Behavior Change Techniques and Their Mechanisms of Action: A Synthesis of Links Described in Published Intervention Literature.

Behavior Change Techniques and Their Mechanisms of Action: A Synthesis of Links Described in Published Intervention Literature.
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DOI:
10.1093/abm/kay078
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发表时间:
2019-07-17
期刊:
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
影响因子:
--
通讯作者:
Michie S
Michie S
中科院分区:
其他
文献类型:
--
作者:
Carey RN;Connell LE;Johnston M;Rothman AJ;de Bruin M;Kelly MP;Michie S

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尽管行为科学取得了进展,但对个体行为改变技术(BCT)产生影响的“作用机制”(MoAs)没有广泛的共识。在发展,评估和综合行为干预措施的累积进展,可以通过确定的MoAs,通过BCT被认为是带来了变化。本研究的目的是确定BCT和MoAs之间的联系所描述的出版文献的语料库的作者。两名编码员从277篇行为改变干预文章中提取了BCT和MoAs之间的假设联系。进行了二项式检验,以提供每个链接的相对频率的指示。在编码的77个BCT中,70个与至少一个MoA相关。在26项MoA中,除一项外,其余均与至少一项BCT有关。我们总共确定了2,636个BCT-MoA链接(每篇文章的平均链接数= 9.56,SD = 13.80)。最常联系的MoAs是“关于能力的信念”和“意图”。二项式测试结果识别出与每个BCT相关的多达5个MoA(M = 1.71,范围:1-5),每个MoA最多8个BCT(M = 3.63,范围:1-8)。干预作者所描述的BCT-MoA链接,以及在这篇广泛的综述中所确定的,为干预开发者和评审者提供了第一级系统整理的证据。这些研究结果提供了一个资源的发展理论为基础的干预措施,并为理论理解的干预评估。这些联系在多大程度上得到经验的支持,需要系统的调查。这项研究产生了一个大的数据集,其中假设行为改变技术与它们改变行为的过程之间存在联系,如一系列已发表的研究报告所述。这些发现可以用于行为改变干预措施的设计,并进一步了解干预措施如何产生效果。
Despite advances in behavioral science, there is no widely shared understanding of the “mechanisms of action” (MoAs) through which individual behavior change techniques (BCTs) have their effects. Cumulative progress in the development, evaluation, and synthesis of behavioral interventions could be improved by identifying the MoAs through which BCTs are believed to bring about change. This study aimed to identify the links between BCTs and MoAs described by authors of a corpus of published literature. Hypothesized links between BCTs and MoAs were extracted by two coders from 277 behavior change intervention articles. Binomial tests were conducted to provide an indication of the relative frequency of each link. Of 77 BCTs coded, 70 were linked to at least one MoA. Of 26 MoAs, all but one were linked to at least one BCT. We identified 2,636 BCT–MoA links in total (mean number of links per article = 9.56, SD = 13.80). The most frequently linked MoAs were “Beliefs about Capabilities” and “Intention.” Binomial test results identified up to five MoAs linked to each of the BCTs (M = 1.71, range: 1–5) and up to eight BCTs for each of the MoAs (M = 3.63, range: 1–8). The BCT–MoA links described by intervention authors and identified in this extensive review present intervention developers and reviewers with a first level of systematically collated evidence. These findings provide a resource for the development of theory-based interventions, and for theoretical understanding of intervention evaluations. The extent to which these links are empirically supported requires systematic investigation. This study produced a large dataset of hypothesised links between behaviour change techniques and the processes through which they change behaviour, as described in a set of published research reports. These findings can be used in the design of behaviour change interventions, and in furthering our understanding of how interventions have their effects.
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