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  • Semi-Automated Evidence Synthesis in Health Psychology: Current Methods and Future Prospects
    Health Psychol. Rev. (IF 9.070) Pub Date : 2020-01-15
    Iain J. Marshall; Blair T. Johnson; Zigeng Wang; Sanguthevar Rajasekaran; Byron C. Wallace

    The evidence base in health psychology is vast and growing rapidly. These factors make it difficult (and sometimes practically impossible) to consider all available evidence when making decisions about the state of knowledge on a given phenomenon (e.g., associations of variables, effects of interventions on particular outcomes). Systematic reviews, meta-analyses, and other rigorous syntheses of the research mitigate this problem by providing concise, actionable summaries of knowledge in a given area of study. Yet, conducting these syntheses has grown increasingly laborious owing to the fast accumulation of new evidence; existing, manual methods for synthesis do not scale well. In this article, we discuss how semi-automation via machine learning and natural language processing methods may help researchers and practitioners to review evidence more efficiently. We outline concrete examples in health psychology, highlighting practical, open-source technologies available now. We indicate the potential of more advanced methods and discuss how to avoid the pitfalls of automated reviews.

    更新日期:2020-01-16
  • Literature on peer-based community physical activity programmes for mental health service users: A scoping review
    Health Psychol. Rev. (IF 9.070) Pub Date : 2020-01-15
    Lorna M. Tweed; Eva N. Rogers; Florence-E. Kinnafick

    Physical activity is a key determinant of mental health; community programmes aim to increase health and well-being on a community wide scale; with emphasis on social interaction (Quirk et al., 2017). Regular physical activity participation in community settings yields additional social benefits, such as peer support. Peers are defined as individuals who identify with one another through their experiences, and based on commonality of, diagnosis (Keyes et al., 2016). There is limited research investigating the incorporation of peer support within community-based physical activity programmes for mental health service users (MHSU). This scoping review aimed to explore existing literature that has included peer support as a component of community-based physical activity programmes for MHSU. We examined published literature following the methodological framework by Arksey and O’Malley (2005) using electronic databases (SportDiscus, Web of Science, MEDLINE, and PsycINFO), reference lists, and hand searching of journals. Thirteen articles met the inclusion criteria of programmes that included; adults aged 18 and over, a peer support component, physical activity and/or sport, participants with a mental health diagnoses and were community-based. Research published between 2007 and 2019 was peer-reviewed and written in English was included. Nine studies found a significant increase in perceived social support, seven studies reporting increased mental wellbeing and five studies reported increased physical activity levels. Effectiveness of reviewed programmes were categorised as; overall improvements in physical activity levels, improvements to mental health, exercise related psychosocial benefits, knowledge relating to self-care, and improved social connections. Findings support that community-based physical activity programmes produced psychosocial benefits and positive behaviour change for MHSU. Greater focus is required to implement effective peer support into community programmes to facilitate physical activity engagement in the mental health population.

    更新日期:2020-01-15
  • Using Discrete Choice Experiments to Develop and Deliver Patient-Centered Psychological Interventions: A Systematic Review
    Health Psychol. Rev. (IF 9.070) Pub Date : 2020-01-15
    Meghan E. McGrady; Ahna L. H. Pai; Lisa A. Prosser

    Developing and/or tailoring psychological interventions to align with patient preferences is a critical component of patient-centered care and has the potential to improve patient engagement and treatment outcomes. Discrete choice experiments (DCEs) are a quantitative method of assessing patient preferences that offer numerous strengths (i.e., ability to account for trade-offs), but are not routinely incorporated into health psychology coursework, likely leaving many unaware of the potential benefits of this methodology. To highlight the potential applications of DCEs within health psychology, this systematic review synthesizes previous efforts to utilize DCEs to inform the design of patient-centered psychological care, defined as interventions targeting psychological (e.g., depression, anxiety) or behavioral health (e.g., pain management, adherence) concerns. Literature searches were conducted in March 2017 and November 2019 for articles reporting on DCEs using the terms “discrete choice,” “conjoint,” or “stated preference.” Thirty-nine articles met all inclusion criteria and used DCEs to understand patient preferences regarding psychosocial clinical services (n = 12), lifestyle behavior change interventions (n = 11), HIV prevention and/or intervention services (n = 10), disease self-management programs (n = 4), or other interventions (n = 2). Clinical implications as well as limitations and directions for future research are discussed.

    更新日期:2020-01-15
  • The Association between Perseverative Cognition and Sleep in Non-Clinical Populations: A Systematic Review and Meta-Analysis
    Health Psychol. Rev. (IF 9.070) Pub Date : 2020-01-07
    Faye Clancy; Andrew Prestwich; Lizzie Caperon; Anastasia Tsipa; Daryl B O’Connor

    Associations have been found between perseverative cognition (PC: worry and rumination) and somatic markers of ill-health. Further studies have reported associations between sleep and both PC and poorer health. As such, sleep disturbance may represent a pathway between PC and ill-health. Therefore, studies assessing the relationship between PC and sleep in non-clinical populations were synthesized. Meta-analyses (k = 55) revealed small- to medium-sized associations between higher PC and poorer sleep quality (SQ, r = -0.28), shorter total sleep time (TST, r = -0.15) and longer sleep onset latency (SOL, r = -0.16). Variations included associations between SQ and rumination (r = -.33) and worry (r = -.23). Associations were stronger in studies measuring SQ via self-report rather than actigraphy, and where SOL and TST outcomes were cross-sectional. Associations with SOL were stronger when outcomes were from non-diary studies and when trait, rather than state PC, was measured, but weaker where studies incorporated more measures of PC. Effect sizes were generally larger where studies were higher quality and being female may act as a protective factor between PC and longer SOL. Therefore, there is a consistent association between PC and sleep which may partially explain the link between PC and ill-health.

    更新日期:2020-01-08
  • Underreporting of the active content of behavioural interventions: A systematic review and meta-analysis of randomized trials of smoking cessation interventions
    Health Psychol. Rev. (IF 9.070) Pub Date : 2020-01-06
    Marijn de Bruin; Nicola Black; Neza Javornik; Wolfgang Viechtbauer; Maarten Eisma; Jamie Hartman-Boyce; A. Jess WIlliams; Robert West; Susan Michie; Marie Johnston

    Despite its importance, underreporting of the active content of experimental and comparator interventions in the published literature has not been previously examined for behavioural trials. We assessed completeness and variability in reporting in 142 randomised controlled trials (RCTs) of behavioural interventions for smoking cessation published between 1/1996-11/2015. Two coders reliably identified the potential active components of experimental and comparator interventions (activities targeting behaviours key to smoking cessation and qualifying as behaviour change techniques, BCTs) in published, and in unpublished materials obtained from study authors directly. Unpublished materials were obtained for 129/204 (63%) experimental and 93/142 (65%) comparator groups. For those, only 35% (1200/3403) of experimental and 26% (491/1891) of comparator BCTs could be identified in published materials. Reporting quality (#published BCTs/#total BCTs) varied considerably between trials and between groups within trials. Experimental (vs. comparator) interventions were better reported (B(SE) = 0.34 (0.11), p < .001). Unpublished materials were more often obtained for recent studies (B(SE) = 0.093 (0.03), p = .003) published in behavioural (vs. medical) journals (B(SE) = 1.03 (0.41), p = .012). This high variability in underreporting of active content compromises reader’s ability to interpret the effects of individual trials, compare and explain intervention effects in evidence syntheses, and estimate the additional benefit of an experimental intervention in other settings.

    更新日期:2020-01-07
  • Updating Goal-Setting Theory in Physical Activity Promotion: A Critical Conceptual Review
    Health Psychol. Rev. (IF 9.070) Pub Date : 2020-01-03
    Christian Swann; Simon Rosenbaum; Alex Lawrence; Stewart Vella; Desmond McEwan; Panteleimon Ekkekakis

    Goal-setting is a widely used and accepted strategy for promoting physical activity. Locke and Latham’s goal-setting theory is the primary theoretical framework for setting goals in psychology and plays a prominent role in physical activity promotion. Recently, however, there have been calls to reconsider current goal-setting practice in this field. Therefore, we aimed to critically review and update the application of goal-setting theory in physical activity promotion, by examining core developments in this theory since 1990. Current practice relies on setting specific ‘performance’ goals as a means of increasing physical activity (e.g., 10,000 steps; national physical activity guidelines). This approach was initially consistent with key tenets of goal-setting theory. However, since 1990 this theory has evolved to differentiate between performance and learning goals. Both goal types are context-dependent and it is now recognised that, in some cases, performance goals can even be detrimental to the achievement of desired outcomes. Consequently, current practice may be theoretically appropriate for physically active individuals but a different approach (e.g., learning goals) may be preferable for inactive individuals who are new to physical activity (i.e., most of the population). We conclude by discussing implications for policy, research, and practice in goal-setting for physical activity promotion.

    更新日期:2020-01-04
  • How Best to Reduce Unhealthy Risk-Taking Behaviours? A Meta-Review of Evidence Syntheses of Interventions Using Self-Regulation Principles
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-27
    Cleo Protogerou; R. Kathryn McHugh; Blair T. Johnson

    Self-regulation is a key antecedent of health and behaviour-change interventions have utilized self-regulation approaches to promote health. The present study used a novel methodology, a nested meta-review, to: (a) integrate and summarize information from evidence syntheses of diverse self-regulation interventions to reduce risk-taking, in the behavioural domains of smoking, alcohol and drug use, unhealthy eating, externalizing problem behaviours, and sexual risk-taking; (b) identify intervention features implicated in risk-taking prevention or reduction; and (c) provide recommendations for future research and practice. Searches of eight databases yielded 21 eligible evidence syntheses, 15 taking a primarily social-cognitive strategy (k = 1,103 total studies), and 6 taking a primary trait/developmental strategy (k = 119); total N > 650,000. Intervention features most frequently associated with reduced risk-taking included: delivery of multiple components through (either, or a mix of) group, individual, computer, and one-one-one delivery; screening and pharmacotherapy, where relevant; targeting only one behavioural outcome; provision of counselling, stress-management, skills-training, self-monitoring, self-control and impulsivity training, and personalized feedback; identification of barriers and ‘resolution’ of barriers; tailoring to age and ethnicity; and, also, incorporating social support by peers. Some of these patterns were more visible in meta-analyses with higher methodological quality. Recommendations for research and practice are offered.

    更新日期:2019-12-27
  • The future of health behaviour change interventions: Opportunities for open science and personality research
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-26
    Daryl B. O’Connor

    The future of health behaviour change interventions: Opportunities for open science and personality research. Health Psychology Review. Accepted .

    更新日期:2019-12-27
  • It’s Time for Effectiveness-Implementation Hybrid Research on Behavior Change
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-26
    Aleksandra Luszczynska

    It’s Time for Effectiveness-Implementation Hybrid Research on Behavior Change. Health Psychology Review. Accepted .

    更新日期:2019-12-27
  • Mediators of Physical Activity Behavior Change Interventions among Adults: A Systematic Review and Meta-Analysis
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-25
    Ryan E. Rhodes; Patrick Boudreau; Karin Weman Josefsson; Andreas Ivarsson

    Background: An understanding of physical activity through mediators of behaviour change is important to evaluate the efficacy of interventions. The purpose of this review is to update prior reviews with meta-analysis in order to evaluate the state of physical activity interventions that include proposed mediators of behaviour change. Methods: Literature was identified through searching of five key databases. Studies were eligible if they described a published experimental or quasi-experimental trial in English examining the effect of an intervention on physical activity behaviour and mediators in non-clinical adult populations with the necessary statistical information to be included in the meta-analytic structural equation modelling analysis. Results: Fifty-one articles (49 samples) met the eligibility criteria. Small overall effects were identified for mediation paths a (r = .16; 95% CI = .10 to .22), b (r = .21; 95% CI .16 to .27), and c (r = .24; 95% CI .12 to .35), c’ (r = .05 to .19) and ab (r = .02 to .07) that showed similar findings by theory and construct. Conclusion: The effect sizes seen in physical activity interventions are mediated by our current theories, but the effects are very small and no one construct/theory appears to be a critical driver of the mediated effect compared to any other. Innovation and increased fidelity of interventions is needed.

    更新日期:2019-12-27
  • Self-regulation interventions - what do we know and where should we go?
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-25
    Ronan E. O’Carroll

    This special edition of Health Psychology Review provides a very impressive and welcome attempt to synthesise the evidence to date on the effectiveness of self-regulation strategies in understanding and predicting health behaviour change. In this brief commentary I reflect on three issues: (a) the importance of small treatment effects; (b) variability in how interventions are delivered; and (c) the importance of emotion in relation to self-regulation.

    更新日期:2019-12-27
  • Effectiveness of interventions targeting self-regulation to improve adherence to chronic disease medications: A meta-review of meta-analyses
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-19
    Tracey E. Wilson; Emily A. Hennessy; Louise Falzon; Rebekah Boyd; Ian M. Kronish; Jeffrey L. Birk

    Adherence to chronic disease medication regimens depends in part on successful self-regulation. However, the overall benefit of interventions targeting self-regulatory mechanisms is not well-understood. Accordingly, we conducted a meta-review of meta-analyses assessing the effect of interventions targeting self-regulation on medication adherence. For this meta-review, meta-analyses appearing between January 2006 and March 2019 were eligible if they included experimental trials that assessed the effect of an intervention targeting self-regulation on adherence to chronic disease medication. A systematic literature search of multiple databases for published and unpublished literature identified 16,001 abstracts. Twelve meta-analyses met eligibility criteria and had variable quality according to AMSTAR 2 item completion (M = 50%; range: 31-66%). Overall, meta-reviews showed small to medium effect sizes for interventions that targeted self-monitoring, provided personalized feedback on adherence, or involved complete self-management. Other interventions, such as goal setting, barrier identification and problem solving, and stress management showed little evidence of improving adherence. Only a limited number of self-regulation intervention components were able to be evaluated. Additional research is needed to advance the understanding of the efficacy of adherence interventions focused on self-regulation by expanding the scope of self-regulation elements targeted (e.g., emotion regulation).

    更新日期:2019-12-20
  • Gaps and priorities in advancing methods for health behaviour change research
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-19
    Molly Byrne

    Gaps and priorities in advancing methods for health behaviour change research. Health Psychology Review. Accepted .

    更新日期:2019-12-20
  • Do automated digital health behaviour change interventions have a positive effect on self-efficacy? A systematic review and meta-analysis
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-17
    Katie Newby; Grace Teah; Richard Cooke; Xinru Li; Katherine Brown; Bradley Salisbury-Finch; Kayleigh Kwah; Naomi Bartle; Kristina Curtis; Emmie Fulton; Joanne Parsons; Elise Dusseldorp; Stefanie L Williams

    Self-efficacy is an important determinant of health behaviour. Digital interventions are a potentially acceptable and cost-effective way of delivering programmes of health behaviour change at scale. Whether behaviour change interventions work to increase self-efficacy in this context is unknown. This systematic review and meta-analysis sought to identify whether automated digital interventions are associated with positive changes in self-efficacy amongst non-clinical populations for five major health behaviours, and which BCTs are associated with that change. A systematic literature search identified 20 studies (n = 5624) that assessed changes in self-efficacy and were included in a random effects meta-analysis. Interventions targeted: healthy eating (k = 4), physical activity (k = 9), sexual behaviour (k = 3), and smoking (k = 4). No interventions targeting alcohol use were identified. Overall, interventions had a small, positive effect on self-efficacy ( g¯ 0.190, CI [0.078; 0.303]). The effect of interventions on self-efficacy did not differ as a function of health behaviour type (Q-between = 7.3704 p = 0.061, df = 3). Inclusion of the BCT ‘information about social and environmental consequences’ had a small, negative effect on self-efficacy ( Δg¯= -0.297, Q = 7.072, p = 0.008). Whilst this review indicates that digital interventions can be used to change self-efficacy, which techniques work best in this context is not clear.

    更新日期:2019-12-19
  • Self-Compassion, Physical Health, and Health Behaviour: A Meta-Analysis
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-16
    Wendy J. Phillips; Donald W. Hine

    This meta-analysis investigated relationships between self-compassion and 1) physical health and 2) health-promoting behaviour in a large pooled sample (N = 29,588) sourced from 94 peer-reviewed articles. As hypothesised, omnibus analyses revealed positive associations between self-compassion and both physical health (r = .18) and health behaviour (r = .26). Moderation analyses using 290 effects found that both associations varied according to health domain, participant age, intervention duration, and self-compassion measure. Self-compassion predicted outcomes in most health domains, with the strongest effects observed on global physical health, functional immunity, composite health behaviour, sleep, and danger avoidance. It did not predict frailty, maladaptive bodily routines, and substance abuse. Multi-session interventions designed to boost self-compassion predicted increased physical health and health behaviour, thereby supporting causal links between self-compassion and health outcomes. The effects of single-session inductions were non-significant. The mean effect of self-compassion on physical health was non-significant for young participants (12.00 to 19.99) and its effect on health behaviour was weakest among older participants (40.00+). Results support the proposition that self-compassion can promote better physical health. Practical implications of these findings are discussed.

    更新日期:2019-12-18
  • Moving Adolescents for a Lifetime of Physical Activity: Shifting to Interventions Aligned with the Third Health Revolution
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-12-08
    Jay Kimiecik, Thelma Horn, Tarkington J. Newman, Carly Kimiecik

    Public health advocates have been calling for an intensified focus on early, middle, and late adolescence health behaviors due to both the short- and long-term health consequences. Hence, both the health-risk (e.g., alcohol consumption) and health-promoting (e.g., physical activity) behaviors of adolescents have been widely studied to better understand their underlying causes or determinants with an eye towards implementing more effective interventions. The success of these interventions, typically grounded in a risk-reduction/prevention-oriented approach, has been modest, especially those focused on health-promoting behaviors such as physical activity. The purposes of this paper are to 1) conduct a conceptual critique of the risk-reduction/prevention-oriented approach underlying traditional adolescent physical activity interventions, and 2) examine the potential usefulness of an emerging person-based, development-oriented (PBDO) approach for enhancing the motivation and sustainability of adolescent physical activity. Within this PBDO perspective, emphasis is on adolescent growth and development as the starting point for initiating and sustaining physical activity. Implications of the PBDO approach for adolescent physical activity interventions are presented.

    更新日期:2019-12-09
  • Health Behaviour Change in Cardiovascular Disease Prevention and Management: Meta-Review of Behaviour Change Techniques to Affect Self-Regulation
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-11-10
    Jerry Suls, Jazmin N. Mogavero, Louise Falzon, Linda S. Pescatello, Emily A. Hennessy, Karina W. Davidson

    Self-regulation processes assume a major role in health behaviour theory and are postulated as important mechanisms of action in behavioural interventions to improve health prevention and management. The need to better understand mechanisms of behaviour change interventions for cardiovascular diseases (CVD) called for conducting a meta-review of meta-analyses for interventions targeting self-regulation processes. The protocol, preregistered on Open Science Framework (OSF), found 15 eligible meta-analyses, published between 2006 and August 2019, which quantitatively assessed the role of self-regulatory mechanisms and behaviour change techniques (BCTs). Quality of the meta-analyses varied widely according to AMSTAR-2 criteria. Several BCTs, assumed to engage self-regulatory mechanisms, were unevenly represented in CVD meta-analytic review. Self-monitoring, the most frequently studied self-regulatory BCT, seemed to improve health behaviour change and health outcomes but these results merit cautious interpretation. Findings for other self-regulatory BCTs were less promising. No studies in the CVD domain directly tested engagement of self-regulation processes. A general challenge for this area stems from reliance on post-hoc tests of the effects of BCTs in multiple-component interventions. Recent advances in BCT taxonomies and the experimental medicine approach to engaging self-regulation mechanisms, however, provide opportunities to improve CVD prevention and management behavioural interventions.

    更新日期:2019-11-11
  • A developmental cascade perspective of paediatric obesity: a conceptual model and scoping review.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-03-28
    Justin D Smith,Kaitlyn N Egan,Zorash Montaño,Spring Dawson-McClure,Danielle E Jake-Schoffman,Madeline Larson,Sara M St George

    Considering the immense challenge of preventing obesity, the time has come to reconceptualise the way we study the obesity development in childhood. The developmental cascade model offers a longitudinal framework to elucidate the way cumulative consequences and spreading effects of risk and protective factors, across and within biopsychosocial spheres and phases of development, can propel individuals towards obesity. In this article, we use a theory-driven model-building approach and a scoping review that included 310 published studies to propose a developmental cascade model of paediatric obesity. The proposed model provides a basis for testing hypothesised cascades with multiple intervening variables and complex longitudinal processes. Moreover, the model informs future research by resolving seemingly contradictory findings on pathways to obesity previously thought to be distinct (low self-esteem, consuming sugary foods, and poor sleep cause obesity) that are actually processes working together over time (low self-esteem causes consumption of sugary foods which disrupts sleep quality and contributes to obesity). The findings of such inquiries can aid in identifying the timing and specific targets of preventive interventions across and within developmental phases. The implications of such a cascade model of paediatric obesity for health psychology and developmental and prevention sciences are discussed.

    更新日期:2019-11-01
  • How to reduce sitting time? A review of behaviour change strategies used in sedentary behaviour reduction interventions among adults.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2015-09-01
    Benjamin Gardner,Lee Smith,Fabiana Lorencatto,Mark Hamer,Stuart J H Biddle

    Sedentary behaviour - i.e., low energy-expending waking behaviour while seated or lying down - is a health risk factor, even when controlling for physical activity. This review sought to describe the behaviour change strategies used within interventions that have sought to reduce sedentary behaviour in adults. Studies were identified through existing literature reviews, a systematic database search, and hand-searches of eligible papers. Interventions were categorised as 'very promising', 'quite promising', or 'non-promising' according to observed behaviour changes. Intervention functions and behaviour change techniques were compared across promising and non-promising interventions. Twenty-six eligible studies reported thirty-eight interventions, of which twenty (53%) were worksite-based. Fifteen interventions (39%) were very promising, eight quite promising (21%), and fifteen non-promising (39%). Very or quite promising interventions tended to have targeted sedentary behaviour instead of physical activity. Interventions based on environmental restructuring, persuasion, or education were most promising. Self-monitoring, problem solving, and restructuring the social or physical environment were particularly promising behaviour change techniques. Future sedentary reduction interventions might most fruitfully incorporate environmental modification and self-regulatory skills training. The evidence base is, however, weakened by low-quality evaluation methods; more RCTs, employing no-treatment control groups, and collecting objective data are needed.

    更新日期:2019-11-01
  • Harnessing centred identity transformation to reduce executive function burden for maintenance of health behaviour change: the Maintain IT model.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-02-07
    Ann E Caldwell,Kevin S Masters,John C Peters,Angela D Bryan,Jim Grigsby,Stephanie A Hooker,Holly R Wyatt,James O Hill

    The inability to produce sustainable lifestyle modifications (e.g., physical activity, healthy diet) remains a major barrier to reducing morbidity and mortality from prevalent, preventable conditions. The objective of this paper is to present a model that builds on and extends foundational theory and research to suggest novel approaches that may help to produce lasting behaviour change. The model aims to integrate factors not typically examined together in order to elucidate potential processes underlying a shift from behaviour initiation to long-term maintenance. The central premise of the Maintain IT model builds on approaches demonstrating that in-tact executive function (EF) is critical for health behaviour initiation, for more complex behaviours beyond initiation, and in unsupportive environments and circumstances, but successful recruitment of EF is effortful and prone to error. Enduring changes are more likely if the underlying cognitive processes can become less effortful (non-conscious, automatic). The Maintain IT model posits that a centred identity transformation is one path leading to less effortful processing and facilitating successful recruitment of EF when necessary over the long term, increasing the sustainability of health behaviour change. A conceptual overview of the literature supporting the utility of this integrative model, future directions, and anticipated challenges are presented.

    更新日期:2019-11-01
  • 更新日期:2019-11-01
  • Regression tree analysis of ecological momentary assessment data.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2017-06-18
    Ben Richardson,Matthew Fuller-Tyszkiewicz,Renee O'Donnell,Mathew Ling,Petra K Staiger

    An increasingly popular form of data collection in health psychology research is Ecological Momentary Assessment (EMA); that is, using diaries or smartphones to collect intensive longitudinal data. This method is increasingly applied to the study of relationships between state-based aspects of individuals' functioning and health outcomes (e.g., binge eating, alcohol use). Analysis of such data is challenging and regression tree modelling (RTM) may be a useful alternative to multilevel modelling for investigating the association between a set of explanatory variables and a continuous outcome. Furthermore, RTM outputs 'decision trees' that could be used by health practitioners to guide assessment and tailor intervention. In contrast to regression, RTM is able to easily accommodate many complex, higher-order interactions between predictor variables (without the need to create explicit interaction terms). These benefits make the technique useful for those interested in monitoring and intervening upon health and psychological outcomes (e.g., mood, eating behaviour, risky alcohol use, and treatment adherence). Using real data, this paper demonstrates both the benefits and limitations of RTM and how to extend these models to accommodate analysis of nested data; that is, data that arise from EMA where repeated observations are nested within individuals.

    更新日期:2019-11-01
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  • Ignoring theory and evidence: commentary on Kok et al. (2018).
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-02-27
    Jeff Niederdeppe,Deena Kemp

    更新日期:2019-11-01
  • Pictorial cigarette pack warnings increase quitting: a comment on Kok et al.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-02-27
    Noel T Brewer,Marissa G Hall,Seth M Noar

    更新日期:2019-11-01
  • Can you elaborate on that? Addressing participants' need for cognition in computer-tailored health behavior interventions.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-09-18
    I A Nikoloudakis,R Crutzen,A L Rebar,C Vandelanotte,P Quester,M Dry,A Skuse,M J Duncan,C E Short

    Computer-tailored interventions, which deliver health messages adjusted based on characteristics of the message recipient, can effectively improve a range of health behaviours. Typically, the content of the message is tailored to user demographics, health behaviours and social cognitive factors (e.g., intentions, attitudes, self-efficacy, perceived social support) to increase message relevance, and thus the extent to which the message is read, considered and translated into attitude and behaviour change. Some researchers have suggested that the efficacy of computer-tailored interventions may be further enhanced by adapting messages to suit recipients' need for cognition (NFC) - a personality trait describing how individuals tend to process information. However, the likely impact of doing so, especially when tailored in conjunction with other variables, requires further consideration. It is possible that intervention effects may be reduced in some circumstances due to interactions with other variables (e.g., perceived relevance) that also influence information processing. From a practical point of view, it is also necessary to consider how to optimally operationalise and measure NFC if it is to be a useful tailoring variable. This paper aims to facilitate further research in this area by critically examining these issues based on relevant theories and existing evidence.

    更新日期:2019-11-01
  • Attentional bias to pain-related information: a meta-analysis of dot-probe studies.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-09-13
    Jemma Todd,Dimitri M L van Ryckeghem,Louise Sharpe,Geert Crombez

    Studies investigating attentional biases towards pain information vary widely in both design and results. The aim of this meta-analysis was to determine the degree to which attentional biases towards pain occur when measured with the dot-probe task. A total of 2168 references were screened, resulting in a final sample of 4466 participants from 52 articles. Participants were grouped according to pain experience: chronic pain, acute pain, anticipating experimental/procedural pain, social concern for pain, or healthy people. In general, results revealed a significant, but small bias towards pain words (d =  0.136), and pain pictures (d =  0.110) in chronic pain patients, but not in those with acute pain, those anticipating pain, or healthy people. Follow-up analyses revealed an attentional bias towards sensory pain words in the chronic pain group (d =  0.198), and the acute pain group (d =  0.303), but not other groups. In contrast, attentional biases towards affective pain stimuli were not significant for any pain groups. This meta-analysis found support for attentional biases towards sensory pain stimuli in patients with chronic pain in comparison to healthy individuals across a range of common parameters. Future researchers need to consider task design when seeking to optimally measure pain-relevant attentional biases.

    更新日期:2019-11-01
  • Complex adaptive systems: a new approach for understanding health practices.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-06-23
    Tim Gomersall

    This article explores the potential of complex adaptive systems (CAS) theory to inform behaviour change research. A CAS describes a collection of heterogeneous agents interacting within a particular context, adapting to each other's actions. In practical terms, this implies that behaviour change is (1) socially and culturally situated; (2) highly sensitive to small baseline differences in individuals, groups, and intervention components; and (3) determined by multiple components interacting 'chaotically'. Two approaches to studying CAS are briefly reviewed. Agent-based modelling is a computer simulation technique that allows researchers to investigate 'what if' questions in a virtual environment. Applied qualitative research techniques, on the other hand, offer a way to examine what happens when an intervention is pursued in real-time, and to identify the sorts of rules and assumptions governing social action. Although these represent very different approaches to complexity, there may be scope for mixing these methods - for example, by grounding models in insights derived from qualitative fieldwork. Finally, I will argue that the concept of CAS offers one opportunity to gain a deepened understanding of health-related practices, and to examine the social psychological processes that produce health-promoting or damaging actions.

    更新日期:2019-11-01
  • A realist review to understand the efficacy and outcomes of interventions designed to minimise, reverse or prevent the progression of frailty.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-06-20
    Holly Gwyther,Elzbieta Bobrowicz-Campos,João Luis Alves Apóstolo,Maura Marcucci,Antonio Cano,Carol Holland

    Interventions to minimise, reverse or prevent the progression of frailty in older adults represent a potentially viable route to improving quality of life and care needs in older adults. Intervention methods used across European Innovation Partnership on Active and Healthy Ageing collaborators were analysed, along with findings from literature reviews to determine 'what works for whom in what circumstances'. A realist review of FOCUS study literature reviews, 'real-world' studies and grey literature was conducted according to RAMESES (Realist and Meta-narrative Evidence Synthesis: Evolving Standards), and used to populate a framework analysis of theories of why frailty interventions worked, and theories of why frailty interventions did not work. Factors were distilled into mechanisms deriving from theories of causes of frailty, management of frailty and those based on the intervention process. We found that studies based on resolution of a deficiency in an older adult were only successful when there was indeed a deficiency. Client-centred interventions worked well when they had a theoretical grounding in health psychology and offered choice over intervention elements. Healthcare organisational interventions were found to have an impact on success when they were sufficiently different from usual care. Compelling evidence for the reduction of frailty came from physical exercise, or multicomponent (exercise, cognitive, nutrition, social) interventions in group settings. The group context appears to improve participants' commitment and adherence to the programme. Suggested mechanisms included commitment to co-participants, enjoyment and social interaction. In conclusion, initial frailty levels, presence or absence of specific deficits, and full person and organisational contexts should be included as components of intervention design. Strategies to enhance social and psychological aspects should be included even in physically focused interventions.

    更新日期:2019-11-01
  • Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-06-19
    Sarah Ellen Griffiths,Joanne Parsons,Felix Naughton,Emily Anne Fulton,Ildiko Tombor,Katherine E Brown

    Smoking in pregnancy remains a global public health issue due to foetal health risks and potential maternal complications. The aims of this systematic review and meta-analysis were to explore: (1) whether digital interventions for pregnancy smoking cessation are effective, (2) the impact of intervention platform on smoking cessation, (3) the associations between specific Behaviour Change Techniques (BCTs) delivered within interventions and smoking cessation and (4) the association between the total number of BCTs delivered and smoking cessation. Systematic searches of 9 databases resulted in the inclusion of 12 published articles (n = 2970). The primary meta-analysis produced a sample-weighted odds ratio (OR) of 1.44 (95% CI 1.04-2.00, p = .03) in favour of digital interventions compared with comparison groups. Computer-based (OR = 3.06, 95% CI 1.28-7.33) and text-message interventions (OR = 1.59, 95% CI 1.07-2.38) were the most effective digital platform. Moderator analyses revealed seven BCTs associated with smoking cessation: information about antecedents; action planning; problem solving; goal setting (behaviour); review behaviour goals; social support (unspecified); and pros and cons. A meta-regression suggested that interventions using larger numbers of BCTs produced the greatest effects. This paper highlights the potential for digital interventions to improve rates of smoking cessation in pregnancy.

    更新日期:2019-11-01
  • The consideration of future consequences and health behaviour: a meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-06-16
    Lisa Murphy,Samantha Dockray

    The aim of this meta-analysis was to quantify the direction and strength of associations between the Consideration of Future Consequences (CFC) scale and intended and actual engagement in three categories of health-related behaviour: health risk, health promotive, and illness preventative/detective behaviour. A systematic literature search was conducted to identify studies that measured CFC and health behaviour. In total, 64 effect sizes were extracted from 53 independent samples. Effect sizes were synthesised using a random-effects model. Aggregate effect sizes for all behaviour categories were significant, albeit small in magnitude. There were no significant moderating effects of the length of CFC scale (long vs. short), population type (college students vs. non-college students), mean age, or sex proportion of study samples. CFC reliability and study quality score significantly moderated the overall association between CFC and health risk behaviour only. The magnitude of effect sizes is comparable to associations between health behaviour and other individual difference variables, such as the Big Five personality traits. The findings indicate that CFC is an important construct to consider in research on engagement in health risk behaviour in particular. Future research is needed to examine the optimal approach by which to apply the findings to behavioural interventions.

    更新日期:2019-11-01
  • 更新日期:2019-11-01
  • Mental contrasting for health behaviour change: a systematic review and meta-analysis of effects and moderator variables.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-03-19
    Ainslea Cross,David Sheffield

    Mental contrasting is a self-regulation imagery strategy that involves imagining a desired future and mentally contrasting it with the present reality, which is assumed to prompt the individual to realise that action is required to achieve the desired future. Research has combined mental contrasting with implementation intentions (MCII) ('if-then' plans), which is hypothesised to strengthen the effects. A systematic review was conducted to evaluate the effectiveness of mental contrasting for improving health-related behaviours. A meta-analysis (N = 1528) using random effects modelling found a main effect of mental contrasting on health outcomes, adjusted Hedges' g = 0.28 (SE = .07), 95% CI [0.13-0.43], p < .001 at up to four weeks, and an increased effect at up to three months (k = 5), g = 0.38 (SE = 0.6), CI [0.20-0.55], p < .001. The combination of mental contrasting with implementation intentions (MCII; k = 7) showed a similar effect, g = 0.28, CI [0.14-0.42], p < .001. Mental contrasting shows promise as a brief behaviour change strategy with a significant small to moderate-sized effect on changing health behaviour in the short-term. Analysis on a small subset of studies suggested that the addition of implementation intentions (MCII) did not further strengthen the effects of mental contrasting on health behaviours, although additional studies are needed.

    更新日期:2019-11-01
  • Implicit process interventions in eating behaviour: a meta-analysis examining mediators and moderators.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-01-25
    Matthias B Aulbach,Keegan Knittle,Ari Haukkala

    Dual-process models integrate deliberative and impulsive mental systems and predict dietary behaviours better than deliberative processes alone. Computerised tasks such as the Go/No-Go, Stop-Signal, Approach-Avoidance, and Evaluative Conditioning have been used as interventions to directly alter implicit biases. This meta-analysis examines the effects of these tasks on dietary behaviours, explores potential moderators of effectiveness, and examines implicit bias change as a proposed mechanism. Thirty randomised controlled trials testing implicit bias interventions (47 comparisons) were included in a random-effects meta-analysis, which indicated small cumulative effects on eating-related behavioural outcomes (g = -0.17, CI95 = [-0.29; -0.05], p = .01) and implicit biases (g = -0.18, CI95 = [-0.34; -0.02], p = .02). Task type moderated these effects, with Go/No-Go tasks producing larger effects than other tasks. Effects of interventions on implicit biases were positively related to effects on eating behaviour (B = 0.42, CI95 = [0.02; 0.81], p = .03). Go/No-Go tasks seem to have most potential for altering dietary behaviours through implicit processes. While changes in implicit biases seem related to the effects of these interventions on dietary outcomes, more research should explore whether repeated exposure to implicit bias interventions may have any practical intervention value in real world settings.

    更新日期:2019-11-01
  • Challenges and solutions for N-of-1 design studies in health psychology.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-01-11
    Dominika Kwasnicka,Jennifer Inauen,Wim Nieuwenboom,Johanna Nurmi,Annegret Schneider,Camille E Short,Tessa Dekkers,A Jess Williams,Walter Bierbauer,Ari Haukkala,Federica Picariello,Felix Naughton

    Theories of behaviour change and health behaviour change interventions are most often evaluated in between-person designs. However, behaviour change theories apply to individuals not groups and behavioural interventions ultimately aim to achieve within-person rather than between-group change. Within-person methodology, such as N-of-1 (also known as single case design), can circumvent this issue, though has multiple design-specific challenges. This paper provides a conceptual review of the challenges and potential solutions for undertaking N-of-1 studies in health psychology. Key challenges identified include participant adherence to within-person protocols, carry-over and slow onset effects, suitability of behaviour change techniques for evaluation in N-of-1 experimental studies, optimal allocation sequencing and blinding, calculating power/sample size, and choosing the most suitable analysis approach. Key solutions include involving users in study design, employing recent technologies for unobtrusive data collection and problem solving by design. Within-person designs share common methodological requirements with conventional between-person designs but require specific methodological considerations. N-of-1 evaluation designs are appropriate for many though not all types of interventions. A greater understanding of patterns of behaviours and factors influencing behaviour change at the within-person level is required to progress health psychology into a precision science. Video abstract: Supplementary Material 1.

    更新日期:2019-11-01
  • Control-coping goodness-of-fit and chronic illness: a systematic review of the literature.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-12-19
    Lucy Finkelstein-Fox,Crystal L Park

    Chronic illnesses such as cancer, diabetes, and chronic pain often create intense and pervasive stress. Although much research has focused on the importance of coping in managing chronic illness, the importance of controllability appraisals in determining the efficacy of various coping strategies (i.e., the 'goodness-of-fit hypothesis') for individuals living with chronic illness has yet to be established. To evaluate support for the goodness-of-fit hypothesis, we conducted a systematic literature review, identifying and synthesising results of 15 studies that reported on conditional effects of problem-, emotion-, and meaning-focused coping strategies, depending on controllability appraisals. Results across studies were mixed, with some coping strategies but not others demonstrating significant interaction effects with controllability appraisals in models predicting psychological and physiological markers of health. Studies demonstrated considerable heterogeneity in design and measurement, with the majority reliant on cross-sectional design and thus unable to infer temporality in the effects of coping on adjustment. In addition, lack of consensus regarding the measurement and categorisation of coping precluded definitive conclusions regarding contextual effects of many strategies. To better understand these patterns of coping as they unfold in daily experience, future work should incorporate contemporary methods such as experience sampling and multilevel statistical modeling.

    更新日期:2019-11-01
  • Does self-control modify the impact of interventions to change alcohol, tobacco, and food consumption? A systematic review.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-01-03
    Kaidy Stautz,Zorana Zupan,Matt Field,Theresa M Marteau

    Low self-control is associated with increased consumption of alcohol, tobacco, and unhealthy food. This systematic review aimed to assess whether individual differences in self-control modify the effectiveness of interventions to reduce consumption of these products, and hence their potential to reduce consumption amongst those whose consumption is generally greater. Searches of six databases were supplemented with snowball searches and forward citation tracking. Narrative synthesis summarised findings by: consumption behaviour (alcohol, tobacco, food); psychological processes targeted by the intervention (reflective, non-reflective, or both); and study design (experiment, cohort, or cross-sectional). Of 54 eligible studies, 22 reported no evidence of modification, 18 reported interventions to be less effective in those with low self-control, and 14 reported interventions to be more effective in those with low self-control. This pattern did not differ from chance. Whilst self-control often influenced intervention outcomes, there was no consistent pattern of effects, even when stratifying studies by consumption behaviour, intervention type, or study design. There was a notable absence of evidence regarding interventions that restructure physical or economic environments. In summary, a heterogeneous, low-quality evidence base suggests an inconsistent moderating effect of low self-control on the effectiveness of interventions to change consumption behaviours.

    更新日期:2019-11-01
  • How effective are interventions in improving dietary behaviour in low- and middle-income countries? A systematic review and meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-05-29
    Lizzie Caperon,Bianca Sykes-Muskett,Faye Clancy,James Newell,Rebecca King,Andrew Prestwich

    Several interventions encouraging people to change their diet have been tested in low- and middle-income countries (LMICs) but these have not been meta-synthesised and it is not known which elements of these interventions contribute to their effectiveness. The current review addressed these issues. Randomised controlled trials of dietary interventions in LMICs were eligible and identified via eight publication databases. Elements of both the intervention and comparison groups (e.g., behaviour change techniques (BCTs), delivery mode), participant characteristics and risk of bias were coded. Random effects meta-analysis of 76 randomised controlled trials found, on average, small- to medium-sized but highly heterogeneous improvement in dietary behaviour following an intervention. Small and homogeneous improvements were found for BMI/weight, waist- and hip-circumference, with medium-sized, but heterogeneous, improvements in blood pressure and cholesterol. Although many BCTs have yet to be tested in this context, meta-regressions suggested some BCTs (action planning, self-monitoring of outcome(s) of behaviour; demonstration of behaviour) as well as individually randomised trials, adult- or hypertensive-samples and lack of blinding were associated with larger dietary behaviour effect sizes. Interventions to encourage people from LMICs to change their diet produce, on average, small-to-medium-sized effects. These effects may possibly be increased through the inclusion of specific BCTs and other study elements.

    更新日期:2019-11-01
  • The weight of fatherhood: identifying mechanisms to explain paternal perinatal weight gain.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-05-02
    Darby Saxbe,Geoffrey W Corner,Mona Khaled,Katelyn Horton,Brian Wu,Hannah Lyden Khoddam

    Men appear to gain weight during the transition to parenthood, and fathers are heavier than non-fathers. Paternal perinatal weight gain may set weight trajectories in midlife and have long-term health implications. Since men do not undergo the physical demands of pregnancy and breastfeeding, the specific mechanisms underlying weight gain in new fathers warrant investigation. This review aims to stimulate research on paternal perinatal weight gain by suggesting testable potential mechanisms that (1) show change across the transition to parenthood and (2) play a role in weight and body composition. We identify seven mechanisms, within three categories: behavioural mechanisms (sleep, physical activity, and diet), hormonal mechanisms (testosterone and cortisol), and psychological mechanisms (depression and stress). We also discuss direct effects of partner pregnancy influences (e.g., 'couvade syndrome') on men's body weight. In presenting each mechanism, we discuss how it may be affected by the transition to parenthood, and then review its role in body composition and weight. Next, we describe bidirectional and interactive effects, discuss timing, and present three broad research questions to propel theoretical development.

    更新日期:2019-11-01
  • Network meta-analysis in health psychology and behavioural medicine: a primer.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-03-27
    G J Molloy,C Noone,D Caldwell,N J Welton,J Newell

    Progress in the science and practice of health psychology depends on the systematic synthesis of quantitative psychological evidence. Meta-analyses of experimental studies have led to important advances in understanding health-related behaviour change interventions. Fundamental questions regarding such interventions have been systematically investigated through synthesising relevant experimental evidence using standard pairwise meta-analytic procedures that provide reliable estimates of the magnitude, homogeneity and potential biases in effects observed. However, these syntheses only provide information about whether particular types of interventions work better than a control condition or specific alternative approaches. To increase the impact of health psychology on health-related policy-making, evidence regarding the comparative efficacy of all relevant intervention approaches - which may include biomedical approaches - is necessary. With the development of network meta-analysis (NMA), such evidence can be synthesised, even when direct head-to-head trials do not exist. However, care must be taken in its application to ensure reliable estimates of the effect sizes between interventions are revealed. This review paper describes the potential importance of NMA to health psychology, how the technique works and important considerations for its appropriate application within health psychology.

    更新日期:2019-11-01
  • How can interventions increase motivation for physical activity? A systematic review and meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-02-02
    Keegan Knittle,Johanna Nurmi,Rik Crutzen,Nelli Hankonen,Marguerite Beattie,Stephan U Dombrowski

    Motivation is a proximal determinant of behaviour, and increasing motivation is central to most health behaviour change interventions. This systematic review and meta-analysis sought to identify features of physical activity interventions associated with favourable changes in three prominent motivational constructs: intention, stage of change and autonomous motivation. A systematic literature search identified 89 intervention studies (k = 200; N = 19,212) which assessed changes in these motivational constructs for physical activity. Intervention descriptions were coded for potential moderators, including behaviour change techniques (BCTs), modes of delivery and theory use. Random effects comparative subgroup analyses identified 18 BCTs and 10 modes of delivery independently associated with changes in at least one motivational outcome (effect sizes ranged from d = 0.12 to d = 0.74). Interventions delivered face-to-face or in gym settings, or which included the BCTs 'behavioural goal setting', 'self-monitoring (behaviour)' or 'behavioural practice/rehearsal', or which combined self-monitoring (behaviour) with any other BCT derived from control theory, were all associated with beneficial changes in multiple motivational constructs (effect sizes ranged from d = 0.12 to d = 0.46). Meta-regression analyses indicated that increases in intention and stage of change, but not autonomous motivation, were significantly related to increases in physical activity. The intervention characteristics associated with changes in motivation seemed to form clusters related to behavioural experience and self-regulation, which have previously been linked to changes in physical activity behaviour. These BCTs and modes of delivery merit further systematic study, and can be used as a foundation for improving interventions targeting increases in motivation for physical activity.

    更新日期:2019-11-01
  • The relationship between habit and healthcare professional behaviour in clinical practice: a systematic review and meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2019-01-09
    Sebastian Potthoff,Othman Rasul,Falko F Sniehotta,Marta Marques,Fiona Beyer,Richard Thomson,Leah Avery,Justin Presseau

    Theories of behaviour used to understand healthcare professional behaviour often focus on the deliberative processes that drive their behaviour; however, less is known about the role that implicit processes such as habit have on healthcare professional behaviour. This systematic review aimed to critically appraise and synthesise research evidence investigating the association between habit and healthcare professional behaviour. A search of five databases (PsycINFO, EMBASE, Scopus and CINAHL) was conducted up until 29 February 2016 to identify studies reporting correlations between habit and healthcare professional behaviours. Meta-analyses were conducted to assess the overall habit-behaviour association across all behaviours. A subgroup analysis assessed whether the habit-behaviour relationship differed depending on whether the behaviour was objectively measured or assessed by self-report. We identified nine eligible studies involving 1975 healthcare professionals that included 28 habit-behaviour correlations. A combined mean r+ of 0.35 (medium effect) was observed between habit and healthcare professional behaviour. The habit-behaviour correlation was not affected by whether behaviour was measured objectively or by self-report. This review suggests that habit plays a significant role in healthcare professional behaviour. Findings may have implications for considering health professionals' habit when promoting the provision of evidence-based health care, and for breaking existing habit when de-implementing outdated, non-evidence-based practices.

    更新日期:2019-11-01
  • The structure of the General Health Questionnaire (GHQ-12): two meta-analytic factor analyses.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-01-13
    Timo Gnambs,Thomas Staufenbiel

    The General Health Questionnaire (GHQ-12) is a popular measure of psychological distress. Despite its widespread use, an ongoing controversy pertains to its internal structure. Although the GHQ-12 was originally constructed to capture a unitary construct, empirical studies identified different factor structures. Therefore, this study examined the dimensionality of the GHQ-12 in two independent meta-analyses. The first meta-analysis used summary data published in 38 primary studies (total N = 76,473). Meta-analytic exploratory factor analyses identified two factors formed by negatively and positively worded items. The second meta-analysis included individual responses of 410,640 participants from 84 independent samples. Meta-analytic confirmatory factor analyses corroborated the two-dimensional structure of the GHQ-12. However, bifactor modelling showed that most of the variance was explained by a general factor. Therefore, subscale scores reflected rather limited unique variance. Overall, the two meta-analyses demonstrated that the GHQ-12 is essentially unidimensional. It is not recommended to use and interpret subscale scores because they primarily reflect general mental health rather than distinct constructs.

    更新日期:2019-11-01
  • Ignoring theory and misinterpreting evidence: the false belief in fear appeals.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2017-12-14
    Gerjo Kok,Gjalt-Jorn Y Peters,Loes T E Kessels,Gill A Ten Hoor,Robert A C Ruiter

    Use of fear appeals assumes that when people are emotionally confronted with the negative effects of their behaviour they will change that behaviour. That reasoning is simple and intuitive, but only true under specific, rare circumstances. Risk perception theories predict that if people will experience a threat, they want to counter that threat. However, how they do so is determined by their coping efficacy level: if efficacy is high, they may change their behaviour in the suggested direction; if efficacy is low, they react defensively. Research on fear appeals should be methodologically sound, comparing a threatening to a non-threatening intervention under high and low efficacy levels, random assignment and measuring behaviour as outcome. We critically review extant empirical evidence and conclude that it does not support positive effects of fear appeals. Nonetheless, their use persists and is even promoted by health psychology researchers, causing scientific insights to be ignored or misinterpreted.

    更新日期:2019-11-01
  • Sedentary behaviours and health-related quality of life. A systematic review and meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2017-11-03
    Monika Boberska,Zofia Szczuka,Magdalena Kruk,Nina Knoll,Jan Keller,Diana Hilda Hohl,Aleksandra Luszczynska

    Researchers have speculated that sedentary behaviour may reduce health-related quality of life (HRQOL), but the extent to which this is true remains unknown. Our study sought to systematically review and synthesise research on the relationship between sedentary behaviours and HRQOL and to investigate if these relationships are moderated by age, health status, and HRQOL domain. The review was registered with PROSPERO (no. CRD42016036342). We searched six electronic databases. The selection process resulted in including k = 27 original studies; k = 18 were included in a meta-analysis. Data were synthesised twice, using the methods of systematic review and meta-analysis, in order to reduce biases related to a small number of included studies. Both the systematic review and meta-analytical methods indicated that lower levels of sedentary behaviours were associated with higher physical HRQOL (estimate of average effect: r = -.140; 95% CI -.191, -.088). Moderator analyses indicated that associations between the physical HRQOL domain and sedentary behaviours may be similar in strength across age- and health status groups. Causal inferences could not be drawn as most studies were cross-sectional. Concluding, sedentary behaviours were related to better physical HRQOL but not reliably to mental and social HRQOL.

    更新日期:2019-11-01
  • Understanding active school travel through the Behavioural Ecological Model.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2017-11-04
    Samuel Ginja,Bronia Arnott,Anil Namdeo,Elaine McColl

    Active school travel (AST) is an important source of physical activity for children and a conceptual understanding of AST is necessary to inform promotion efforts. The aim of this article is to provide a conceptual analysis of AST. All currently identified AST formulations include intra-individual variables which are often recommended as intervention targets. However, existing literature lacks clarity on precisely how these intra-individual variables might shape specific AST interventions. Moreover, evaluative studies of AST interventions typically fail to specify an underpinning theory or model. To address this limitation, the Behavioural Ecological Model (BEM), not previously addressed in AST, is presented to guide this area of research. Based on specific examples, we draw attention to the role of potential antecedents and potential reinforcers of AST, as well as potential reinforcers of motorised travel. Antecedents and reinforcers may help to explain choices of school travel mode, and to inform and increase intervention options to promote AST. Consistent with the BEM, the provision of more immediate consequences, such as fun and material prizes, is an evidence-based strategy for increasing AST which is likely to be low-cost and easier to deliver than alternative interventions. This approach to the study of AST is expected to contribute to similar analyses in this and other areas of behaviour change research, and to a more useful discussion and treatment of theoretical and conceptual behavioural models.

    更新日期:2019-11-01
  • Trauma exposure, posttraumatic stress, and preventive health behaviours: a systematic review.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2017-09-01
    Sharon Y Lee,Crystal L Park

    Psychological trauma has implications for many aspects of physical health, including preventive health behaviours (PHBs). However, whether trauma exposure additionally contributes to PHBs above and beyond the effects of posttraumatic stress disorder (PTSD) symptoms remains unclear. In this systematic review, 32 studies were analysed to characterise: (1) the relationships between trauma exposure and PHBs, (2) the relationships between PTSD symptoms and PHBs, (3) the unique associations between trauma exposure and PHBs, independent of PTSD symptoms, and (4) the unique associations between PTSD symptoms and PHBs, independent of trauma exposure. Findings were variable across the three examined PHBs (physical activity, diet, medical screening) when only trauma exposure or PTSD symptoms were taken into account. Clearer relationships emerged between trauma exposure and PHBs when PTSD symptoms were taken into account, demonstrating that trauma exposure is related to PHB engagement above and beyond the effects of PTSD symptoms. Additionally, PTSD symptoms shared unique associations with physical activity and screening frequency, which were not explained by trauma exposure. Our review reveals that teasing apart the effects of trauma exposure and PTSD symptoms on PHBs brings greater clarity to the strength and direction of these associations.

    更新日期:2019-11-01
  • Action and inaction in multi-behaviour recommendations: a meta-analysis of lifestyle interventions.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2017-08-24
    Dolores Albarracín,Kristina Wilson,Man-Pui Sally Chan,Marta Durantini,Flor Sanchez

    This meta-analysis examined theoretical predictions about the effects of different combinations of action (e.g., start an exercise regime) and of inaction (e.g., reduce screen time, rest in between weight lifting series) recommendations in smoking, diet, and physical activity multiple-domain interventions. The synthesis included 150 research reports of interventions promoting multiple behaviour domain change and measuring change at the most immediate follow-up. The main outcome measure was an indicator of overall change that combined behavioural and clinical effects. There were two main findings. First, as predicted, interventions produced the highest level of change when they included a predominance of recommendations along one behavioural dimension (i.e., predominantly inaction or predominantly action). Unexpectedly, within interventions with predominant action or inaction recommendations, those including predominantly inaction recommendations had greater efficacy than those including predominantly action recommendations. This effect, however, was limited to interventions in the diet and exercise domains, but reversed (greater efficacy for interventions with predominant action vs. inaction recommendations) in the smoking domain. These findings provide important insights on how to best combine recommendations when interventions target clusters of health behaviours.

    更新日期:2019-11-01
  • Automated telecommunication interventions to promote adherence to cardio-metabolic medications: meta-analysis of effectiveness and meta-regression of behaviour change techniques.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2017-08-15
    Aikaterini Kassavou,Stephen Sutton

    Automated telecommunication interventions, including short message service and interactive voice response, are increasingly being used to promote adherence to medications prescribed for cardio-metabolic conditions. This systematic review aimed to comprehensively assess the effectiveness of such interventions to support medication adherence, and to identify the behaviour change techniques (BCTs) and other intervention characteristics that are positively associated with greater intervention effectiveness. Meta-analysis of 17 randomised controlled trials showed a small but statistically significant effect on medication adherence, OR = 1.89, 95% CI [1.51, 2.36], I2 = 89%, N = 25,101. Multivariable meta-regression analysis including eight BCTs explained 88% of the observed variance in effect size (ES). The BCTs 'tailored' and 'information about health consequences' were positively and significantly associated with ES. Future studies could explore whether the inclusion of these and/or additional techniques (e.g., 'implementation intentions') would increase the effect of automated telecommunication interventions, using rigorous designs and objective outcome measures.

    更新日期:2019-11-01
  • Evolutionary learning processes as the foundation for behaviour change.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2017-08-03
    Rik Crutzen,Gjalt-Jorn Ygram Peters

    We argue that the active ingredients of behaviour change interventions, often called behaviour change methods (BCMs) or techniques (BCTs), can usefully be placed on a dimension of psychological aggregation. We introduce evolutionary learning processes (ELPs) as fundamental building blocks that are on a lower level of psychological aggregation than BCMs/BCTs. A better understanding of ELPs is useful to select the appropriate BCMs/BCTs to target determinants of behaviour, or vice versa, to identify potential determinants targeted by a given BCM/BCT, and to optimally translate them into practical applications. Using these insights during intervention development may increase the likelihood of developing effective interventions - both in terms of behaviour change as well as maintenance of behaviour change.

    更新日期:2019-11-01
  • Narcissism and stress-reactivity: a biobehavioural health perspective.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-11-21
    Sulamunn R M Coleman,Aaron L Pincus,Joshua M Smyth

    From a perspective broadly informed by Stress and Coping Theory, this review examined whether theoretically distinct and important dimensions of narcissism (grandiosity and vulnerability) associate with health-related stress-reactivity. Literature searches were conducted and articles were included if they contained a validated baseline assessment of narcissism, a stressor, and a within-person assessment of stress-reactivity (i.e., a baseline and post-stress assessment of a health-related psychological, biological, or behavioural process). Additionally, narcissism measures had to be systematically categorised as assessing grandiosity or vulnerability (see Grijalva, E., Newman, D. A., Tay, L., Donnellan, M. B., Harms, P. D., Robins, R. W., & Yan, T. (2015). Gender differences in narcissism: A meta-analytic review. Psychological Bulletin, 141(2), 261-310. doi: 10.1037/a0038231 ), and narcissism dimensions had to be assessed independently of other constructs. Findings were narratively synthesised within three broad dimensions of stress-reactivity (psychological, biological, and behavioural). Overall, there appear to be relatively consistent patterns that grandiosity and vulnerability are related to altered stress-reactivity. Additionally, grandiosity and vulnerability may differentially influence stress-reactivity depending on the type of stressor and/or indicator of stress-reactivity (e.g., under certain conditions, grandiosity may confer some level of resilience). This review highlights important theoretical and empirical gaps in the emerging narcissism and health literature. Furthermore, this review may help inform methodological considerations for future research, and may also point to physical health outcomes that could conceivably be affected by narcissism over time (e.g., overweight/obesity, cardiovascular disease, HIV/AIDS).

    更新日期:2019-11-01
  • Examining the active ingredients of physical activity interventions underpinned by theory versus no stated theory: a meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-11-10
    Desmond McEwan,Mark R Beauchamp,Christina Kouvousis,Christina M Ray,Anne Wyrough,Ryan E Rhodes

    In this meta-analysis, we sought to examine the 'active ingredients' (or behaviour change techniques; BCTs) used within theory-based physical activity interventions compared to interventions with no stated theory. We retrieved 171 peer-reviewed studies (224 total interventions) that used a controlled experimental design from 68 previous reviews of physical activity interventions. Data from each intervention were coded with regard to their use of theory and inclusion of 16 BCT clusters within the physical activity intervention. There were no significant differences in the overall effect sizes between theory-based (k = 148, d = 0.48) and no-stated-theory (k = 77, d = 0.37) interventions. Theory-based interventions incorporated a greater number of BCT clusters on average (6.1) compared to no-stated-theory interventions (4.5). Significant effects were shown for interventions that incorporated at least three BCT clusters (d = 0.48) but not for those that used one or two (d = 0.20). Several BCT clusters were more likely to be present in theory-based interventions than no-stated-theory interventions. Significant effects on physical activity were also shown for theory-based interventions that incorporated any of the 16 BCT clusters coded, but only for 9 out of 11 no-stated-theory interventions in this regard (for which effect sizes could be calculated). Taken together, these findings suggest that although the overall effects on physical activity do not differ significantly between theory-based and no-stated-theory interventions, these interventions often differ in their composition of BCTs. Moreover, for interventions utilising certain BCT clusters (namely, 'self-belief' and 'association'), theory may be necessary to derive significant effects.

    更新日期:2019-11-01
  • A meta-analysis of techniques to promote motivation for health behaviour change from a self-determination theory perspective.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-10-09
    Fiona B Gillison,Peter Rouse,Martyn Standage,Simon J Sebire,Richard M Ryan

    A systematic review and meta-analysis was conducted of the techniques used to promote psychological need satisfaction and motivation within health interventions based on self-determination theory (SDT; Ryan & Deci, 2017. Self-determination theory: Basic psychological needs in motivation, development, and wellness. New York, NY: Guilford Press). Eight databases were searched from 1970 to 2017. Studies including a control group and reporting pre- and post-intervention ratings of SDT-related psychosocial mediators (namely perceived autonomy support, need satisfaction and motivation) with children or adults were included. Risk of bias was assessed using items from the Cochrane risk of bias tool. 2496 articles were identified of which 74 met inclusion criteria; 80% were RCTs or cluster RCTs. Techniques to promote need supportive environments were coded according to two established taxonomies (BCTv1 and MIT), and 21 SDT-specific techniques, and grouped into 18 SDT based strategies. Weighted mean effect sizes were computed using a random effects model; perceived autonomy support g = 0.84, autonomy g = 0.81, competence g = 0.63, relatedness g = 0.28, and motivation g = 0.41. One-to-one interventions resulted in greater competence satisfaction than group-based (g = 0.96 vs. 0.28), and competence satisfaction was greater for adults (g = 0.95) than children (g = 0.11). Meta-regression analysis showed that individual strategies had limited independent impact on outcomes, endorsing the suggestion that a need supportive environment requires the combination of multiple co-acting techniques.

    更新日期:2019-11-01
  • Dyadic interventions to promote physical activity and reduce sedentary behaviour: systematic review and meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-10-05
    R M Carr,A Prestwich,D Kwasnicka,C Thøgersen-Ntoumani,D F Gucciardi,E Quested,L H Hall,N Ntoumanis

    Several interventions have targeted dyads to promote physical activity (PA) or reduce sedentary behaviour (SB), but the evidence has not been synthesised. Sixty-nine studies were identified from MEDLINE, PsycINFO, and Web of Science, and 59 were included in the main meta-analyses (providing 72 independent tests). Intervention details, type of dyadic goal, participant characteristics, and methodological quality were extracted and their impact on the overall effect size was examined. Sensitivity analyses tested effect robustness to (a) the effects of other statistically significant moderators; (b) outliers; (c) data included for participants who were not the main target of the intervention. Dyadic interventions had a small positive, highly heterogeneous, effect on PA g = .203, 95% CI [0.123-0.282], compared to comparison conditions including equivalent interventions targeting individuals. Shared target-oriented goals (where both dyad members hold the same PA goal for the main target of the intervention) and peer/friend dyads were associated with larger effect sizes across most analyses. Dyadic interventions produced a small homogeneous reduction in SB. Given dyadic interventions promote PA over-and-above equivalent interventions targeting individuals, these interventions should be more widespread. However, moderating factors such as the types of PA goal and dyad need to be considered to maximise effects.

    更新日期:2019-11-01
  • Experimental manipulation of affective judgments about physical activity: a systematic review and meta-analysis of adults.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-09-29
    Ryan E Rhodes,Samantha M Gray,Cassandra Husband

    The purpose of this meta-analysis was to examine the current effectiveness of physical activity (PA) interventions to change affective judgements (AJ) and subsequent behaviour and explore potential moderators. Eligible studies were published in a peer-reviewed English journal and included an experimental design in the PA domain with a measure of AJ as the dependent variable, among adults (>17 years). Literature searches concluded in July 2017 using 11 common databases, with additional hand searching conducted in February 2018. The search yielded 32 independent studies. Random-effects meta-analysis showed positive changes in AJ favouring intervention over control groups, g = 0.43 (95% CI = 0.26-0.60). These changes predicted (β = 0.64) positive changes in PA, g = 0.38 (95% CI = 0.16-0.60), among a sub-sample (k = 14) of studies that also provided behavioural data. Moderator analyses showed the effects were inflated by potential publication bias, participant gender, baseline PA and focus of the intervention. AJ may show change from intervention but larger sample studies are required to obtain a more reliable effect size estimate. Further, few studies have employed behaviour change techniques that would align with the theoretical reasons for changes in AJ, so our evidence for practical intervention content is limited.

    更新日期:2019-11-01
  • Can the common-sense model predict adherence in chronically ill patients? A meta-analysis.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2014-07-24
    Kim Brandes,Barbara Mullan

    The aim of this meta-analysis was to explore whether mental representations, derived from the common-sense model of illness representations (CSM), were able to predict adherence in chronically ill patients. Electronic databases were searched for studies that used the CSM and measured adherence behaviour in chronically ill patients. Correlations from the included articles were meta-analysed using a random-size effect model. A moderation analysis was conducted for the type of adherence behaviour. The effect sizes for the different mental representations and adherence constructs ranged from -0.02 to 0.12. Further analyses showed that the relationship between the mental representations and adherence did not differ by the type of adherence behaviour. The low-effect sizes indicate that the relationships between the different mental representations of the CSM and adherence are very weak. Therefore, the CSM may not be the most appropriate model to use in predictive studies of adherence.

    更新日期:2019-11-01
  • A review and analysis of the use of 'habit' in understanding, predicting and influencing health-related behaviour.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2014-09-11
    Benjamin Gardner

    The term 'habit' is widely used to predict and explain behaviour. This paper examines use of the term in the context of health-related behaviour, and explores how the concept might be made more useful. A narrative review is presented, drawing on a scoping review of 136 empirical studies and 8 literature reviews undertaken to document usage of the term 'habit', and methods to measure it. A coherent definition of 'habit', and proposals for improved methods for studying it, were derived from findings. Definitions of 'habit' have varied in ways that are often implicit and not coherently linked with an underlying theory. A definition is proposed whereby habit is a process by which a stimulus generates an impulse to act as a result of a learned stimulus-response association. Habit-generated impulses may compete or combine with impulses and inhibitions arising from other sources, including conscious decision-making, to influence responses, and need not generate behaviour. Most research on habit is based on correlational studies using self-report measures. Adopting a coherent definition of 'habit', and a wider range of paradigms, designs and measures to study it, may accelerate progress in habit theory and application.

    更新日期:2019-11-01
  • Theories of behaviour and behaviour change across the social and behavioural sciences: a scoping review.
    Health Psychol. Rev. (IF 9.070) Pub Date : 2014-08-12
    Rachel Davis,Rona Campbell,Zoe Hildon,Lorna Hobbs,Susan Michie

    Interventions to change health-related behaviours typically have modest effects and may be more effective if grounded in appropriate theory. Most theories applied to public health interventions tend to emphasise individual capabilities and motivation, with limited reference to context and social factors. Intervention effectiveness may be increased by drawing on a wider range of theories incorporating social, cultural and economic factors that influence behaviour. The primary aim of this paper is to identify theories of behaviour and behaviour change of potential relevance to public health interventions across four scientific disciplines: psychology, sociology, anthropology and economics. We report in detail the methodology of our scoping review used to identify these theories including which involved a systematic search of electronic databases, consultation with a multidisciplinary advisory group, web searching, searching of reference lists and hand searching of key behavioural science journals. Of secondary interest we developed a list of agreed criteria for judging the quality of the theories. We identified 82 theories and 9 criteria for assessing theory quality. The potential relevance of this wide-ranging number of theories to public health interventions and the ease and usefulness of evaluating the theories in terms of the quality criteria are however yet to be determined.

    更新日期:2019-11-01
  • Towards consensus on fear appeals: a rejoinder to the commentaries on Kok, Peters, Kessels, ten Hoor, and Ruiter (2018).
    Health Psychol. Rev. (IF 9.070) Pub Date : 2018-03-21
    Gjalt-Jorn Ygram Peters,Robert A C Ruiter,Gill A Ten Hoor,Loes T E Kessels,Gerjo Kok

    更新日期:2019-11-01
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