scholarly journals Identification of Behaviour Change Techniques from successful online interventions targeting Alcohol Consumption, Emotional Eating and Gambling. (Preprint)

2020 ◽  
Author(s):  
Gabrielle Humphreys ◽  
Rebecca Evans ◽  
Harriet Makin ◽  
Laura Bijkerk ◽  
Richard Cooke ◽  
...  

BACKGROUND Completely online interventions are thought to overcome barriers to treatment, such as accessibility and geographical location, that can undermine the effectivness of traditional face-to-face interventions. Due to these features, researchers are increasingly testing the efficacy of online interventions as ways to reduce alcohol misuse, emotional eating and gambling. However, many online interventions have poorly defined mechanisms of action, meaning it is often uncertain how they propose to bring about behaviour change. OBJECTIVE The systematic review aimed to identify effective Behaviour Change Techniques (BCTs) present in online interventions which aimed to reduce alcohol consumption, emotional eating, or gambling. METHODS The systematic review covered research conducted in the last 20 years. Inclusion criteria for interventions were (1) online administration (2) target alcohol use, emotional eating and/or gambling and (3) report baseline and post-intervention mesures of behaviour. PRISMA guidelines were followed. We coded intervention effectiveness, study quality and BCTs present in the interventions. RESULTS Following removal of 4,152 ineligible articles, 45 were included in the review: 32 targeted alcohol misuse; six for emotional eating; seven for gambling. The five most commonly used BCTs present across interventions were identified. When intervention success and study quality were controlled for, results differed slightly. Results from all frequency counts were integrated to identify seven commonly used BCTs. These BCTs were Problem solving, Feedback on behaviour, Self-monitoring of behaviour, Self-monitoring of outcomes, Instruction on how to perform a behaviour, Information about social and health consequences and Social comparison. CONCLUSIONS This systematic review identified seven of the most frequently used behaviour change techniques used in online interventions focused on alcohol misuse, emotional eating and gambling interventions. These results can inform the development of evidence-based e-health interventions which have the potential to lead to effective, positive behaviour change in all three areas.

Author(s):  
Mandeep Sekhon ◽  
Claire White ◽  
Emma Godfrey ◽  
Aliya Amirova ◽  
Åsa Revenäs ◽  
...  

Abstract Objective The aim of this systematic review was to assess the evidence from randomised controlled trials (RCT) and cohort studies for the effectiveness of digital interventions designed to enhance adherence to physical activity (PA) for people with inflammatory arthritis (IA) and describe the intervention content using established coding criteria. Methods Six electronic databases were searched for published and unpublished studies. Independent data extraction and quality assessment (Cochrane risk of bias II or ROBIN I) were conducted by two reviewers. The primary outcome was self-reported adherence to PA post-intervention. Secondary outcomes included self-reported adherence to PA at other timepoints, level of PA or engagement with intervention at any follow-up timepoint. Intervention content was assessed using the Consensus on Exercise Reporting Template and the Behaviour Change Techniques taxonomy version 1. Results From 11,136 reports, four moderate risk of bias studies (three RCTs, one cohort study) including 1,160 participants with rheumatoid arthritis or juvenile inflammatory arthritis were identified. Due to heterogeneity of outcomes, a narrative synthesis was conducted. Only one RCT reported a small between group difference in adherence to PA [mean difference (95% confidence intervals) -0.46 (-0.82. -0.09)] in favour of the intervention. There were no between group differences in any secondary outcomes. Interventions included between 3–11 behaviour change techniques but provided minimal exercise prescription information. Conclusion There is currently limited moderate quality evidence available to confidently evaluate the effect of web-based and mobile health interventions on adherence to PA or level of PA post intervention in people with IA.


Author(s):  
Amy V. Creaser ◽  
Stacy A. Clemes ◽  
Silvia Costa ◽  
Jennifer Hall ◽  
Nicola D. Ridgers ◽  
...  

Wearable activity trackers (wearables) embed numerous behaviour change techniques (BCTs) that have previously been shown to increase adult physical activity (PA). With few children and adolescents achieving PA guidelines, it is crucial to explore ways to increase their PA. This systematic review examined the acceptability, feasibility, and effectiveness of wearables and their potential mechanisms of action for increasing PA in 5 to 19-year-olds. A systematic search of six databases was conducted, including data from the start date of each database to December 2019 (PROSPERO registration: CRD42020164506). Thirty-three studies were included. Most studies (70%) included only adolescents (10 to 19 years). There was some—but largely mixed—evidence that wearables increase steps and moderate-to-vigorous-intensity PA and reduce sedentary behaviour. There were no apparent differences in effectiveness based on the number of BCTs used and between studies using a wearable alone or as part of a multi-component intervention. Qualitative findings suggested wearables increased motivation to be physically active via self-monitoring, goal setting, feedback, and competition. However, children and adolescents reported technical difficulties and a novelty effect when using wearables, which may impact wearables’ long-term use. More rigorous and long-term studies investigating the acceptability, feasibility, and effectiveness of wearables in 5 to 19-year-olds are warranted.


2019 ◽  
Vol 92 ◽  
pp. 236-243 ◽  
Author(s):  
Tracey J. Brown ◽  
Wendy Hardeman ◽  
Linda Bauld ◽  
Richard Holland ◽  
Vivienne Maskrey ◽  
...  

Author(s):  
Tracey J. Brown ◽  
Sarah Gentry ◽  
Linda Bauld ◽  
Elaine M. Boyle ◽  
Paul Clarke ◽  
...  

Children are particularly vulnerable to environmental tobacco smoke (ETS). There is no routine support to reduce ETS in the home. We systematically reviewed trials to reduce ETS in children in order to identify intervention characteristics and behaviour change techniques (BCTs) to inform future interventions. We searched Medline, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Central Register of Controlled Trials, and Cochrane Tobacco Addiction Group Specialised Register from January 2017 to June 2020 to update an existing systematic review. We included controlled trials to reduce parent/caregiver smoking or ETS in children <12 years that demonstrated a statistically significant benefit, in comparison to less intensive interventions or usual care. We extracted trial characteristics; and BCTs using Behaviour Change Technique Taxonomy v1. We defined “promising” BCTs as those present in at least 25% of effective interventions. Data synthesis was narrative. We included 16 trials, of which eight were at low risk of bias. All trials used counselling in combination with self-help or other supporting materials. We identified 13 “promising” BCTs centred on education, setting goals and planning, or support to reach goals. Interventions to reduce ETS in children should incorporate effective BCTs and consider counselling and self-help as mechanisms of delivery.


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