Health Psychology Review最新文献

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Emphasising herd immunity in vaccine advocacy: a systematic review and meta-analysis. 在疫苗宣传中强调群体免疫:系统回顾和荟萃分析。
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-09-24 DOI: 10.1080/17437199.2025.2562841
Leonhard Reiter, Martin Voracek, Cornelia Betsch, Robert Böhm
{"title":"Emphasising herd immunity in vaccine advocacy: a systematic review and meta-analysis.","authors":"Leonhard Reiter, Martin Voracek, Cornelia Betsch, Robert Böhm","doi":"10.1080/17437199.2025.2562841","DOIUrl":"10.1080/17437199.2025.2562841","url":null,"abstract":"<p><p>Emphasising herd immunity in vaccine communication may affect vaccine uptake by eliciting prosocial or selfish motivations. While experimental evidence has accumulated, quantitative syntheses are lacking. We conducted a systematic review and three-level meta-analysis to estimate how emphasising herd immunity affects vaccination motivation. Literature up to April 2025 was searched across seven databases (CINAHL, Cochrane Library, Google Scholar, PsycINFO, PubMed, Scopus, Web of Science) without restrictions. Non-experimental studies or those not assessing vaccination motivation were excluded. Risk of bias was assessed using JBI checklists. From 5,862 records, 3,676 underwent title/abstract screening; 278 were assessed, yielding 43 included studies (67 effects), totalling 101,720 participants (51,725 vs. 49,995 for intervention vs. control groups). The pooled effect size (Hedges g = 0.12, 95% CI [0.08, 0.17], <i>p</i> < .001) indicated small, positive effects, but between-study heterogeneity was large (I² = 91.9%). Subgroup analysis showed a twice as large effect for experiential methods (e.g., virtual reality, simulations: <i>g</i> = 0.29, 95% CI [0.16, 0.42], <i>p</i> < .001). Study quality was adequate, without evidence of publication bias. These findings suggest that emphasising herd immunity increases vaccination motivation, especially when using experiential communication methods. Directions for future research and implications for public health campaigns are discussed.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"223-254"},"PeriodicalIF":9.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139091","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}
引用次数: 0
Addressing fidelity within complex health behaviour change interventions: a scoping review of fidelity frameworks and models. 在复杂的卫生行为改变干预措施中处理保真问题:对保真框架和模型的范围审查。
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-07-31 DOI: 10.1080/17437199.2025.2534001
Elaine Toomey, Daphne To, Nicole Nathan, Molly Byrne, Fabianna Lorencatto, Karen Matvienko-Sikar, Nicola McCleary, Heather Colquhoun
{"title":"Addressing fidelity within complex health behaviour change interventions: a scoping review of fidelity frameworks and models.","authors":"Elaine Toomey, Daphne To, Nicole Nathan, Molly Byrne, Fabianna Lorencatto, Karen Matvienko-Sikar, Nicola McCleary, Heather Colquhoun","doi":"10.1080/17437199.2025.2534001","DOIUrl":"10.1080/17437199.2025.2534001","url":null,"abstract":"<p><p>Fidelity is an important but under-addressed aspect of health behaviour change intervention research. Consensus is lacking regarding terminology, definitions, and conceptualisations. Fidelity frameworks and models can help people address fidelity in a structured way and ensure clarity and consistency of terminology, but they are underutilised to date. We aimed to identify and describe existing fidelity frameworks/models and compare these in terms of fidelity constructs included. We conducted a scoping review using a pre-specified search, dual independent screening, and data extraction. We analysed data using basic descriptive statistics and qualitative content analysis. We identified 20 fidelity frameworks/models. All frameworks/models included constructs relating to intervention delivery. All frameworks/models also included additional constructs; however, there was a lack of consensus across these, and whether they are components or moderators of fidelity. For health behaviour change researchers wishing to address fidelity, selecting a comprehensive framework/model that facilitates consideration of multiple constructs and that aligns with their intended purpose and context may be beneficial. Fidelity is a multi-faceted concept of which delivery is an important, but not the only, construct. Findings will help researchers consider fidelity in greater depth, apply and refine existing frameworks/models, and improve how fidelity is addressed in future behavioural interventions.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-24"},"PeriodicalIF":9.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761800","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}
引用次数: 0
The role of social identity and procedural fairness in shaping the impact of police interactions on mental health: a justice-identification model. 社会认同和程序公平在塑造警察互动对心理健康的影响中的作用:一个司法认同模型。
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-07-22 DOI: 10.1080/17437199.2025.2534499
Arabella Kyprianides, S Alexander Haslam, Ben Bradford, Clifford Stott
{"title":"The role of social identity and procedural fairness in shaping the impact of police interactions on mental health: a justice-identification model.","authors":"Arabella Kyprianides, S Alexander Haslam, Ben Bradford, Clifford Stott","doi":"10.1080/17437199.2025.2534499","DOIUrl":"10.1080/17437199.2025.2534499","url":null,"abstract":"<p><p>Research suggests a link between people's engagement with the police and their mental health, but little is known about how police activities affect the mental health of those they interact with. This paper develops a new theoretical model, the justice-identification model (JIM), to explain the social psychological dynamics underlying this relationship. The JIM integrates two unconnected frameworks - the social identity approach to health (SIAH) and procedural justice theory (PJT). It proposes that police contact negatively impacts mental health when it is associated with procedural injustice and exclusion but enhances health when it signals procedural justice and inclusion. Situating police-citizen interactions within an environment of inequality, we highlight how procedural fairness shapes the exercise of power by police officers. Social identity and experiences of procedural justice are framed as either stressors or sources of positive psychological connection. This analysis is instantiated in seven hypotheses that are broadly supported by existing empirical evidence. The JIM identifies three pathways linking exposure to policing and mental health through procedural justice and social identification. The paper explores the practical and theoretical implications of this model for mitigating negative mental health effects of police interactions and discusses strategies and priorities for both theory and practice.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"25-45"},"PeriodicalIF":9.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692049","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}
引用次数: 0
The effects of graded tasks on physical activity: a systematic review and meta-analysis. 分级任务对身体活动的影响:一项系统回顾和荟萃分析。
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2026-02-05 DOI: 10.1080/17437199.2026.2618195
Susan Gibson, Tracy Epton, Katie Newby, Katherine E Brown, Christopher J Armitage, Neil Howlett
{"title":"The effects of graded tasks on physical activity: a systematic review and meta-analysis.","authors":"Susan Gibson, Tracy Epton, Katie Newby, Katherine E Brown, Christopher J Armitage, Neil Howlett","doi":"10.1080/17437199.2026.2618195","DOIUrl":"https://doi.org/10.1080/17437199.2026.2618195","url":null,"abstract":"<p><p>This review establishes the extent to which the behaviour change technique (BCT) Graded Tasks is effective in increasing physical activity. Databases, including PubMed, Cochrane and PsycINFO, were searched (October 2024) for randomised control trials of Graded Tasks interventions with adult physical activity change as the main outcome. Graded Tasks were always delivered alongside BCTs 'goal setting (behaviour)' and 'action planning'. Of the 53 identified studies (<i>N</i> = 10,060), 39 were included in a random effects meta-analysis, indicating a significant, medium effect of Graded Tasks interventions in increasing physical activity (<i>N</i> = 4190, <i>g</i> = 0.61, CI 95% 0.42-0.81, <i>p</i> < .001, <i>I<sup>2 </sup>= </i> 83%). Prevention-based interventions (<i>g</i> = 0.78, CI 95% 0.43-1.12, <i>p</i> < .001, <i>I<sup>2 </sup></i>= 90%) had larger effects than treatment-based interventions (<i>g</i> = 0.38, CI 95% 0.23-0.53, <i>p</i> < .001, <i>I<sup>2 </sup></i>= 34). The number of Graded Task increments explained significant variability in physical activity change (<i>R</i><sup>2</sup> = 0.47, <i>β</i> = 0.68, <i>p</i> < .001). GRADE certainty of evidence was rated low. Graded Tasks, in conjunction with other BCTs, are effective for increasing physical activity, particularly for prevention. The included studies did, however, show high heterogeneity and potential publication bias. PROSPERO registration: CRD42022347300.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-19"},"PeriodicalIF":9.7,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127036","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}
引用次数: 0
Partners' influences on women's experiences of living with and managing gestational diabetes mellitus: a qualitative evidence synthesis. 伴侣对妇女妊娠期糖尿病患者生活和管理经历的影响:定性证据综合
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2026-02-04 DOI: 10.1080/17437199.2026.2623886
Fay M O'Donoghue, Aisling T O'Donnell, Pauline Meskell, Christine Newman, Aoife Bowman Grangel, Tomás Patrick Griffin, Ann-Marie Creaven
{"title":"Partners' influences on women's experiences of living with and managing gestational diabetes mellitus: a qualitative evidence synthesis.","authors":"Fay M O'Donoghue, Aisling T O'Donnell, Pauline Meskell, Christine Newman, Aoife Bowman Grangel, Tomás Patrick Griffin, Ann-Marie Creaven","doi":"10.1080/17437199.2026.2623886","DOIUrl":"https://doi.org/10.1080/17437199.2026.2623886","url":null,"abstract":"<p><p>Living with and managing Gestational Diabetes Mellitus (GDM) can be a significant burden for women. Previous research suggests that family support, particularly from partners, can substantially influence women's experiences of GDM. This review synthesised qualitative research examining the influence of partner support on women's experiences of living with and managing GDM. A systematic search was conducted across MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane, and ProQuest. Sixty-two articles were included, and themes were developed using Thomas and Harden's (2008) thematic synthesis approach. Confidence in the findings was assessed using the GRADE-CERQual approach. Three key themes were generated: (1) the spectrum of dyadic experiences in GDM, highlighting varying forms of partner support, including practical, emotional, and indirect support; (2) aligning partner support with women's needs, emphasising the importance of matching support with individual preferences; and (3) partner support is experienced within dyads, families, and cultural contexts, demonstrating how cultural norms shape partner involvement. Supportive partners positively influenced coping and management, while overbearing or inadequate support increased burden. Cultural expectations around support affected how support was perceived and provided. Most findings were rated as moderate confidence. Healthcare strategies could focus on education, open communication, and culturally tailored support to optimise partner involvement.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-29"},"PeriodicalIF":9.7,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119812","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}
引用次数: 0
Mapping interventions to increase uptake of breast and cervical cancer screening along the Intervention Ladder: a systematic review. 绘制干预措施以增加乳腺癌和宫颈癌筛查在干预阶梯上的吸收:一项系统回顾。
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2026-02-04 DOI: 10.1080/17437199.2026.2623887
Jing Dou, Ziyu Liu
{"title":"Mapping interventions to increase uptake of breast and cervical cancer screening along the Intervention Ladder: a systematic review.","authors":"Jing Dou, Ziyu Liu","doi":"10.1080/17437199.2026.2623887","DOIUrl":"https://doi.org/10.1080/17437199.2026.2623887","url":null,"abstract":"<p><p>Timely breast and cervical cancer screening greatly reduce mortality, yet uptake remains sub-optimal, and intervention effectiveness varies across populations and settings. This systematic review applies the Intervention Ladder framework to classify interventions by their level of intrusiveness and assess their effectiveness in increasing uptake. Five databases (PubMed, Web of Science, EMBASE, Cochrane Library, SCOPUS) were searched for articles published from 2004 to October 2024, using terms related to cancer screening, uptake, and behavioural interventions. Studies were included if they were randomised or cluster-randomised trials targeting under-screened women (never screened, overdue, or non-responders). Of 2,981 records identified, 240 full-texts were reviewed and 91 trials met inclusion criteria. Due to high heterogeneity in intervention types, populations, and outcome reporting, a narrative synthesis was conducted. Screening uptake was summarised as percentage-point change. Results showed that low-intensity strategies that support individual autonomy, such as mailed reminders or self-sampling kits, were consistently effective. In contrast, more intrusive interventions were infrequently implemented and showed no clear added benefit. These findings highlight the value of ethically proportionate, accessible strategies to enhance participation in cancer screening.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-30"},"PeriodicalIF":9.7,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119784","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}
引用次数: 0
Psychological adjustment in parents of children and adolescents with chronic health conditions during the COVID-19 pandemic - a meta-analysis. COVID-19大流行期间患有慢性健康问题的儿童和青少年父母的心理调整——一项荟萃分析
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2026-02-04 DOI: 10.1080/17437199.2026.2616461
Julia M Göldel, Petra Warschburger
{"title":"Psychological adjustment in parents of children and adolescents with chronic health conditions during the COVID-19 pandemic - a meta-analysis.","authors":"Julia M Göldel, Petra Warschburger","doi":"10.1080/17437199.2026.2616461","DOIUrl":"https://doi.org/10.1080/17437199.2026.2616461","url":null,"abstract":"<p><p>Caring for a child with a chronic health condition (CC) involves numerous challenges, which may have multiplied during the COVID-19 pandemic. Therefore, this meta-analysis aimed (1) to quantify the prevalence of clinically elevated anxiety, depression, general stress, and parenting stress symptoms in afflicted parents, (2) to examine potential moderator variables, and (3) to compare the outcomes between parents of children with and without CCs. A systematic literature search was conducted across four databases (PsycInfo, PubMed, CENTRAL, PSYNdex). A total of 79 studies were included. The pooled prevalence estimates of clinically elevated anxiety, depression, general and parenting stress symptoms were 31.04%, 27.37%, 64.27%, and 26.70%, respectively. Significant moderators were identified only for anxiety symptoms, namely geopolitical region, child CC, and child age. Anxiety and depression, but not general and parenting stress, were significantly higher in parents of children with than without CCs. Compared to published data from before the pandemic, prevalence rates of clinically elevated anxiety and depression symptoms decreased, while stress levels no longer differed between parents of children with and without CCs. We hypothesise that parents of children with CCs experienced some beneficial effects during the COVID-19 pandemic and had already acquired resilience to buffer its psychosocial impact.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-29"},"PeriodicalIF":9.7,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120303","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}
引用次数: 0
Toward an integrative perspective of personalised stress regulation: insights from perceptual control theory. 迈向个体化压力调节的综合视角:来自知觉控制理论的见解。
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2026-01-21 DOI: 10.1080/17437199.2026.2619026
Daniel F Gucciardi, Monique F Crane, Hugh Riddell, Warren Mansell
{"title":"Toward an integrative perspective of personalised stress regulation: insights from perceptual control theory.","authors":"Daniel F Gucciardi, Monique F Crane, Hugh Riddell, Warren Mansell","doi":"10.1080/17437199.2026.2619026","DOIUrl":"https://doi.org/10.1080/17437199.2026.2619026","url":null,"abstract":"<p><p>Stress regulation is commonly conceptualised as behavioural responses to external stressors, often overlooking the perceptual processes shaping individual experience. This framing obscures the dynamic, hierarchical, and personally meaningful nature of regulation. In this paper, we introduce a unifying framework grounded in Perceptual Control Theory, proposing that the psychophysiology of stress is best understood as the control of perception rather than behaviour. Stress arises from a mismatch between current perceptions and internally held reference values - the desired states individuals strive to maintain. Within a hierarchical control system, these values are dynamically modified through experience. We argue that goal conflict - where simultaneous reference values cannot be satisfied, leading to persistent error - is the primary source of acute and chronic stress. Reorganisation, an adaptive process of structural change within the hierarchy, serves as the mechanism for resolving such conflict by revising reference values or creating new control systems. This perspective explains individual differences by focusing on controlled perceptions rather than standardised coping strategies. By formalising stress regulation as perceptual control, this approach bridges biological, psychological, and social dimensions. It offers a foundation for personalised interventions that target what individuals value most, rather than prescribing one-size-fits-all solutions.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-25"},"PeriodicalIF":9.7,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020266","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}
引用次数: 0
The effects of community-based green exercise on health, wellbeing, and physical activity participation: a systematic review and meta-analysis of the quantitative and qualitative literature. 基于社区的绿色运动对健康、幸福和体育活动参与的影响:定量和定性文献的系统回顾和荟萃分析。
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2025-12-10 DOI: 10.1080/17437199.2025.2597312
Esther Carter, Caroline Douglas, John M Saxton
{"title":"The effects of community-based green exercise on health, wellbeing, and physical activity participation: a systematic review and meta-analysis of the quantitative and qualitative literature.","authors":"Esther Carter, Caroline Douglas, John M Saxton","doi":"10.1080/17437199.2025.2597312","DOIUrl":"https://doi.org/10.1080/17437199.2025.2597312","url":null,"abstract":"<p><p>The aim of the study was to systematically retrieve and analyse current published literature and grey literature regarding the impact of community-based outdoor physical activity (PA) interventions on quantitative and qualitative measures of health and wellbeing in adults and children. A systematic review of seven databases was undertaken in February-April 2022 and September 2024. Overall, 57 outdoor community-based PA intervention studies were included. Meta-analysis results revealed a small-to-moderate positive effect for green exercise (GE) on measures of general health and mental health from pre-to-post intervention, with some evidence of greater benefits on overall health and PA compared to no exercise engagement. Quantitative and qualitative data synthesis indicated positive effects on mental wellbeing and PA engagement when interventions lasted 45 -90 minutes over 6 -13 weeks, with the greatest benefits displayed after walking and multi-activity interventions. A content analysis of qualitative findings emphasises the importance of social opportunities for GE uptake and adherence, and recommended developing low-cost, accessible, fun, and varied exercise opportunities in collaboration with community stakeholders. This comprehensive and robust evidence synthesis demonstrates the positive impact of GE engagement on mental wellbeing and PA, offering novel guidance for the creation, application, and promotion of community-based GE projects.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-33"},"PeriodicalIF":9.7,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726658","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}
引用次数: 0
Effectiveness of text message-delivered health behaviour intervention on HbA1c change in adults with type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials. 短信健康行为干预对成人2型糖尿病患者HbA1c变化的有效性:随机对照试验的系统回顾和荟萃分析
IF 9.7 1区 心理学
Health Psychology Review Pub Date : 2025-12-09 DOI: 10.1080/17437199.2025.2595126
Qiumian Hong, Xiaoying Zhang, Mengxi Guo, Zhaoyang Wen, Qing Tang, Jiali Zhou, Peige Song, Xiaolin Wei, Ning Zhang
{"title":"Effectiveness of text message-delivered health behaviour intervention on HbA1c change in adults with type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials.","authors":"Qiumian Hong, Xiaoying Zhang, Mengxi Guo, Zhaoyang Wen, Qing Tang, Jiali Zhou, Peige Song, Xiaolin Wei, Ning Zhang","doi":"10.1080/17437199.2025.2595126","DOIUrl":"https://doi.org/10.1080/17437199.2025.2595126","url":null,"abstract":"<p><p>This study aims to investigate the effectiveness of text message-delivered health behaviours intervention on HbA1c change among adults with T2DM, and to identify key moderators including intervention features, message characteristics, target behaviours, and the usage of behaviour change techniques (BCTs). We systematically reviewed 37 randomised controlled trials published between 2016 and 2025, involving 8,971 participants. Changes in HbA1c and health behaviours were analysed using the standardised mean difference. The meta-analysis revealed a significant reduction in HbA1c (<i>g</i> = -0.32, 95% CI = -0.46 to - 0.18). Meta-regression also found that the intervention significantly improved health behaviours, which in turn predicted a significant reduction in HbA1c levels. Subsequent subgroup analyses revealed that studies with a shorter duration (≤6 months) demonstrated a larger effect size in reducing HbA1c. Notably, interventions employing specific BCTs including 'body changes' (<i>g</i> = -0.643), 'habit formation' (<i>g</i> = -0.624), 'credible source' (<i>g</i> = -0.513), 'self-monitoring of outcomes of behaviours' (<i>g</i> = -0.377), and \"instruction on how to perform the behaviour' (<i>g</i> = -0.354) were significantly associated with greater HbA1c reductions. These effects were particularly pronounced in trials focused on physical activity, healthy eating, and medication adherence. Conclusions suggest that text message-delivered health behavior interventions should be tailored to specific target behavior and incorporate these high-impact BCTs to comprehensively improve diabetes management.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-34"},"PeriodicalIF":9.7,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716147","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}
引用次数: 0
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