Do automated digital health behaviour change interventions have a positive effect on self-efficacy? A systematic review and meta-analysis

Katie Newby, Grace Teah, Richard Cooke, Xinru Li, Katherine Brown, Bradley Salisbury-Finch, Kayleigh Kwah, Naomi Bartle, Kristina Curtis, Emily Fulton, Joanne Parsons, Elise Dusseldorp, Stefanie Williams

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Abstract

Self-efficacy is an important determinant of health behaviour. Digital interventions are a potentially acceptable and cost-effective way of delivering programmes of health behaviour change at scale. Whether behaviour change interventions work to increase self-efficacy in this context is unknown. This systematic review and meta-analysis sought to identify whether automated digital interventions are associated with positive changes in self-efficacy amongst non-clinical populations for five major health behaviours, and which BCTs are associated with that change. A systematic literature search identified 20 studies (n = 5624) that assessed changes in self-efficacy and were included in a random-effects meta-analysis. Interventions targeted: healthy eating (k = 4), physical activity (k = 9), sexual behaviour (k = 3) and smoking (k = 4). No interventions targeting alcohol use were identified. Overall, interventions had a small, positive effect on self-efficacy (Formula presented.). The effect of interventions on self-efficacy did not differ as a function of health behaviour type (Q-between = 7.3704, p =.061, df = 3). Inclusion of the BCT ‘information about social and environmental consequences’ had a small, negative effect on self-efficacy (Formula presented.). Whilst this review indicates that digital interventions can be used to change self-efficacy, which techniques work best in this context is not clear.

Original languageEnglish
Pages (from-to)(In-press)
JournalHealth Psychology Review
Volume(In-press)
Early online date20 Jan 2020
DOIs
Publication statusE-pub ahead of print - 20 Jan 2020

Bibliographical note

This is an Accepted Manuscript of an article published by Taylor & Francis in Health Psychology Review on 20/01/2020, available online: http://www.tandfonline.com/10.1080/17437199.2019.1705873

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Keywords

  • Self-efficacy
  • digital
  • health behaviour
  • behaviour change techniques

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