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Meta-analysis of randomised controlled trials testing behavioural interventions to promote household action on climate change.

ABSTRACT: No consensus exists regarding which are the most effective mechanisms to promote household action on climate change. We present a meta-analysis of randomised controlled trials comprising 3,092,678 observations, which estimates the effects of behavioural interventions holding other factors constant. Here we show that behavioural interventions promote climate change mitigation to a very small degree while the intervention lasts (d?=?-0.093 95% CI -0.160, -0.055), with no evidence of sustained positive effects once the intervention ends. With the exception of recycling, most household mitigation behaviours show a low behavioural plasticity. The intervention with the highest average effect size is choice architecture (nudges) but this strategy has been tested in a limited number of behaviours. Our results do not imply behavioural interventions are less effective than alternative strategies such as financial incentives or regulations, nor exclude the possibility that behavioural interventions could have stronger effects when used in combination with alternative strategies.

SUBMITTER: Nisa CF

PROVIDER: S-EPMC6778105 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Meta-analysis of randomised controlled trials testing behavioural interventions to promote household action on climate change.

Nisa Claudia F CF Bélanger Jocelyn J JJ Schumpe Birga M BM Faller Daiane G DG

Nature communications 20191004 1

No consensus exists regarding which are the most effective mechanisms to promote household action on climate change. We present a meta-analysis of randomised controlled trials comprising 3,092,678 observations, which estimates the effects of behavioural interventions holding other factors constant. Here we show that behavioural interventions promote climate change mitigation to a very small degree while the intervention lasts (d = -0.093 95% CI -0.160, -0.055), with no evidence of sustained posi ...[more]

PMID: 31586060

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Project description:BackgroundLong-standing randomised controlled trial (RCT) evidence indicates that asthma action plans can improve patient outcomes. Internationally, however, these plans are seldom issued by professionals or used by patients/carers. To understand how the benefits of such plans might be realised clinically, we previously investigated barriers and facilitators to their implementation in a systematic review of relevant RCTs and synthesised qualitative studies exploring professional and patient/carer views. Our final step was to integrate these two separate studies.MethodsFirst, a theoretical model of action plan implementation was proposed, derived from our synthesis of 19 qualitative studies, identifying elements which, if incorporated into future interventions, could promote their use. Second, 14 RCTs included in the quantitative synthesis were re-analysed to assess the extent to which these elements were present within their interventions (that is, 'strong', 'weak' or 'no' presence) and with what effect. Matrices charted each element's presence and strength, facilitating analysis of element presence and action plan implementation.ResultsFour elements (professional education, patient/carer education, (patient/carer and professional) partnership working and communication) were identified in our model as likely to promote asthma plan use. Thirteen interventions reporting increased action plan implementation contained all four elements, with two or more strongly present. One intervention reporting no effect on action plan implementation contained only weakly present elements. Intervention effectiveness was reported using a narrow range of criteria which did not fully reflect the four elements. For example, no study assessed whether jointly developed action plans increased use. Whilst important from the professional and patient/carer perspectives, the integral role of these elements in intervention delivery and their effect on study outcomes was under-acknowledged in these RCTs.ConclusionsOur novel approach provides an evidence-base for future action plan interventions. Such interventions need to ensure all elements in our implementation model (patient/carer and professional education to support development of effective partnership working and communication) are strongly present within them and a wider range of criteria better reflecting the realities of clinical practice and living with asthma are used to measure their effectiveness. We now intend to test such a complex intervention using a cluster trial design.

Project description:Despite the scientific consensus, some people still remain skeptical about climate change. In fact, there is a growing partisan divide over the last decade within the United States in the support for climate policies. Given the same climate evidence, why do some people become concerned while others remain unconvinced? Here we propose a motivated attention framework where socio-political motivations shape visual attention to climate evidence, altering perceptions of the evidence and subsequent actions to mitigate climate change. To seek support for this framework, we conducted three experiments. Participants viewed a graph of annual global temperature change while they were eyetracked and estimated the average change. We found that political orientation may bias attention to climate change evidence, altering the perception of the same evidence (Experiment 1). We further examined how attentional biases influence subsequent actions to mitigate climate change. We found that liberals were more likely to sign a climate petition or more willing to donate to an environmental organization than conservatives, and attention guides climate actions in different ways for liberals and conservatives (Experiment 2). To seek causal evidence, we biased attention to different parts of the temperature curve by coloring stronger climate evidence in red or weak climate evidence in red. We found that liberals were more likely to sign the petition or more willing to donate when stronger evidence was in red, but conservatives were less likely to act when stronger evidence was in red (Experiment 3). This suggests that drawing attention to motivationally consistent information increases actions in liberals, but discouraged conservatives. The findings provide initial preliminary evidence for the motivated attention framework, suggesting an attentional divide between liberals and conservatives in the perception of climate evidence. This divide might further reinforce prior beliefs about climate change, creating further polarization. The current study raises a possible attentional mechanism for ideologically motivated reasoning and its impact on basic perceptual processes. It also provides implications for the communication of climate science to different socio-political groups with the goal of mobilizing actions on climate change.

Project description:BackgroundSedentary behaviour (SB) research has grown exponentially but efficacy for interventions to reduce sedentary behaviour is often contaminated by interventions primarily or co-targeting other behaviours and outcomes. The primary aim of this research therefore, was to systematically review the efficacy of interventions specifically targeting sedentary behaviour reduction, as a sole primary outcome, from randomised control trials in healthy ambulatory adults. This research also sought to identify the successful interventions characteristics, behaviour change techniques (BCT's) and underlying theories, and their relation to intervention effectiveness.MethodsWe followed PRISMA reporting guidelines for this systematic review. Six electronic databases were searched and a grey literature review conducted. Only randomised or cluster randomised controlled trials, from 2000 to 2020, in adult populations with a sole primary outcome of change in sedentary behaviour were included. Data codebooks were developed, data were extracted, and a narrative synthesis and meta-analysis was conducted using mixed methods random effects models.ResultsOf 5589 studies identified, 7 studies met the inclusion criteria. Six studies reported activPAL3 measures of mean daily sitting time, and four reported mean daily standing time, stepping time and number of sedentary breaks. Pooled analysis of weighted mean differences revealed a reduction in mean daily sitting time of -32.4mins CI (-50.3, -14.4), an increase in mean daily standing time of 31.75mins CI (13.7, 49.8), and mean daily stepping time of 9.5mins CI (2.8, 16.3), and an increase in rate of sedentary breaks per day of 3.6 (CI 1.6, 5.6). BCTs used exclusively in two of the three most effective interventions are 'feedback on behaviour' and 'goal setting behaviour' whilst all three most effective interventions included 'instruction on how to perform the behaviour' and 'adding objects to the environment', BCTs which were also used in less effective interventions.ConclusionsAlthough limited by small sample sizes and short follow up periods, this review suggests that interventions specifically designed to change sedentary behaviour, reduce overall daily sitting time by half an hour, with an equivalent increase in standing time, in the short to medium term. Effective characteristics and behaviour change strategies are identified for future development of high quality interventions targeting change in sedentary behaviour.Prospero registrationPROSPERO 2020 CRD42020172457 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020172457.

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Meta-analysis of randomised controlled trials testing behavioural interventions to promote household action on climate change.

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Meta-analysis of randomised controlled trials testing behavioural interventions to promote household action on climate change.

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