- Title
- Comparative efficacy of simultaneous versus sequential multiple health behavior change interventions among adults: a systematic review of randomised trials
- Creator
- James, Erica; Freund, Megan; Booth, Angela; Duncan, Mitch J.; Johnson, Natalie; Short, Camille E.; Wolfenden, Luke; Stacey, Fiona G.; Kay-Lambkin, Frances; Vandelanotte, Corneel
- Relation
- Preventive Medicine Vol. 89, Issue August 2016, p. 211-223
- Publisher Link
- http://dx.doi.org/10.1016/j.ypmed.2016.06.012
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2016
- Description
- Background: Growing evidence points to the benefits of addressing multiple health behaviors rather than single behaviors. Purpose: This review evaluates the relative effectiveness of simultaneous and sequentially delivered multiple health behavior change (MHBC) interventions. Secondary aims were to identify: a) the most effective spacing of sequentially delivered components; b) differences in efficacy of MHBC interventions for adoption/cessation behaviors and lifestyle/addictive behaviors, and c) differences in trial retention between simultaneously and sequentially delivered interventions. Methods: MHBC intervention trials published up to October 2015 were identified through a systematic search. Eligible trials were randomised controlled trials that directly compared simultaneous and sequential delivery of a MHBC intervention. A narrative synthesis was undertaken. Results: Six trials met the inclusion criteria and across these trials the behaviors targeted were smoking, diet, physical activity, and alcohol consumption. Three trials reported a difference in intervention effect between a sequential and simultaneous approach in at least one behavioral outcome. Of these, two trials favoured a sequential approach on smoking. One trial favoured a simultaneous approach on fat intake. There was no difference in retention between sequential and simultaneous approaches. Conclusions: There is limited evidence regarding the relative effectiveness of sequential and simultaneous approaches. Given only three of the six trials observed a difference in intervention effectiveness for one health behavior outcome, and the relatively consistent finding that the sequential and simultaneous approaches were more effective than a usual/minimal care control condition, it appears that both approaches should be considered equally efficacious.
- Subject
- multiple health behavior change; preventive care; simultaneous; sequential; effectiveness
- Identifier
- http://hdl.handle.net/1959.13/1326518
- Identifier
- uon:25455
- Identifier
- ISSN:0091-7435
- Rights
- © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0
- Language
- eng
- Full Text
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