Physical activity, nutrition and behavior change in Latin America: a systematic review

Men are underrepresented in obesity services, suggesting current weight loss service provision is suboptimal. This systematic review evaluated evidence-based strategies for treating obesity in men. Eight bibliographic databases and four clinical trials’ registers were searched to identify randomized controlled trials (RCTs) of weight loss interventions in men only, with mean/median body mass index of ≥30 kg/m2 (or ≥28 kg/m2 with cardiac risk factors), with a minimum mean/median duration of ≥52 weeks. Interventions included diet, physical activity, behavior change techniques, orlistat, or combinations of these; compared against each other, placebo, or a no intervention control group; in any setting. Twenty-one reports from 14 RCTs were identified. Reducing diets produced more favorable weight loss than physical activity alone (mean weight change after 1 year from a reducing diet compared with an exercise program −3.2 kg, 95% confidence interval −4.8 to −1.6 kg, reported p < .01). The most effective interventions combined reducing diets, exercise, and behavior change techniques (mean difference in weight at 1 year compared with no intervention was −4.9 kg, 95% confidence interval −5.9 to −4.0, reported p < .0001). Group interventions produced favorable weight loss results. The average reported participant retention rate was 78.2%, ranging from 44% to 100% retention, indicating that, once engaged, men remained committed to a weight loss intervention. Weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behavior change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed.

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Taking the next step: a systematic review and meta-analysis of physical activity and behavior change interventions in recent post-treatment breast cancer survivors

Breast Cancer Research and Treatment ◽

10.1007/s10549-014-3255-5 ◽

2015 ◽

Vol 149 (2) ◽

pp. 331-342 ◽

Cited By ~ 71

Author(s):

Shirley M. Bluethmann ◽

Sally W. Vernon ◽

Kelley Pettee Gabriel ◽

Caitlin C. Murphy ◽

L. Kay Bartholomew

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Systematic Review ◽

Behavior Change ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Meta Analysis ◽

Post Treatment ◽

Behavior Change Interventions ◽

And Behavior

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A systematic review of the intervention characteristics, and behavior change theory and techniques used in mother-daughter interventions targeting physical activity

Preventive Medicine ◽

10.1016/j.ypmed.2021.106764 ◽

2021 ◽

Vol 153 ◽

pp. 106764

Author(s):

Carol Brennan ◽

Grainne O'Donoghue ◽

Amanda M. Hall ◽

Alison Keogh ◽

James Matthews

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Behavior Change ◽

Change Theory ◽

Behavior Change Theory ◽

And Behavior

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Behavior Change Techniques Used in Mobile Applications Targeting Physical Activity: A Systematic Review

Current and Emerging mHealth Technologies ◽

10.1007/978-3-319-73135-3_3 ◽

2018 ◽

pp. 23-35

Author(s):

Hakan Kuru

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Behavior Change ◽

Mobile Applications ◽

Behavior Change Techniques

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Translating promoting factors and behavior change principles into the blended and technology supported intervention “Foxfit” to stimulate physical activity in children with asthma: Design study (Preprint)

10.2196/preprints.34121 ◽

2021 ◽

Author(s):

Annette Brons ◽

Katja Braam ◽

Aline Broekema ◽

Annieck Timmerman ◽

Karel Millenaar ◽

...

Keyword(s):

Physical Activity ◽

Behavior Change ◽

Developmental Process ◽

Intervention Mapping ◽

Healthcare Providers ◽

Children With Asthma ◽

Change Principles ◽

And Behavior ◽

The Impact ◽

Functional Components

BACKGROUND Children with asthma can decrease the impact of their disease by improving their physical activity (PA). However, healthcare providers lack in interventions for children with asthma that effectively increase their PA levels and achieve behavior change regarding PA. A technology supported approach can positively influence PA and physical functioning in children. OBJECTIVE The aim of this study was to develop a technology supported intervention that facilitates healthcare providers in promoting PA for children with asthma and to systematically describe this developmental process. METHODS Intervention mapping (IM) was applied to develop a blended and technology supported intervention in co-creation with children with asthma, their parents, and healthcare providers. According to the IM framework, the following steps were performed: 1) conduct a needs assessment; 2) define the intervention outcome, performance objectives, and change objectives; 3) select theory based intervention methods and strategies; 4) create components of the intervention and conduct pilot tests; 5) create an implementation plan; and 6) create an evaluation plan. RESULTS We developed the blended intervention “Foxfit” that consists of an app with a physical activity monitor (PAM) for children with asthma, and a web-based dashboard for their healthcare provider. The intervention focusses on PA in everyday life to improve social participation. Foxfit contains components based on behavior change principles and gamification: goal setting, rewards, action planning, (self-)monitoring, shaping knowledge, a gamified story, personal coaching and feedback, and a tailored approach. CONCLUSIONS The IM framework was very useful to systematically develop a technology supported intervention and to describe the translational process from scientific evidence, the needs and wishes of future users, and behavior change principles into this intervention. This has led to the technology supported intervention Foxfit that facilitates healthcare providers in promoting PA in children with asthma. The structured description of the development process and functional components shows the way behavior change techniques are incorporated in the intervention. CLINICALTRIAL Dutch Trial Register: NTR6658

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Effectiveness of behavioral interventions and behavior change techniques for reducing soft drink intake in disadvantaged adolescents: A systematic review and meta‐analysis

Obesity Science & Practice ◽

10.1002/osp4.452 ◽

2020 ◽

Vol 6 (6) ◽

pp. 708-734

Author(s):

S. S. Shagiwal ◽

E. Groenestein ◽

A. Schop‐Etman ◽

J. Jongerling ◽

J. Waal ◽

...

Keyword(s):

Systematic Review ◽

Behavior Change ◽

Behavioral Interventions ◽

Soft Drink ◽

Meta Analysis ◽

Behavior Change Techniques ◽

And Behavior

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Behavior Change Techniques Used in Theory of Planned Behavior Physical Activity Interventions Among Older Adults: A Systematic Review

Journal of Aging and Physical Activity ◽

10.1123/japa.2018-0103 ◽

2019 ◽

Vol 27 (5) ◽

pp. 746-754 ◽

Cited By ~ 3

Author(s):

Valerie Senkowski ◽

Clara Gannon ◽

Paul Branscum

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Theory Of Planned Behavior ◽

Behavior Change ◽

Planned Behavior ◽

Controlled Trial ◽

The United States ◽

Behavior Change Techniques ◽

Physical Activity Interventions

Physical activity interventions among older adults vary widely in the techniques used to elicit behavior change. The purpose of this systematic review was to determine what behavior change techniques (BCTs) are used in interventions to increase physical activity among older adults using the theory of planned behavior and to make suggestions for BCTs that appear to be more effective. A database search identified peer-reviewed articles documenting interventions based on the theory of planned behavior. Seven articles (three randomized controlled trial, three quasi-experimental, and onen-of-1) from four countries (the United States, the United Kingdom, Australia, and the Netherlands) were included for review. Researchers independently coded BCTs using a hierarchical taxonomy of 93 BCTs. The most frequently coded BCTs includedGoal Setting(n = 5 studies),Action Planning(n = 5 studies), andCredible Source(n = 5 studies). Of the 93 BCTs in the taxonomy, only 26 were used, indicating potential opportunities to implement and evaluate less commonly used techniques in future studies.

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Strategies and effects of school-based interventions to promote active school transportation by bicycle among children and adolescents: a systematic review

International Journal of Behavioral Nutrition and Physical Activity ◽

10.1186/s12966-020-01035-1 ◽

2020 ◽

Vol 17 (1) ◽

Cited By ~ 1

Author(s):

Dorothea M. I. Schönbach ◽

Teatske M. Altenburg ◽

Adilson Marques ◽

Mai J. M. Chinapaw ◽

Yolanda Demetriou

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Behavior Change ◽

Weight Status ◽

Intervention Group ◽

School Travel ◽

Behavior Change Techniques ◽

School Based ◽

Active School Travel ◽

School Based Interventions

Abstract Background Promoting cycling to school may benefit establishing a lifelong physical activity routine. This systematic review aimed to summarize the evidence on strategies and effects of school-based interventions focusing on increasing active school transport by bicycle. Methods A literature search based on “PICo” was conducted in eight electronic databases. Randomized and non-randomized controlled trials with primary/secondary school students of all ages were included that conducted pre-post measurements of a school-based intervention aimed at promoting active school travel by bicycle and were published in English between 2000 and 2019. The methodological quality was assessed using the “Effective Public Health Practice Project” tool for quantitative studies. Applied behavior change techniques were identified using the “BCT Taxonomy v1”. Two independent researchers undertook the screening, data extraction, appraisal of study quality, and behavior change techniques. Results Nine studies investigating seven unique interventions performed between 2012 and 2018 were included. All studies were rated as weak quality. The narrative synthesis identified 19 applied behavior change techniques clustered in eleven main groups according to their similarities and a variety of 35 different outcome variables classified into seven main groups. Most outcomes were related to active school travel and psychosocial factors, followed by physical fitness, physical activity levels, weight status, active travel and cycling skills. Four studies, examining in total nine different outcomes, found a significant effect in favor of the intervention group on bicycle trips to school (boys only), percentage of daily cycling trips to school, parental/child self-efficacy, parental outcome expectations, moderate-to-vigorous intensity physical activity (total, from cycling, before/after school), and total basic cycling skills. Seven of these outcomes were only examined in two studies conducting the same intervention in children, a voluntary bicycle train to/from school accompanied by adults, including the following clustered main groups of behavior change techniques: shaping knowledge, comparison of behavior, repetition and substitution as well as antecedents. Conclusions The applied strategies in a bicycle train intervention among children indicated great potential to increase cycling to school. Our findings provide relevant insights for the design and implementation of future school-based interventions targeting active school transport by bicycle. Trial registration This systematic review has been registered in the international prospective register of systematic reviews “PROSPERO” at (registration number: CRD42019125192).

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