Identification of behaviour change techniques to reduce excessive alcohol consumption
Abstract
Background Interventions to reduce excessive alcohol consumption have a small but important effect, but a better understanding is needed of their ‘active ingredients’. Aims This study aimed to (i) develop a reliable taxonomy of behaviour change techniques (BCTs) used in interventions to reduce excessive alcohol consumption (not to treat alcohol dependence) and (ii) to assess whether use of specific BCTs in brief interventions might be associated with improved effectiveness. Methods A selection of guidance documents and treatment manuals, identified via expert consultation, were analysed into BCTs by two coders. The resulting taxonomy of BCTs was applied to the Cochrane Review of brief alcohol interventions, and the associations between the BCTs and effectiveness were investigated using meta‐regression. Findings Forty‐two BCTs were identified, 34 from guidance documents and an additional eight from treatment manuals, with average inter‐rater agreement of 80%. Analyses revealed that brief interventions that included the BCT ‘prompt self‐recording’ ( P = 0.002) were associated with larger effect sizes. Conclusions It is possible to identify specific behaviour change techniques reliably in manuals and guidelines for interventions to reduce excessive alcohol consumption. In brief interventions, promoting self‐monitoring is associated with improved outcomes. More research is needed to identify other behaviour change techniques or groupings of behaviour change techniques that can produce optimal results in brief interventions and to extend the method to more intensive interventions and treatment of alcohol dependence.
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BCTTv1 incorporated a number of cross-behaviour BCT taxonomies and some behaviour-specific taxonomies for physical activity, alcohol use, smoking and condom use.
“BCTTv1 incorporated a number of cross-behaviour BCT taxonomies [25, 26] and some behaviour-specific taxonomies for physical activity [27], alcohol use [28], smoking [29] and condom use [30].”
Effective BCTs have been identified for interventions to increase physical activity and healthy eating, and to support smoking cessation, reduce excessive alcohol consumption, prevent sexually transmitted infections and change professional behaviour.
“Effective BCTs have been identified for interventions to increase physical activity and healthy eating, 23,48 and to support smoking cessation, 27,46 reduce excessive alcohol consumption, 29 prevent sexually transmitted infections 19,30 and change professional behaviour.49”
'Behavioural substitution' was identified from a systematic review of brief alcohol interventions, but this effective BCT had not been identified in several reviews of physical activity, healthy eating and smoking cessation interventions.
“For example, 'behavioural substitution' was identified from a systematic review of brief alcohol interventions, 29 but this effective BCT had not been identified in several reviews of physical activity, healthy eating and smoking cessation interventions, e.g.Carroll et al. 183”
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- Authors
- Michie, S., Whittington, C., Hamoudi, Z., Zarnani, F., Tober, G., & West, R.
- Affiliations
- University College London (GB)
- Cancer Research UK (GB)
- Corresponding author
- Michie, Susan
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2012-04-17
- Volume
- 107
- Issue
- 8
- Pages
- 1431-1440
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W1884161560
- Cited by
- 288
- References
- 36
- Citations by year
- 2026: 9 · 2025: 14 · 2024: 13 · 2023: 23 · 2022: 23 · 2021: 21 · 2020: 19 · 2019: 22 · 2018: 34 · 2017: 21 · 2016: 22 · 2015: 27 · 2014: 20 · 2013: 13 · 2012: 6
- FWCI
- 15.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Cancer Research UK (14135)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- behaviour change techniques, excessive alcohol consumption, brief intervention, intervention effectiveness, alcoholism treatment, interobserver agreement
- MeSH terms
- Alcohol Drinking, Behavior Therapy, Biofeedback, Psychology, Humans, Manuals as Topic, Motivation, Observer Variation, Randomized Controlled Trials as Topic, Treatment Outcome, Practice Guidelines as Topic
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