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The regression trap: why regression analyses are not suitable for selecting determinants to target in behavior change
Rik Crutzen1, Gjalt-Jorn Ygram Peters2,3
1Department of Health Promotion, Maastricht University/CAPHRI, Maastricht, The Netherlands.
Health Psychology and Behavioral Medicine
|October 30, 2023
Summary
Regression analyses can lead to the "regression trap," causing interventions to target less relevant factors. This study explains why regression is unsuitable for selecting behavior change intervention targets.
Area of Science:
- Behavioral Science
- Health Psychology
- Intervention Science
Background:
- Regression analyses are frequently employed to identify key determinants for behavior change interventions.
- However, the common application of these statistical methods may lead to suboptimal intervention design.
Purpose of the Study:
- To elucidate the limitations of regression analyses in selecting determinants for behavior change interventions.
- To introduce the concept of the "regression trap" and its implications.
Main Methods:
- Theoretical rationale examining determinant overlap.
- Mathematical rationale analyzing regression coefficient formulas.
- Empirical examples using real-world data.
Main Results:
- Regression coefficients can be misleading due to inter-determinant correlations, often neglecting psychological complexities.
- This distortion leads to interventions targeting less impactful determinants.
- Consequently, behavior change interventions may have reduced effectiveness.
Conclusions:
- Theoretical, mathematical, and practical issues render regression analyses unsuitable for selecting intervention targets.
- Intervention developers should simultaneously consider univariate and bivariate data.
- Accessible tools exist to support more appropriate selection methods.
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