Deconstructing interventions: approaches to studying behavior change techniques across obesity interventions

Deborah F. Tate, Leslie A. Lytle, Nancy E. Sherwood, Debra Haire-Joshu, Donna Matheson, Shirley M. Moore, Catherine M. Loria, Charlotte Pratt, Dianne S. Ward, Steven H. Belle, Susan Michie

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations

Abstract

Deconstructing interventions into the specific techniques that are used to change behavior represents a new frontier in behavioral intervention research. This paper considers opportunities and challenges in employing the Behavior Change Techniques Taxonomy (BCTTv1) developed by Michie and colleagues, to code the behavior change techniques (BCTs) across multiple interventions addressing obesity and capture dose received at the technique level. Numerous advantages were recognized for using a shared framework for intervention description. Coding interventions at levels of the social ecological framework beyond the individual level, separate coding for behavior change initiation vs. maintenance, fidelity of BCT delivery, accounting for BCTs mode of delivery, and tailoring BCTs, present both challenges and opportunities. Deconstructing interventions and identifying the dose required to positively impact health-related outcomes could enable important gains in intervention science.

Original languageEnglish (US)
Pages (from-to)236-243
Number of pages8
JournalTranslational behavioral medicine
Volume6
Issue number2
DOIs
StatePublished - Jun 1 2016

Bibliographical note

Funding Information:
Funding for this work comes from the National Heart, Lung, and Blood Institute, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Institutes of Health (NIH) Office of Behavioral and Social Science Research, the NIH Office of Disease Prevention, National Institute of Digestive, Diabetes, and Kidney Diseases, National Center for Complementary and Integrative Health, National Cancer Institute, Office of Research on Women's Health, and the Centers for Disease Control and Prevention (CDC).

Keywords

  • Intervention science
  • Pooled analysis
  • Taxonomy

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