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Meta-synthesis of health behavior change meta-analyses

B.T. Johnson, L.A.J. Scott-Sheldon and M.P. Carey

American Journal of Public Health, 2010, vol. 100, issue 11, 2193-2198

Abstract: Objectives. We integrated and compared meta-analytic findings across diverse behavioral interventions to characterize how well they have achieved change in health behavior. Methods. Outcomes from 62 meta-analyses of interventions for change in health behavior were quantitatively synthesized, including 1011 primary-level investigations with 599559 participants. Content coding suggested 6 behavioral domains: Eating and physical activity, sexual behavior, addictive behaviors, stress management, female-specific screening and intervention behaviors, and behaviors involving use of health services. Results. Behavior change interventions were efficacious (mean effect sizes=0.08-0.45). Behavior change was more evident in more recent metaanalyses; those that sampled older interventions and literatures or sampled more published articles; those that included studies that relied on self-report, used briefer interventions, or sampled fewer, older, or female participants; and in some domains (e.g., stress management) more than others (e.g., sexual behaviors). Conclusions. Interventions improved health-related behaviors; however, efficacy varied as a function of participant and intervention characteristics. This meta-synthesis provides information about the efficacy of behavioral change interventions across health domains and populations; this knowledge can inform the design and development of public health interventions and future meta-analyses of these studies.

Date: 2010
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2008.155200_9

DOI: 10.2105/AJPH.2008.155200

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