Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories

心理信息 行为改变 行为改变 心理干预 心理学 健康维护 变化论 系统回顾 应用心理学 梅德林 社会心理学 医疗保健 社会学 精神科 政治学 人类学 经济增长 经济 法学
作者
Dominika Kwasnicka,Stephan U Dombrowski,Martin White,Falko F. Sniehotta
出处
期刊:Health Psychology Review [Informa]
卷期号:10 (3): 277-296 被引量:779
标识
DOI:10.1080/17437199.2016.1151372
摘要

Background: Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice.Methods: Potentially relevant theories were identified through systematic searches of electronic databases (Ovid MEDLINE, Embase, PsycINFO). In addition, an existing database of 80 theories was searched, and 25 theory experts were consulted. Theories were included if they formulated hypotheses about behaviour change maintenance. Included theories were synthesised thematically to ascertain overarching explanations for behaviour change maintenance. Initial theoretical themes were cross-validated.Findings: One hundred and seventeen behaviour theories were identified, of which 100 met the inclusion criteria. Five overarching, interconnected themes representing theoretical explanations for behaviour change maintenance emerged. Theoretical explanations of behaviour change maintenance focus on the differential nature and role of motives, self-regulation, resources (psychological and physical), habits, and environmental and social influences from initiation to maintenance.Discussion: There are distinct patterns of theoretical explanations for behaviour change and for behaviour change maintenance. The findings from this review can guide the development and evaluation of interventions promoting maintenance of health behaviours and help in the development of an integrated theory of behaviour change maintenance.
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