Low-income groups and behaviour change interventions: A review of intervention content, effectiveness and theoretical frameworks

Michie, S., Jochelson, K., Markham, W. A. and Bridle, Christopher (2009) Low-income groups and behaviour change interventions: A review of intervention content, effectiveness and theoretical frameworks. Journal of Epidemiology & Community Health, 63 (8). pp. 610-622. ISSN 0143-005X

Full content URL: http://jech.bmj.com/content/63/8/610.full


Request a copy
[img] PDF
610.full.pdf - Whole Document
Restricted to Repository staff only

Item Type:Article
Item Status:Live Archive


Background: Interventions to change health-related behaviours have potential to increase health inequalities. Methods: This review investigated the effectiveness of interventions targeting low-income groups to reduce smoking or increase physical activity and/or healthy eating. Of 9766 papers identified by the search strategy, 13 met the inclusion criteria. Intervention content was coded into component technique and theoretical basis, and examined as a potential source of effect heterogeneity. Results: Interventions were heterogeneous, comprising 4-19 techniques. Nine interventions had positive effects, seven resulted in no change and one had an adverse effect. Effective interventions had a tendency to have fewer techniques than ineffective interventions, with no evidence for any technique being generally effective or ineffective. Only six studies cited theory relative to intervention development, with little information about how theory was used and no obvious association with intervention content or effect. Conclusion: This review shows that behaviour change interventions, particularly those with fewer techniques, can be effective in low-income groups, but highlights the lack of evidence to draw on in informing the design of interventions for disadvantaged groups.

Keywords:behavioral response, health impact, health services, low income population, smoking, theoretical study, behavior change, conceptual framework, environmental factor, feedback system, follow up, human, lowest income group, medical information, motivation, physical activity, review, smoking cessation, social change, social support, stress management, time management, Behavior Therapy, Food Habits, Health Behavior, Health Promotion, Humans, Models, Theoretical, Motor Activity, Risk Reduction Behavior, Social Class
Subjects:L Social studies > L510 Health & Welfare
Divisions:College of Social Science > Lincoln Institute of Health
Related URLs:
ID Code:23911
Deposited On:28 Sep 2016 15:25

Repository Staff Only: item control page