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Behavior Change Techniques to Reduce Sugars Intake by Adolescents: A Systematic Review
C J Moores1,2, A M Taylor3, S Cowap1,3
1Adelaide Dental School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
Effective behavior change techniques (BCTs) for adolescent sugar reduction include feedback on behavior, information on consequences, problem-solving, and social comparison. These strategies support dietary changes for caries prevention.
Area of Science:
- Public Health
- Nutrition Science
- Behavioral Science
Background:
- Adolescent diets are often high in sugars, increasing caries risk.
- Effective strategies are needed to support sugar reduction in this age group.
- Caries prevention requires addressing dietary habits.
Purpose of the Study:
- To systematically review evidence on behavior change techniques (BCTs) for reducing sugar intake in adolescents (ages 10-16).
- To identify effective BCTs for adolescent sugar reduction.
- To inform clinical practice and future research.
Main Methods:
- Systematic review of peer-reviewed evidence from 1990-2023.
- Searched nine major databases for relevant studies.
- Coded interventions using the 93-item BCT Taxonomy (Michie Taxonomy v1).
- Assessed risk of bias and synthesized evidence using vote counting.
Main Results:
- 35 studies were included, utilizing 25 individual BCTs across 11 clusters.
- The most effective BCTs for sugar reduction were feedback on behavior (100% success in strong/moderate studies), information on social/environmental consequences (100%), problem-solving (75%), and social comparison (75%).
- Median of 3 BCTs were applied per study.
Conclusions:
- Feedback on behavior, information on consequences, problem-solving, and social comparison are strongly supported BCTs for lowering adolescent sugar intake.
- These findings can guide clinicians in providing effective dietary advice.
- The results will inform future research directions for adolescent sugar reduction.
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