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Appendix E: Research on Behavioral Change from Other Domains
Pages 259-288

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From page 259...
... The committee gathered 406 peer-reviewed and published articles that were classified as systematic reviews, narrative reviews, and meta-analyses about behavior change in these six domains and reviewed their abstracts for applicability to the committee's task. From this set, 46 articles were selected to be reviewed in full; details of the literature search can be found in Appendix B
From page 260...
... One systematic review of research on diet change mentioned that a total of 83 theories of behavior change had been identified (Samdal et al., 2017)
From page 261...
... and for intervention types (e.g., social comparison, feedback, information, appeals, engagement, choice architecture/nudges)
From page 262...
... . Another meta-analysis testing behavioral interventions to promote household action on climate change categorized interventions by type as information, appeals, engagement, social comparison, and choice architecture (Nisa et al., 2019)
From page 263...
... , semireflective (i.e., heuristics, simple cues) , and automatic processing routes to categorize interventions on water conservation behavior within households.
From page 264...
... . For example, one meta-analysis on household recycling behaviors found that individual and contextual factors often predicted intention to recycle, but they did not observe recycling behavior (Geiger et al., 2019)
From page 265...
... . Studies of waste prevention find that while both genders contribute equally to municipal solid waste production, females are more willing to recycle or participate in reduction behaviors, and men are more willing to pay for waste reduction (Ma and Hipel, 2016)
From page 266...
... For example, motivational tools -- such as altered attitudes toward outcomes, personal norms, agency or perceived control, and social norms -- have turned out to be the most successful predictors and influencers of proenvironmental and weight management behaviors (Li et al., 2019; Miafodzyeva and Brandt, 2013; Samdal et al., 2017)
From page 267...
... . Contextual Factors Affect Opportunities to Initiate and Sustain Behaviors Several meta-analyses of household recycling interventions found that contextual factors were seldom considered (Geiger et al., 2019; Varotto and Spagnolli, 2017)
From page 268...
... , which can be both positive and negative. For example, as waste reduction has become relatively normative in most developed countries, social norms have become insignificant influencers in any context (Whitmarsh et al., 2018)
From page 269...
... examined whether interventions focused on a single behavior (e.g., physical activity or diet) were more or
From page 270...
... They also explored the differential effects of these interventions on weight outcomes. Notably, the analysis found that while single behavior interventions were more effective at improving the targeted behavior, multiple behavior interventions produced greater weight loss even though they appeared to be less effective at changing the individual behaviors.
From page 271...
... conducted a random-effects meta-analysis of 36 studies (1990-2015) reporting 70 psychological strategies to promote household recycling in the home environment: they found environmental alterations to be the second most effective strategy, after social modeling.
From page 272...
... performed a systematic review of causal studies and compared four behavioral economic intervention types on energy conservation: social comparison, commitment devices, goal setting, and labeling. Only 1 study of 24 found a "boomerang effect." However, this individual study also noted that this boomerang effect could be eliminated by adding an injunctive message (Schultz et al., 2007)
From page 273...
... . In the research on residential solid waste management, studies have examined the effectiveness of fees to reduce residential solid waste disposal.
From page 274...
... . Semireflective Interventions for Long-Term Behavior Change Social norms, framing, and tailoring re categorized as semireflective a interventions because they represent an individual's attempt to use simple cues or rules about which choices should be made (Koop et al., 2019)
From page 275...
... . The results of the analysis found that, compared with control groups, social influence approaches were effective and that greater effect sizes were found with the block leader, public commitment, and modeling approaches and smaller effect sizes with group and socially comparative feedback and social norms in information and feedback provision approaches.
From page 276...
... (2019) , in a meta-analysis of 83 randomized controlled trials to explore the most effective mechanisms for promoting household action on climate change, found social comparisons to be the second most effective approach for behavior change after choice architecture (i.e., nudges)
From page 277...
... For unhealthy eating, plan formulation was the only significant moderator variable and implementation intention interventions had low efficacy regardless of intervention design. The variable plan formulation indicated that when these plans were designed only to avoid the unhealthy food, they were less effective than when they were planned with an alternate positive action in mind.
From page 278...
... Several studies in the sample reported improvements in general but not specific energy consumption and conservation knowledge. Interestingly, the games appeared to have led to improvements in self-reported and actual energy conservation behavior in the short term.
From page 279...
... Targeting Multiple Behaviors Using Multiple Approaches Based on their analyses, several authors concluded that the best approach to behavior change was a comprehensive approach that combined behavioral interventions with other approaches such as partnerships with influential organizations, social marketing programs, economic incentives, regulations, or technology (Cox et al., 2010; Koop et al., 2019; Niebylski et al., 2015; Nisa et al., 2019; Sharp et al., 2010; Thomson and Ravia, 2011)
From page 280...
... (2019) on proenvironmental behavior spillover, the authors found that positive spillover was most likely when interventions target intrinsic motivation.
From page 281...
... (2011) conducted an interesting systematic review examining the effect of physical activity and dietary intervention trials on behavior maintenance (n = 29)
From page 282...
... SUGGESTIONS FOR FURTHER STUDY Researchers in the six domains have made suggestions for further study on behavioral change, covering a wide range of topics: habits, interventions on contextual factors, understanding why interventions work, equity, the generalizability of interventions, the persistence of intervention effects over time, the dearth of effectiveness studies in comparison with efficacy studies, better study design to track pathways, the need for more cross-context understanding, evaluation studies, and cost-effectiveness studies. Not enough is known about habits.
From page 283...
... Many meta-analyses and systematic reviews found that relatively few studies included measures of behavioral antecedents, such as social norms, attitudes, or knowledge, and thus could not explain why an intervention worked or what it changed, only whether it worked (Abrahamse and Steg, 2013; Abrahamse et al., 2005)
From page 284...
... . Most meta-analyses and systematic reviews mentioned the need for a better understanding of the particular pathways of change.
From page 285...
... 2011. Systematic review of maintenance of behavior change following physical activity and dietary interventions.
From page 286...
... 2017. Effective behaviour change techniques for physical activity and healthy eating in overweight and obese adults; systematic review and meta-regression analyses.
From page 287...
... 2011. A systematic review of behavioral interventions to promote intake of fruit and vegetables.


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