Evidence map›Paper›PMID 27226430›Full record

ArticleHealth education & behavior : the official publication of the Society for Public Health Education2017

Use of Theory in Behavior Change Interventions.

Shirley M Bluethmann, L Kay Bartholomew, Caitlin C Murphy, Sally W Vernon

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health education & behavior : the official publication of the Society for Public Health Education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06624930 (A Randomized Controlled Trial Adding Behavioural Counselling to Supervised Physical Activity in Cancer Survivors), which is not on this map. Cited by 74 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06624930 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Randomized Controlled Trial Adding Behavioural Counselling to Supervised Physical Activity in Cancer Survivors

TypeinterventionalSponsorUniversity of TorontoRan2024 to 2029Enrolled236ConditionsCancer, ExerciseArmsBehavioural Counselling, Exercise Counselling
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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  4. Identifying behavior change techniques (BCTs) in responsive feeding interventions to prevent childhood obesity-A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  9. The efficacy of web or mobile-based interventions to alleviate emotional symptoms in people with advanced cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  17. Living together-does it help or hinder the pursuit of a healthful diet, physical activity, and weight loss among cancer survivors and their chosen partners?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Shirley M Bluethmann1 The University of Texas School of Public Health, Houston, TX, USA.
L Kay Bartholomew1 The University of Texas School of Public Health, Houston, TX, USA.
Caitlin C Murphy2 The University of North Carolina Gillings School of Public Health, Chapel Hill, NC, USA.
Sally W Vernon1 The University of Texas School of Public Health, Houston, TX, USA.

Funding

BEHAVIORAL SCIENCE EDUCATION--CANCER PREVENTION/CONTROLR25CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MULLEN, PATRICIA DOLAN · 1992 to 2017
$8.6M
NCI NIH HHS R25 CA057712
6 · The paper itself

Abstract

objectiveTheory use may enhance effectiveness of behavioral interventions, yet critics question whether theory-based interventions have been sufficiently scrutinized. This study applied a framework to evaluate theory use in physical activity interventions for breast cancer survivors. The aims were to (1) evaluate theory application intensity and (2) assess the association between extensiveness of theory use and intervention effectiveness.

methodsStudies were previously identified through a systematic search, including only randomized controlled trials published from 2005 to 2013, that addressed physical activity behavior change and studied survivors who were <5 years posttreatment. Eight theory items from Michie and Prestwich's coding framework were selected to calculate theory intensity scores. Studies were classified into three subgroups based on extensiveness of theory use (Level 1 = sparse; Level 2 = moderate; and Level 3 = extensive).

resultsFourteen randomized controlled trials met search criteria. Most trials used the transtheoretical model ( n = 5) or social cognitive theory ( n = 3). For extensiveness of theory use, 5 studies were classified as Level 1, 4 as Level 2, and 5 as Level 3. Studies in the extensive group (Level 3) had the largest overall effect size ( g = 0.76). Effects were more modest in Level 1 and 2 groups with overall effect sizes of g = 0.28 and g = 0.36, respectively.

conclusionsTheory use is often viewed as essential to behavior change, but theory application varies widely. In this study, there was some evidence to suggest that extensiveness of theory use enhanced intervention effectiveness. However, there is more to learn about how theory can improve interventions for breast cancer survivors.

Indexed as

Social TheoryBehavior TherapyBreast NeoplasmsExerciseFemaleHealth BehaviorHumansRandomized Controlled Trials as TopicSurvivorsbehavioral theoriesbreast cancercancer prevention and screeningchronic disease managementhealth behaviorphysical activity/exerciseresearch design

Identifiers

PMID27226430
PMCPMC5503486

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.