Health behaviour change in cardiovascular disease prevention and management: meta-review of behaviour change techniques to affect self-regulation
Open accessAbstract
Self-regulation processes assume a major role in health behaviour theory and are postulated as important mechanisms of action in behavioural interventions to improve health prevention and management. The need to better understand mechanisms of behaviour change interventions for cardiovascular diseases (CVD) called for conducting a meta-review of meta-analyses for interventions targeting self-regulation processes. The protocol, preregistered on Open Science Framework (OSF), found 15 eligible meta-analyses, published between 2006 and August 2019, which quantitatively assessed the role of self-regulatory mechanisms and behaviour change techniques (BCTs). Quality of the meta-analyses varied widely according to AMSTAR-2 criteria. Several BCTs, assumed to engage self-regulatory mechanisms, were unevenly represented in CVD meta-analytic reviews. Self-monitoring, the most frequently studied self-regulatory BCT, seemed to improve health behaviour change and health outcomes but these results merit cautious interpretation. Findings for other self-regulatory BCTs were less promising. No studies in the CVD domain directly tested engagement of self-regulation processes. A general challenge for this area stems from reliance on post-hoc tests of the effects of BCTs in multiple-component interventions. Recent advances in BCT taxonomies and the experimental medicine approach to engaging self-regulation mechanisms, however, provide opportunities to improve CVD prevention and management behavioural interventions.
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Behavior change strategies include behavioral self-regulatory skills such as goal setting, activity planning, adaptive problem solving, the provision of feedback, and self-monitoring, all of which overlap with key elements of traditional CBT.
“Behavior change strategies include behavioral self-regulatory skills such as goal setting, activity planning (including behavioral activation), adaptive problem solving, the provision of feedback, and self-monitoring (86), all of which overlap with key elements of traditional CBT.”
From The Role of Exercise in Management of Mental Health Disorders: An Integrative Review (2021) · cites this paper as [86]
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The Role of Exercise in Management of Mental Health Disorders: An Integrative Review
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- Authors
- Suls, J., Mogavero, J. N., Falzon, L., Pescatello, L. S., Hennessy, E. A., & Davidson, K. W.
- Affiliations
- Northwell Health (US)
- University of Connecticut (US)
- Corresponding author
- Suls, Jerry
- ORCID
- Venue
- Health Psychology Review
- Publisher
- Informa UK Limited
- Published
- 2019-11-29
- Volume
- 14
- Issue
- 1
- Pages
- 43-65
- ISSN
- 1743-7199 (ISSN-L)
- 1743-7202
- PMC
- PMC7018570
- OpenAlex
- W2983135385
- Cited by
- 120
- References
- 49
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 15 · 2023: 10 · 2022: 9 · 2021: 7 · 2020: 57 · 2019: 4
- FWCI
- 21.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (submittedVersion)
- Funders
- National Institute on Aging (U24AG052175)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- behaviour change techniques, self-regulation, cardiovascular disease prevention, cardiovascular care, health behavior change, self-monitoring, BCT taxonomy
- MeSH terms
- Self-Control, Systematic Reviews as Topic, Behavior Therapy, Cardiovascular Diseases, Humans, Meta-Analysis as Topic, Health Behavior, Disease Management, Intention
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