Are activity promotion interventions based on the transtheoretical model effective? A critical review

Adams, Jean; White, Martin

doi:10.1136/bjsm.37.2.106

Cited by 170 publications

(123 citation statements)

References 41 publications

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“…Most reviews, including meta-analyses, have focused on benefits of PA. The many narrative reviews focused on PA behavior outcomes have examined limited domains of this broad literature, such as computer-tailored interventions [1]; primary care-based interventions [2][3][4][5]; environmental interventions [6,7]; mass media-delivered interventions [8]; interventions designed to increase 'lifestyle' PA (versus episodic exercise) [9,10]; interventions targeting older adults [11,12]; studies addressing subpopulations such as AfricanAmericans [13][14][15][16][17][18][19]; and intervention studies based on particular theoretical models [20]. Narrative reviews discussing PA behavior outcomes often address very few of the available studies [21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Conn

Hafdahl²,

Brown

et al. 2008

Patient Education and Counseling

231

177

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Objective-This meta-analysis integrates primary research testing the effect of patient education to increase physical activity (PA) on behavior outcomes among adults with diverse chronic illnesses.Methods-Extensive literature searching strategies located published and unpublished intervention studies that measured PA behavior outcomes. Primary study results were coded. Fixed-and randomeffects meta-analytic procedures included moderator analyses.Results-Data were synthesized across 22,527 subjects from 213 samples in 163 reports. The overall mean weighted effect size for two-group comparisons was 0.45 (higher mean for treatment than control). This effect size is consistent with a difference of 48 minutes of PA per week or 945 steps per day. Preliminary moderator analyses suggest interventions were most effective when they targeted only PA behavior, used behavioral strategies (vs. cognitive strategies), and encouraged PA self-monitoring. Differences among chronic illnesses were documented. Individual strategies unrelated to PA outcomes included supervised exercise sessions, exercise prescription, fitness testing, goal setting, contracting, problem solving, barriers management, and stimulus/cues. PA outcomes were unrelated to gender, age, ethnicity, or socioeconomic distribution among samples.Conclusion-These findings suggest that some patient education interventions to increase PA are effective, despite considerable heterogeneity in the magnitude of intervention effect.Practice Implications-Moderator analyses are preliminary and provide suggestive evidence for further testing of interventions to inform practice.

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Section: Introductionmentioning

confidence: 99%

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Conn

Hafdahl²,

Brown

et al. 2008

Patient Education and Counseling

231

177

View full text Add to dashboard Cite

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“…The role of the general practitioner in long-term change A common problem in lifestyle change is the relative lack of long-term success: lapses and regression occur frequently Adams & White, 2003). Besides initiating behaviour change, attention thus needs to be focused on providing patients with sufficient knowledge, expertise, self-confidence, skills and support to maintain the desired behaviour.…”

Section: Problems and Potentials In Nutriton Counselling In General Pmentioning

confidence: 99%

Potentials and pitfalls for nutrition counselling in general practice

et al. 2005

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“…Questions have been raised about both the theoretical validity of aspects of the TTM, and the effectiveness of model-based interventions (Adams and White, 2003;Bridle et al, 2005;Herzog et al, 1999;Rosen, 2000;Weinstein, Rothman, and Sutton, 1998). However, researchers suggest that many studies are poorly designed, and stage-based interventions often fail to represent accurately all facets of the TTM (Ashworth, 1997;Bridle et al, 2005;Hutchison, Breckon, and Johnston, 2009).…”

Section: Applications and Criticismsmentioning

confidence: 99%

“…The TTM has been used to design interventions to promote positive behaviours such as physical activity/exercise (Adams and White, 2003;Spencer et al, 2006), healthy eating (Armitage et al, 2004;Horwath, 1999;Spencer et al, 2007), and mammography screening (Ashworth, 1997;Spencer, Pagell, and Adams, 2005), as well as to help people avoid pregnancy and sexuallytransmitted diseases (Horowitz, 2003) and overcome harmful behaviours such as smoking and substance abuse (Migneault, Adams, and Read, 2005;Spencer et al, 2002). The apparent success of some of these communication and intervention programmes suggests that it might be worth applying insights from the model to the promotion of lower-carbon and other sustainability-related behaviours.…”

Section: Applications and Criticismsmentioning

confidence: 99%

Using the transtheoretical model of behavioural change to understand the processes through which climate change films might encourage mitigation action

Howell

2014

IJSD

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Using the transtheoretical model of behavioural change to understand the processes through which climate change films might encourage mitigation action Citation for published version: Howell, R 2014, 'Using the transtheoretical model of behavioural change to understand the processes through which climate change films might encourage mitigation action' International Journal of Sustainable Development, vol. 17, no. 2, General rightsCopyright for the publications made accessible via the Edinburgh Research Explorer is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. Take down policyThe University of Edinburgh has made every reasonable effort to ensure that Edinburgh Research Explorer content complies with UK legislation. If you believe that the public display of this file breaches copyright please contact openaccess@ed.ac.uk providing details, and we will remove access to the work immediately and investigate your claim. change, but to engage them in taking mitigation action. This paper outlines the transtheoretical model of behavioural change, which incorporates six stages of change that individuals progress through as they change their behaviour, and ten associated processes of change. Using four climate change films as illustrations, I show how the model can be applied to identify the processes of change employed or depicted by sustainability communications. I then discuss research on the impacts of the films in the light of this analysis, considering the strengths and limitations of the movies' use/portrayal of processes of change with regard to encouraging viewers to change their behaviour. The paper concludes with recommendations for how film may be used more effectively as a tool to inspire climate change mitigation action.

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Are activity promotion interventions based on the transtheoretical model effective? A critical review

Cited by 170 publications

References 41 publications

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Potentials and pitfalls for nutrition counselling in general practice

Using the transtheoretical model of behavioural change to understand the processes through which climate change films might encourage mitigation action

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