Health Psychology ReviewPub Date : 2021-12-01Epub Date: 2020-12-11DOI: 10.1080/17437199.2020.1858926
Mary Katherine Huffman, Jason Brian Reed, Theresa Kathleen Carpenter, Steve Amireault
{"title":"Maintenance motives for physical activity among older adults: a systematic review and meta-analysis.","authors":"Mary Katherine Huffman, Jason Brian Reed, Theresa Kathleen Carpenter, Steve Amireault","doi":"10.1080/17437199.2020.1858926","DOIUrl":"https://doi.org/10.1080/17437199.2020.1858926","url":null,"abstract":"<p><p>The purpose of this systematic review was to examine if the motives of satisfaction with outcomes, enjoyment of behavior, self-determination, and identity are related to physical activity (PA) maintenance in older adults. We also explored whether the strength of these associations varies as a function of sample characteristics (i.e., age, gender, physical health status) and maintenance context. Five electronic databases (PubMed, PsycINFO, SportDiscus, CINAHL, and ProQuest Dissertations and Theses) were searched, and sixteen studies (<i>k</i>) with a sample mean age ≥ 55 years were included. When the number of studies was ≥ 5 for a given motive, a pooled correlation coefficient was calculated using the inverse-variance method under the random-effects model assumption. Self-determination was positively associated with PA maintenance [<i>r</i> (95% CI) = 0.189 (0.127, 0.249); <i>k</i> = 11]. This association was stronger and more homogeneous for samples described as having a physical health condition (<i>r</i> = 0.212; <i>k</i> = 6) and studies judged to be at risk of bias due to missing data (<i>r</i> = 0.223; <i>k</i> = 8). Few studies (< 5) investigated satisfaction with outcomes, enjoyment of behavior, and identity, which precludes any summary judgment for these three motives. PROSPERO Registration Number: CRD42018088161.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 4","pages":"593-612"},"PeriodicalIF":9.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17437199.2020.1858926","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38711302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-12-01Epub Date: 2020-06-10DOI: 10.1080/17437199.2020.1760728
Susanne Buecker, Thomas Simacek, Britta Ingwersen, Sophia Terwiel, Bianca A Simonsmeier
{"title":"Physical activity and subjective well-being in healthy individuals: a meta-analytic review.","authors":"Susanne Buecker, Thomas Simacek, Britta Ingwersen, Sophia Terwiel, Bianca A Simonsmeier","doi":"10.1080/17437199.2020.1760728","DOIUrl":"https://doi.org/10.1080/17437199.2020.1760728","url":null,"abstract":"<p><p>Longstanding research suggests a positive relation between physical activity and health. However, when investigating this relation most studies focused on the absence of disease or infirmity as health indicators. The relation between physical activity and positive health-related constructs such as subjective well-being (SWB) remains oftentimes unexplored. The present meta-analysis offers a rigorous test of the relation between physical activity and SWB in healthy individuals, by including all different kinds of physical activity and SWB facets from childhood to old age. Random-effects meta-analysis using robust variance estimation revealed a positive relation (<i>d</i> = 0.360, 95% CI [0.301, 0.420]). Our results demonstrate a small beneficial main effect of physical activity on SWB, independent of the prior fitness level of the participants and various characteristics of the physical activity intervention. This effect was found in experimental studies as well as in correlational and quasi-experimental studies. Physical activity was more strongly related to positive affect compared to cognitive well-being and was unrelated to negative affect. Our results provide evidence for the importance of physical activity in the context of well-being. Further, we also systematically review and discuss the large heterogeneity of studies published on this relation and warrant further research regarding underlying mechanisms.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 4","pages":"574-592"},"PeriodicalIF":9.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17437199.2020.1760728","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37973196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-12-01Epub Date: 2020-02-25DOI: 10.1080/17437199.2020.1728564
Ailsa Niven, Yvonne Laird, David H Saunders, Shaun M Phillips
{"title":"A systematic review and meta-analysis of affective responses to acute high intensity interval exercise compared with continuous moderate- and high-Intensity exercise.","authors":"Ailsa Niven, Yvonne Laird, David H Saunders, Shaun M Phillips","doi":"10.1080/17437199.2020.1728564","DOIUrl":"https://doi.org/10.1080/17437199.2020.1728564","url":null,"abstract":"<p><p>There is evidence for the physical health benefits of high intensity interval exercise (HIIE), but its public health potential has been challenged. It is purported that compared with moderate-intensity continuous exercise (MICE) the high intensity nature of HIIE may lead to negative affective responses. This systematic review (PROSPERO CRD42017058203) addressed this proposition and synthesised research that compares affective responses to HIIE with MICE and vigorous intensity continuous exercise (VICE), during-, end-, and post-exercise. Searches were conducted on five databases, and findings from 33 studies were meta-analysed using random effects models or narratively synthesised. A meta-analysis of affect showed a significant effect in favour of MICE vs HIIE at the lowest point, during and post-exercise, but not at end, and the narrative synthesis supported this for other affective outcomes. Differences on affect between VICE vs HIIE were limited. Pooled data showed arousal levels were consistently higher during HIIE. For enjoyment there was a significant effect in favour of HIIE vs MICE, no difference for HIIE vs VICE at post-exercise, and mixed findings for during-exercise. Although the findings are clouded by methodological issues they indicate that compared to MICE, HIIE is experienced less positively but post-exercise is reported to be more enjoyable.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 4","pages":"540-573"},"PeriodicalIF":9.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17437199.2020.1728564","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37652097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-12-01Epub Date: 2020-02-17DOI: 10.1080/17437199.2020.1721310
Bonnie Spring, Katrina E Champion, Rebecca Acabchuk, Emily A Hennessy
{"title":"Self-regulatory behaviour change techniques in interventions to promote healthy eating, physical activity, or weight loss: a meta-review.","authors":"Bonnie Spring, Katrina E Champion, Rebecca Acabchuk, Emily A Hennessy","doi":"10.1080/17437199.2020.1721310","DOIUrl":"10.1080/17437199.2020.1721310","url":null,"abstract":"<p><p>Poor quality diet, physical inactivity, and obesity are prevalent, covariant risk factors for chronic disease, suggesting that behaviour change techniques (BCTs) that effectively change one risk factor might also improve the others. To examine that question, registered meta-review CRD42019128444 synthesised evidence from 30 meta-analyses published between 2007 and 2017 aggregating data from 409,185 participants to evaluate whether inclusion of 14 self-regulatory BCTs in health promotion interventions was associated with greater improvements in outcomes. Study populations and review quality varied, with minimal overlap among summarised studies. AMSTAR-2 ratings averaged 37.31% (<i>SD</i> = 16.21%; range 8.33-75%). All BCTs were examined in at least one meta-analysis; goal setting and self-monitoring were evaluated in 18 and 20 reviews, respectively. No BCT was consistently related to improved outcomes. Although results might indicate that BCTs fail to benefit diet and activity self-regulation, we suggest that a Type 3 error occurred, whereby the meta-analytic research design implemented to analyse effects of multi-component intervention trials designed for a different purpose was mismatched to the question of how BCTs affect health outcomes. An understanding of independent and interactive effects of individual BCTs on different health outcomes and populations is needed urgently to ground a cumulative science of behaviour change.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 4","pages":"508-539"},"PeriodicalIF":9.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7429262/pdf/nihms-1570427.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37572592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-12-01Epub Date: 2021-06-29DOI: 10.1080/17437199.2021.1938632
Lauren Rockliffe, Sarah Peters, Alexander E P Heazell, Debbie M Smith
{"title":"Factors influencing health behaviour change during pregnancy: a systematic review and meta-synthesis.","authors":"Lauren Rockliffe, Sarah Peters, Alexander E P Heazell, Debbie M Smith","doi":"10.1080/17437199.2021.1938632","DOIUrl":"https://doi.org/10.1080/17437199.2021.1938632","url":null,"abstract":"<p><p>Pregnancy is an opportune time for women to make healthy changes to their lifestyle, however, many women struggle to do so. Multiple reasons have been posited as to why this may be. This review aimed to synthesise this literature by identifying factors that influence women's health behaviour during pregnancy, specifically in relation to dietary behaviour, physical activity, smoking, and alcohol use. Bibliographic databases (MEDLINE, PsycINFO, CINAHL-P, MIDIRS) were systematically searched to retrieve studies reporting qualitative data regarding women's experiences or perceptions of pregnancy-related behaviour change relating to the four key behaviours. Based on the eligibility criteria, 30,852 records were identified and 92 studies were included. Study quality was assessed using the CASP tool and data were thematically synthesised. Three overarching themes were generated from the data. These were (1) A time to think about 'me', (2) Adopting the 'good mother' role, and (3) Beyond mother and baby. These findings provide an improved understanding of the various internal and external factors influencing women's health behaviour during the antenatal period. This knowledge provides the foundations from which future pregnancy-specific theories of behaviour change can be developed and highlights the importance of taking a holistic approach to maternal behaviour change in clinical practice.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 4","pages":"613-632"},"PeriodicalIF":9.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17437199.2021.1938632","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39081720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-12-01Epub Date: 2020-01-29DOI: 10.1080/17437199.2020.1718528
Merilyn Lock, Dannielle Post, James Dollman, Gaynor Parfitt
{"title":"Efficacy of theory-informed workplace physical activity interventions: a systematic literature review with meta-analyses.","authors":"Merilyn Lock, Dannielle Post, James Dollman, Gaynor Parfitt","doi":"10.1080/17437199.2020.1718528","DOIUrl":"https://doi.org/10.1080/17437199.2020.1718528","url":null,"abstract":"<p><p>This review aimed to assess the efficacy of workplace physical activity interventions; compare the efficacy of those that were and were not informed by behaviour change theory, and outline the effectiveness of different intervention components. A search was undertaken in Medline, Embase, PsycINFO, Ovid Emcare (previously CINAHL) and SportDiscus. Randomised, non-randomised and cluster-controlled trials with objectively measured physical activity and/or measured or predicted maximal oxygen uptake (VO<sub>2max</sub>) as outcomes were included in the review (83 papers from 79 trials). Random-effects meta-analyses of mean differences were undertaken. Workplace physical activity programmes demonstrated positive overall intervention effects for daily step counts (814.01 steps/day; CI: 446.36, 1181.67; <i>p</i> < 0.01; <i>i</i><sup>2</sup> = 88%) and measured VO<sub>2max</sub> (2.53 ml kg<sup>-1</sup> min<sup>-1</sup>; CI: 1.69, 3.36; <i>p</i> < 0.01; <i>i</i><sup>2</sup> = 0%) with no sub-group differences between theory- and non-theory informed interventions. Significant sub-group differences were present for predicted VO<sub>2max</sub> (<i>p</i> < 0.01), with a positive intervention effect for non-theory informed studies (2.11 ml.kg<sup>-1</sup> min<sup>-1</sup>; CI: 1.20, 3.02; <i>p</i> < 0.01; <i>i</i><sup>2</sup> = 78%) but not theory-informed studies (-0.63 ml kg<sup>-1</sup> min<sup>-1</sup>; CI: -1.55, 0.30; <i>p</i> = 0.18; <i>i</i><sup>2</sup> = 0%). Longer-term follow-ups ranged from 24 weeks to 13 years, with significant positive effects for measured VO<sub>2max</sub> (2.84 ml kg<sup>-1</sup> min<sup>-1</sup>; CI: 1.41, 4.27; <i>p</i> < 0.01; <i>i</i><sup>2</sup> = 0%). Effective intervention components included the combination of self-monitoring with a goal, and exercise sessions onsite or nearby. The findings of this review were limited by the number and quality of theory-informed studies presenting some outcomes, and confounding issues in complex interventions. Future researchers should consider rigorous testing of outcomes of theory-informed workplace physical activity interventions and incorporate longer follow-ups.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 4","pages":"483-507"},"PeriodicalIF":9.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17437199.2020.1718528","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37559518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-09-01Epub Date: 2020-07-02DOI: 10.1080/17437199.2020.1780147
Natasha Clarke, Emily Pechey, Daina Kosīte, Laura M König, Eleni Mantzari, Anna K M Blackwell, Theresa M Marteau, Gareth J Hollands
{"title":"Impact of health warning labels on selection and consumption of food and alcohol products: systematic review with meta-analysis.","authors":"Natasha Clarke, Emily Pechey, Daina Kosīte, Laura M König, Eleni Mantzari, Anna K M Blackwell, Theresa M Marteau, Gareth J Hollands","doi":"10.1080/17437199.2020.1780147","DOIUrl":"10.1080/17437199.2020.1780147","url":null,"abstract":"<p><p>Health warning labels (HWLs) could reduce harmful consumption of food (including non-alcoholic drinks) and alcoholic drinks. A systematic review with meta-analysis using Cochrane methods was conducted to assess the impact on selection (including hypothetical selection) or consumption of food or alcoholic drink products displaying image-and-text (sometimes termed 'pictorial') and text-only HWLs. Fourteen randomised controlled trials were included, three for alcohol, eleven for food. For the primary outcomes, eleven studies measured selection and one measured consumption (two measured only other secondary outcomes). Meta-analysis of twelve comparisons from nine studies (n=12,635) found HWLs reduced selection of the targeted product compared with no HWL (RR=0.74 (95%CI 0.68-0.80)), with participants 26% less likely to choose a product displaying a HWL. A planned subgroup analysis suggested a larger (although not statistically significant) effect on selection of image-and-text HWLs (RR=0.65 (95%CI 0.54-0.80)) than text-only HWLs (RR=0.79 (95%CI 0.74-0.85)). These findings suggest significant potential for HWLs to reduce selection of food and alcoholic drinks, but all experimental studies to date were conducted in laboratory or online settings with outcomes assessed immediately after a single exposure. Studies in field and naturalistic laboratory settings are needed to estimate the potential effects of food and alcohol HWLs.<i>Study registration</i><b>:</b> PROSPERO 2018 (registration number: CRD42018106522).</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 3","pages":"430-453"},"PeriodicalIF":6.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8635708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10397752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-06-01Epub Date: 2020-02-03DOI: 10.1080/17437199.2020.1718529
Nikos Ntoumanis, Johan Y Y Ng, Andrew Prestwich, Eleanor Quested, Jennie E Hancox, Cecilie Thøgersen-Ntoumani, Edward L Deci, Richard M Ryan, Chris Lonsdale, Geoffrey C Williams
{"title":"A meta-analysis of self-determination theory-informed intervention studies in the health domain: effects on motivation, health behavior, physical, and psychological health.","authors":"Nikos Ntoumanis, Johan Y Y Ng, Andrew Prestwich, Eleanor Quested, Jennie E Hancox, Cecilie Thøgersen-Ntoumani, Edward L Deci, Richard M Ryan, Chris Lonsdale, Geoffrey C Williams","doi":"10.1080/17437199.2020.1718529","DOIUrl":"https://doi.org/10.1080/17437199.2020.1718529","url":null,"abstract":"<p><p>There are no literature reviews that have examined the impact of health-domain interventions, informed by self-determination theory (SDT), on SDT constructs <i>and</i> health indices. Our aim was to meta-analyse such interventions in the health promotion and disease management literatures. Studies were eligible if they used an experimental design, tested an intervention that was based on SDT, measured at least one SDT-based motivational construct, <i>and</i> at least one indicator of health behaviour, physical health, or psychological health. Seventy-three studies met these criteria and provided sufficient data for the purposes of the review. A random-effects meta-analytic model showed that SDT-based interventions produced small-to-medium changes in most SDT constructs at the end of the intervention period, and in health behaviours at the end of the intervention period and at the follow-up. Small positive changes in physical and psychological health outcomes were also observed at the end of the interventions. Increases in need support and autonomous motivation (but not controlled motivation or amotivation) were associated with positive changes in health behaviour. In conclusion, SDT-informed interventions positively affect indices of health; these effects are modest, heterogeneous, and partly due to increases in self-determined motivation and support from social agents.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 2","pages":"214-244"},"PeriodicalIF":9.8,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17437199.2020.1718529","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37579357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-06-01Epub Date: 2020-01-08DOI: 10.1080/17437199.2019.1706614
Ryan E Rhodes, Patrick Boudreau, Karin Weman Josefsson, Andreas Ivarsson
{"title":"Mediators of physical activity behaviour change interventions among adults: a systematic review and meta-analysis.","authors":"Ryan E Rhodes, Patrick Boudreau, Karin Weman Josefsson, Andreas Ivarsson","doi":"10.1080/17437199.2019.1706614","DOIUrl":"https://doi.org/10.1080/17437199.2019.1706614","url":null,"abstract":"<p><p>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 to evaluate the state of physical activity interventions that include proposed mediators of behaviour change. Literature was identified through searching for 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. Fifty-one articles (49 samples) met the eligibility criteria. Small overall effects were identified for mediation paths a (<i>r</i> = .16; 95% CI = .10 to .22), b (<i>r</i> = .21; 95% CI .16 to .27), and c (<i>r</i> = .24; 95% CI .12 to .35), c' (<i>r</i> = .05 to .19) and ab (<i>r</i> = .02 to .07) that showed similar findings by theory and construct. 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.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 2","pages":"272-286"},"PeriodicalIF":9.8,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17437199.2019.1706614","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37490339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health Psychology ReviewPub Date : 2021-06-01Epub Date: 2020-12-03DOI: 10.1080/17437199.2020.1854050
Kavita Vedhara, Simon Royal, Kanchan Sunger, Deborah M Caldwell, Vanessa Halliday, Caroline M Taylor, Lucy Fairclough, Anthony Avery, Nicky J Welton
{"title":"Effects of non-pharmacological interventions as vaccine adjuvants in humans: a systematic review and network meta-analysis.","authors":"Kavita Vedhara, Simon Royal, Kanchan Sunger, Deborah M Caldwell, Vanessa Halliday, Caroline M Taylor, Lucy Fairclough, Anthony Avery, Nicky J Welton","doi":"10.1080/17437199.2020.1854050","DOIUrl":"https://doi.org/10.1080/17437199.2020.1854050","url":null,"abstract":"<p><strong>Introduction: </strong>Psychological and behavioural may enhance vaccine effectiveness. We conducted a systematic review and network meta-analysis (NMA) to examine the effects of non-pharmacological adjuvants on vaccine effectiveness, as measured by antibody responses to vaccination.</p><p><strong>Areas covered: </strong>Electronic databases (EMBASE, Medline, PsychINFO, CINAHL) were searched from inception to 6th February 2018. This yielded 100 eligible papers, reporting 106 trials: 79 interventions associated with diet and/or nutrition; 12 physical activity interventions and 9 psychological interventions.Over half (58/106) of trials reported evidence of an enhanced antibody response to vaccination across one or more outcomes. The NMA considered the comparative effects between all intervention types, control and placebo for antibody titres (48 studies), seroconversion (25 studies) and seroprotection (23 studies) separately. The NMA provided weak evidence in support of nutritional formulae and probiotics in increasing antibody titres.</p><p><strong>Expert opinion: </strong>This review offers a comprehensive summary of the literature on non-pharmacological interventions as vaccine adjuvants. The evidence is characterised by considerable heterogeneity but provides early evidence in support of nutritional formulae and probiotic interventions. Psychological and exercise-based interventions were characterised by limited and unreliable evidence. Large, well-designed studies including consistent core outcomes and measures of intervention adherence and fidelity are required.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"15 2","pages":"245-271"},"PeriodicalIF":9.8,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17437199.2020.1854050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38725065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}