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Review
. 2016 May-Jun;58(6):605-12.
doi: 10.1016/j.pcad.2016.02.005. Epub 2016 Feb 20.

The Use of Behavior Change Techniques and Theory in Technologies for Cardiovascular Disease Prevention and Treatment in Adults: A Comprehensive Review

Sandra J Winter  1 , Jylana L Sheats  2 , Abby C King  3
Affiliations
Review

The Use of Behavior Change Techniques and Theory in Technologies for Cardiovascular Disease Prevention and Treatment in Adults: A Comprehensive Review

Sandra J Winter et al. Prog Cardiovasc Dis. 2016 May-Jun.

Abstract

This review examined the use of health behavior change techniques and theory in technology-enabled interventions targeting risk factors and indicators for cardiovascular disease (CVD) prevention and treatment. Articles targeting physical activity, weight loss, smoking cessation and management of hypertension, lipids and blood glucose were sourced from PubMed (November 2010-2015) and coded for use of 1) technology, 2) health behavior change techniques (using the CALO-RE taxonomy), and 3) health behavior theories. Of the 984 articles reviewed, 304 were relevant (240=intervention, 64=review). Twenty-two different technologies were used (M=1.45, SD=+/-0.719). The most frequently used behavior change techniques were self-monitoring and feedback on performance (M=5.4, SD=+/-2.9). Half (52%) of the intervention studies named a theory/model - most frequently Social Cognitive Theory, the Trans-theoretical Model, and the Theory of Planned Behavior/Reasoned Action. To optimize technology-enabled interventions targeting CVD risk factors, integrated behavior change theories that incorporate a variety of evidence-based health behavior change techniques are needed.

Keywords: Behavior change techniques; Behavioral theory; Cardiovascular disease prevention and treatment; Health promotion technologies.

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Figures

Figure 1
Figure 1
Article Review Diagram
Figure 2
Figure 2
Frequency of Use of Behavior Change Techniques in Technology-Enabled CVD Prevention and Treatment Interventions
Figure 3
Figure 3
Frequency of Use of Behavior Change Techniques Used in Technology-Enabled Cardiovascular Disease Prevention and Treatment Interventions by Health Behavior
See this image and copyright information in PMC

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References

    1. Yang Q, Cogswell ME, Flanders W, et al. TRends in cardiovascular health metrics and associations with all-cause and cvd mortality among us adults. JAMA. 2012;307(12):1273–1283. - PMC - PubMed
    1. Piette JD, List J, Rana GK, Townsend W, Striplin D, Heisler M. Mobile Health Devices as Tools for Worldwide Cardiovascular Risk Reduction and Disease Management. Circulation. 2015 Nov 24;132(21):2012–2027. - PMC - PubMed
    1. Anderson M. Technology Device Ownership:2015. Pew Research Center; 2015.
    1. Burke LE, Ma J, Azar KMJ, Bennett GG, Peterson ED, Zheng Y, et al. Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Association. Circulation. 2015 Aug;13:2015. - PMC - PubMed
    1. Karmali KN, Lloyd-Jones DM. Achieving and Maintaining Cardiovascular Health Across the Lifespan. Current Epidemiology Reports. 2014;1(2):75–81.

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