Which Behaviour Change Techniques Are Most Effective at Increasing Older Adults’ Self-Efficacy and Physical Activity Behaviour? A Systematic Review

French, David P.; Olander, Ellinor K.; Chisholm, Anna; McSharry, Jennifer

doi:10.1007/s12160-014-9593-z

Cited by 440 publications

(422 citation statements)

References 74 publications

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“…Reference Outcome BCT associated with greater effectiveness of interventions BCT associated with lower effectiveness of interventions Lara et al (38) Increasing fruit and vegetables among older adults 'Barrier identification/problem solving' 'Plan for social support/social change' 'Goal setting (outcome)' 'Use of follow-up prompts' Olander et al (76) Increasing PA in obese individuals 'Teach to use prompts/cues' 'Prompt practice' 'Prompt rewards contingent on effort or progress towards behaviour' French et al (77) Increasing PA in obese individuals None 'Setting behavioural goals' 'Prompting self-monitoring of behaviour' 'Planning for relapses' 'Providing normative information' 'Providing feedback on performance' Gardner et al (78) Reduce gestational weight gain…”

Section: What Is the Best Basis For Personalisation Of Dietary Advice?mentioning

confidence: 99%

Personalising nutritional guidance for more effective behaviour change

2014

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for Ageing and Vitality, Newcastle upon Tyne NE4 5PL, UK Improving diet and other lifestyle behaviours has considerable potential for reducing the global burden of non-communicable diseases, promoting better health across the life-course and increasing wellbeing. However, realising this potential will require the development, testing and implementation of much more effective behaviour change interventions than are used conventionally. Evidence-based, personalised (or stratified) interventions which incorporate effective behaviour change techniques (BCT) and which are delivered digitally are likely to be an important route to scalable and sustainable interventions. Progress in developing such interventions will depend on the outcomes of research on: (i) the best bases for personalisation of dietary advice; (ii) identification of BCT which are proven to enhance intervention efficacy; (iii) suitable platforms (digital-based tools) for collection of relevant participant characteristics (e.g. socioeconomic information, current diet and lifestyle and dietary preferences) linked with intelligent systems which use those characteristics to offer tailored feedback and advice in a cost-effective and acceptable manner. Future research should focus on such interventions aiming to reduce health inequalities and to improve overall public health.Personalised nutrition: Behaviour change: Disease prevention: Phenotype: Genotype Health is plastic and results from interactions between individual genotype and exposures plus the play of chance (1) . The important exposures include environmental contaminants, smoking and other hazardous lifestyle habits, physical activity (PA) and diet. It has been estimated that up to 80 % of major cardiometabolic diseases and over one-third of cancers could be prevented by eliminating shared risk factors, including tobacco use, poor diet, physical inactivity and excess alcohol (2) . A cluster of health behaviours, including non-smoking, being physically active, moderate alcohol intake and consumption of fruit and vegetables, is associated with up to fourfold lower mortality risk, equivalent to 14 years in chronological age (3,4) . The risk of most common diseases increases with age as does the burden of disability and frailty. A recent analysis of the global burden of ill-health demonstrated that poor diet and physical inactivity accounted for about three quarters of the top twenty factors contributing to disability-adjusted life years in the UK (5) . This emphasises the primacy of changing lifestyle factors (notably smoking cessation, increasing PA and improving diet) in public health initiatives which are aimed at improving health throughout the life-course and, especially, in adulthood.Despite considerable research on interventions to increase PA and to improve diet, in most cases the effect size achieved in such interventions is relatively modest, especially in the longer term. For example, our recent systematic review and meta-analysis of PA interventions in middle-age (55-70 years) with object...

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Section: What Is the Best Basis For Personalisation Of Dietary Advice?mentioning

confidence: 99%

Personalising nutritional guidance for more effective behaviour change

2014

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“…A study by Sillence et al (2007) found that sites that provide these social identification cues (where the sites were acknowledged to be written by people similar to themselves and were obviously aimed at 'people like them') claimed to encourage more interest and to be more appreciated. French et al (2014) shared the notion as their study observed that similar others modelled the behaviour associated with increased physical activity.…”

Section: Establishing Sense Of Similaritymentioning

confidence: 62%

“…In contrast, however, the study found that people with low self-efficacy were less likely to be physically active, even if they had social support. Based on a recent systematic review by French et al (2014) on effective behaviour change techniques targeting older adults, the phenomenon was due to poor health and lack of physical abilities among fairly inactive individuals, clarifying why interventions involving the reception of normative feedback (social comparison persuasive principles) may be demoralizing.…”

Section: Personalizing Persuasive Design Principlesmentioning

confidence: 99%

“…However, French et al (2014) reported contradictory findings as their review of 24 studies revealed that self-monitoring techniques along with goal-setting, planning for relapses, providing normative information and providing feedback on performance are associated with lower levels of both self-efficacy and physical activity. They argued that the underlying reason is because these techniques, which they described as 'selfregulatory', involve higher-order cognitive processes that are essential in the control and instigation of behaviours that require effort, including planning, sequencing of actions or inhibition of habitual responses, which are very challenging among older adults due to cognitive decline.…”

Section: Personalizing Persuasive Design Principlesmentioning

confidence: 99%

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Designing a persuasive physical activity application for older workers: understanding end-user perceptions

Mohadis

Ali

Smeaton

2016

Behaviour & Information Technology

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Among the factors known to encourage healthy ageing is routine physical activity, a behaviour that is not common among the older age group. A Persuasive System Design (PSD) model offers guidelines for designing and evaluating systems aimed at reinforcing, changing or shaping underlying human behaviour and attitudes. The objective of this study was to investigate the perceptions of older workers towards persuasive principles of PSD that was integrated into an application specifically designed to encourage physical activity. Ten older workers aged 50 to 64 years with different physical activity levels participated in this study. Using a think-aloud technique, the participants interacted with a physical activity application whilst verbally expressing their perceptions towards the persuasive elements. The results indicated that the older worker participants had positive views towards persuasive design principles that fell under the categories of primary task, dialogue support and credibility support. However, the persuasive principle of the social support category received contradictory views. Further, it was discovered that the personalization of persuasive principles, the credibility of tailored contents and the establishment of a sense of similarity are imperative in the designing of effective persuasive physical activity applications targeting older workers.

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“…Van Stralen, De Vries, Mudde, Bolman, and Lechner's (2009) literature review shows that action planning predicted physical activity and that coping planning predicted long-term physical Morais, Encantado, Santos et alactivity initiation and maintenance. However, according to French, Olander, Chisholm, and Mc Sharry (2014), to plan or control behaviour may require more effort which in turn may explain the smaller results observed in physical activity interventions with older adults, possibly due to decreases in executive function in this specific age group. Additionally, goal setting and self-monitoring using a pedometer is a behavioural based intervention that seems to be associated with significant increases in physical activity (Bravata et al, 2007), long-term changes in physical activity behaviour (Chase, 2013), and working as a possible motivational strategy to maintain older adults in physical activity interventions (McMurdo et al, 2010).…”

mentioning

confidence: 99%

Increasing physical activity in older adults: Walking by prescription in primary care

Morais

Encantado

Santos

et al. 2017

Psychol. Community Health

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Aim: The present study (PTDC/SAU-SAP/110799/2009) funded by the Portuguese Government (Fundação para a Ciência e Tecnologia -FCT) aimed to test the effectiveness of a behaviour based intervention combined with a cognitive based one, designed to increase physical activity levels in older adults at Primary Health Care Centres. Method: A total of 108 participants aged over 65 years participated in the study. Participants were referred by their General Practitioner (GP) and randomized by gender and marital status at the moment they started the program (single vs. couple), and allocated into one of three conditions: goal intention, action planning, action planning and coping planning. All participants received a pedometer and a logbook and were asked to register their daily number of steps for a period of 24 weeks. Study follows a longitudinal design with five assessments over a 6-month after baseline. Results:The test between subjects' effects revealed an interaction between condition and participating in the study as single vs. couple. Older adults participating as singles walked more steps on average in the condition goal intention plus action planning and coping planning, whereas participants that entered in the study with their spouse, goal intention without any other planning intervention was the most effective intervention. Conclusion:The 24-week physical activity program based on the recent developments of behavioural-cognitive framework, has proven useful increasing older adults daily walking behaviour.

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Which Behaviour Change Techniques Are Most Effective at Increasing Older Adults’ Self-Efficacy and Physical Activity Behaviour? A Systematic Review

Abstract: This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link AbstractBackground. Increasing self-efficacy is an effective mechanism for increasing physical

Cited by 440 publications

References 74 publications

Personalising nutritional guidance for more effective behaviour change

Personalising nutritional guidance for more effective behaviour change

Designing a persuasive physical activity application for older workers: understanding end-user perceptions

Increasing physical activity in older adults: Walking by prescription in primary care

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