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      Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories

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          ABSTRACT

          Background: Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice.

          Methods: Potentially relevant theories were identified through systematic searches of electronic databases (Ovid MEDLINE, Embase, PsycINFO). In addition, an existing database of 80 theories was searched, and 25 theory experts were consulted. Theories were included if they formulated hypotheses about behaviour change maintenance. Included theories were synthesised thematically to ascertain overarching explanations for behaviour change maintenance. Initial theoretical themes were cross-validated.

          Findings: One hundred and seventeen behaviour theories were identified, of which 100 met the inclusion criteria. Five overarching, interconnected themes representing theoretical explanations for behaviour change maintenance emerged. Theoretical explanations of behaviour change maintenance focus on the differential nature and role of motives, self-regulation, resources (psychological and physical), habits, and environmental and social influences from initiation to maintenance.

          Discussion: There are distinct patterns of theoretical explanations for behaviour change and for behaviour change maintenance. The findings from this review can guide the development and evaluation of interventions promoting maintenance of health behaviours and help in the development of an integrated theory of behaviour change maintenance.

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          Most cited references 122

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          The theory of planned behavior

           Icek Ajzen (1991)
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            Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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              Developing and evaluating complex interventions: the new Medical Research Council guidance

              Evaluating complex interventions is complicated. The Medical Research Council's evaluation framework (2000) brought welcome clarity to the task. Now the council has updated its guidance
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                Author and article information

                Affiliations
                [ a ]Institute for Health and Society, Newcastle University , Newcastle upon Tyne, UK
                [ b ]UKCRC Centre for Excellence in Translational Public Health Research (Fuse), Newcastle University , Newcastle upon Tyne, UK
                [ c ]School of Natural Sciences, University of Stirling , Stirling, UK
                [ d ]UKCRC Centre for Diet and Activity Research (CEDAR), University of Cambridge , Cambridge, UK
                Author notes
                [CONTACT ] Falko Sniehotta falko.sniehotta@ 123456ncl.ac.uk

                Supplemental data for this article can be accessed at http://dx.doi.org/10.1080/17437199.2016.1151372.

                Journal
                Health Psychol Rev
                Health Psychol Rev
                RHPR
                rhpr20
                Health Psychology Review
                Routledge
                1743-7199
                1743-7202
                2 July 2016
                7 March 2016
                : 10
                : 3
                : 277-296
                1151372
                10.1080/17437199.2016.1151372
                4975085
                26854092
                © 2016 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Counts
                Figures: 3, Tables: 2, Equations: 0, References: 106, Pages: 20
                Product
                Funding
                This work was supported by an ESRC PhD studentship awarded to DK [grant number ESRC-3000021026].
                Categories
                Review
                Review

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