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Advisor(s)
Abstract(s)
Interventions addressing more than one health behaviour at a time could
be an efficient way of intervening to manage chronic conditions. Within a
systematic review of multiple health behaviour change (MBHC)
interventions, we identified key components of interventions in patients
with chronic conditions, assessed how they are linked to theory,
behaviour change techniques implemented, and evaluated their impact
on intervention effectiveness. Studies were identified by systematically
searching five electronic databases. Subgroup analyses and metaregressions were conducted to analyse the association between
intervention components and behavioural changes. In total, 61 studies
were included spanning different chronic conditions (e.g.,
cardiovascular conditions, type 2 diabetes). Most interventions sought
to change behaviours simultaneously (72%), often targeting the
‘physical activity, diet and smoking’ cluster of behaviours (33%), and
were not theory informed (55%). A total of 36 behaviour change
techniques were identified, most commonly goal setting behaviour and
self-monitoring of behaviour. Subgroup analyses indicated that MHBC
interventions delivered entirely face-to-face might not be as effective
for physical activity outcomes, and not using goal setting (behaviour)
might be more effective for smoking cessation outcomes. Metaregressions indicated that a longer intervention duration may work best
to achieve better physical activity outcomes. This review provides a
comprehensive understanding of interventions and contributes to the
field of MHBC by facilitating data-driven insights for future optimisation
and dissemination.
Description
Keywords
Systematic review Multiple health behaviour change Chronic conditions op Health behaviours Intervention components Ontologies
Citation
Silva, C. C., Presseau, J., van Allen, Z., Dinsmore, J., Schenk, P., Moreto, M., & Marques, M. M. (2025). Components of multiple health behaviour change interventions for patients with chronic conditions: a systematic review and meta-regression of randomized trials. Health Psychology Review, 19(1), 200–255. https://doi.org/10.1080/17437199.2024.2413871
Publisher
Routledge