Evidence map›Paper›PMID 41736138›Full record

SynthesisSystematic reviews2026

The effect of identity-related interventions on physical activity- and smoking-related identities and behavior: a mixed-methods systematic review.

Milon H M van Vliet, Kristell M Penfornis, Winifred A Gebhardt, Emma F von Haeseler, Niels H Chavannes, Anke Versluis, Eline Meijer

Abstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

7 authors.

Milon H M van VlietDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands. M.H.M.van_Vliet@lumc.nl.ORCID 0000-0001-9036-6206
Kristell M PenfornisUnit Health-, Medical and Neuropsychology, Institute of Psychology, Leiden University, Leiden, The Netherlands.
Winifred A GebhardtUnit Health-, Medical and Neuropsychology, Institute of Psychology, Leiden University, Leiden, The Netherlands.
Emma F von HaeselerDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands.
Niels H ChavannesDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands.
Anke VersluisDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands.
Eline MeijerDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands.

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek 628.011.211 (program Commit2Data - Big DataNederlandse Organisatie voor Wetenschappelijk Onderzoek Health)
6 · The paper itself

Abstract

backgroundIdentity, representations individuals hold about themselves, drives health behavior change, influencing both health-promoting and health-compromising behaviors. This mixed-methods systematic review synthesizes interventions directly targeting physical activity (PA)- and/or smoking-related identities to promote PA and smoking cessation in individuals aged 12 years and over. It also examines the effects of these interventions on identity and behavior, as well as mediators or moderators of effectiveness.

methodsA comprehensive search across nine databases identified 5801 records, with 19 reports (20 studies) being included. Two independent reviewers extracted data and assessed study quality using the Mixed Methods Appraisal Tool.

resultsFour types of identity-related interventions were identified: possible-self interventions, multi-component interventions incorporating identity components, possible-self avatar games, and identity-challenge interventions. Intervention effectiveness was mixed: nearly half of the studies reported significant positive effects on PA- and smoking-related identities and behaviors, while others found no significant differences. No significant negative effects were reported. Although results seem similar for both behaviors, more studies focused on PA, complicating direct comparisons. One study suggested that integrating PA promotion and smoking cessation into a single intervention could be beneficial, but further research is needed. Identified mediators and moderators include self-efficacy, planning, and consideration of future consequences.

conclusionsOverall, identity-related interventions show promise for PA promotion and smoking cessation, but optimal design and operationalization remain uncertain. Tailoring these interventions to individual characteristics may enhance effectiveness and contribute to public health. SYSTEMATIC REVIEW REGISTRATION: Open Science Framework https://osf.io/avtx4/.

Indexed as

ExerciseHealth BehaviorHealth PromotionSmokingSmoking CessationHumansIdentityIdentity-related interventionsMixed methodsPhysical activitySmokingSystematic review

Identifiers

PMID41736138
PMCPMC13037006

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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.