Abstract
Multicomponent behavior change interventions are typically used in weight management, but results are largely heterogeneous and modest. Determining which techniques (behavior change technique [BCTs]) are more effective in changing behavior is thus required. This study aimed to identify the most effective BCTs for increasing physical activity (PA) in digital and face-to-face behavior change interventions in adults with overweight/obesity. Four databases were searched for eligible studies until October 2019. BCTs were coded using BCTTv1 and MBCT taxonomies. Sixty-two RCTs were included. Meta-regressions were performed to explore BCTs' moderating role. Five BCTs showed significant moderator effects on PA in digital interventions: goal setting behavior, goal setting outcome, graded tasks, social incentive, and self-monitoring of behavior (adjusted R-2's = 0.15-0.51). One BCT showed significant moderator effects on PA in face-to-face interventions, behavioral practice and rehearsal (adjusted R-2 = 0.22). Multivariate and sensitivity analysis generally led to similar findings. Effective BCTs for increasing PA in adults with overweight/obesity in digital and face-to-face interventions seem to differ. Evidence suggests that using goal setting, social incentive, and graded tasks might help improve PA in digital interventions while avoiding inconsistent self-monitoring of behavior. In face-to-face interventions, prompting behavioral practice and rehearsal might lead to better PA outcomes. Still, further studies are needed. Implications of the current findings are discussed.
Original language | English |
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Article number | e13258 |
Number of pages | 13 |
Journal | Obesity Reviews |
Volume | 22 |
DOIs | |
Publication status | Published - 1 Jul 2021 |
Keywords
- BCTs
- HEALTH
- INDIVIDUALS
- INTERVENTIONS
- MAINTENANCE
- POPULATION
- PREVENTION
- RANDOMIZED CONTROLLED-TRIAL
- RISK-FACTORS
- SELF-EFFICACY
- WEIGHT-LOSS PROGRAM
- obesity
- overweight
- physical activity
- MANAGEMENT
- DISEASE