Cited by 141Behavioral Health and InterventionsPhysical Activity and HealthBehavioral and Psychological Studies

Behavior Change Techniques Associated With Changes in Postintervention and Maintained Changes in Self-Efficacy For Physical Activity: A Systematic Review With Meta-analysis

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Tang, Mei Yee, Smith, Debbie M, Mc Sharry, Jennifer, Hann, Mark, French, David P·2019·Annals of Behavioral Medicine

Abstract

Background: Self-efficacy is an important determinant of physical activity but it is unclear how best to increase self-efficacy for physical activity and to maintain these changes. Purpose: This systematic review aimed to identify which specific behavior change techniques (BCTs), BCT clusters, and number of BCTs were associated with changes in postintervention and maintained changes in self-efficacy for physical activity across all adult populations. Methods: A systematic search yielded 180 randomized trials (204 comparisons) which reported changes in self-efficacy. BCTs were coded using the BCT Taxonomy v1. Hierarchical cluster analysis explored the clustering of BCTs. Meta-analyses and moderator analyses examined whether the presence and absence of individual BCTs in interventions were associated with effect-size changes for self-efficacy. Results: Small intervention effects were found for postintervention self-efficacy for physical activity (d = 0.26; 95% CI: [0.21, 0.31]; I2 = 75.8 per cent). “Information about social, environmental, and emotional consequences” was associated with higher effect sizes, whereas “social support (practical)” was associated with lower effect sizes. Small and nonsignificant effects were found for maintained changes in self-efficacy for physical activity (d = 0.08; CI: [−0.05, 0.21]; I2 = 83.8 per cent). Lack of meaningful clustering of BCTs was found. A significant positive relationship was found between number of BCTs and effect sizes for maintained changes in self-efficacy for physical activity. Conclusions: There does not appear to be a single effective approach to change self-efficacy for physical activity in all adults: different approaches are required for different populations. Interventions with more BCTs seem more effective at maintaining changes in self-efficacy for physical activity.

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Crossref · 10.1093/abm/kay090

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  • The total number of behavior change strategies demonstrates the strongest associations with improved PA, regardless of the specific strategy used.

    “The total number of behavior change strategies demonstrates the strongest associations with improved PA, regardless of the specific strategy used (96).”

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Authors
Tang, M. Y., Smith, D. M., Mc Sharry, J., Hann, M., & French, D. P.
Affiliations
  • University of Manchester (GB)
  • Health Behaviour Change Research Group, School of Psychology, National University of Ireland Galway, Galway, Ireland
Corresponding author
Tang, Mei Yee
Venue
Annals of Behavioral Medicine
Published
2018-12-09
Volume
53
Issue
9
Pages
801-815
ISSN
  • 0742-5554 (ISSN-L)
  • 0883-6612
  • 1532-4796
OpenAlex
W2903751329
Cited by
141
References
44
Citations by year
2026: 12 · 2025: 18 · 2024: 12 · 2023: 16 · 2022: 8 · 2021: 17 · 2020: 56 · 2019: 2
FWCI
2.55
Type
journal article
Language
en
Open access
Locations
  • Annals of Behavioral Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
  • Newcastle University ePrints (Newcastle Univesity)
Funders
University of Manchester
Topics
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords
behaviour change techniques, self-efficacy, physical activity, maintenance of behavior change, social support, physical activity interventions, adults
MeSH terms
Behavior Therapy, Humans, Outcome and Process Assessment, Health Care, Health Behavior, Exercise, Self Efficacy

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