What do cost-effective health behaviour-change interventions contain? A comparison of six domains.
<h4>Objectives</h4>To help implement behaviour change interventions (BCIs) in practice it is important to be able to characterize their key components. This study compared broad features of cost-effective BCIs that addressed smoking, diet, physical activity, alcohol and sexual health. It...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2019-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0213983 |
| _version_ | 1827795131070152704 |
|---|---|
| author | Emma Beard Robert West Fabiana Lorencatto Ben Gardner Susan Michie Lesley Owens Lion Shahab |
| author_facet | Emma Beard Robert West Fabiana Lorencatto Ben Gardner Susan Michie Lesley Owens Lion Shahab |
| author_sort | Emma Beard |
| collection | DOAJ |
| description | <h4>Objectives</h4>To help implement behaviour change interventions (BCIs) in practice it is important to be able to characterize their key components. This study compared broad features of cost-effective BCIs that addressed smoking, diet, physical activity, alcohol and sexual health. It also assessed the association of these with the magnitude of the cost-effectiveness estimates.<h4>Methods</h4>A content analysis of 79 interventions based on 338 intervention descriptions was conducted, using the Behaviour Change Wheel (BCW) to classify intervention content in terms of intervention functions, and the BCT taxonomy to identify and categorise component Behaviour Change Techniques (BCT). Regression analysis identified the association of these with upper (pessimistic) and lower (optimistic) cost-effectiveness estimates.<h4>Results</h4>The most and least common functions and BCT clusters were education (82.3%) and shaping knowledge (79.7%), and coercion (3.8%) and covert learning (2.5%). Smoking interventions contained the largest ([Formula: see text] = 12) number of BCTs and were most cost-effective. Several other factors were associated with worse (coercionfunction βupper = 36551.24; shaping knowledgeBCT βlower = 2427.78; comparison of outcomesBCT βupper = 9067.32; repetition and substitutionBCT βupper = 7172.47) and better (modellingfunction βlower = -2905.3; environmental restructuringfunction βupper = -8646.28; reward and threatBCT βupper = -5577.59) cost-effectiveness (p<0.05).<h4>Discussion</h4>Cost-effective BCIs rely heavily on education with smoking interventions exhibiting the most comprehensive range of BCTs. Providing an example to aspire to, restructuring the environment and rewarding positive behaviour may be associated with greater cost-effectiveness. |
| first_indexed | 2024-03-11T18:44:52Z |
| format | Article |
| id | doaj.art-89a0c0acaaa4499a83b1e5a35361a183 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-11T18:44:52Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-89a0c0acaaa4499a83b1e5a35361a1832023-10-12T05:32:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01144e021398310.1371/journal.pone.0213983What do cost-effective health behaviour-change interventions contain? A comparison of six domains.Emma BeardRobert WestFabiana LorencattoBen GardnerSusan MichieLesley OwensLion Shahab<h4>Objectives</h4>To help implement behaviour change interventions (BCIs) in practice it is important to be able to characterize their key components. This study compared broad features of cost-effective BCIs that addressed smoking, diet, physical activity, alcohol and sexual health. It also assessed the association of these with the magnitude of the cost-effectiveness estimates.<h4>Methods</h4>A content analysis of 79 interventions based on 338 intervention descriptions was conducted, using the Behaviour Change Wheel (BCW) to classify intervention content in terms of intervention functions, and the BCT taxonomy to identify and categorise component Behaviour Change Techniques (BCT). Regression analysis identified the association of these with upper (pessimistic) and lower (optimistic) cost-effectiveness estimates.<h4>Results</h4>The most and least common functions and BCT clusters were education (82.3%) and shaping knowledge (79.7%), and coercion (3.8%) and covert learning (2.5%). Smoking interventions contained the largest ([Formula: see text] = 12) number of BCTs and were most cost-effective. Several other factors were associated with worse (coercionfunction βupper = 36551.24; shaping knowledgeBCT βlower = 2427.78; comparison of outcomesBCT βupper = 9067.32; repetition and substitutionBCT βupper = 7172.47) and better (modellingfunction βlower = -2905.3; environmental restructuringfunction βupper = -8646.28; reward and threatBCT βupper = -5577.59) cost-effectiveness (p<0.05).<h4>Discussion</h4>Cost-effective BCIs rely heavily on education with smoking interventions exhibiting the most comprehensive range of BCTs. Providing an example to aspire to, restructuring the environment and rewarding positive behaviour may be associated with greater cost-effectiveness.https://doi.org/10.1371/journal.pone.0213983 |
| spellingShingle | Emma Beard Robert West Fabiana Lorencatto Ben Gardner Susan Michie Lesley Owens Lion Shahab What do cost-effective health behaviour-change interventions contain? A comparison of six domains. PLoS ONE |
| title | What do cost-effective health behaviour-change interventions contain? A comparison of six domains. |
| title_full | What do cost-effective health behaviour-change interventions contain? A comparison of six domains. |
| title_fullStr | What do cost-effective health behaviour-change interventions contain? A comparison of six domains. |
| title_full_unstemmed | What do cost-effective health behaviour-change interventions contain? A comparison of six domains. |
| title_short | What do cost-effective health behaviour-change interventions contain? A comparison of six domains. |
| title_sort | what do cost effective health behaviour change interventions contain a comparison of six domains |
| url | https://doi.org/10.1371/journal.pone.0213983 |
| work_keys_str_mv | AT emmabeard whatdocosteffectivehealthbehaviourchangeinterventionscontainacomparisonofsixdomains AT robertwest whatdocosteffectivehealthbehaviourchangeinterventionscontainacomparisonofsixdomains AT fabianalorencatto whatdocosteffectivehealthbehaviourchangeinterventionscontainacomparisonofsixdomains AT bengardner whatdocosteffectivehealthbehaviourchangeinterventionscontainacomparisonofsixdomains AT susanmichie whatdocosteffectivehealthbehaviourchangeinterventionscontainacomparisonofsixdomains AT lesleyowens whatdocosteffectivehealthbehaviourchangeinterventionscontainacomparisonofsixdomains AT lionshahab whatdocosteffectivehealthbehaviourchangeinterventionscontainacomparisonofsixdomains |