Evidence map›Paper›PMID 40873125›Full record

SynthesisBritish journal of health psychology2025

Identifying the active components through the behaviour change techniques taxonomy in complex interventions for people living with multiple long-term health conditions: A systematic review.

Tasmin A Rookes, Danielle Nimmons, Rachael Frost, Megan Armstrong, Wing Nga Tsang, Laura Davies, Jamie Ross, Jane Hopkins, Manoj Mistry, Stephanie J C Taylor and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of health psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

11 authors.

Tasmin A RookesDepartment of Primary Care and Population Health, UCL, London, UK.ORCID 0000-0001-6330-7059
Danielle NimmonsDepartment of Primary Care and Population Health, UCL, London, UK.
Rachael FrostPublic and Allied Health, Liverpool John Moores University, Liverpool, UK.
Megan ArmstrongDepartment of Primary Care and Population Health, UCL, London, UK.
Wing Nga TsangDepartment of Primary Care and Population Health, UCL, London, UK.ORCID 0000-0003-4836-0710
Laura DaviesDepartment of Primary Care and Population Health, UCL, London, UK.
Jamie RossWolfson Institute of Population Health, QMUL, London, UK.
Jane HopkinsPublic Contributor.
Manoj MistryPublic Contributor.
Stephanie J C TaylorWolfson Institute of Population Health, QMUL, London, UK.
Kate WaltersDepartment of Primary Care and Population Health, UCL, London, UK.

Funding

NIHR School for Primary Care Research
6 · The paper itself

Abstract

backgroundMore older adults are living with multiple long-term conditions (M-LTCs). Understanding the 'active components' of complex interventions to manage these is challenging. The Behaviour Change Techniques Taxonomy (BCTTv1) helps identify the 'active components' to understand which are associated with improved outcomes. This is important for people with M-LTCs due to health complications, competing health care regimes and conflicting clinical teams, requiring complex decision-making.

objectivesThis systematic review explores which BCTs are associated with effective complex interventions in people with M-LTCs.

methodsFive databases were systematically searched to identify RCTs evaluating behaviour change intervention effectiveness in people with M-LTCs, published between 1999 and 2025. Data on intervention characteristics, effectiveness and BCTs were synthesized. A BCT index of potential was calculated by determining the percentage of studies that used a BCT that had a positive primary outcome. To be considered to have potential, a BCT had to have an index of potential higher than 50%.

resultsFifty-nine eligible articles were included. 44/93 possible BCTs were identified, ranging from 1 to 16 different techniques per intervention (mean = 7). Thirty-two BCTs were present in three or more studies, of which 17 had the potential to improve outcomes, such as behavioural goal setting, monitoring outcomes, problem solving and providing information about health and emotional consequences. Interventions designed for people with both physical and mental LTCs were more likely to contain BCTs with higher potential.

conclusionsInterventions delivered to those living with M-LTCs should incorporate relevant BCTs with a high index of potential and use mechanisms of action to identify other BCTs to include alongside these.

Indexed as

Behavior TherapyChronic DiseaseHumansbehaviour change techniquescomplex interventionsrandomized controlled trialssystematic review

Identifiers

PMID40873125
PMCPMC12391746

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.