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Effectiveness of interventions for changing more than one behavior at a time to manage chronic conditions

2024-06-01Recensão Acesso aberto
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dc.contributor.authorSilva, Carolina C.
dc.contributor.authorPresseau, Justin
dc.contributor.authorVan Allen, Zack
dc.contributor.authorSchenk, Paulina M.
dc.contributor.authorMoreto, Maiara
dc.contributor.authorDinsmore, John
dc.contributor.authorMarques, Marta M.
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblSpringer New York
dc.date.accessioned2024-08-12T22:14:10Z
dc.date.available2024-08-12T22:14:10Z
dc.date.issued2024-06-01
dc.descriptionFunding Information: CCS is supported by FCT-Funda\u00E7\u00E3o para a Ci\u00EAncia e a Tecnologia (grant number SFRH/BD/146762/2019). Publisher Copyright: © 2024 The Author(s). Published by Oxford University Press on behalf of the Society of Behavioral Medicine.
dc.description.abstractBackground: Health behaviors play a significant role in chronic disease management. Rather than being independent of one another, health behaviors often co-occur, suggesting that targeting more than one health behavior in an intervention has the potential to be more effective in promoting better health outcomes. Purpose: We aimed to conduct a systematic review and meta-Analysis of randomized trials of interventions that target more than one behavior to examine the effectiveness of multiple health behavior change interventions in patients with chronic conditions. Methods: Five electronic databases (Web of Science, PubMed, CINAHL, EMBASE, and Cochrane) were systematically searched in November 2023, and studies included in previous reviews were also consulted. We included randomized trials of interventions aiming to change more than one health behavior in individuals with chronic conditions. Two independent reviewers screened and extracted data, and used Cochrane's Risk of Bias 2 tool. Meta-Analyses were conducted to estimate the effects of interventions on change in health behaviors. Results were presented as Cohen's d for continuous data, and risk ratio for dichotomous data. Results: Sixty-one studies were included spanning a range of chronic diseases: cardiovascular (k = 25), type 2 diabetes (k = 15), hypertension (k = 10), cancer (k = 7), one or more chronic conditions (k = 3), and multiple conditions (k = 1). Most interventions aimed to change more than one behavior simultaneously (rather than in sequence) and most targeted three particular behaviors at once: "physical activity, diet and smoking"(k = 20). Meta-Analysis of 43 eligible studies showed for continuous data (k = 29) a small to substantial positive effect on behavior change for all health behaviors (dâ =â 0.081-2.003) except for smoking (d =-0.019). For dichotomous data (k = 23) all analyses showed positive effects of targeting more than one behavior on all behaviors (RR = 1.026-2.247). Conclusions: Targeting more than one behavior at a time is effective in chronic disease management and more research should be directed into developing the science of multiple behavior change.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent13
dc.format.extent493840
dc.identifier.doi10.1093/abm/kaae021
dc.identifier.issn0883-6612
dc.identifier.otherPURE: 97840122
dc.identifier.otherPURE UUID: ae60d0b7-3db9-4444-ace0-0945ffc65f07
dc.identifier.otherScopus: 85194055208
dc.identifier.otherPubMed: 38721982
dc.identifier.otherPubMedCentral: PMC11112274
dc.identifier.otherWOS: 001216322600001
dc.identifier.urihttp://hdl.handle.net/10362/170528
dc.identifier.urlhttps://www.scopus.com/pages/publications/85194055208
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBehavior change
dc.subjectHealth behavior
dc.subjectMeta-Analysis
dc.subjectNoncommunicable diseases
dc.subjectSystematic review
dc.subjectGeneral Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleEffectiveness of interventions for changing more than one behavior at a time to manage chronic conditionsen
dc.title.subtitlea systematic review and meta-analysisen
dc.typereview
degois.publication.firstPage432
degois.publication.issue6
degois.publication.lastPage444
degois.publication.titleAnnals of Behavioral Medicine
degois.publication.volume58
dspace.entity.typePublication
rcaap.rightsopenAccess

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