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Experiences of women who self-report Breast Implant Illness (BII): a qualitative evidence synthesis. 自我报告乳房植入疾病(BII)的妇女的经历:定性证据综合。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-05-19 DOI: 10.1080/17437199.2025.2503743
Christina April Kent, Patricia Holch, Brendan Gough, Lynda Wyld, Georgina L Jones
{"title":"Experiences of women who self-report Breast Implant Illness (BII): a qualitative evidence synthesis.","authors":"Christina April Kent, Patricia Holch, Brendan Gough, Lynda Wyld, Georgina L Jones","doi":"10.1080/17437199.2025.2503743","DOIUrl":"10.1080/17437199.2025.2503743","url":null,"abstract":"<p><p>It has been postulated, but not empirically validated, that breast implants may cause a range of systemic symptoms, recently aggregated into a syndrome termed Breast Implant Illness (BII). Research literature has focused on exploring these symptoms and possible aetiologies, however, it has not been formally recognised as a medical condition. The psychosocial experience of women who self-report BII is not well understood. This review aimed to synthesise findings from qualitative literature relating to BII. A systematic review and evidence synthesis of qualitative research was conducted and analysed using thematic synthesis. Searches were conducted in MEDLINE, CINHAL, Scopus, PsycINFO and secondary sources. Findings from nine studies were included, representing the experiences of women who had breast implants for reconstructive and cosmetic reasons. Four themes were identified: the decline in women's psychosocial wellbeing, the search for answers to their ill health, a lack of solicitude from healthcare professionals and industry, and surgery viewed as both the problem and solution. Women reported an array of distressing challenges that affected their overall quality of life. Findings highlight the need for psychosocial support and enhancing the integration of patient-entered perspectives. Further research is warranted to understand how these women can be better supported.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-30"},"PeriodicalIF":6.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102886","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
Insights into the complexities of symptom management for hemodialysis patients: a systematic review of qualitative studies. 洞察血液透析患者症状管理的复杂性:定性研究的系统回顾。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-05-02 DOI: 10.1080/17437199.2025.2496230
Xutong Zheng, Zhen Yang, Linyu Xu, Aiping Wang
{"title":"Insights into the complexities of symptom management for hemodialysis patients: a systematic review of qualitative studies.","authors":"Xutong Zheng, Zhen Yang, Linyu Xu, Aiping Wang","doi":"10.1080/17437199.2025.2496230","DOIUrl":"https://doi.org/10.1080/17437199.2025.2496230","url":null,"abstract":"<p><p>Patients undergoing hemodialysis experience a broad spectrum of symptoms that impact their physical, psychological, and social well-being. Traditional qualitative studies often focus on isolated aspects of patient experiences and offer limited insights into the interconnected nature of symptom management. This systematic review and meta-ethnography aims to synthesise qualitative studies and develop a comprehensive model that elucidates interrelations between patient experiences and symptom management practices in hemodialysis. Our analysis integrated findings from 30 qualitative studies using a meta-ethnographic approach. The results revealed critical psychological and social dynamics influencing symptom management. The model highlights how supportive factors, such as family involvement and effective healthcare interactions, enhance coping mechanisms, improving emotional resilience and treatment adherence. Conversely, it identifies significant barriers, including chronic self-regulatory burnout and systemic inefficiencies, that hinder symptom management and exacerbate psychological distress. By integrating diverse qualitative findings, this study proposes a shift towards patient-centred, culturally sensitive care strategies that prioritise psychological support. This shift aims to transform hemodialysis care by addressing the complex interplay of medical, psychological, and social factors. The developed framework not only facilitates deeper understanding of the psychological impacts of symptom management and offers a structured approach for future research and interventions in this domain[Q1].</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-44"},"PeriodicalIF":6.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018909","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
Promoting physical activity during retirement age with psychological components: multilevel meta-analysis. 促进退休年龄的身体活动与心理因素:多水平荟萃分析。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-04-28 DOI: 10.1080/17437199.2025.2492042
Paula Collazo-Castiñeira, Ignacio Echegoyen, Josje Schoufour, Noelia Álvarez-Díaz, Juan Botella, Katarzyna Janiszewska, Cristina Jiménez-Domínguez, Vicente Lavilla, Ana López-Iglesias, Manuel V Mejía Ramírez-Arellano, Amalia Tsagari, Marije H Verwijs, Alfonso J Cruz-Jentoft, Macarena Sánchez-Izquierdo
{"title":"Promoting physical activity during retirement age with psychological components: multilevel meta-analysis.","authors":"Paula Collazo-Castiñeira, Ignacio Echegoyen, Josje Schoufour, Noelia Álvarez-Díaz, Juan Botella, Katarzyna Janiszewska, Cristina Jiménez-Domínguez, Vicente Lavilla, Ana López-Iglesias, Manuel V Mejía Ramírez-Arellano, Amalia Tsagari, Marije H Verwijs, Alfonso J Cruz-Jentoft, Macarena Sánchez-Izquierdo","doi":"10.1080/17437199.2025.2492042","DOIUrl":"https://doi.org/10.1080/17437199.2025.2492042","url":null,"abstract":"<p><p><b>Background: Introduction:</b> Physical activity is essential in preventing and treating age-related chronic diseases and mortality. Retirement is a key period to promote health behaviours, as individuals restructure their routines. Thus, we aimed to identify effective components and behaviour change techniques (BCTs) in interventions promoting physical activity in retirement-age individuals. <b>Methods:</b> We conducted a meta-analysis. Included studies were randomised controlled trials that (p)targeted retirement-age adults (50-70 years), (i)applied BCTs, (c)had any comparator, and (o)promoted physical activity. Screening, full-text review, and data extraction were conducted independently by at least two reviewers. A multilevel random effects model with three effect sizes was fitted, and meta-regressions tested several moderators. <b>Results:</b> 67 studies (N = 12,147) were included. High risk of bias related to larger effects, so these studies were excluded from the main analyses. While individual effects were often non-significant, the overall pooled effect was small but statistically significant. Predictors varied across effect sizes and included action planning, motivational interviewing, and prompts/cues. Email and website delivery were associated with smaller effect sizes. <b>Conclusions:</b> The effectiveness of lifestyle interventions is heterogeneous and presented small effects; implementing action planning, motivational interviewing, and prompts could improve the effectiveness. However, many BCTs that are not frequently used remain unexplored.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-19"},"PeriodicalIF":6.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992430","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
Digital Psychological Interventions for Adults in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. COVID-19大流行中成年人的数字心理干预:系统综述和荟萃分析
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-04-24 DOI: 10.1080/17437199.2025.2493903
Ying Li, Yinong Liu, Xinyi Liu, Tao Zhang, Zihan Guo, Lizu Lai, Junrong Zhao, Yifei Cheng, Zhihong Ren
{"title":"Digital Psychological Interventions for Adults in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.","authors":"Ying Li, Yinong Liu, Xinyi Liu, Tao Zhang, Zihan Guo, Lizu Lai, Junrong Zhao, Yifei Cheng, Zhihong Ren","doi":"10.1080/17437199.2025.2493903","DOIUrl":"https://doi.org/10.1080/17437199.2025.2493903","url":null,"abstract":"<p><p>This study evaluates the effect of digital psychological interventions on anxiety, depression, and stress symptoms in adults affected by the pandemic. A systematic search across five digital databases, from 1 January 2020 to 6 March 2024, identified 36 studies encompassing 8,662 participants. Compared with all control conditions, random-effects meta-analyses indicated that digital psychological interventions significantly reduced anxiety (<i>g</i> = -0.374; 95% CI, -0.529 to -0.218), depression (<i>g</i> = -0.568; 95% CI, -0.776 to -0.360), and stress (<i>g</i> = -0.452; 95% CI, -0.608 to -0.295). Smaller effect sizes were observed when compared with active controls than with inactive controls. Notable heterogeneity across three outcomes was observed. Publication bias was noted in depression symptoms. Several moderators were identified compared with inactive controls, including participant type for anxiety (<i>p<sub>subgroup</sub></i> = 0.005), and region for depression symptoms (<i>p<sub>subgroup</sub></i> = 0.000). Larger sample sizes (<i>b</i> = 0.0004; <i>p</i> = 0.028) related to stronger effects on depression symptoms. Publication year positively correlated with effects on stress (<i>b</i> = 0.1573; <i>p</i> = 0.032). This study supports the efficacy of digital psychological interventions in alleviating anxiety, depression, and stress symptoms for adults during the pandemic, offering insights for developing targeted mental health strategies in future public health crises.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-17"},"PeriodicalIF":6.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016067","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
Theoretical mapping of the barriers and enablers to having blood pressure checked among adults without a hypertension diagnosis: a systematic review and theoretical synthesis using behaviour change frameworks. 在没有高血压诊断的成年人中进行血压检查的障碍和促进因素的理论映射:使用行为改变框架的系统综述和理论综合
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-04-16 DOI: 10.1080/17437199.2025.2485094
Alison R McKinlay, Vivi Antonopoulou, Paulina M Schenk, Fabiana Lorencatto, Emily J Oliver, Ivo Vlaev, Michael P Kelly, Falko F Sniehotta, Angel M Chater
{"title":"Theoretical mapping of the barriers and enablers to having blood pressure checked among adults without a hypertension diagnosis: a systematic review and theoretical synthesis using behaviour change frameworks.","authors":"Alison R McKinlay, Vivi Antonopoulou, Paulina M Schenk, Fabiana Lorencatto, Emily J Oliver, Ivo Vlaev, Michael P Kelly, Falko F Sniehotta, Angel M Chater","doi":"10.1080/17437199.2025.2485094","DOIUrl":"https://doi.org/10.1080/17437199.2025.2485094","url":null,"abstract":"<p><p>Identifying influences on engagement with blood pressure (BP) checks can assist with intervention design for hypertension detection. This systematic review searched four databases (Embase, Emcare, MEDLINE and Web of Science) for papers published from 2015 to 2023 (PROSPERO ID: CRD42023398002). Eligible studies reported influences on BP checks in community or primary care settings. Data were coded and mapped using the Action, Actor, Context, Target, Time framework and Behaviour Change Wheel. Analysis of 18 studies generated eight themes: (1) 'Difficult-to-use devices with no accessible information on how to use them' (2) 'Lack of awareness about hypertension and BP checks', (3) 'Stigma and disconnect with identity' (4) 'Beliefs about the value of BP checks', (5) 'Fear and uncertainty', (6) 'Lack of appropriate and comfortable local services' (7) 'Financial cost of engaging with BP check services' and (8) 'Social contacts or health professional recommended a check'. Knowledge, identity, emotions, social contacts and environmental factors are key behavioural influences on adults' engagement with BP checks. Potential intervention strategies include education on hypertension, addressing misconceptions about BP checks, increasing access to BP check services and harnessing the influence of social norms, social connections and trusted sources to improve engagement.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-31"},"PeriodicalIF":6.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991195","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, social and behavioural factors associated with disease/illness activity and adjustment to Lupus: a systematic review and meta-analysis. 与疾病/疾病活动和狼疮适应相关的心理、社会和行为因素:系统回顾和荟萃分析
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-03-27 DOI: 10.1080/17437199.2025.2478877
Sofia Silva-Ribeiro, Cristina A Godinho, Cláudia Camilo, Marta Moreira Marques, Cláudia Chisari, Úrsula Segura, Sónia F Bernardes
{"title":"Psychological, social and behavioural factors associated with disease/illness activity and adjustment to Lupus: a systematic review and meta-analysis.","authors":"Sofia Silva-Ribeiro, Cristina A Godinho, Cláudia Camilo, Marta Moreira Marques, Cláudia Chisari, Úrsula Segura, Sónia F Bernardes","doi":"10.1080/17437199.2025.2478877","DOIUrl":"https://doi.org/10.1080/17437199.2025.2478877","url":null,"abstract":"<p><p>Systemic Lupus Erythematosus (SLE) bears a heavy toll on individuals' psychological wellbeing and quality of life. Despite vital to the development of effective interventions, systematic and quantifiable knowledge on modifiable factors associated with adult SLE adjustment and disease/illness activity is currently lacking. This systematic review with meta-analysis aimed to bridge this gap, by examining the effects of modifiable psychological, social, and behavioural factors associated with SLE adjustment and disease/illness activity. Eight databases were searched for quantitative studies, using Boolean combinations of keywords on SLE adjustment, disease/illness activity and psychological, social, or behavioural correlates/predictors. Ninety studies were included in the narrative review, and fifty-four in the meta-analysis. The psychological factors more strongly associated with SLE adjustment and disease/illness activity were illness- and treatment-related illness- and treatment-related beliefs, self-perceptions, resilience-related factors, and perceived stress. Avoiding sedentary behaviour showed a consistent, albeit small association with better outcomes. Social factors were largely under investigated, but better perceived social support showed moderate associations with better outcomes. The meta-analysis findings, which should be considered with caution due to high risk of bias, uncovered several potentially fruitful avenues for future research and highlight potentially relevant targets for psychosocial and behavioural interventions to improve quality of life of individuals with SLE.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-35"},"PeriodicalIF":6.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721907","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
Inhibitory control training to reduce appetitive behaviour: a meta-analytic investigation of effectiveness, potential moderators, and underlying mechanisms of change. 抑制控制训练以减少食欲行为:对有效性、潜在调节因素和潜在变化机制的元分析调查。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-03-01 Epub Date: 2024-10-13 DOI: 10.1080/17437199.2024.2410018
Lauren H Iannazzo, Melissa J Hayden, Natalia S Lawrence, Naomi Kakoschke, Laura K Hughes, Kelly Van Egmond, Jarrad Lum, Petra K Staiger
{"title":"Inhibitory control training to reduce appetitive behaviour: a meta-analytic investigation of effectiveness, potential moderators, and underlying mechanisms of change.","authors":"Lauren H Iannazzo, Melissa J Hayden, Natalia S Lawrence, Naomi Kakoschke, Laura K Hughes, Kelly Van Egmond, Jarrad Lum, Petra K Staiger","doi":"10.1080/17437199.2024.2410018","DOIUrl":"10.1080/17437199.2024.2410018","url":null,"abstract":"<p><strong>Background/aims: </strong>Inhibitory control training (ICT) is a cognitive intervention that has been suggested to reduce problematic appetitive behaviours, such as unhealthy eating and excessive alcohol consumption. We conducted a meta-analytic review of ICT for reducing appetitive behaviours.</p><p><strong>Methods: </strong>Two meta-analyses were conducted for behavioural (objective) outcomes and self-report outcomes, along with 14 moderator analyses, and two secondary analyses investigating changes in cue-devaluation and inhibitory control.</p><p><strong>Results: </strong>The review included 46 articles (67 effect sizes and 4231 participants) and four appetitive health behaviours (eating, drinking, smoking, gambling). A significant effect of ICT on behavioural outcomes was found (SMD = 0.241, <i>p</i> .001). The self-report outcomes meta-analysis was not significant (<i>p</i> > .05). Secondary analyses also demonstrated greater inhibitory control (<i>p</i> < .05) and cue devaluation (<i>p</i> < .05) following ICT.</p><p><strong>Conclusions: </strong>This meta-analytic review is the largest synthesis of ICT interventions for appetitive behaviours. ICT significantly reduced problematic eating behaviours when adopting behavioural outcomes, but this was not found for other appetitive behaviours. ICT also significantly improved inhibitory control and reduced cue evaluations. Further studies are required before drawing any conclusions regarding impacts on other appetitive behaviours.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"66-96"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477821","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
Psychosocial determinants of alternative protein choices: a meta-review. 替代蛋白质选择的社会心理决定因素:荟萃综述。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-03-01 Epub Date: 2024-10-09 DOI: 10.1080/17437199.2024.2412630
Hanna Zaleskiewicz, Maria Siwa, Anna Banik, Zofia Szczuka, Ewa Kulis, Francesca Grossi, Polymeros Chrysochou, Bjørn Tore Nystrand, Toula Perrea, Antonella Samoggia, Arlind Xhelili, Athanasios Krystallis, Aleksandra Luszczynska
{"title":"Psychosocial determinants of alternative protein choices: a meta-review.","authors":"Hanna Zaleskiewicz, Maria Siwa, Anna Banik, Zofia Szczuka, Ewa Kulis, Francesca Grossi, Polymeros Chrysochou, Bjørn Tore Nystrand, Toula Perrea, Antonella Samoggia, Arlind Xhelili, Athanasios Krystallis, Aleksandra Luszczynska","doi":"10.1080/17437199.2024.2412630","DOIUrl":"10.1080/17437199.2024.2412630","url":null,"abstract":"<p><p>This meta-review synthesises evidence concerning individual-level psychosocial characteristics associated with alternative protein food (APF) choices. We investigated the associations between: (i) individual-level determinants based on the COM-B model (capabilities, perceived opportunities, motivation), sociodemographic factors, and (ii) indicators of APF choices (e.g., intention to eat, buy, pay, acceptance, intake). Differences in characteristics of APF made from plants, insects, mushrooms, and other APF sources were explored. Thirteen databases were searched in this pre-registered (CRD42023388694) meta-review and 28 reviews were included. The risk of bias was assessed using the ROBIS tool. For <i>plant-based APF</i> choices, consistent support was obtained for associations with (i) capabilities, including cooking skills, exposure to/familiarity with APF; (ii) motivations, including perceived health-related, pro-environmental, and sustainability benefits, and animal welfare; (iii) younger age and higher education. For <i>insect-based APF</i> choices, consistent support was obtained for (i) capabilities, including formal knowledge about APF, exposure to/familiarity with APF; (ii) perceived opportunities, encompassing positive social and cultural norms, distrust in technology; (iii) motivations, including perceived health benefits, pro-environmental and sustainability benefits, perceived health risks, being adventurous/daring, curiosity, neophilia, disgust; (iv) male gender and younger age. Recognising differences in potential determinants across various APF sources is essential for designing interventions aimed at promoting APF uptake.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"97-122"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394295","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
Intervention effects on physical activity identity: a systematic review and meta-analysis. 干预对身体活动认同的影响:系统回顾与元分析。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-03-01 Epub Date: 2024-10-17 DOI: 10.1080/17437199.2024.2412996
Ryan E Rhodes, Colin M Wierts, Sasha Kullman, Emily Magel, Shaelyn Strachan
{"title":"Intervention effects on physical activity identity: a systematic review and meta-analysis.","authors":"Ryan E Rhodes, Colin M Wierts, Sasha Kullman, Emily Magel, Shaelyn Strachan","doi":"10.1080/17437199.2024.2412996","DOIUrl":"10.1080/17437199.2024.2412996","url":null,"abstract":"<p><p>Physical activity (PA) identity (i.e., categorisation of oneself in a particular role) has been linked to PA behaviour in observational research, yet experimental research has seen less attention. The purpose of this meta-analysis was to examine the effectiveness of interventions to change identity and subsequent PA. Eligible studies were published in a peer-reviewed journal in English, included an experimental or quasi-experimental design in the PA domain with a measure of identity as the dependent variable, among an adult (>18 yrs.) sample. A literature search was completed in March 2024 using five common databases. The search yielded 40 independent effect sizes, representing 4939 participants. Random-effects meta-analysis showed positive changes in identity favouring the intervention over the control group <i>g</i> = 0.18 (95% CI = 0.11-0.24) and positive changes in a sub-sample (k = 30) of these studies that also measured PA <i>g </i>= 0.61 (95% CI = 0.41-0.81). Changes in identity did not have significant (Q = 43.08, <i>p</i> = 0.30) heterogeneity, yet changes in PA showed heterogeneity (Q = 204.62, <i>p</i> < .001) and follow-up moderator analyses found potential publication bias, and differences by methods (comparison group, length of intervention) and theoretical approach. Overall, PA identity can change as a result of interventions, but the effect may be smaller than changes in behaviour in these interventions.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"19 1","pages":"123-144"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504934","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
Components of multiple health behaviour change interventions for patients with chronic conditions: a systematic review and meta-regression of randomized trials. 针对慢性病患者的多种健康行为改变干预措施的组成部分:随机试验的系统回顾和元回归。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-03-01 Epub Date: 2024-10-28 DOI: 10.1080/17437199.2024.2413871
Carolina C Silva, Justin Presseau, Zack van Allen, John Dinsmore, Paulina Schenk, Maiara Moreto, Marta M Marques
{"title":"Components of multiple health behaviour change interventions for patients with chronic conditions: a systematic review and meta-regression of randomized trials.","authors":"Carolina C Silva, Justin Presseau, Zack van Allen, John Dinsmore, Paulina Schenk, Maiara Moreto, Marta M Marques","doi":"10.1080/17437199.2024.2413871","DOIUrl":"10.1080/17437199.2024.2413871","url":null,"abstract":"<p><p>Interventions addressing more than one health behaviour at a time could be an efficient way of intervening to manage chronic conditions. Within a systematic review of multiple health behaviour change (MBHC) interventions, we identified key components of interventions in patients with chronic conditions, assessed how they are linked to theory, behaviour change techniques implemented, and evaluated their impact on intervention effectiveness. Studies were identified by systematically searching five electronic databases. Subgroup analyses and meta-regressions were conducted to analyse the association between intervention components and behavioural changes. In total, 61 studies were included spanning different chronic conditions (e.g., cardiovascular conditions, type 2 diabetes). Most interventions sought to change behaviours simultaneously (72%), often targeting the 'physical activity, diet and smoking' cluster of behaviours (33%), and were not theory informed (55%). A total of 36 behaviour change techniques were identified, most commonly <i>goal setting behaviour</i> and <i>self-monitoring of behaviour</i>. Subgroup analyses indicated that MHBC interventions delivered entirely face-to-face might not be as effective for physical activity outcomes, and not using <i>goal setting (behaviour)</i> might be more effective for smoking cessation outcomes. Meta-regressions indicated that a longer intervention duration may work best to achieve better physical activity outcomes. This review provides a comprehensive understanding of interventions and contributes to the field of MHBC by facilitating data-driven insights for future optimisation and dissemination.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"200-255"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510486","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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