The effectiveness of co-created lifestyle interventions in improving health behaviour, physical and mental health in adults with non-communicable diseases: A systematic review with meta-analysis

IF 3.2 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-08-21 DOI:10.1016/j.puhe.2025.105929

Ebuka Miracle Anieto , Philippa Margaret Dall , Ukachukwu Abaraogu , Sebastien Chastin , Ijeoma Blessing Anieto , Giuliana Raffaella Longworth , Israel Ikechukwu Adandom , Ogochukwu Kelechi Onyeso , Anthony Obinna Iwuagwu , Niamh Smith , Kolawole Francis , Miracle Ndubuaku , Mark Chigozie Odom , Chris Seenan

{"title":"The effectiveness of co-created lifestyle interventions in improving health behaviour, physical and mental health in adults with non-communicable diseases: A systematic review with meta-analysis","authors":"Ebuka Miracle Anieto , Philippa Margaret Dall , Ukachukwu Abaraogu , Sebastien Chastin , Ijeoma Blessing Anieto , Giuliana Raffaella Longworth , Israel Ikechukwu Adandom , Ogochukwu Kelechi Onyeso , Anthony Obinna Iwuagwu , Niamh Smith , Kolawole Francis , Miracle Ndubuaku , Mark Chigozie Odom , Chris Seenan","doi":"10.1016/j.puhe.2025.105929","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to evaluate the effectiveness of co-created lifestyle interventions in modifying health behaviour, and mental/physical health outcomes in individuals with non-communicable diseases (NCDs).</div></div><div><h3>Study design</h3><div>A systematic review of Randomized Control Trials (RCTs).</div></div><div><h3>Methods</h3><div>A systematic search of nine databases from inception until March 2023 was performed, plus weekly email alerts of new literature until March 2025. Studies comparing co-created lifestyle interventions with any control were included. Meta-analysis using the random effects model was conducted. Risk of bias was assessed using the Cochrane-RoB-2, and quality of evidence was assessed using GRADE system.</div></div><div><h3>Results</h3><div>Sixteen RCTs (2201 participants; 74.2 % female; mean 53.8 years) were included. Meta-analysis showed that at <6 months, there is moderate quality evidence that co-created lifestyle interventions significantly improve health behaviour (moderate effect; SMD = 0.49, 95 %CI: 0.33–0.65) and physical health (small effect; SMD = 0.21, 95 %CI: 0.09–0.34), and mental health (small effect; SMD = 0.29, 95 %CI: 0.14–0.43), in individuals with NCDs. At ≥6 months, there is moderate quality evidence that co-created interventions improve health behaviour (small effect; SMD = 0.21, 95 %CI: 0.07–0.35), and mental health (small effect; SMD = 0.19, 95 %CI: 0.12–0.26). A small effect with low quality evidence (SMD = 0.11, 95 %CI: 0.09-0.32) was also observed for physical health, however, it was not statistically significant.</div></div><div><h3>Conclusions</h3><div>There is moderate quality evidence that co-created lifestyle interventions for secondary prevention of NCDs have a significant positive impact on the target health behaviour, and on mental health, and physical health outcomes.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105929"},"PeriodicalIF":3.2000,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0033350625003750","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

This systematic review aimed to evaluate the effectiveness of co-created lifestyle interventions in modifying health behaviour, and mental/physical health outcomes in individuals with non-communicable diseases (NCDs).

Study design

A systematic review of Randomized Control Trials (RCTs).

Methods

A systematic search of nine databases from inception until March 2023 was performed, plus weekly email alerts of new literature until March 2025. Studies comparing co-created lifestyle interventions with any control were included. Meta-analysis using the random effects model was conducted. Risk of bias was assessed using the Cochrane-RoB-2, and quality of evidence was assessed using GRADE system.

Results

Sixteen RCTs (2201 participants; 74.2 % female; mean 53.8 years) were included. Meta-analysis showed that at <6 months, there is moderate quality evidence that co-created lifestyle interventions significantly improve health behaviour (moderate effect; SMD = 0.49, 95 %CI: 0.33–0.65) and physical health (small effect; SMD = 0.21, 95 %CI: 0.09–0.34), and mental health (small effect; SMD = 0.29, 95 %CI: 0.14–0.43), in individuals with NCDs. At ≥6 months, there is moderate quality evidence that co-created interventions improve health behaviour (small effect; SMD = 0.21, 95 %CI: 0.07–0.35), and mental health (small effect; SMD = 0.19, 95 %CI: 0.12–0.26). A small effect with low quality evidence (SMD = 0.11, 95 %CI: 0.09-0.32) was also observed for physical health, however, it was not statistically significant.

Conclusions

There is moderate quality evidence that co-created lifestyle interventions for secondary prevention of NCDs have a significant positive impact on the target health behaviour, and on mental health, and physical health outcomes.

查看原文本刊更多论文

共同创造的生活方式干预措施在改善非传染性疾病成年人的健康行为和身心健康方面的有效性：一项带有荟萃分析的系统综述

本系统综述旨在评估共同创造的生活方式干预在改变非传染性疾病（ncd）患者的健康行为和精神/身体健康结果方面的有效性。研究设计随机对照试验（rct）的系统综述。方法系统检索自成立至2023年3月的9个数据库，并每周发送新文献邮件提醒至2025年3月。研究将共同创造的生活方式干预与任何对照进行了比较。采用随机效应模型进行meta分析。使用cochrane - rob2评估偏倚风险，使用GRADE系统评估证据质量。结果纳入16项随机对照试验（rct），共2201名受试者，74.2%为女性，平均53.8岁。荟萃分析显示，在6个月时，有中等质量的证据表明，共同创造的生活方式干预显著改善了非传染性疾病患者的健康行为（中等影响；SMD = 0.49, 95% CI: 0.33-0.65）、身体健康（小影响；SMD = 0.21, 95% CI: 0.09-0.34）和精神健康（小影响；SMD = 0.29, 95% CI: 0.14-0.43）。在≥6个月时，有中等质量的证据表明，共同创建的干预措施改善了健康行为（小影响；SMD = 0.21, 95% CI: 0.07-0.35）和心理健康（小影响；SMD = 0.19, 95% CI: 0.12-0.26）。低质量证据（SMD = 0.11, 95% CI: 0.09-0.32）也观察到对身体健康的小影响，但没有统计学意义。结论：有中等质量的证据表明，共同创造的生活方式干预措施对非传染性疾病二级预防的目标健康行为、心理健康和身体健康结果有显著的积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.