Good practice characteristics of diet and physical activity interventions and policies: an umbrella review
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BACKGROUND: This umbrella review aimed at eliciting good practice characteristics of interventions and policies aiming at healthy diet, increasing physical activity, and lowering sedentary behaviors. Applying the World Health Organization's framework, we sought for 3 types of characteristics, reflecting: (1) main intervention/policy characteristics, referring to the design, targets, and participants, (2) monitoring and evaluation processes, and (3) implementation issues. This investigation was undertaken by the DEDPIAC Knowledge Hub (the Knowledge Hub on the DEterminants of DIet and Physical ACtivity), which is an action of the European Union's joint programming initiative. METHODS: A systematic review of reviews and stakeholder documents was conducted. Data from 7 databases was analyzed (99 documents met inclusion criteria). Additionally, resources of 7 major stakeholders (e.g., World Health Organization) were systematically searched (10 documents met inclusion criteria). Overall, the review yielded 74 systematic reviews, 16 position review papers, and 19 stakeholders' documents. Across characteristics, 25% were supported by ≥ 4 systematic reviews. Further, 25% characteristics were supported by ≥ 3 stakeholders' documents. If identified characteristics were included in at least 4 systematic reviews or at least 3 stakeholders' documents, these good practice characteristics were classified as relevant. RESULTS: We derived a list of 149 potential good practice characteristics, of which 53 were classified as relevant. The main characteristics of intervention/policy (n = 18) fell into 6 categories: the use of theory, participants, target behavior, content development/management, multidimensionality, practitioners/settings. Monitoring and evaluation characteristics (n = 18) were grouped into 6 categories: costs/funding, outcomes, evaluation of effects, time/effect size, reach, the evaluation of participation and generalizability, active components/underlying processes. Implementation characteristics (n = 17) were grouped into eight categories: participation processes, training for practitioners, the use/integration of existing resources, feasibility, maintenance/sustainability, implementation partnerships, implementation consistency/adaptation processes, transferability. CONCLUSIONS: The use of the proposed list of 53 good practice characteristics may foster further development of health promotion sciences, as it would allow for identification of success vectors in the domains of main characteristics of interventions/policies, their implementation, evaluation and monitoring processes.
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Evidence shows that the involvement of all relevant stakeholders-children, families, teaching staff and management-in the planning of an intervention increases the likelihood of its success.
“For example, evidence shows that the involvement of all relevant stakeholders—children, families, teaching staff and management—in the planning of an intervention increases the likelihood of its success (102–108).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [104]
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The Handbook of Behavior Change
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Changing Behavior Using the Theory of Planned Behavior
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Messing, S., Rütten, A., Abu-Omar, K., Ungerer-Röhrich, U., Goodwin, L., Burlacu, I., & Gediga, G. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00055 · Cited by 259 · see citing works
Games for Health for Children—Current Status and Needed Research
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Preventive Health Behavior Change Text Message Interventions: A Meta-analysis
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Changing Behavior Using the Model of Action Phases
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What are effective policies for promoting physical activity? A systematic review of reviews
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Changing Behavior Using the Health Action Process Approach
Schwarzer, R., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.007 · Cited by 107 · see citing works
Łuszczyńska, A., Horodyska, K., Zarychta, K., Liszewska, N., Knoll, N., & Scholz, U. (2015) · Psychology and Health · doi:10.1080/08870446.2015.1070156 · Cited by 96 · see citing works
Muellmann, S., Steenbock, B., Cocker, K. A. D., Craemer, M. D., Hayes, C. B., O'Shea, M. P., Horodyska, K., Bell, J., Łuszczyńska, A., Roos, G., et al. (2017) · BMC Public Health · doi:10.1186/s12889-017-4929-9 · Cited by 90 · see citing works
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Gardner, B., Rebar, A. L., & Lally, P. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.041 · Cited by 69 · see citing works
Changing Behavior Using Social Cognitive Theory
Łuszczyńska, A., & Schwarzer, R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.003 · Cited by 71 · see citing works
Łobczowska, K., Banik, A., Brukało, K., Forberger, S., Kubiak, T., Romaniuk, P., Scheidmeir, M., Scheller, D. A., Steinacker, J. M., Wendt, J., et al. (2022) · Implementation Science · doi:10.1186/s13012-021-01176-2 · Cited by 53 · see citing works
Warner, L. M., & French, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.032 · Cited by 53 · see citing works
Zarychta, K., Mullan, B. A., & Łuszczyńska, A. (2015) · Appetite · doi:10.1016/j.appet.2015.08.040 · Cited by 52 · see citing works
Changing Behavior Using Ecological Models
Salmon, J., Hesketh, K. D., Arundell, L., Downing, K. L., & Biddle, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.017 · Cited by 51 · see citing works
Changing Behavior Using Self-Determination Theory
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Liszewska, N., Scholz, U., Radtke, T., Horodyska, K., Liszewski, M., & Łuszczyńska, A. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.02359 · Cited by 39 · see citing works
Planning and Implementation Intention Interventions
Rhodes, R. E., Grant, S. J., & de Bruijn, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.039 · Cited by 41 · see citing works
Attitudes and Persuasive Communication Interventions
Hamilton, K., & Johnson, B. T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.031 · Cited by 40 · see citing works
Changing Behavior Using Habit Theory
Orbell, S., & Verplanken, B. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.013 · Cited by 39 · see citing works
Protogerou, C., Fleeman, N., Dwan, K. M., Richardson, M., Dundar, Y., & Hagger, M. S. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.08.004 · Cited by 38 · see citing works
Open-Access Physical Activity Programs for Older Adults: A Pragmatic and Systematic Review
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Vanherle, K., Werkman, A. M., Baete, E., Barkmeijer, A., Kolm, A., Gast, C., Ramminger, S., Höld, E., Kohlenberg-Müller, K., Ohlrich-Hahn, S., et al. (2018) · Clinical Nutrition · doi:10.1016/j.clnu.2018.08.040 · Cited by 38 · see citing works
Changing Behavior: A Theory- and Evidence-Based Approach
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.001 · Cited by 39 · see citing works
Tarrant, M., Haslam, C., Carter, M., Calitri, R., & Haslam, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.044 · Cited by 37 · see citing works
Chau, J. Y., Engelen, L., Kolbe-Alexander, T. L., Young, S., Olsen, H. M., Gilson, N. D., Burton, N. W., Bauman, A. E., & Brown, W. J. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16030516 · Cited by 36 · see citing works
MAP-IT: A Practical Tool for Planning Complex Behavior Modification Interventions
Hansen, S., Kanning, M. K., Lauer, R., Steinacker, J. M., & Schlicht, W. M. (2017) · Health Promotion Practice · doi:10.1177/1524839917710454 · Cited by 35 · see citing works
Changing Behavior Using Integrated Theories
Hagger, M. S., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.015 · Cited by 39 · see citing works
Changing Behavior Using the Transtheoretical Model
DiClemente, C. C., & Graydon, M. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.010 · Cited by 31 · see citing works
Withall, J., Thompson, J. L., Fox, K. R., Davis, M., Gray, S. F., de Koning, J. L., Lloyd, L., Parkhurst, G. P., & Stathi, A. (2016) · The Gerontologist · doi:10.1093/geront/gnw148 · Cited by 31 · see citing works
Changing Behavior Using the Health Belief Model and Protection Motivation Theory
Orbell, S., Zahid, H., & Henderson, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.004 · Cited by 32 · see citing works
Organizational and Individual Outcomes of Health Promotion Strategies—A Review of Empirical Research
Basińska-Zych, A., & Springer, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18020383 · Cited by 30 · see citing works
Sports-based mental health promotion in Australia: Formative evaluation
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Changing Behavior by Changing Environments
Marteau, T. M., Fletcher, P. C., Hollands, G. J., & Munafo, M. R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.014 · Cited by 27 · see citing works
Design, Implementation, and Evaluation of Behavior Change Interventions: A Ten-Task Guide
Abraham, C., & Denford, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.019 · Cited by 26 · see citing works
Changing Behavior Using the Reflective-Impulsive Model
Deutsch, R., & Strack, F. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.012 · Cited by 28 · see citing works
Sociodemographic correlates of physical activity and sport among adults in Germany: 1997–2018
Abu‐Omar, K., Messing, S., Sarshar, M., Gelius, P. C., Ferschl, S., Finger, J. D., & Bauman, A. E. (2021) · German Journal of Exercise and Sport Research · doi:10.1007/s12662-021-00714-w · Cited by 26 · see citing works
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Dyadic Behavior Change Interventions
Scholz, U., Berli, C., Lüscher, J., & Knoll, N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.043 · Cited by 23 · see citing works
Developing Behavior Change Interventions
Hankonen, N. E., & Hardeman, W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.021 · Cited by 26 · see citing works
Rothman, A. J., Klein, W. M. P., & Sheeran, P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.020 · Cited by 25 · see citing works
Imagery, Visualization, and Mental Simulation Interventions
Hagger, M. S., & Conroy, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.033 · Cited by 22 · see citing works
Changing Behavior Using the Common-Sense Model of Self-Regulation
Cameron, L. D., Fleszar‐Pavlović, S. E., & Khachikian, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.005 · Cited by 23 · see citing works
The role of prostaglandins in feline experimental cholecystitis.
Kaminski, D. L., Deshpande, Y. G., Qualy, J. M., & Thomas, L. A. (1985) · PubMed · Cited by 22 · see citing works
Engagement of Stakeholders in the Design, Evaluation, and Implementation of Complex Interventions
Hudson, J. L., Moon, Z., Hughes, L. D., & Moss-Morris, R. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.024 · Cited by 20 · see citing works
Uri Gneezy, B., Kajackaite, A., & Meier, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.036 · Cited by 20 · see citing works
AL-Duhaidahawi, D., Hasan, S. A., & Al-Zubaidy, H. F. S. (2020) · Current Diabetes Reviews · doi:10.2174/1573399817666201207200346 · Cited by 21 · see citing works
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Empowerment for healthy nutrition in German communities: a study framework
Brandstetter, S., Curbach, J., Lindacher, V., Rueter, J., Warrelmann, B., & Loss, J. (2015) · Health Promotion International · doi:10.1093/heapro/dav092 · Cited by 17 · see citing works
Wenden, E. J., Virgara, R., Pearce, N., Budgeon, C. A., & Christian, H. E. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1077977 · Cited by 16 · see citing works
Changing Behavior Using Social Identity Processes
Reynolds, K. J., Branscombe, N. R., Subašić, E., & Willis, L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.016 · Cited by 17 · see citing works
Łobczowska, K., Banik, A., Forberger, S., Kaczmarek, K., Kubiak, T., Neumann‐Podczaska, A., Romaniuk, P., Scheidmeir, M., Scheller, D. A., Steinacker, J. M., et al. (2022) · BMC Public Health · doi:10.1186/s12889-022-13340-4 · Cited by 14 · see citing works
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Webb, T. L., & de Bruin, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.037 · Cited by 14 · see citing works
It’s time for effectiveness-implementation hybrid research on behaviour change
Łuszczyńska, A. (2019) · Health Psychology Review · doi:10.1080/17437199.2019.1707105 · Cited by 14 · see citing works
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Critical and Qualitative Approaches to Behavior Change
Chamberlain, K., & Lyons, A. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.030 · Cited by 12 · see citing works
Maximizing User Engagement with Behavior Change Interventions
Yardley, L., Morrison, L. G., Müller, I., & Bradbury, K. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.025 · Cited by 11 · see citing works
Zhang, Y., Hurtado, G. A., Peralta, A. R., Brazys, P. A., Perdue, L., de Davila, S. A., Florex, R., Popelka, J. P. M., & Reicks, M. M. (2019) · Journal of Human Sciences and Extension · doi:10.54718/kxgf8003 · Cited by 11 · see citing works
The Science of Behavior Change: The Road Ahead
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.046 · Cited by 11 · see citing works
Páscoa, R., Teixeira, A., Gregório, M., Carvalho, R., & Martins, C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18062981 · Cited by 10 · see citing works
Psychosocial determinants of alternative protein choices: a meta-review
Zaleskiewicz, H., Siwa, M., Banik, A., Szczuka, Z., Kuliś, E., Grossi, F., Chrysochou, P., Nystrand, B. T., Perrea, T., Samoggia, A., et al. (2024) · Health Psychology Review · doi:10.1080/17437199.2024.2412630 · Cited by 10 · see citing works
Autonomy-Supportive Interventions
Reeve, J., & Cheon, S. H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.035 · Cited by 9 · see citing works
Implementation Science and Translation in Behavior Change
Łuszczyńska, A., Łobczowska, K., & Horodyska, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.023 · Cited by 9 · see citing works
Dintsios, C., Chernyak, N., Grehl, B., & Icks, A. (2018) · Systematic Reviews · doi:10.1186/s13643-018-0884-5 · Cited by 8 · see citing works
de Ridder, D. T. D., Gillebaart, M., & Friese, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.040 · Cited by 9 · see citing works
Epton, T., & Armitage, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.038 · Cited by 8 · see citing works
Evaluation of Behavior Change Interventions
Matthews, L., & Simpson, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.022 · Cited by 7 · see citing works
Tyndall, I. T., Hartland, T., Banerjee, M., Giacomelli, V., Ball, I., Churchill, S., Pereira, A., & Lowry, R. (2022) · International Journal of Sexual Health · doi:10.1080/19317611.2022.2089313 · Cited by 7 · see citing works
Motivational Interviewing Interventions
Berman, A. H., Beckman, M., & Lindqvist, H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.045 · Cited by 7 · see citing works
Physical activity promotion in Manitoba: Strengths, needs, and moving forward
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Economic and Behavioral Economic Approaches to Behavior Change
Brown, P. M., Cameron, L. D., Wilkinson, M., & Taylor, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.042 · Cited by 6 · see citing works
Informing the Physical Activity Evaluation Framework: A Scoping Review of Reviews
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Changing Behavior Using Integrative Self-Control Theory
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Associations Between Physical Activity and Gross Motor Skills in Parent–Child Dyads
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Conner, M. T., Williams, D. M., & Rhodes, R. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.034 · Cited by 6 · see citing works
Addressing Underserved Populations and Disparities in Behavior Change
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Mulderij, L. S., Verkooijen, K. T., Koelen, M. A., & Wagemakers, A. (2019) · TSG - Tijdschrift voor gezondheidswetenschappen · doi:10.1007/s12508-019-00243-w · Cited by 5 · see citing works
Anxiety, Family Functioning and Neuroendocrine Biomarkers in Obese Children
Pinto, I., Wilkinson, S. R., Virella, D., Alves, M., Calhau, C., & Coelho, R. C. (2017) · Acta Médica Portuguesa · doi:10.20344/amp.7919 · Cited by 5 · see citing works
Changing Behavior in the Digital Age
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Advancing equitable park access: a policy scan of 25 U.S. cities
Hughey, S. M., Zeidler, H., Stewart, K. B., Leake, L. W., Yip, J., & Friedmann, V. (2025) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2025.105424 · Cited by 4 · see citing works
White Paper: Games for Health for Children—Current Status and Needed Research
Baranowski, T., Blumberg, F. C., Buday, R., Fiellin, L. E., Green, C. S., Kato, P. M., Lu, A. S., Maloney, E. K., Mellecker, R. R., Morrill, B. A., et al. (2015) · Cited by 4 · see citing works
Kovacs, V. A., Sarkadi‐Nagy, E., Sandu, P., Duleva, V. L., Spinelli, A., Kaposvári, C., Hassapidou, M. N., Janssen, D., Grochowska‐Niedworok, E., Messing, S., et al. (2018) · European Journal of Public Health · doi:10.1093/eurpub/cky129 · Cited by 4 · see citing works
Health Promotion Values Underlying Healthy Eating Strategies in The Netherlands
Gillies, C., Molder, H. T., & Wagemakers, A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20146406 · Cited by 4 · see citing works
- Authors
- Horodyska, K., Luszczynska, A., van den Berg, M., Hendriksen, M., Roos, G., De Bourdeaudhuij, I., & Brug, J.
- Affiliations
- Uniwersytet SWPS (PL)
- National Institute for Public Health and the Environment (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Venue
- BMC Public Health
- Published
- 2015-01-21
- Volume
- 15
- Issue
- 1
- Pages
- 19-19
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC4306239
- OpenAlex
- W2114925595
- Cited by
- 122
- References
- 124
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 11 · 2021: 8 · 2020: 53 · 2019: 10 · 2018: 11 · 2017: 9 · 2016: 5 · 2015: 8
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- European Commission
- ZonMw
- Norges Forskningsråd
- Vlaamse regering
- Narodowe Centrum Badań i Rozwoju
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- physical activity interventions, sedentary behavior, health promotion policy, intervention design, monitoring and evaluation, implementation, stakeholder perspectives, theory-based intervention
- MeSH terms
- Diet, European Union, Health Policy, Health Promotion, Humans, Motor Activity, Sedentary Behavior
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