A causal modelling approach to the development of theory-based behavior change programmes for trial evaluation

Wendy Hardeman (Corresponding Author), Stephen Sutton, Simon Griffin, Marie Johnston, Anthony White, Nicholas J Wareham, Anne Louise Kinmonth

Research output: Contribution to journalArticle

132 Citations (Scopus)

Abstract

Theory-based intervention programmes to support health-related behaviour change aim to increase health impact and improve understanding of mechanisms of behaviour change. However, the science of intervention development remains at an early stage. We present a causal modelling approach to developing complex interventions for evaluation in randomized trials. In this approach a generic model links behavioural determinants, causally through behaviour, to physiological and biochemical variables, and health outcomes. It is tailored to context, target population, behaviours and health outcomes. The development of a specific causal model based on theory and evidence is illustrated by the ProActive programme, supporting increased physical activity among individuals at risk of Type 2 diabetes. The model provides a rational guide to appropriate measures, intervention points and intervention techniques, and can be tested quantitatively. Causal modelling is critically compared to other approaches to intervention development and evaluation, and research directions are indicated.
Original languageEnglish
Pages (from-to)676-687
Number of pages11
JournalHealth Education Research
Volume20
Issue number6
Early online date21 Mar 2005
DOIs
Publication statusPublished - Dec 2005

Fingerprint

theory formation
Program Evaluation
Health
evaluation
health
Health Services Needs and Demand
Type 2 Diabetes Mellitus
chronic illness
determinants
science
evidence

Keywords

  • TYPE-2 DIABETES-MELLITUS
  • HABITUAL ENERGY-EXPENDITURE
  • RANDOMIZED CONTROLLED-TRIAL
  • IMPAIRED GLUCOSE-TOLERANCE
  • PHYSICAL-ACTIVITY
  • PLANNED BEHAVIOR
  • CARDIORESPIRATORY FITNESS
  • EPIC-NORFOLK
  • LIFE-STYLE
  • HEALTH

Cite this

A causal modelling approach to the development of theory-based behavior change programmes for trial evaluation. / Hardeman, Wendy (Corresponding Author); Sutton, Stephen; Griffin, Simon ; Johnston, Marie; White, Anthony; Wareham, Nicholas J; Kinmonth, Anne Louise.

In: Health Education Research, Vol. 20, No. 6, 12.2005, p. 676-687.

Research output: Contribution to journalArticle

Hardeman, Wendy ; Sutton, Stephen ; Griffin, Simon ; Johnston, Marie ; White, Anthony ; Wareham, Nicholas J ; Kinmonth, Anne Louise. / A causal modelling approach to the development of theory-based behavior change programmes for trial evaluation. In: Health Education Research. 2005 ; Vol. 20, No. 6. pp. 676-687.
@article{5b4ae5a77e1b431488cba7c3bb42e996,
title = "A causal modelling approach to the development of theory-based behavior change programmes for trial evaluation",
abstract = "Theory-based intervention programmes to support health-related behaviour change aim to increase health impact and improve understanding of mechanisms of behaviour change. However, the science of intervention development remains at an early stage. We present a causal modelling approach to developing complex interventions for evaluation in randomized trials. In this approach a generic model links behavioural determinants, causally through behaviour, to physiological and biochemical variables, and health outcomes. It is tailored to context, target population, behaviours and health outcomes. The development of a specific causal model based on theory and evidence is illustrated by the ProActive programme, supporting increased physical activity among individuals at risk of Type 2 diabetes. The model provides a rational guide to appropriate measures, intervention points and intervention techniques, and can be tested quantitatively. Causal modelling is critically compared to other approaches to intervention development and evaluation, and research directions are indicated.",
keywords = "TYPE-2 DIABETES-MELLITUS, HABITUAL ENERGY-EXPENDITURE, RANDOMIZED CONTROLLED-TRIAL, IMPAIRED GLUCOSE-TOLERANCE, PHYSICAL-ACTIVITY, PLANNED BEHAVIOR, CARDIORESPIRATORY FITNESS, EPIC-NORFOLK, LIFE-STYLE, HEALTH",
author = "Wendy Hardeman and Stephen Sutton and Simon Griffin and Marie Johnston and Anthony White and Wareham, {Nicholas J} and Kinmonth, {Anne Louise}",
year = "2005",
month = "12",
doi = "10.1093/her/cyh022",
language = "English",
volume = "20",
pages = "676--687",
journal = "Health Education Research",
issn = "0268-1153",
publisher = "Oxford University Press",
number = "6",

}

TY - JOUR

T1 - A causal modelling approach to the development of theory-based behavior change programmes for trial evaluation

AU - Hardeman, Wendy

AU - Sutton, Stephen

AU - Griffin, Simon

AU - Johnston, Marie

AU - White, Anthony

AU - Wareham, Nicholas J

AU - Kinmonth, Anne Louise

PY - 2005/12

Y1 - 2005/12

N2 - Theory-based intervention programmes to support health-related behaviour change aim to increase health impact and improve understanding of mechanisms of behaviour change. However, the science of intervention development remains at an early stage. We present a causal modelling approach to developing complex interventions for evaluation in randomized trials. In this approach a generic model links behavioural determinants, causally through behaviour, to physiological and biochemical variables, and health outcomes. It is tailored to context, target population, behaviours and health outcomes. The development of a specific causal model based on theory and evidence is illustrated by the ProActive programme, supporting increased physical activity among individuals at risk of Type 2 diabetes. The model provides a rational guide to appropriate measures, intervention points and intervention techniques, and can be tested quantitatively. Causal modelling is critically compared to other approaches to intervention development and evaluation, and research directions are indicated.

AB - Theory-based intervention programmes to support health-related behaviour change aim to increase health impact and improve understanding of mechanisms of behaviour change. However, the science of intervention development remains at an early stage. We present a causal modelling approach to developing complex interventions for evaluation in randomized trials. In this approach a generic model links behavioural determinants, causally through behaviour, to physiological and biochemical variables, and health outcomes. It is tailored to context, target population, behaviours and health outcomes. The development of a specific causal model based on theory and evidence is illustrated by the ProActive programme, supporting increased physical activity among individuals at risk of Type 2 diabetes. The model provides a rational guide to appropriate measures, intervention points and intervention techniques, and can be tested quantitatively. Causal modelling is critically compared to other approaches to intervention development and evaluation, and research directions are indicated.

KW - TYPE-2 DIABETES-MELLITUS

KW - HABITUAL ENERGY-EXPENDITURE

KW - RANDOMIZED CONTROLLED-TRIAL

KW - IMPAIRED GLUCOSE-TOLERANCE

KW - PHYSICAL-ACTIVITY

KW - PLANNED BEHAVIOR

KW - CARDIORESPIRATORY FITNESS

KW - EPIC-NORFOLK

KW - LIFE-STYLE

KW - HEALTH

U2 - 10.1093/her/cyh022

DO - 10.1093/her/cyh022

M3 - Article

VL - 20

SP - 676

EP - 687

JO - Health Education Research

JF - Health Education Research

SN - 0268-1153

IS - 6

ER -