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Behavior Change Techniques Associated With Changes in Postintervention and Maintained Changes in Self-Efficacy For Physical Activity: A Systematic Review With Meta-analysis
Open accessAbstract
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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“The total number of behavior change strategies demonstrates the strongest associations with improved PA, regardless of the specific strategy used (96).”
From The Role of Exercise in Management of Mental Health Disorders: An Integrative Review (2021) · cites this paper as [96]
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“We included information from the articles, authors, and apps to decrease the likelihood ofmissing out on actually implemented BCTs.”
ResultInfluential
Metadata
- 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
- Publisher
- Oxford University Press (OUP)
- 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
- green
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- 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 › Public Health, Environmental and Occupational Health › 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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