scholarly journals One small step for man, one giant leap for men’s health: a meta-analysis of behaviour change interventions to increase men’s physical activity

2020 ◽  
Vol 54 (20) ◽  
pp. 1208-1216 ◽  
Author(s):  
Paul Sharp ◽  
John C Spence ◽  
Joan L Bottorff ◽  
John L Oliffe ◽  
Kate Hunt ◽  
...  

ObjectiveTo determine the effects of behaviour change interventions on men’s physical activity (postintervention), sustained change in physical activity behaviour (≥12 months postintervention) and to identify variations in effects due to potential moderating variables (eg, theoretical underpinning, gender-tailored, contact frequency).DesignSystematic review with meta-analysis. Pooled effect size (Cohen’s d) was calculated assuming a random-effects model. Homogeneity and subsequent exploratory moderator analyses were assessed using Q, T2 and I2.Data sourcesMedline, EMBASE, CINAHL, SportDiscus and Web of Science to April 2019.Eligibility criteria for selected studiesRandomised control trials of behaviour change interventions in men (≥18 years) where physical activity was an outcome and data were from men-only studies or disaggregated by sex.ResultsTwenty-six articles described 24 eligible studies. The overall mean intervention effect on men’s physical activity was 0.35 (SE=0.05; 95% CI 0.26 to 0.45; p<0.001). This effect size is consistent with an increase of approximately 97 min of total physical activity per week or 980 steps per day. Intervention moderators associated with greater increases in physical activity included objective physical activity outcome measures, a gender-tailored design, use of a theoretical framework, shorter length programmes (≤12 weeks), using four or more types of behaviour change techniques and frequent contact with participants (≥1 contact per week). 12 studies included additional follow-up assessments (≥12 months postintervention) and the overall mean effect was 0.32 (SE=0.09; 95% CI 0.15 to 0.48; p<0.001) for that sustained increase in physical activity.SummaryBehaviour change interventions targeting men’s physical activity can be effective. Moderator analyses are preliminary and suggest research directions.

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018974 ◽  
Author(s):  
Stergiani Tsoli ◽  
Stephen Sutton ◽  
Aikaterini Kassavou

ObjectiveA number of promising automated behaviour change interventions have been developed using advanced phone technology. This paper reviewed the effectiveness of interactive voice response (IVR)-based interventions designed to promote changes in specific health behaviours.MethodsA systematic literature review of papers published between January 1990 and September 2017 in MEDLINE, CINAHL, Embase, PsycINFO, SCOPUS and the Cochrane Central Register of Controlled Trials (CENTRAL) was conducted. From the total of 2546 papers identified, 15 randomised control trials (RCTs) met the eligibility criteria and were included in a random effects meta-analysis. Meta-regression analysis was used to explore whether behaviour change techniques (BCTs) that were used in the interventions were associated with intervention effectiveness.ResultsMeta-analysis of 15 RCTs showed that IVR-based interventions had small but significant effects on promoting medication adherence (OR=1.527, 95% CI 1.207 to 1.932, k=9, p=0.000) and physical activity (Hedges’ g=0.254, 95% CI 0.068 to 0.439, k=3, p=0.007). No effects were found for alcohol (Hedges’ g=−0.077, 95% CI −0.162 to 0.007, k=4, p=0.073) or diet (Hedges’ g=0.130, 95% CI −0.088 to 0.347, k=2, p=0.242). In the medication adherence studies, multivariable meta-regression including six BCTs explained 100% of the observed variance in effect size, but only the BCT ‘information about health consequences’ was significantly associated with effect size (β=0.690, SE=0.199, 95% CI 0.29 to 1.08, p=0.000).ConclusionIVR-based interventions appear promising in changing specific health behaviours, such as medication adherence and physical activity. However, more studies are needed to elucidate further the combination of active components of IVR interventions that make them effective and test their feasibility and effectiveness using robust designs and objective outcome measures.


Nutrients ◽  
2022 ◽  
Vol 14 (1) ◽  
pp. 209
Author(s):  
Mamaru Ayenew Awoke ◽  
Cheryce L. Harrison ◽  
Julie Martin ◽  
Marie L. Misso ◽  
Siew Lim ◽  
...  

Weight gain prevention interventions are likely to be more effective with the inclusion of behaviour change techniques. However, evidence on which behaviour change techniques (BCT) are most effective for preventing weight gain and improving lifestyle (diet and physical activity) is limited, especially in reproductive-aged adults. This meta-analysis and meta-regression aimed to identify BCT associated with changes in weight, energy intake and physical activity in reproductive-aged adults. BCT were identified using the BCT Taxonomy (v1) from each intervention. Meta-regression analyses were used to identify BCT associated with change in weight, energy intake and physical activity. Thirty-four articles were included with twenty-nine articles for the meta-analysis. Forty-three of the ninety-three possible BCT listed in the taxonomy were identified in the included studies. Feedback on behaviour and Graded tasks were significantly associated with less weight gain, and Review behaviour goals was significantly associated with lower energy intake. No individual BCT were significantly associated with physical activity. Our analysis provides further evidence for which BCT are most effective in weight gain prevention interventions. The findings support that the use of key BCT within interventions can contribute to successful weight gain prevention in adults of reproductive age.


2019 ◽  
Vol 22 ◽  
pp. S107
Author(s):  
P. Sharp ◽  
J. Spence ◽  
J. Bottorff ◽  
J. Oliffe ◽  
K. Hunt ◽  
...  

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