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What do cost-effective health behaviour-change interventions contain? A comparison of six domains

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  • Emma Beard
  • Robert West
  • Fabiana Lorencatto
  • Ben Gardner
  • Susan Michie
  • Lesley Owens
  • Lion Shahab

Abstract

Objectives: To help implement behaviour change interventions (BCIs) in practice it is important to be able to characterize their key components. This study compared broad features of cost-effective BCIs that addressed smoking, diet, physical activity, alcohol and sexual health. It also assessed the association of these with the magnitude of the cost-effectiveness estimates. Methods: A content analysis of 79 interventions based on 338 intervention descriptions was conducted, using the Behaviour Change Wheel (BCW) to classify intervention content in terms of intervention functions, and the BCT taxonomy to identify and categorise component Behaviour Change Techniques (BCT). Regression analysis identified the association of these with upper (pessimistic) and lower (optimistic) cost-effectiveness estimates. Results: The most and least common functions and BCT clusters were education (82.3%) and shaping knowledge (79.7%), and coercion (3.8%) and covert learning (2.5%). Smoking interventions contained the largest (M- = 12) number of BCTs and were most cost-effective. Several other factors were associated with worse (coercionfunction βupper = 36551.24; shaping knowledgeBCT βlower = 2427.78; comparison of outcomesBCT βupper = 9067.32; repetition and substitutionBCT βupper = 7172.47) and better (modellingfunction βlower = -2905.3; environmental restructuringfunction βupper = -8646.28; reward and threatBCT βupper = -5577.59) cost-effectiveness (p

Suggested Citation

  • Emma Beard & Robert West & Fabiana Lorencatto & Ben Gardner & Susan Michie & Lesley Owens & Lion Shahab, 2019. "What do cost-effective health behaviour-change interventions contain? A comparison of six domains," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-24, April.
    • Handle: RePEc:plo:pone00:0213983
    DOI: 10.1371/journal.pone.0213983
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    References listed on IDEAS

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