ArticlePloS one2019
What do cost-effective health behaviour-change interventions contain? A comparison of six domains.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effective dietary interventions during pregnancy: a systematic review and meta-analysis of behavior change techniques to promote healthy eating.BMC pregnancy and childbirth · 2025Pooled it
- Meta-analysis of the efficacy of digital therapies in children with attention-deficit hyperactivity disorder.Frontiers in psychiatry · 2023Pooled it
- Stepped wedge randomised controlled trials: systematic review of studies published between 2010 and 2014.Trials · 2015Pooled it
- Exploring Factors Associated with Dietary Improvement Among Participants Who Completed a Randomized Controlled Trial for Physical Activity: Evidence of a Transfer Effect.International journal of behavioral medicine · 2024Trial
- Development and Usability Evaluation of a Serious Game for Dietary Health Education in Gestational Diabetes Mellitus: A Mixed-Methods Study Based on the SGDA Framework.Journal of multidisciplinary healthcare · 2026Article
- A cost-effectiveness analysis alongside trial of a digital health-supported and community pharmacy-based prediabetes management programme (PRIME Programme) in Malaysia.Diabetes, obesity & metabolism · 2025Article
- Integrating health geography and behavioral economic principles to strengthen context-specific behavior change interventions.Translational behavioral medicine · 2024Article
- "At the time I only wanted to relieve stress": Exploring motivation for behaviour change in long-term hypnotic users.Heliyon · 2023Article
- Understanding health behavior change by motivation and reward mechanisms: a review of the literature.Frontiers in behavioral neuroscience · 2023Review
- Designing physical activity interventions for women aged 50+: a qualitative study of participant perspectives.BMC public health · 2022Article
- Making every contact count with seldom-heard groups? A qualitative evaluation of voluntary and community sector (VCS) implementation of a public health behaviour change programme in England.Health & social care in the community · 2022Article
- Behavioral Intervention Components Associated With Cost-effectiveness: A Comparison of Six Domains.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Article
- Iowa Implementation for Sustainability Framework.Implementation science : IS · 2022Article
- Staying 'Covid-safe': Proposals for embedding behaviours that protect against Covid-19 transmission in the UK.British journal of health psychology · 2021Review
- Choice Architecture Cueing to Healthier Dietary Choices and Physical Activity at the Workplace: Implementation and Feasibility Evaluation.Nutrients · 2021Article
- Mapping Canadian Men's Recent and Intended Health Behavior Changes Through the Don't Change Much Electronic Health Program.Journal of medical Internet research · 2020Article
Corrections and comments
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Authors and funding
7 authors.
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Abstract
objectivesTo 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.
methodsA 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.
resultsThe 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 βupper = 36551.24; shaping knowledgeBCT βlower = 2427.78; comparison of outcomesBCT βupper = 9067.32; repetition and substitutionBCT βupper = 7172.47) and better (modellingfunction βlower = -2905.3; environmental restructuringfunction βupper = -8646.28; reward and threatBCT βupper = -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.
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