UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure

Amirova, A; Taylor, L; Volkmer, B; Ahmed, N; Chater, AM; Fteropoulli, T; (2022) Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure. Health Psychology Review 10.1080/17437199.2022.2090411. (In press).

[thumbnail of 17437199.2022.pdf] Text
17437199.2022.pdf - Accepted Version
Access restricted to UCL open access staff until 24 June 2023.

Download (2MB)

Abstract

Embracing the Bayesian approach, we aimed to synthesise evidence regarding barriers and enablers to physical activity in heart failure (HF) in a way that can inform behaviour change intervention development. This approach helps in estimating and quantifying the uncertainty in the evidence and facilitates the synthesis of qualitative and quantitative studies. Qualitative and observational studies investigating barriers and enablers to physical activity in adults diagnosed with HF were included in this systematic review with a Bayesian meta-analysis. Qualitative evidence was annotated using the Theoretical Domains Framework and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (MAP) was calculated as a summary statistic for the probability distribution for the log OR value estimating the relationship between physical activity and each determinant, according to qualitative evidence alone, quantitative evidence, and qualitative and quantitative evidence combined. The dispersion in the probability distribution for log OR associated with each barrier or enabler was used to evaluate the level of uncertainty in the evidence. Wide, medium, and narrow dispersion (SD) corresponded to high, moderate, and low uncertainty in the evidence, respectively. Evidence from three qualitative and 16 (N = 2739) quantitative studies was synthesised. High pro-b-type natriuretic peptide, pro-BNP (MAP value for log OR = -1.16; 95% CrI: [-1.21; -1.11]) and self-reported symptoms (MAP for log OR = 0.48; 95% CrI: [0.40; 0.55]) were suggested as barriers to physical activity with narrow distribution dispersion (SD = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (MAP for log OR = -0.46; 95% CrI: [-0.68; -0.24]), and negative attitude (MAP for log OR = -0.40; 95% CrI: [-0.49; -0.31]), SD = 0.36 and 0.26, respectively. Modifiable enablers were social support (MAP for log OR = 0.56; 95% CrI: [0.48; 0.63]), self-efficacy (MAP for log OR = 0.43; 95% CrI: [0.32; 0.54]), positive physical activity attitude (MAP for log OR = 0.92; 95% CrI: [0.77; 1.06]), SD = 0.26, 0.37, and 0.36, respectively. This work extends the limited research on the modifiable barriers and enablers for physical activity by individuals living with HF.

Type: Article
Title: Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure
Location: England
DOI: 10.1080/17437199.2022.2090411
Publisher version: https://doi.org/10.1080/17437199.2022.2090411
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: Physical activity, Heart failure, Bayesian meta-analysis, Behaviour change, Barriers and enablers, Theoretical Domains Framework
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10150584
Downloads since deposit
1Download
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item