Evidence map›Paper›PMID 35998764›Full record

SynthesisPreventive medicine2022

Can positive psychological interventions improve health behaviors? A systematic review of the literature.

Emily H Feig, Elizabeth N Madva, Rachel A Millstein, Juliana Zambrano, Hermioni L Amonoo, Regina M Longley, Florence Okoro, Jeff C Huffman, Christopher M Celano, Bettina Hoeppner

Abstract readSystematic Review
In one paragraph

Synthesis in Preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Positive Psychotherapy for Smoking Cessation Enhanced with Text Messaging: A Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Are the ways women cope with stressors related to their health behaviors over time?Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  13. Exploring novel determinants of exercise behavior: a lagged exposure-wide approach.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  14. Article
  15. Patient Perspectives on Lifestyle Medicine Virtual Group Visits.American journal of lifestyle medicine · 2024
    Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
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

10 authors.

Emily H FeigDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA. Electronic address: efeig@mgh.harvard.edu.
Elizabeth N MadvaDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA.
Rachel A MillsteinDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA.
Juliana ZambranoDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA.
Hermioni L AmonooHarvard Medical School, 25 Shattuck St., Boston, MA 02115, USA; Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02115, USA; Department of Psychiatry, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115, USA.
Regina M LongleyDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Florence OkoroDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Jeff C HuffmanDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA.
Christopher M CelanoDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA.
Bettina HoeppnerDepartment of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA.

Funding

A novel behavioral intervention to promote adherence in heart failureR01HL155301 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI CELANO, CHRISTOPHER M · 2021 to 2025
$3.8M
A Positive Psychology Intervention for Allogeneic Stem Cell Transplant Patients.K08CA251654 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI AMONOO, HERMIONI L. · 2020 to 2024
$1.3M
Testing the feasibility and preliminary efficacy of a psychological and behavioral intervention to promote physical activity after weight loss surgeryK23HL148017 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI FEIG, EMILY · 2020 to 2025
$1000k
Testing the feasibility and preliminary efficacy of a multilevel intervention to promote physical activity among patients with metabolic syndromeK23HL135277 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MILLSTEIN, RACHEL A. · 2017 to 2021
$834k
An adaptive personalized text message intervention for cardiac preventionR21NR018738 · NINR · MASSACHUSETTS GENERAL HOSPITAL · PI HUFFMAN, JEFF C · 2020 to 2021
$462k
NCI NIH HHS K08 CA251654NHLBI NIH HHS K23 HL135277NHLBI NIH HHS K23 HL148017NHLBI NIH HHS R01 HL155301NINR NIH HHS R21 NR018738
6 · The paper itself

Abstract

Positive psychological interventions (PPIs), which aim to cultivate psychological well-being, have the potential to improve health behavior adherence. This systematic review summarized the existing literature on PPI studies with a health behavior outcome to examine study methodology, quality, and efficacy. Of the 27 identified studies, 20 measured physical activity, eight measured medication adherence, seven measured diet, and three measured smoking (eight targeted multiple behaviors). Twenty studies were randomized controlled trials (RCTs; 13 fully powered), and seven had a single-arm design. Study samples were usually adults (n = 21), majority non-Hispanic white (n = 15) and female (n = 14), and with a specific disease (e.g., diabetes, n = 16). Most interventions combined a PPI with health behavior-focused content (n = 17), used a remote delivery method (n = 17), and received a moderate or low study quality rating. Overall, 19/27 studies found a health behavior improvement of at least medium effect size, while six of the 13 studies powered to detect significant effects were statistically significant. Of the behaviors measured, physical activity was most likely to improve (14/20 studies). In summary, PPIs are being increasingly studied as a strategy to enhance health behavior adherence. The existing literature is limited by small sample size, low study quality and inconsistent intervention content and outcome measurement. Future research should establish the most effective components of PPIs that can be tailored to different populations, use objective health behavior measurement, and robustly examine the effects of PPIs on health behaviors in fully powered RCTs.

Indexed as

Health BehaviorPsychosocial InterventionAdultDietExerciseFemaleHumansMedication AdherenceDietHealth behaviorsInterventionMedication adherencePhysical activityPositive psychologySmokingSystematic review

Identifiers

PMID35998764
PMCPMC10141541

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.