Context effects and behaviour change techniques in randomised trials: A systematic review using the example of trials to increase adherence to physical activity in musculoskeletal pain.
Objective:To describe and explore the effects of contextual and behaviour change technique (BCT) content of control and target interventions in clinical trials. Design:Review and meta-analysis of 42 trials from a Cochrane review of physical activity in chronic musculoskeletal pain. Main Outcome Meas...
| Published in: | Psychology & Health Vol. 30; no. 1; pp. 104 - 122 |
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| Main Authors: | , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Jan2015
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103924545&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103924545 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08870446 7WK jtl: Psychology & Health issn: 08870446 maglogo: N pubinfo: dt: Jan2015 vid: 30 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 103924545 99907460 10.1080/08870446.2014.953529 103924545 ppf: 104 ppct: 18 formats: fmt: @attributes: type: P tig: atl: Context effects and behaviour change techniques in randomised trials: A systematic review using the example of trials to increase adherence to physical activity in musculoskeletal pain. aug: au: Bishop, Felicity L. Fenge-Davies, Anya L. Kirby, Sarah Geraghty, Adam W.A. affil: Faculty of Social and Human Sciences, Centre for Applications of Health Psychology, University of Southampton, Southampton, UK sug: subj: Therapeutic Exercise Behavior Modification Methods Patient Compliance Musculoskeletal Diseases Therapy Pain Therapy Human Systematic Review Randomized Controlled Trials Physical Activity Health Behavior Health Promotion Meta Analysis Descriptive Statistics Effect Size Professional-Patient Relations Chi Square Test Confidence Intervals T-Tests P-Value ab: Objective:To describe and explore the effects of contextual and behaviour change technique (BCT) content of control and target interventions in clinical trials. Design:Review and meta-analysis of 42 trials from a Cochrane review of physical activity in chronic musculoskeletal pain. Main Outcome Measures:Two researchers coded descriptions of target and control interventions for (a) 93 BCTs and (b) whether target and control interventions shared each of five contextual features (practitioners’ characteristics, patient-practitioner relationship, intervention credibility, superficial treatment characteristics e.g. delivery modality, and environment). Quality of study reporting was assessed. Effect sizes for adherence to physical activity and class attendance were computed (Cohen’sd) and analysed separately. Results:For physical activity outcomes, after controlling for reporting quality, larger effect sizes were associated with target and control interventions using different modalities (β = −.34,p = .030), target and control interventions involving equivalent patient-practitioner relationship (β = .40,p = .002), and target interventions having more unique BCTs (i.e. more BCTs not also in the control) (β = .008,p = .030). There were no significant effect moderators for class attendance outcomes. Conclusion:Contents of control conditions can influence effect sizes and should be considered carefully in trial design and systematic reviews. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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