Health behaviour change interventions for couples: A systematic review

Arden‐Close, Emily; McGrath, Nuala

doi:10.1111/bjhp.12227

Cited by 147 publications

(80 citation statements)

References 71 publications

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“…their romantic partners and best friend's) PA though this relation may vary depending on perceived support (Darlow & Xu, REVIEW OF DYADIC PHYSICAL ACTIVITY INTERVENTIONS 7 2011). Such evidence is in line with research showing that health behaviours are concordant across couples (Arden- Close & McGrath, 2017) and if a partner adopts a healthier behaviour, the other partner is more likely to make a positive health behaviour change (Jackson, Steptoe, & Wardle, 2015).…”

Section: Transactive Goal Dynamics Theorysupporting

confidence: 86%

Dyadic interventions to promote physical activity and reduce sedentary behaviour: systematic review and meta-analysis

Carr

Prestwich

Kwaśnicka

et al. 2018

Health Psychology Review

116

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Several interventions have targeted dyads to promote physical activity (PA) or reduce sedentary behaviour (SB), but the evidence has not been synthesised. Sixty-nine studies were identified from MEDLINE, PsycINFO, and Web of Science, and 59 were included in the main meta-analyses (providing 72 independent tests). Intervention details, type of dyadic goal, participant characteristics, and methodological quality were extracted and their impact on the overall effect size was examined. Sensitivity analyses tested effect robustness to (a) the effects of other statistically significant moderators; (b) outliers; (c) data included for participants who were not the main target of the intervention. Dyadic interventions had a small positive, highly heterogeneous, effect on PA g = .203, 95% CI [0.123-0.282], compared to comparison conditions including equivalent interventions targeting individuals. Shared target-oriented goals (where both dyad members hold the same PA goal for the main target of the intervention) and peer/friend dyads were associated with larger effect sizes across most analyses. Dyadic interventions produced a small homogeneous reduction in SB. Given dyadic interventions promote PA over-and-above equivalent interventions targeting individuals, these interventions should be more widespread. However, moderating factors such as the types of PA goal and dyad need to be considered to maximise effects.

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Section: Transactive Goal Dynamics Theorysupporting

confidence: 86%

Dyadic interventions to promote physical activity and reduce sedentary behaviour: systematic review and meta-analysis

Carr

Prestwich

Kwaśnicka

et al. 2018

Health Psychology Review

116

View full text Add to dashboard Cite

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“…Ten papers (Table 4) described the effectiveness of interventions for smoking cessation among pregnant women [47,[56][57][58][59][60][61][62][63][64]. Interventions included behavioral interventions such as contingency management (incentive-based treatment such as financial rewards), counselling, health education, social support, culturally tailored interventions and bio-feedback during ultrasound and pharmacotherapy for smoking cessation such as bupropion and nicotine replacement therapy.…”

Section: Interventions To Reduce Tobacco Exposure In Pregnancymentioning

confidence: 99%

Exposure to Tobacco, Environmental Tobacco Smoke and Nicotine in Pregnancy: A Pragmatic Overview of Reviews of Maternal and Child Outcomes, Effectiveness of Interventions and Barriers and Facilitators to Quitting

Gould

Havard

Lim

et al. 2020

IJERPH

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The aim of this review of reviews was to collate the latest evidence from systematic reviews about the maternal and child health outcomes of being exposed to tobacco and nicotine during pregnancy; the effectiveness of interventions designed to reduce these exposures, and barriers to and facilitators of smoking cessation during pregnancy. Two databases were searched to obtain systematic reviews published from 2010 to 2019. Pertinent data from 76 articles were summarized using a narrative synthesis (PROSPERO reference: CRD42018085896). Exposure to smoke or tobacco in other forms during pregnancy is associated with an increased risk of obstetric complications and adverse health outcomes for children exposed in-utero. Counselling interventions are modestly effective, while incentive-based interventions appear to substantially increase smoking cessation. Nicotine replacement therapy is effective during pregnancy but the evidence is not conclusive. Predictors and barriers to smoking cessation in pregnancy are also discussed. Smoking during pregnancy poses substantial risk to mother’s and child’s health. Psychosocial interventions and nicotine replacement therapy (NRT) appear to be effective in helping pregnant women quit smoking. Barriers to smoking cessation must be identified and steps taken to eradicate them in order to reduce smoking among pregnant women. More research is needed on smoking cessation medications and e-cigarettes.

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“…When compared with usual care, interventions using a couples' approach were more effective . More interestingly, of the randomized controlled trials comparing partner involvement vs. no involvement, 50% of the couple‐focused interventions were more effective . Our approach to use wives/co‐habitating girlfriends capitalized on previous strategies and expanded them to include a theoretically dyadic approach compared with the typical intrapersonal approaches used in weight loss research.…”

Section: Discussionmentioning

confidence: 70%

Together Eating & Activity Matters (TEAM): results of a pilot randomized‐clinical trial of a spousal support weight loss intervention for Black men

Alick

Samuel‐Hodge

Ward

et al. 2018

Obesity Science & Practice

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SummaryObjectivesThe objective of this study is to evaluate the feasibility, participation, preliminary efficacy and retention in a couples‐based weight loss intervention among Black men.Design, setting, participantsTwo‐arm pilot randomized clinical trial in an academic clinical setting. Forty self‐identified Black men and their female cohabitating partners (n = 80) aged 18 to 65 years with body mass index from 25 to 45 kg/m2 were randomized using computer generated tables to allocate treatments.InterventionParticipants were randomized to a standard behavioural weight loss (Standard) programme or the Standard programme plus partner involvement (Enhanced). Both interventions focused on calorie reduction, physical activity and self‐monitoring to facilitate weight loss. Enhanced included couples skills training and couple's communication components.Main outcome and measuresChanges in weight from baseline to 3 months among men. Partner weight loss (secondary).ResultsForty Black couples (men mean [SD] age, 47.4[11] years; body mass index, 35.0[6.1]), were recruited. Retention was 100% of the men and 98% of female partners. Attendance at group sessions was 63–73%. Between groups, mean (SD) weight changes among men were −3.4[.04] and −4.7[5.9] kg (p = 0.57) and among women −0.23[4.46] and −2.47[3.62] kg (p = 0.09), in the standard and enhanced groups.ConclusionsWeight losses from an intervention enhanced by partner involvement and an intervention with no partner involvement were not different. Treatment choice can be based on preference rather than outcome as both treatments are effective in producing clinically significant percent weight loss.Trial registration Clinical Trials NCT02458053.

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Health behaviour change interventions for couples: A systematic review

Cited by 147 publications

References 71 publications

Dyadic interventions to promote physical activity and reduce sedentary behaviour: systematic review and meta-analysis

Dyadic interventions to promote physical activity and reduce sedentary behaviour: systematic review and meta-analysis

Exposure to Tobacco, Environmental Tobacco Smoke and Nicotine in Pregnancy: A Pragmatic Overview of Reviews of Maternal and Child Outcomes, Effectiveness of Interventions and Barriers and Facilitators to Quitting

Together Eating & Activity Matters (TEAM): results of a pilot randomized‐clinical trial of a spousal support weight loss intervention for Black men

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