Cited by 239Behavioral Health and InterventionsSmoking Behavior and CessationPhysical Activity and Health

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Low-income groups and behaviour change interventions: a review of intervention content, effectiveness and theoretical frameworks

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Michie, S, Jochelson, K, Markham, W A, Bridle, C·2009·Journal of Epidemiology and Community Health

DOI 10.1136/jech.2008.078725

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Abstract

Background: Interventions to change health-related behaviours have potential to increase health inequalities. Methods: This review investigated the effectiveness of interventions targeting low-income groups to reduce smoking or increase physical activity and/or healthy eating. Of 9766 papers identified by the search strategy, 13 met the inclusion criteria. Intervention content was coded into component technique and theoretical basis, and examined as a potential source of effect heterogeneity. Results: Interventions were heterogeneous, comprising 4–19 techniques. Nine interventions had positive effects, seven resulted in no change and one had an adverse effect. Effective interventions had a tendency to have fewer techniques than ineffective interventions, with no evidence for any technique being generally effective or ineffective. Only six studies cited theory relative to intervention development, with little information about how theory was used and no obvious association with intervention content or effect. Conclusion: This review shows that behaviour change interventions, particularly those with fewer techniques, can be effective in low-income groups, but highlights the lack of evidence to draw on in informing the design of interventions for disadvantaged groups.

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Authors: Michie, S., Jochelson, K., Markham, W. A., & Bridle, C.
Affiliations: University College London (GB)
Equality and Human Rights Commission (GB)
University of Warwick (GB)
Corresponding author: Michie, S
ORCID: Michie, S
Markham, W A
Bridle, C
Venue: Journal of Epidemiology and Community Health
Publisher: BMJ
Published: 2009-04-21
Volume: 63
Issue: 8
Pages: 610-622
ISSN: 0141-7681 (ISSN-L)
0143-005X
1470-2738
DOI: 10.1136/jech.2008.078725
OpenAlex: W2113648087
Cited by: 238
References: 69
Citations by year: 2026: 9 · 2025: 6 · 2024: 17 · 2023: 12 · 2022: 12 · 2021: 17 · 2020: 16 · 2019: 12 · 2018: 26 · 2017: 12 · 2016: 18 · 2015: 16 · 2014: 17 · 2013: 11 · 2012: 15
FWCI: 14.52
Type: journal article
Language: en
Open access: green
figshare.com
Licence: cc-by
Locations: Journal of Epidemiology & Community Health (publishedVersion)
PubMed (publishedVersion)
Lincoln Repository (University of Lincoln) (acceptedVersion)
Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
BGRO - Business, Governance and Religious Organisations Repository (submittedVersion)
UCL Discovery (University College London) (submittedVersion)
Figshare (submittedVersion, cc-by)
Topics: Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Keywords: behaviour change interventions, low-income populations, health disparities, smoking cessation, physical activity, healthy eating, intervention techniques, theoretical framework, intervention effectiveness, heterogeneous effects, disadvantaged groups
MeSH terms: Behavior Therapy, Feeding Behavior, Health Promotion, Humans, Models, Theoretical, Motor Activity, Social Class, Health Behavior, Smoking Cessation, Risk Reduction Behavior

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Low-income groups and behaviour change interventions: a review of intervention content, effectiveness and theoretical frameworks

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