Abstract
Background: Health screening is the key element for early detection of diseases, and it is widely recommended by professional guidelines. Applying theories in health intervention is one way to increase the likelihood of health behavior adoption in increasing adherence to health screening.
Objective: The objective of this review is to identify the characteristics of effectiveness of theory-based interventions on adherence to health screenings among healthy adults. Two review questions were outlined based on this objective.
Methods: PICO (Population, Intervention, Comparison and Outcome) framework were used to develop the search strategy. A structured search of four databases (Scopus, PubMed, Medline and CINAHL) was done to identify studies that were screened for eligibility criteria in this review, published between year 2011 to 2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Two reviewers used version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) to independently assess the risk of bias for each studies. The study protocol was registered with the International prospective register of systematic reviews (PROSPERO with registration number: CRD42021257823).
Results: From the 3, 970 studies retrieved, six studies with low risk of bias were included in this review with a total of 3187 participants (mean age between 30 to 59 years). Five were randomized controlled trials and two were quasi experimental studies. Total of eight theories were included including: health belief model, theory of reasoned action. social cognitive, theory of planned behavior, trans theoretical model, health promotion model, information-motivation-behavioral skills model, preventive health model, and social cognitive theory. Three studies utilized combination on multiple theories-based intervention, while another three used only single theory-based. Both type of interventions from the six studies resulted with almost the same level of positive effects.
Conclusion: Usage of a single theory-based intervention was as effective as using a combination of multiple theories in increasing adherence to health screenings among healthy adults. Further efforts should focus on comprehensive implementation of every construct of the theory as the key factor to ensure effectiveness of an intervention.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-8.pdf
- https://apcph.cphm.my/events/oral-session-5-ballroom-B/
BibTeX (Download)
@proceedings{APCPH2022-O-8,
title = {Characteristics of effective theory-based intervention on adherence to health screenings among healthy adults: A systematic review},
author = {Nik Qistina Nik Abd Rahim and Nor Afiah Mohd Zulkefli and Norliza Ahmad and Halimatus Sakdiah Minhat},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-O-8.pdf
https://apcph.cphm.my/events/oral-session-5-ballroom-B/},
year = {2022},
date = {2022-08-01},
urldate = {2022-08-02},
issue = {7},
abstract = {Background: Health screening is the key element for early detection of diseases, and it is widely recommended by professional guidelines. Applying theories in health intervention is one way to increase the likelihood of health behavior adoption in increasing adherence to health screening.
Objective: The objective of this review is to identify the characteristics of effectiveness of theory-based interventions on adherence to health screenings among healthy adults. Two review questions were outlined based on this objective.
Methods: PICO (Population, Intervention, Comparison and Outcome) framework were used to develop the search strategy. A structured search of four databases (Scopus, PubMed, Medline and CINAHL) was done to identify studies that were screened for eligibility criteria in this review, published between year 2011 to 2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Two reviewers used version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) to independently assess the risk of bias for each studies. The study protocol was registered with the International prospective register of systematic reviews (PROSPERO with registration number: CRD42021257823).
Results: From the 3, 970 studies retrieved, six studies with low risk of bias were included in this review with a total of 3187 participants (mean age between 30 to 59 years). Five were randomized controlled trials and two were quasi experimental studies. Total of eight theories were included including: health belief model, theory of reasoned action. social cognitive, theory of planned behavior, trans theoretical model, health promotion model, information-motivation-behavioral skills model, preventive health model, and social cognitive theory. Three studies utilized combination on multiple theories-based intervention, while another three used only single theory-based. Both type of interventions from the six studies resulted with almost the same level of positive effects.
Conclusion: Usage of a single theory-based intervention was as effective as using a combination of multiple theories in increasing adherence to health screenings among healthy adults. Further efforts should focus on comprehensive implementation of every construct of the theory as the key factor to ensure effectiveness of an intervention.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: ORAL PRESENTATION; Organisation: Ministry of Defence, Kuala Lumpur; Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia},
keywords = {characteristics of theory-based intervention, health screening, healthy adults},
pubstate = {published},
tppubtype = {proceedings}
}