A systematic review of the effectiveness of interventions based on a stages-of-change approach to promote individual behaviour change
Riemsma R P, Pattenden J, Bridle C, Sowden A J, Mather L, Watt I S, Walker A
Record ID 32002000892
English
Authors' objectives:
To systematically assess the effectiveness of interventions using a stage-based approach in bringing about positive changes in health-related behaviour.
Authors' recommendations:
Overall there appears to be little evidence to suggest that stage-based interventions are more effective compared to non-stage-based interventions. Similarly there is little evidence that stage-based interventions are more effective when compared to no intervention or usual-care.
The methodological quality of studies was mixed, and few studies mentioned validation of the stages-of-change instrument. In addition, there was little consistency in the types of interventions employed once participants were classified into stages and little knowledge about the types of interventions needed once people were classified. It was unclear in a number of trials whether the intervention was properly stage-based.
Given the limited evidence for the effectiveness of interventions tailored to the stages-of-change approach practitioners and policy makers need to recognise that this approach has a status which appears to be unwarranted whenit is evaluated in a systematic way.
Authors' methods:
Systematic review
Details
Project Status:
Completed
URL for project:
http://www.hta.ac.uk/1151
Year Published:
2002
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Behavior Therapy
- Health Behavior
- Health Promotion
Contact
Organisation Name:
NIHR Health Technology Assessment programme
Contact Address:
NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name:
journals.library@nihr.ac.uk
Contact Email:
journals.library@nihr.ac.uk
Copyright:
2009 Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.