Evidence map›Paper›PMID 31957557›Full record

ArticleHealth psychology review2020

Social determinants as moderators of the effectiveness of health behavior change interventions: scientific gaps and opportunities.

Carmela Alcántara, Sarah Valentina Diaz, Luciana Giorgio Cosenzo, Eric B Loucks, Frank J Penedo, Natasha J Williams

Abstract read
In one paragraph

Article in Health psychology review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  13. Intersectional structural oppression as a fundamental cause: Reflections on implementing a medical-legal partnership project.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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  15. Bioethical and critical consciousness in clinical translational neuroscience.Journal of clinical and translational science · 2025
    Review
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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

6 authors.

Carmela AlcántaraSchool of Social Work, Columbia University, New York, NY, USA.ORCID 0000-0002-6460-3842
Sarah Valentina DiazSchool of Social Work, Columbia University, New York, NY, USA.
Luciana Giorgio CosenzoSchool of Social Work, Columbia University, New York, NY, USA.
Eric B LoucksDepartment of Epidemiology, Brown University, Providence, RI, USA.
Frank J PenedoDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Natasha J WilliamsDepartment of Population Health, New York University, New York, NY, USA.

Funding

Mindfulness Influences on Self-Regulation: Mental and Physical Health ImplicationsUH3AT009145 · NCCIH · BROWN UNIVERSITY · PI BRITTON, WILLOUGHBY, KING, JEAN A · 2018 to 2019
$2.4M
Adherence to PAP Treatment: Influences of Co-Morbid Insomnia and of Race/EthnicityK23HL125939 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WILLIAMS, NATASHA J · 2015 to 2019
$1.2M
Identifying Novel Behavioral Targets for Improving Sleep: A Self-Regulation ModelK23HL125748 · NHLBI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI ALCANTARA, CARMELA · 2015 to 2019
$924k
AHRQ HHS R01 HS024274NCCIH NIH HHS UH3 AT009145NHLBI NIH HHS K23 HL125748NHLBI NIH HHS K23 HL125939
6 · The paper itself

Abstract

Social determinants of health (SDOH) refer to the broad range of social, economic, political, and psychosocial factors that directly or indirectly shape health outcomes and contribute to health disparities. There is a growing and concerted effort to address SDOH worldwide. However, the application of SDOH to health behavior change intervention research is unknown. We reviewed the synthesis literature on health behavior change interventions targeting self-regulation to (a) describe the sociodemographic characteristics, (b) determine which types of social determinants were tested as moderators of health behavior change interventions, (c) evaluate the methodological quality of the meta-analytic evidence, and (d) discuss scientific gaps and opportunities. Thirty (45.4%) of 66 articles examined heterogeneity of treatment effects by SDOH. There was a lack of racial/ethnic, immigrant, sexual/gender minority, and lifecourse sample diversity. Overall, 73.5% of SDOH moderator analyses tested heterogeneity of treatment effects by gender, race/ethnicity, and intervention setting; none examined neighborhood factors. Methodological quality was negatively correlated with number of SDOH analyses. Most SDOH moderator analyses were atheoretical and indicated statistically non-significant differences. We provide an integrated SDOH and science of behavior change framework and discuss scientific opportunities for intervention research on health behavior change to improve health equity.

Indexed as

Behavior TherapyHealth BehaviorHealthcare DisparitiesSelf-ControlSocial Determinants of HealthFemaleHealth Risk BehaviorsHumansMaleMeta-Analysis as TopicMiddle AgedSystematic Reviews as Topicbehavioral interventionsHealth disparitieshealth risk behaviorsheterogeneity of treatment effectspsychosocialsocial determinants

Identifiers

PMID31957557
PMCPMC11600431

What OpenQuestion holds

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Registered trials

None linked

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.