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Which behaviour change techniques are most effective at increasing older adults' self-efficacy and physical activity
David P French1, Ellinor K Olander, Anna Chisholm
1Manchester Centre for Health Psychology, School of Psychological Sciences, University of Manchester, Coupland 1 Building, Oxford Road, Manchester, M13 9PL, UK, david.french@manchester.ac.uk.
Background:
Increasing self-efficacy is an effective mechanism for increasing physical activity, especially for older people.
Purpose:
The aim of this review was to identify behaviour change techniques (BCTs) that increase self-efficacy and physical activity behaviour in non-clinical community-dwelling adults 60 years or over.
Methods:
A systematic search identified 24 eligible studies reporting change in self-efficacy for physical activity following an intervention. Moderator analyses examined whether the inclusion of specific BCTs (as defined by CALO-RE taxonomy) was associated with changes in self-efficacy and physical activity behaviour.
Results:
Overall, interventions increased self-efficacy (d = 0.37) and physical activity (d = 0.14). Self-regulatory techniques such as setting behavioural goals, prompting self-monitoring of behaviour, planning for relapses, providing normative information and providing feedback on performance were associated with lower levels of both self-efficacy and physical activity.
Conclusions:
Many commonly used self-regulation intervention techniques that are effective for younger adults may not be effective for older adults.
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