Identifying the active components through the behaviour change techniques taxonomy in complex interventions for people living with multiple long-term health conditions: A systematic review

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2025-08-27 DOI:10.1111/bjhp.70019

Tasmin A. Rookes, Danielle Nimmons, Rachael Frost, Megan Armstrong, Wing Nga Tsang, Laura Davies, Jamie Ross, Jane Hopkins, Manoj Mistry, Stephanie J. C. Taylor, Kate Walters

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Abstract

Background

More older adults are living with multiple long-term conditions (M-LTCs). Understanding the ‘active components’ of complex interventions to manage these is challenging. The Behaviour Change Techniques Taxonomy (BCTTv1) helps identify the ‘active components’ to understand which are associated with improved outcomes. This is important for people with M-LTCs due to health complications, competing health care regimes and conflicting clinical teams, requiring complex decision-making.

Objectives

This systematic review explores which BCTs are associated with effective complex interventions in people with M-LTCs.

Methods

Five databases were systematically searched to identify RCTs evaluating behaviour change intervention effectiveness in people with M-LTCs, published between 1999 and 2025. Data on intervention characteristics, effectiveness and BCTs were synthesized. A BCT index of potential was calculated by determining the percentage of studies that used a BCT that had a positive primary outcome. To be considered to have potential, a BCT had to have an index of potential higher than 50%.

Results

Fifty-nine eligible articles were included. 44/93 possible BCTs were identified, ranging from 1 to 16 different techniques per intervention (mean = 7). Thirty-two BCTs were present in three or more studies, of which 17 had the potential to improve outcomes, such as behavioural goal setting, monitoring outcomes, problem solving and providing information about health and emotional consequences. Interventions designed for people with both physical and mental LTCs were more likely to contain BCTs with higher potential.

Conclusions

Interventions delivered to those living with M-LTCs should incorporate relevant BCTs with a high index of potential and use mechanisms of action to identify other BCTs to include alongside these.

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通过行为改变技术分类法确定对患有多种长期健康状况的人进行复杂干预的有效成分：一项系统综述

越来越多的老年人患有多种长期疾病（M-LTCs）。理解复杂干预措施的“主动成分”来管理这些是具有挑战性的。行为改变技术分类法（BCTTv1）有助于识别“有效成分”，以了解哪些与改善结果相关。这对由于健康并发症、相互竞争的卫生保健制度和相互冲突的临床团队而患有M-LTCs的人很重要，需要复杂的决策。本系统综述探讨了哪些bct与M-LTCs患者的有效复杂干预有关。方法系统检索5个数据库，以确定1999年至2025年间发表的评估M-LTCs患者行为改变干预效果的随机对照试验。综合干预特征、有效性和bct数据。BCT电位指数是通过确定使用BCT的主要结果为阳性的研究的百分比来计算的。BCT必须具有高于50%的潜力指数，才能被认为具有潜力。结果纳入59篇符合条件的文献。确定了44/93个可能的btc，每个干预的不同技术从1到16种不等（平均= 7）。在三个或更多的研究中有32个bct，其中17个具有改善结果的潜力，例如行为目标设定，监测结果，解决问题以及提供有关健康和情感后果的信息。为具有生理和心理LTCs的人设计的干预措施更有可能包含具有更高潜力的btc。向M-LTCs患者提供的干预措施应纳入具有高潜力指数的相关btc，并使用作用机制来确定其他btc。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.