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Behaviour Change Update: Stage 1. BCT analysis of existing, cost-effective interventions

Shahab, L; Beard, E; Gardner, B; (2012) Behaviour Change Update: Stage 1. BCT analysis of existing, cost-effective interventions. (NICE Guideline PH49 ). National Institute for Health and Care Excellence (NICE): London, UK. Green open access

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Abstract

Seventy-nine cost-effective interventions across six different health behaviours (smoking cessation, diet, physical activity, alcohol, sexual health, multiple behaviour targets) were identified from 23 economic reports. Interventions were mainly of high intensity, set in primary care or the community, delivered by health professionals and aimed at individuals from the general population, involving pharmacological or other forms of support. Education, enablement, training and persuasion were the focus of the majority of interventions, clustering around BCTs concerning: shaping knowledge; goals and planning; social support; antecedents and natural consequences of behaviour; outcome comparison; and feedback and monitoring. Interventions included an average of ten BCTs with ‘instructions on how to perform a behaviour’, ‘unspecified social support’, ‘information about health consequences’ and ‘problem solving’ included in 81%, 67%, 57% and 53% of interventions, respectively. While the use of ‘choice architecture’ was common, being present in 71% of cost-effective interventions, prevalence was lower (29%) when stricter criteria to define ‘choice architecture’ were applied. Sexual health interventions were least cost-effective but no other characteristics or BCTs were related to cost-effectiveness estimates. However, these findings need to be interpreted cautiously given 1.) the limitations imposed by considering only cost-effective interventions in this report, 2.) the reliance on often incomplete information in published papers (possibly not accurately reflecting intervention content) and 3.) the lack of consensus for a definition of ‘choice architecture’.

Type: Report
Title: Behaviour Change Update: Stage 1. BCT analysis of existing, cost-effective interventions
ISBN-13: 9781473103740
Open access status: An open access version is available from UCL Discovery
Publisher version: http://www.nice.org.uk/guidance/ph49/evidence/beha...
Language: English
Additional information: © National Institute for Health and Care Excellence 2014. All rights reserved. NICE copyright material can be downloaded for private research and study, and may be reproduced for educational and not-for-profit purposes. No reproduction by or for commercial organisations, or for commercial purposes, is allowed without the written permission of NICE.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/1450786
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