Evaluating potential mechanisms of a multiple health behavior change intervention

Objectives: In this scoping review, we examine the current state of literature on weight-related Multiple Health Behavior Change (MHBC). Specifically, we investigate: (1) MHBC versus single health behavior change (SHBC) interventions and (2) simultaneous versus sequential MHBC approaches. Secondarily, we explore (3) attributes that predict success in MHBC, and (4) the utilization of theoretical frameworks. Methods: We retrieved studies from PubMed, Web of Science, and Google Scholar within the 2000 to 2018 range. Results: MHBC interventions proved superior for long-term weight loss when compared to SHBC approaches. However, the literature is limited. Studies investigating simultaneous and sequential MHBC approaches are also limited and have mixed results. Predictive characteristics of MHBC include behavior adherence, risk level, stage of change, self-efficacy, social support, environmental barriers, and treatment approaches. Whereas evidence evaluating theory in MHBC programs remains scant, there is promising research on constructs from the Transtheoretical Model and Social Cognitive Theory. Conclusions: MHBC approaches may better support weight loss efforts. However, further research is needed to understand the effects of behavior change order and timing, predictive features of participants and interventions, and theoretical framework utilization in these weight-loss programs.

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Health-Promoting and Health-Risk Behaviors: Theory-Driven Analyses of Multiple Health Behavior Change in Three International Samples

International Journal of Behavioral Medicine ◽

10.1007/s12529-010-9135-4 ◽

2011 ◽

Vol 19 (1) ◽

pp. 1-13 ◽

Cited By ~ 89

Author(s):

Sonia Lippke ◽

Claudio R. Nigg ◽

Jason E. Maddock

Keyword(s):

Health Behavior ◽

Health Risk ◽

Behavior Change ◽

Risk Behaviors ◽

Health Behavior Change ◽

Health Risk Behaviors ◽

Multiple Health Behavior Change ◽

Health Promoting ◽

Multiple Health

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Promoting Healthy Eating and Physical Activity Behaviors: A Systematic Review of Multiple Health Behavior Change Interventions Among Cancer Survivors

American Journal of Lifestyle Medicine ◽

10.1177/1559827616661490 ◽

2016 ◽

Vol 12 (3) ◽

pp. 184-199 ◽

Cited By ~ 8

Author(s):

Steve Amireault ◽

Angela J. Fong ◽

Catherine M. Sabiston

Keyword(s):

Physical Activity ◽

Health Behavior ◽

Behavior Change ◽

Cancer Survivors ◽

Healthy Eating ◽

Health Behavior Change ◽

Cochrane Library ◽

Multiple Health Behavior Change ◽

The Impact ◽

Multiple Health

Multiple health behavior change (MHBC) interventions have great potential for enhancing health and well-being following cancer diagnosis and treatment. However, the characteristics and effects of MHBC interventions remain elusive for cancer survivors. The main purpose of this study was to evaluate the effectiveness of MHBC interventions on healthy eating and physical activity behaviors among cancer survivors. A secondary aim was to examine the effect of using a simultaneous and sequential design approach to MHBC (ie, changing both behaviors at the same time or one after the other). Randomized controlled trials reporting the impact of a MHBC intervention on both healthy eating and physical activity behaviors among cancer survivors were retrieved from MEDLINE, Cochrane Library, and PsycINFO. A total of 27 MHBC interventions were identified; most (92.6%) were designed to promote simultaneous change in both behaviors and assessed end-of-treatment effect among breast cancer survivors. MHBC interventions led by nurses or multidisciplinary teams showed the most compelling evidence for small to moderate improvement in both behaviors, with interventions that lasted ≥17 weeks more likely to improve both behaviors. This study identifies research priorities and provides preliminary evidence for clinical decision making and advancements in MHBC intervention design and delivery for clinical oncology.

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