Efficacy of theory-based interventions to promote physical activity. A meta-analysis of randomised controlled trials

Health Psychol Rev. 2016;10(1):50-66. doi: 10.1080/17437199.2014.981777. Epub 2015 Apr 10.

Abstract

Implementing theory-based interventions is an effective way to influence physical activity (PA) behaviour in the population. This meta-analysis aimed to (1) determine the global effect of theory-based randomised controlled trials dedicated to the promotion of PA among adults, (2) measure the actual efficacy of interventions against their theoretical objectives and (3) compare the efficacy of single- versus combined-theory interventions. A systematic search through databases and review articles was carried out. Our results show that theory-based interventions (k = 82) significantly impact the PA behaviour of participants (d = 0.31, 95% CI [0.24, 0.37]). While moderation analyses revealed no efficacy difference between theories, interventions based on a single theory (d = 0.35; 95% CI [0.26, 0.43]) reported a higher impact on PA behaviour than those based on a combination of theories (d = 0.21; 95% CI [0.11, 0.32]). In spite of the global positive effect of theory-based interventions on PA behaviour, further research is required to better identify the specificities, overlaps or complementarities of the components of interventions based on relevant theories.

Keywords: behaviour change; exercise; interventions; meta-analysis; randomised controlled trials.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Exercise*
  • Female
  • Health Behavior*
  • Humans
  • Male
  • Middle Aged
  • Models, Psychological
  • Psychological Theory*
  • Randomized Controlled Trials as Topic