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19 - Design, Implementation, and Evaluation of Behavior Change Interventions: A Ten-Task Guide

from Part II - Methods and Processes of Behavior Change: Intervention Development, Application, and Translation

Published online by Cambridge University Press:  04 July 2020

Martin S. Hagger
Affiliation:
University of California, Merced
Linda D. Cameron
Affiliation:
University of California, Merced
Kyra Hamilton
Affiliation:
Griffith University
Nelli Hankonen
Affiliation:
University of Helsinki
Taru Lintunen
Affiliation:
University of Jyväskylä
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Summary

This chapter presents a generic, ten-task plan for collaboratively developing, testing, refining, and implementing behavior change interventions. Even carefully designed, expensive interventions can prove ineffective if designers make incorrect assumptions about (1) how a behavior pattern is generated and regulated; (2) how participants or organizations are likely to respond; or (3) how novel personal, interpersonal, or organizational practices can be sustained in situ or over time. Interventionists can be misdirected by assuming that recipients are motivated to change or that motivation is sufficient to evoke change, or that they are choosing reflectively to repeat behavior patterns or that they make choices in an influence-free environment or have just a few everyday life goals. Reliance on any of these assumptions, or the application of simple rules such as educate them, promise rewards, or threaten them, can undermine intervention design from the outset. Interventionists can be effective when they cocreate bespoke, tailored, mechanism-based, interventions that are engaging, rewarding, and sustainable in context. Detailed analyses of mechanism and change processes combined with evidence-based, context-tailored collaborative design is a prerequisite. Success needs to be demonstrable in less expensive efficacy evaluations before investing in large-scale effectiveness trials that provide the evidence base for scaled-up implementation.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Abraham, C., & Graham-Rowe, E. (2009). Are worksite interventions effective in increasing physical activity? A systematic review and meta-analysis. Health Psychology Review, 3, 108144. https://doi.org/10.1080/17437190903151096Google Scholar
Alayli-Goebbels, A. F. G., Evers, S. M. A. A., Alexeeva, D. et al. (2014). A review of economic evaluations of behavior change interventions: Setting an agenda for research methods and practice. Journal of Public Health, 36, 336344. https://doi.org/10.1093/pubmed/fdt080CrossRefGoogle ScholarPubMed
Albarracín, D., Gillette, J. C., Earl, A. N., Glasman, L. R., Durantini, M. R., & Ho, M.-H. (2005). A test of major assumptions about behavior change: A comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychological Bulletin, 131, 856897. https://doi.org/10.1037/0033-2909.131.6.856Google Scholar
Austin, J. T., & Vancouver, J. B. (1996). Goal constructs in psychology: Structure, process, and content. Psychological Review, 120, 338375. https://doi.org/10.1037//0033-2909.120.3.338Google Scholar
Bartholomew, L. K., Markham, C. M., Ruiter, R., Fernández, M. E., Kok, G., & Parcel, G. S. (2016). Planning Health Promotion Programmes: An Intervention Mapping Approach. San Francisco, CA: Jossey-Bass.Google Scholar
Barton, H., & Grant, M. (2006). A health map for the local human habitat. The Journal for the Royal Society for the Promotion of Health, 126, 252253. https://doi.org/10.1177/1466424006070466Google Scholar
Blackstock, K. L., Ingram, J., Burton, R., Brown, K. M., & Slee, B. (2010). Understanding and influencing behaviour change by farmers to improve water quality. Science of the Total Environment, 408, 56315638. https://doi.org/10.1016/j.scitotenv.2009.04.029Google Scholar
Borek, A., Abraham, C., Greaves, C., & Tarrant, M. (2018). Group-based diet and physical activity weight-loss interventions: A systematic review and meta-analysis of randomised controlled trials. Applied Psychology: Health and Well-Being. 10, 6286. https://doi.org/10.1111/aphw.12121Google Scholar
Borland, R. (2014). Understanding Hard to Maintain Behaviour Change: A Dual Process Approach. Chichester: Wiley & Sons.Google Scholar
Bowen, D. J., Barrington, W. E., & Beresford, S. A. (2015). Identifying the effects of environmental and policy change interventions on healthy eating. Annual Review of Public Health, 36, 289306. https://doi.org/10.1146/annurev-publhealth-032013-182516CrossRefGoogle ScholarPubMed
Capezuti, E., Zadeh, R. S., Pain, K., Basara, A., Jiang, N. Z., & Krieger, A. C. (2018). A systematic review of non-pharmacological interventions to improve night-time sleep among residents of long-term care settings. BMC Geriatrics, 18, 143. https://doi.org/10.1186/s12877-018-0794-3CrossRefGoogle Scholar
Carver, C. S., & Scheier, M. F. (1982). Control theory: A useful conceptual framework for personality-social, clinical and health psychology. Psychological Bulletin, 92, 111135. https://doi.org/10.1037//0033-2909.92.1.111Google Scholar
CDC (Centers for Disease Control and Prevention). (2017). Overweight and obesity. CDC. Website. www.cdc.gov/obesity/adult/causes.htmlGoogle Scholar
Colagiuri, S., Lee, C. M. Y., Colagiuri, R. et al. (2010). The cost of overweight and obesity in Australia. Australian Medical Journal, 192, 260264. https://doi.org/10.5694/j.1326-5377.2010.tb03503.xGoogle Scholar
Conner, M., Abraham, C., Prestwich, A. et al. (2016). Impact of goal priority and goal conflict on the intention-health behavior relationship: Tests on physical activity and other health behaviors. Health Psychology, 35, 10171026. https://doi.org/10.1037/hea0000340CrossRefGoogle ScholarPubMed
Dantas, L. F., Fleck, J. L., Cyrino Oliveira, F. L., & Hamacher, S. (2018). No-shows in appointment scheduling: A systematic literature review. Health Policy 122, 412421. https://doi.org/10.1016/j.healthpol.2018.02.002Google Scholar
Dean, J. (2013). Making Habits, Breaking Habits. Boston: De Capo Press.Google Scholar
Denford, S., Abraham, C., Campbell, R., & Brusse, H. (2016). A comprehensive review of reviews of school-based interventions to improve sexual-health. Health Psychology Review, 11, 3352. https://doi.org/10.1080/17437199.2016.1240625Google Scholar
Evans, D. (2003). Hierarchy of evidence: A framework for ranking evidence evaluating healthcare interventions. Journal of Clinical Nursing, 12, 7784. doi/full/10.1046/j.1365-2702.2003.00662.xCrossRefGoogle ScholarPubMed
Fishbein, M., Triandis, H. C., Kanfer, F. H., Becker, M. H., Middlestadt, S. E., & Eichler, A. (2001). Factors influencing behavior and behavior change. In Baum, A., Revenson, T. R., & Singer, J. E. (Eds.), Handbook of Health Psychology (pp. 317). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455471.Google Scholar
Fisher, J. D., Fisher, W. A., Bryan, A. D., & Misovich, S. J. (2002). Information-motivation-behavioral skills model-based HIV risk behavior change intervention for inner-city high school youth. Health Psychology, 21, 177186. https://doi.org/10.1037/0278-6133.21.2.177CrossRefGoogle ScholarPubMed
Flay, B. (1986). Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Preventive Medicine, 15, 451474. https://doi.org/10.1016/0091-7435(86)90024-1CrossRefGoogle ScholarPubMed
Gier, J. (2017). Missed appointments cost the U.S. healthcare system $150B each year. Healthcare Innovation, April 26. www.hcinnovationgroup.com/clinical-it/article/13008175/missed-appointments-cost-the-us-healthcare-system-150b-each-yearGoogle Scholar
Glanz, K., Sallis, J. F., Saelens, B. E., & Frank, L. D. (2005). Healthy nutrition environments: Concepts and measures. American Journal of Health Promotion, 19, 330333. https://doi.org/10.4278/0890-1171-19.5.330Google Scholar
Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89, 1322–7. https://doi.org/10.2105/ajph.89.9.1322Google Scholar
Gollwitzer, P. M., & Sheeran, P. (2006). Implementation intentions and goal achievement: A meta-analysis of effects and processes. Advances in Experimental Social Psychology, 38, 69121. doi.org/10.1016/S0065-2601(06)38002-1Google Scholar
Grimshaw, J. M., Thomas, R. E., MacLennan, G. et al. (2004). Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technology Assessment, 8, 6. https://doi.org/10.3310/hta8060Google Scholar
Hagger, M. S., Moyers, S., McAnally, K., & McKinley, L. E., (2020). Known knowns and known unknowns on behavior change interventions and mechanisms of action. Health Psychology Review, 14, 199–212. https://doi.org/10.1080/17437199.2020.1719184Google Scholar
Hillier-Brown, F. C., Bambra, C. L., Cairns, J., Kasim, A., Moore, H. J., & Summerbell, C. D. (2014). A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children. BMC Public Health 14, 834 https://doi.org/10.1186/1471-2458-14-834Google Scholar
Hillier-Brown, F. C., Summerbell, C. D., Moore, H. J. et al. (2017). A description of interventions promoting healthier ready-to-eat meals (to eat in, to take away, or to be delivered) sold by specific food outlets in England: a systematic mapping and evidence synthesis. BMC Public Health, 17, 93. https://doi.org/10.1186/s12889-016-3980-2Google Scholar
House of Lords. (2011). Science and Technology Committee – Second Report: Behaviour Change (HL Paper No. 179). London: The Stationery Office. https://publications.parliament.uk/pa/ld201012/ldselect/ldsctech/179/17902.htmGoogle Scholar
Kaplan-Lewis, E., & Percac-Lima, S. (2013). No-show to primary care appointments: Why patients do not come. Journal of Primary Care and Community Health, 4, 251255. https://doi.org/10.1177/2150131913498513Google Scholar
Kelly, M. P., & Barker, M. (2016). Why is changing health-related behaviour so difficult? Public Health, 136, 109116. https://doi.org/10.1016/j.puhe.2016.03.030Google Scholar
Kessler, D. A. (2009). The End of Overeating: Taking Control of the Insatiable American Appetite. New York: Macmillan.Google Scholar
Kurz, T., Gardner, B., Verplanken, B., & Abraham, C. (2014). Habitual behaviours or patterns of practice? Explaining and changing repetitive climate-relevant actions. Wiley Interdisciplinary Reviews: Climate Change, 6, 113128. https://doi.org/10.1002/wcc.327Google Scholar
Jepson, R. G., Harris, F. M., Platt, S., & Tannahill, C. (2010). The effectiveness of interventions to change six health behaviours: A review of reviews. BMC public Health, 10, 538.CrossRefGoogle ScholarPubMed
Johnson, M. J., & May, C. R. (2015). Promoting professional behaviour change in healthcare: What interventions work, and why? A theory-led overview of systematic reviews. BMJ Open, 5, e008592. https://doi.org/10.1136/bmjopen-2015-008592Google Scholar
Lake, A. J., Browne, J. L., Abraham, C. et al. (2018). A tailored intervention to promote uptake of retinal screening among young adults with type 2 diabetes: An intervention mapping approach. BMC Health Services Research. 18, 396. https://doi.org/10.1186/s12913-018-3188-5Google Scholar
Lobstein, T., & Davies, S. (2008). Defining and labelling “healthy” and “unhealthy” food Public Health Nutrition: 12, 331340. https://doi.org/10.1017/S1368980008002541Google Scholar
Luszczynska, A., Sobczyk, A., & Abraham, C. (2007). Planning to lose weight: RCT of an implementation intention prompt to enhance weight reduction among overweight and obese women. Health Psychology, 26, 507512. https://doi.org/10.1037/0278-6133.26.4.507Google Scholar
McGuire, J. F., Piacentini, J., Brennan, E. A. et al. (2014). A meta-analysis of behavior therapy for Tourette Syndrome. Journal of Psychiatric Research, 50, 106112. https://doi.org/10.1016/j.jpsychires.2013.12.009Google Scholar
McLaughlin, J. A., & Jordan, G. B. (1999). Logic models a tool for telling your program’s performance story. Evaluation and Program Planning, 11, 6572. https://doi.org/10.1016/s0149-7189(98)00042-1Google Scholar
McQueenie, R., Ellis, D. A., McConnachie, A., Wilson, P., & Williamson, A. E. (2019). Morbidity, mortality and missed appointments in healthcare: A national retrospective data linkage study. BMC Medicine, 17, 2. https://doi.org/10.1186/s12916-018-1234-0CrossRefGoogle ScholarPubMed
Milstein, B., Wetterhall, S., & CDC Evaluation Working Group. (2000). A framework featuring steps and standards for program evaluation. Health Promotion Practice, 1, 221228. https://doi.org/10.1177/152483990000100304Google Scholar
Molfenter, T. (2013). Reducing appointment no-shows: Going from theory to practice. Substance Use and Misuse, 48, 743749. https://doi.org/10.3109/10826084.2013.787098Google Scholar
Moore, G., Audrey, S., Barker, M. et al. (2014). Process Evaluation of Complex Interventions: Medical Research Council Guidance. London: MRC Population Health Science Research Network. https://doi.org/10.1136/bmj.h1258Google Scholar
Municipal Association of Victoria. (2019). Shade Design for Public Places: Selecting Appropriate, Innovative and Cost Effective Shade Measures. Melbourne: Municipal Association of Victoria. www.mav.asn.au/__data/assets/pdf_file/0018/7326/Shade-design-for-public-places.pdfGoogle Scholar
National Highway Traffic Safety Administration. (2018). Summary of Motor Vehicle Crashes: 2006 Data. (Traffic Safety Facts. Report No. DOT HS 812 580). Washington, DC: National Highway Traffic Safety Administration. https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/812580Google Scholar
National Institutes of Health. (2017). HIH Clinical research trials and you. National Institutes of Health. Website. www.nih.gov/health-information/nih-clinical-research-trials-you/basicsGoogle Scholar
Nielsen, K., Randall, R., Holten, A., & González, E. R. (2010). Conducting organizational-level occupational health interventions: What works? Work and Stress, 24, 234259. https://doi.org/10.1080/02678373.2010.515393Google Scholar
O’Loughlin, J. L., Paradis, G., Gray-Donald, K., & Renaud, L. (1999). The impact of a community-based heart disease prevention program in a low-income, inner-city neighborhood. American Journal of Public Health, 89, 18191826. http://doi.org/10.2105/AJPH.89.12.1819CrossRefGoogle Scholar
Pearson, M., Chilton, R., Wyatt, K., Abraham, C., Ford, T., & Anderson, R. (2015). Implementing health promotion programmes in schools: A realist systematic review of research and experience in the United Kingdom. Implementation Science, 10. https://doi.org/10.1186/s13012-015-0338-6Google Scholar
Peters, G.-J. Y., de Bruin, M., & Crutzen, R. (2015). Everything should be as simple as possible, but no simpler: Towards a protocol for accumulating evidence regarding the active content of health behaviour change interventions. Health Psychology Review, 9, 114. https://doi.org/10.1080/17437199.2013.848409Google Scholar
Powers, W. T. (1973). Behavior: The Control of Perception. Chicago: Adline Publishing.Google Scholar
Rodda, S., Merkouris, S., Abraham, C., Hodgins, D. C., Cowlishaw, S., & Dowling, N. (2018). Therapist-delivered and self-help interventions for gambling problems: A review of contents. Journal of Behavioral Addictions, 7, 211226. https://doi.org/10.1556/2006.7.2018.44Google Scholar
Rogers, R. W. (1975). A protection motivation theory of fear appeals and attitude change. The Journal of Psychology, 91, 93114. https://doi.org/abs/10.1080/00223980.1975.9915803Google Scholar
Ruiter, R. A. C., Abraham, C., & Kok, G. (2001). Scary warnings and rational precautions: A review of the psychology of fear appeals. Psychology and Health, 16, 613630. https://doi.org/10.1080/08870440108405863Google Scholar
Sacerdote, C., Fiorini, L., Rosato, R., Audenino, M., Valpreda, M., & Vineis, P. (2005). Randomized controlled trial: Effect of nutritional counselling in general practice. International Journal of Epidemiology, 35, 409415. https://doi.org/10.1093/ije/dyi170Google Scholar
Sheeran, P., Abraham, C., Jones, K. et al. (2019). Promoting physical activity among cancer survivors: Meta-analysis and meta-CART analysis of randomized controlled trials. Health Psychology, 38, 467.Google Scholar
Sheeran, P., Aubrey, R., & Kellett, S. (2007). Increasing attendance for psychotherapy: Implementation intentions and the self-regulation of attendance-related negative affect. Journal of Consulting and Clinical Psychology, 75, 853863. https://doi.org/10.1037/0022-006X.75.6.853Google Scholar
Sheeran, P., & Orbell, S. (2000). Using implementation intentions to increase attendance for cervical cancer screening. Health Psychology, 19, 283–289. https://doi.org/10.1037//0278-6133.19.3.283Google Scholar
Strack, F., & Deutsch, R. (2004). Reflective and impulsive determinants of social behavior. Personality and Social Psychology Review, 8, 220247. https://doi.org/10.1207/s15327957pspr0803_1Google Scholar
Suls, J., Mogavero, J. N., Falzon, L., Pescatello, L. S., Hennessy, E. A., & Davidson, K. W. (2020). Health behaviour change in cardiovascular disease prevention and management: Meta-review of behavior change techniques to affect self-regulation. Health Psychology Review, 14, 4365. https://doi.org/10.1080/17437199.2019.1691622Google Scholar
Thaler, R., & Sunstein, C. R. (2008). Nudge: Improving Decisions about Health, Wealth, and Happiness. New Haven, CT: Yale University Press.Google Scholar
van Beurden, S. B., Greaves, C. J., Smith, J. R., & Abraham, C. (2016). Techniques for modifying impulsive processes associated with unhealthy eating: A systematic review. Health Psychology, 35, 793806. https://doi.org/10.1037/hea0000337Google Scholar
VicHealth (2018). Healthy Food and Drink Choices in Community Sport: Building on Success. www.vichealth.vic.gov.au/media-and-resources/publications/healthy-choice-foodGoogle Scholar
Weinstein, N. D., Sandman, P. M., & Roberts, N. E. (1991). Perceived susceptibility and self-protective behavior: A field experiment to encourage home radon testing. Health Psychology, 10, 2533. https://doi.org/10.1037/0278-6133.10.1.25Google Scholar
WHO (World Health Organization). (2016). Consideration of the Evidence on Childhood Obesity for the Commission on Ending Childhood Obesity: Report of the Ad Hoc Working Group on Science and Evidence for Ending Childhood Obesity. Geneva: WHO.Google Scholar
Witte, K., & Allen, M. (2000). A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Education and Behavior, 27, 591615. https://doi.org/10.1177/109019810002700506Google Scholar
W. K. Kellogg Foundation. (2004). Using Logic Models to Bring Together Planning, Evaluation, and Action: Logic Model Development Guide. Michigan: W. K. Kellogg Foundation.Google Scholar
Wyatt, K., Lloyd, J., Creanor, S. et al. (2017). Cluster randomised controlled trial, economic and process evaluation to determine the effectiveness and cost effectiveness of a novel intervention (Healthy Lifestyles Programme, HeLP) to prevent obesity in school children. NIHR Public Health Research, 6, 1. www.ncbi.nlm.nih.gov/pubmed/29356471Google Scholar

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