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Behavior Change Techniques and Their Mechanisms of Action: A Synthesis of Links Described in Published Intervention Literature.


ABSTRACT:

Background

Despite advances in behavioral science, there is no widely shared understanding of the "mechanisms of action" (MoAs) through which individual behavior change techniques (BCTs) have their effects. Cumulative progress in the development, evaluation, and synthesis of behavioral interventions could be improved by identifying the MoAs through which BCTs are believed to bring about change.

Purpose

This study aimed to identify the links between BCTs and MoAs described by authors of a corpus of published literature.

Methods

Hypothesized links between BCTs and MoAs were extracted by two coders from 277 behavior change intervention articles. Binomial tests were conducted to provide an indication of the relative frequency of each link.

Results

Of 77 BCTs coded, 70 were linked to at least one MoA. Of 26 MoAs, all but one were linked to at least one BCT. We identified 2,636 BCT-MoA links in total (mean number of links per article = 9.56, SD = 13.80). The most frequently linked MoAs were "Beliefs about Capabilities" and "Intention." Binomial test results identified up to five MoAs linked to each of the BCTs (M = 1.71, range: 1-5) and up to eight BCTs for each of the MoAs (M = 3.63, range: 1-8).

Conclusions

The BCT-MoA links described by intervention authors and identified in this extensive review present intervention developers and reviewers with a first level of systematically collated evidence. These findings provide a resource for the development of theory-based interventions, and for theoretical understanding of intervention evaluations. The extent to which these links are empirically supported requires systematic investigation.

SUBMITTER: Carey RN 

PROVIDER: S-EPMC6636886 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Behavior Change Techniques and Their Mechanisms of Action: A Synthesis of Links Described in Published Intervention Literature.

Carey Rachel N RN   Connell Lauren E LE   Johnston Marie M   Rothman Alexander J AJ   de Bruin Marijn M   Kelly Michael P MP   Michie Susan S  

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 20190701 8


<h4>Background</h4>Despite advances in behavioral science, there is no widely shared understanding of the "mechanisms of action" (MoAs) through which individual behavior change techniques (BCTs) have their effects. Cumulative progress in the development, evaluation, and synthesis of behavioral interventions could be improved by identifying the MoAs through which BCTs are believed to bring about change.<h4>Purpose</h4>This study aimed to identify the links between BCTs and MoAs described by autho  ...[more]

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