The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.
Use of Theory in Behavior Change Interventions: An Analysis of Programs to Increase Physical Activity in Posttreatment Breast Cancer Survivors
Open accessAbstract
Objective. Theory use may enhance effectiveness of behavioral interventions, yet critics question whether theory-based interventions have been sufficiently scrutinized. This study applied a framework to evaluate theory use in physical activity interventions for breast cancer survivors. The aims were to (1) evaluate theory application intensity and (2) assess the association between extensiveness of theory use and intervention effectiveness. Methods. Studies were previously identified through a systematic search, including only randomized controlled trials published from 2005 to 2013, that addressed physical activity behavior change and studied survivors who were <5 years posttreatment. Eight theory items from Michie and Prestwich’s coding framework were selected to calculate theory intensity scores. Studies were classified into three subgroups based on extensiveness of theory use (Level 1 = sparse; Level 2 = moderate; and Level 3 = extensive). Results. Fourteen randomized controlled trials met search criteria. Most trials used the transtheoretical model ( n = 5) or social cognitive theory ( n = 3). For extensiveness of theory use, 5 studies were classified as Level 1, 4 as Level 2, and 5 as Level 3. Studies in the extensive group (Level 3) had the largest overall effect size ( g = 0.76). Effects were more modest in Level 1 and 2 groups with overall effect sizes of g = 0.28 and g = 0.36, respectively. Conclusions. Theory use is often viewed as essential to behavior change, but theory application varies widely. In this study, there was some evidence to suggest that extensiveness of theory use enhanced intervention effectiveness. However, there is more to learn about how theory can improve interventions for breast cancer survivors.
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“Another review concluded that interventions that have used behavioral theory tend produce the largest overall effect size for behavior change.64”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [64]
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Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer
Schmitz, K. H., Campbell, A. M., Stuiver, M. M., Pinto, B. M., Schwartz, A. L., Morris, G. S., Ligibel, J. A., Cheville, A., Galvão, D. A., Alfano, C. M., et al. (2019) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21579 · Cited by 789
Physical activity for women with breast cancer after adjuvant therapy
Lahart, I. M., Metsios, G. S., Nevill, A. M., & Carmichael, A. R. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011292.pub2 · Cited by 316
Arikpo, D., Edet, E. S., Chibuzor, M. T., Odey, F. A., & Caldwell, D. M. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011768.pub2 · Cited by 149
Singh, B., Zopf, E. M., & Howden, E. J. (2021) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2021.07.008 · Cited by 132
Pudkasam, S., Polman, R. C. J., Pitcher, M. E., Fisher, M., Chinlumprasert, N., Stojanovska, L., & Apostolopoulos, V. (2018) · Maturitas · doi:10.1016/j.maturitas.2018.07.010 · Cited by 118
Metadata
- Authors
- Bluethmann, S. M., Bartholomew, L. K., Murphy, C. C., & Vernon, S. W.
- Affiliations
- The University of Texas School of Public Health, Houston, TX, USA
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Bluethmann, Shirley M.
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2016-07-10
- Volume
- 44
- Issue
- 2
- Pages
- 245-253
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- PMC
- PMC5503486
- OpenAlex
- W2402376178
- Cited by
- 148
- References
- 64
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 14 · 2023: 17 · 2022: 32 · 2021: 28 · 2020: 10 · 2019: 9 · 2018: 10 · 2017: 2
- FWCI
- 10.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R25CA057712)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- theory application, behaviour change interventions, breast cancer survivors, physical activity interventions, transtheoretical model, social cognitive theory, intervention effectiveness
- MeSH terms
- Behavior Therapy, Breast Neoplasms, Female, Humans, Health Behavior, Exercise, Randomized Controlled Trials as Topic, Survivors, Social Theory
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