TITLE

The effectiveness of interventions to change six health behaviours: a review of reviews

AUTHOR(S)
Jepson, Ruth G.; Harris, Fiona M.; Platt, Stephen; Tannahill, Carol
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p538
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Several World Health Organisation reports over recent years have highlighted the high incidence of chronic diseases such as diabetes, coronary heart disease and cancer. Contributory factors include unhealthy diets, alcohol and tobacco use and sedentary lifestyles. This paper reports the findings of a review of reviews of behavioural change interventions to reduce unhealthy behaviours or promote healthy behaviours. We included six different health-related behaviours in the review: healthy eating, physical exercise, smoking, alcohol misuse, sexual risk taking (in young people) and illicit drug use. We excluded reviews which focussed on pharmacological treatments or those which required intensive treatments (e.g. for drug or alcohol dependency). Methods: The Cochrane Library, Database of Abstracts of Reviews of Effectiveness (DARE) and several Ovid databases were searched for systematic reviews of interventions for the six behaviours (updated search 2008). Two reviewers applied the inclusion criteria, extracted data and assessed the quality of the reviews. The results were discussed in a narrative synthesis. Results: We included 103 reviews published between 1995 and 2008. The focus of interventions varied, but those targeting specific individuals were generally designed to change an existing behaviour (e.g. cigarette smoking, alcohol misuse), whilst those aimed at the general population or groups such as school children were designed to promote positive behaviours (e.g. healthy eating). Almost 50% (n = 48) of the reviews focussed on smoking (either prevention or cessation). Interventions that were most effective across a range of health behaviours included physician advice or individual counselling, and workplace- and school-based activities. Mass media campaigns and legislative interventions also showed small to moderate effects in changing health behaviours. Generally, the evidence related to short-term effects rather than sustained/longer-term impact and there was a relative lack of evidence on how best to address inequalities. Conclusions: Despite limitations of the review of reviews approach, it is encouraging that there are interventions that are effective in achieving behavioural change. Further emphasis in both primary studies and secondary analysis (e.g. systematic reviews) should be placed on assessing the differential effectiveness of interventions across different population subgroups to ensure that health inequalities are addressed.
ACCESSION #
54101150

 

Related Articles

  • The Pulse on Global Trials. Howes, Matthew // CenterWatch Weekly;11/21/2016, Vol. 20 Issue 46, p6 

    The article presents information on the report published by the World Health Organization (WHO) regarding the studies of health gap between men and woman and includes reasons for such gap including biological makeup of men, occupational hazards and work environments.

  • World health report: Research vital to achieving universal coverage. Krisberg, Kim // Nation's Health;Oct2013, Vol. 43 Issue 8, p18 

    The article focuses on the "World Health Report 2013: Research for Universal Health Coverage," released by the World Health Organization, which has stressed on the importance to invest in research, if countries want to move toward the goal of universal health coverage.

  • Healthy Workplaces? A Survey of Massachusetts Employers. Tremblay, Patricia A.; Nobrega, Suzanne; Davis, Letitia; Erck, Elizabeth; Punnett, Laura // American Journal of Health Promotion;Jul/Aug2013, Vol. 27 Issue 6, p390 

    Purpose. This study examines worksite health promotion (WHP) and occupational health and safety (OHS) activities by Massachusetts employers, and the extent to which workplaces with programming in one domain were more likely to have the other as well. Design. In 2008, the Massachusetts Department...

  • Annotated Bibliography of Life Coaching and Health Research. Newnham-Kanas, Courtney; Gorczynski, Paul; Morrow, Don; Irwin, Jennifer D. // International Journal of Evidence Based Coaching & Mentoring;2009, Vol. 7 Issue 1, p39 

    The article discusses the life coaching studies and health researches conducted by the different universities and health sciences. The objectives of the studies include critical appraisal of life coaching studies related to health research and outline the possible avenues for future health-...

  • A HEAVY BURDEN.  // Conference Board Review;Spring2012, Vol. 49 Issue 2, p72 

    The article reports on the 8,000 kilns in Bangladesh that produce 12 billion bricks yearly and employ 1.2 million people mostly women and children, who endure extreme conditions working conditions. Kilns reportedly burn car tires, low-grade coal and firewood that spew dangerous pollutants which...

  • WHO releases Model Formulary for Children.  // Reactions Weekly;7/3/2010, Issue 1308, p2 

    The article reports on the first Model Formulary for Children released by the World Health Organization (WHO) that provides physicians with details on using over 240 essential medicines for treating illnesses in children aged 0-12 years old.

  • Health worker performance after training in Integrated Management of Childhood Illness--Western Province, Kenya, 1996-1997. Odhacha, A; Orone, H; Pambala, M; Odongo, R; Lungapher, J; Kituye, A; Mwanza, J; Nedda, C; Ulenya, S // MMWR: Morbidity & Mortality Weekly Report;11/27/1998, Vol. 47 Issue 46, p998 

    Summarizes the results of the evaluation of sick children by the physician health workers after their training in the Integrated Management of Childhood Illness (IMCI) developed by the World Health Organization and the United Nations Children's Fund. Implication of the result; Main steps...

  • Dengue fever: new paradigms for a changing epidemiology. Guha-Sapir, Debarati; Schimmer, Barbara // Emerging Themes in Epidemiology;2005, Vol. 2, p1 

    Dengue is the most important arthropod-borne viral disease of public health significance. Compared with nine reporting countries in the 1950s, today the geographic distribution includes more than 100 countries worldwide. Many of these had not reported dengue for 20 or more years and several have...

  • PUBLIC HEALTH IN INDIA: CHALLENGES AHEAD. Sabharwal, Anuj; Lamba, Payal // OIDA International Journal of Sustainable Development;2014, Vol. 7 Issue 2, p17 

    As the world's largest democracy and the second most populous country in the world, India has experienced sea change since its independence in various facets of development. However as per public health is concerned, 22 % of our population is malnourished, 48 % of our nation's children are...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics