT
dc.subjectSystematic reviewpt_PT
dc.subjectMeta-analysispt_PT
dc.titleEffectiveness of Interventions for changing more than one behavior at a time to manage chronic conditions: A systematic review and meta-analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Statespt_PT
oaire.citation.endPage444pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPage432pt_PT
oaire.citation.titleAnnals of Behavioral Medicinept_PT
oaire.citation.volume58pt_PT
person.familyNameSilva
person.familyNamePresseau
person.familyNamevan Allen
person.familyNameSchenk
person.familyNameMoreto
person.familyNameDinsmore
person.familyNameMoreira Marques
person.givenNameCarolina
person.givenNameJustin
person.givenNameZack
person.givenNamePaulina
person.givenNameMaiara Eliza
person.givenNameJohn
person.givenNameMarta
person.identifierhttps://scholar.google.com/citations?user=aZdTiKgAAAAJ&hl=en
person.identifier.ciencia-id0315-1F5E-5957
person.identifier.ciencia-idF31E-1DDE-D23D
person.identifier.orcid0000-0003-1814-032X
person.identifier.orcid0000-0002-2132-0703
person.identifier.orcid0000-0002-5778-6441
person.identifier.orcid0000-0002-5239-1977
person.identifier.orcid0009-0004-2223-733X
person.identifier.orcid0000-0001-8387-3496
person.identifier.orcid0000-0002-4797-9557
person.identifier.scopus-author-id17344695200
person.identifier.scopus-author-id57118130400
person.identifier.scopus-author-id26644759500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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