Evidence map›Paper›PMID 42429031›Full record

ArticleBritish journal of health psychology2026

Implementation intentions as an acceptable health behaviour change strategy? Insights from people with lower socio-economic position in think-aloud interviews.

Loes van den Bekerom, Laurens C van Gestel, Satu Koivusaari, Jet Bussemaker, Marieke A Adriaanse

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Article in British journal of health psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Loes van den BekeromHealth Campus the Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague/Leiden, the Netherlands.ORCID https://orcid.org/0000-0002-5375-7352
Laurens C van GestelHealth, Medical and Neuropsychology Unit, Leiden University, Leiden, the Netherlands.ORCID https://orcid.org/0000-0002-2461-4301
Satu KoivusaariHealth, Medical and Neuropsychology Unit, Leiden University, Leiden, the Netherlands.ORCID https://orcid.org/0009-0006-5246-4175
Jet BussemakerHealth Campus the Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague/Leiden, the Netherlands.ORCID https://orcid.org/0000-0002-7496-1627
Marieke A AdriaanseHealth Campus the Hague/Department of Public Health and Primary Care, Leiden University Medical Center, The Hague/Leiden, the Netherlands.ORCID https://orcid.org/0000-0002-2218-4723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesImplementation intentions are simple action plans that may help people with lower socio-economic position (SEP) to navigate their behaviour in environments that undermine their healthy intentions. Implementation intentions hold potential in being a relatively simple, but remarkably effective behaviour change technique. However, it remains unclear whether such a micro-intervention fits the daily realities, needs and skills of lower SEP groups. We aimed to explore how adults with lower SEP (1) perceive (generating) implementation intentions for changing their health behaviour, and (2) independently generate implementation intentions.

methodsAdults living in lower SEP neighbourhoods (n = 15) participated in semi-structured interviews. Participants were instructed to think aloud while independently generating an implementation intention following written instructions. Interview data were thematically analysed, and the plans were evaluated.

resultsParticipants perceived health as a central value in life, which translated into high readiness for health behaviour change. Implementation intentions were perceived as helpful and motivating because they provide structure, support small, doable steps and stimulate conscious decisions and reflections. Participants expressed strong motivation to use implementation intentions in daily life. However, although participants expressed that generating their plan was pleasant and easy, guidance was frequently requested and provided during plan formation. Besides, generated plans often lacked the essential if-then structure and concreteness.

conclusionsImplementation intentions appear acceptable and appealing as a behaviour change strategy for adults with lower SEP. However, independent formation of well-structured, actionable plans is challenging. Guided support is needed to ensure successful use of implementation intentions in lower SEP populations.

Indexed as

Health BehaviorIntentionAdultFemaleHumansInterviews as TopicLow Socioeconomic StatusMaleMiddle AgedMotivationYoung Adultacceptabilityfeasibilityhealth behaviour changeimplementation intentionsqualitativesocio‐economic position (SEP)think aloud

Identifiers

PMID42429031
PMCPMC13352204

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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.