Dataset Information

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

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 ([Formula: see text] = 12) number of BCTs and were most cost-effective. Several other factors were associated with worse (coercionfunction ?upper = 36551.24; shaping knowledgeBCT ?lower = 2427.78; comparison of outcomesBCT ?upper = 9067.32; repetition and substitutionBCT ?upper = 7172.47) and better (modellingfunction ?lower = -2905.3; environmental restructuringfunction ?upper = -8646.28; reward and threatBCT ?upper = -5577.59) cost-effectiveness (p<0.05).

Discussion

Cost-effective BCIs rely heavily on education with smoking interventions exhibiting the most comprehensive range of BCTs. Providing an example to aspire to, restructuring the environment and rewarding positive behaviour may be associated with greater cost-effectiveness.

SUBMITTER: Beard E

PROVIDER: S-EPMC6469762 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

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

Beard Emma E West Robert R Lorencatto Fabiana F Gardner Ben B Michie Susan S Owens Lesley L Shahab Lion L

PloS one 20190417 4

<h4>Objectives</h4>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.<h4>Methods</h4>A content analysis of 79 interventions based on 338 intervention descriptions was conducted, using th ...[more]

PMID: 30995224

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Project description:INTRODUCTION:Antibiotic resistance endangers effective prevention and treatment of infections, and places significant burden on patients, families, communities and healthcare systems. Low-income and middle-income countries (LMICs) are especially vulnerable to antibiotic resistance, owing to high infectious disease burden, and limited resources for treatment. High prevalence of antibiotic prescription and use due to lack of provider's knowledge, prescriber's habits and perceived patient needs further exacerbate the situation. Interventions implemented to address the inappropriate prescription and use of antibiotics in LMICs must address different determinants of antibiotic resistance through sustainable and scalable interventions. The aim of this protocol is to provide a comprehensive overview of the methods that will be used to identify and appraise evidence on the effectiveness and cost-effectiveness of behaviour change interventions implemented in LMICs to improve the prescription and use of antibiotics. METHODS AND ANALYSIS:Two databases (Web of Science and PubMed) will be searched based on a strategy developed in consultation with an essential medicines and health systems researcher. Additional studies will be identified using the same search strategy in Google Scholar. To be included, a study must describe a behaviour change intervention and use an experimental design to estimate effectiveness and/or cost-effectiveness in an LMIC. Following systematic screening of titles, abstracts and keywords, and full-text appraisal, data will be extracted using a customised extraction form. Studies will be categorised by type of behaviour change intervention and experimental design. A meta-analysis or narrative synthesis will be conducted as appropriate, along with an appraisal of quality of studies using the Grading of Recommendation, Assessment, Development and Evaluation (GRADE) checklist. ETHICS AND DISSEMINATION:No individual patient data are used, so ethical approval is not required. The systematic review will be disseminated in a peer-reviewed journal and presented at a relevant international conference. PROSPERO REGISTRATION NUMBER:CRD42017075596.

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Dataset Information

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

Objectives

Methods

Results

Discussion

Publications

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

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