How can interventions increase motivation for physical activity?

A systematic review and meta-analysis

Research output: Contribution to journalReview ArticleScientificpeer-review

Abstract

Motivation is a proximal determinant of behaviour, and increasing motivation is central to most health behaviour change interventions. This systematic review and meta-analysis sought to identify features of physical activity interventions associated with favourable changes in three prominent motivational constructs: intention, stage of change and autonomous motivation. A systematic literature search identified 89 intervention studies (k=200; N=19,212) which assessed changes in these motivational constructs for physical activity. Intervention descriptions were coded for potential moderators, including behaviour change techniques (BCTs), modes of delivery and theory use. Random effects comparative subgroup analyses identified 18 BCTs and 10 modes of delivery independently associated with changes in at least one motivational outcome (effect sizes ranged from d=0.12 to d=0.74). Interventions delivered face-to-face or in gym settings, or which included the BCTs behavioural goal setting', self-monitoring (behaviour)' or behavioural practice/rehearsal', or which combined self-monitoring (behaviour) with any other BCT derived from control theory, were all associated with beneficial changes in multiple motivational constructs (effect sizes ranged from d=0.12 to d=0.46). Meta-regression analyses indicated that increases in intention and stage of change, but not autonomous motivation, were significantly related to increases in physical activity. The intervention characteristics associated with changes in motivation seemed to form clusters related to behavioural experience and self-regulation, which have previously been linked to changes in physical activity behaviour. These BCTs and modes of delivery merit further systematic study, and can be used as a foundation for improving interventions targeting increases in motivation for physical activity.

Original languageEnglish
JournalHealth Psychology Review
Volume12
Issue number3
Pages (from-to)211-230
Number of pages20
ISSN1743-7199
DOIs
Publication statusPublished - 15 Feb 2018
MoE publication typeA2 Review article in a scientific journal

Fields of Science

  • 5144 Social psychology
  • Meta-analysis
  • physical activity
  • intention
  • stage of change
  • autonomous motivation
  • behaviour change techniques
  • SELF-DETERMINATION THEORY
  • BEHAVIOR-CHANGE INTERVENTIONS
  • RANDOMIZED-CONTROLLED-TRIALS
  • PROCESS APPROACH HAPA
  • PLANNED BEHAVIOR
  • TRANSTHEORETICAL MODEL
  • HEALTH BEHAVIOR
  • META-REGRESSION
  • PRIMARY-CARE
  • BODY-MASS

Cite this

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title = "How can interventions increase motivation for physical activity?: A systematic review and meta-analysis",
abstract = "Motivation is a proximal determinant of behaviour, and increasing motivation is central to most health behaviour change interventions. This systematic review and meta-analysis sought to identify features of physical activity interventions associated with favourable changes in three prominent motivational constructs: intention, stage of change and autonomous motivation. A systematic literature search identified 89 intervention studies (k=200; N=19,212) which assessed changes in these motivational constructs for physical activity. Intervention descriptions were coded for potential moderators, including behaviour change techniques (BCTs), modes of delivery and theory use. Random effects comparative subgroup analyses identified 18 BCTs and 10 modes of delivery independently associated with changes in at least one motivational outcome (effect sizes ranged from d=0.12 to d=0.74). Interventions delivered face-to-face or in gym settings, or which included the BCTs behavioural goal setting', self-monitoring (behaviour)' or behavioural practice/rehearsal', or which combined self-monitoring (behaviour) with any other BCT derived from control theory, were all associated with beneficial changes in multiple motivational constructs (effect sizes ranged from d=0.12 to d=0.46). Meta-regression analyses indicated that increases in intention and stage of change, but not autonomous motivation, were significantly related to increases in physical activity. The intervention characteristics associated with changes in motivation seemed to form clusters related to behavioural experience and self-regulation, which have previously been linked to changes in physical activity behaviour. These BCTs and modes of delivery merit further systematic study, and can be used as a foundation for improving interventions targeting increases in motivation for physical activity.",
keywords = "5144 Social psychology, Meta-analysis, physical activity, intention, stage of change, autonomous motivation, behaviour change techniques, SELF-DETERMINATION THEORY, BEHAVIOR-CHANGE INTERVENTIONS, RANDOMIZED-CONTROLLED-TRIALS, PROCESS APPROACH HAPA, PLANNED BEHAVIOR, TRANSTHEORETICAL MODEL, HEALTH BEHAVIOR, META-REGRESSION, PRIMARY-CARE, BODY-MASS",
author = "Knittle, {Keegan Phillip} and Johanna Nurmi and Rik Crutzen and Hankonen, {Nelli Elisa} and Marguerite Beattie and Stephan Dombrowski",
year = "2018",
month = "2",
day = "15",
doi = "10.1080/17437199.2018.1435299",
language = "English",
volume = "12",
pages = "211--230",
journal = "Health Psychology Review",
issn = "1743-7199",
publisher = "Routledge",
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How can interventions increase motivation for physical activity? A systematic review and meta-analysis. / Knittle, Keegan Phillip; Nurmi, Johanna; Crutzen, Rik; Hankonen, Nelli Elisa; Beattie, Marguerite; Dombrowski, Stephan.

In: Health Psychology Review, Vol. 12, No. 3, 15.02.2018, p. 211-230.

Research output: Contribution to journalReview ArticleScientificpeer-review

TY - JOUR

T1 - How can interventions increase motivation for physical activity?

T2 - A systematic review and meta-analysis

AU - Knittle, Keegan Phillip

AU - Nurmi, Johanna

AU - Crutzen, Rik

AU - Hankonen, Nelli Elisa

AU - Beattie, Marguerite

AU - Dombrowski, Stephan

PY - 2018/2/15

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N2 - Motivation is a proximal determinant of behaviour, and increasing motivation is central to most health behaviour change interventions. This systematic review and meta-analysis sought to identify features of physical activity interventions associated with favourable changes in three prominent motivational constructs: intention, stage of change and autonomous motivation. A systematic literature search identified 89 intervention studies (k=200; N=19,212) which assessed changes in these motivational constructs for physical activity. Intervention descriptions were coded for potential moderators, including behaviour change techniques (BCTs), modes of delivery and theory use. Random effects comparative subgroup analyses identified 18 BCTs and 10 modes of delivery independently associated with changes in at least one motivational outcome (effect sizes ranged from d=0.12 to d=0.74). Interventions delivered face-to-face or in gym settings, or which included the BCTs behavioural goal setting', self-monitoring (behaviour)' or behavioural practice/rehearsal', or which combined self-monitoring (behaviour) with any other BCT derived from control theory, were all associated with beneficial changes in multiple motivational constructs (effect sizes ranged from d=0.12 to d=0.46). Meta-regression analyses indicated that increases in intention and stage of change, but not autonomous motivation, were significantly related to increases in physical activity. The intervention characteristics associated with changes in motivation seemed to form clusters related to behavioural experience and self-regulation, which have previously been linked to changes in physical activity behaviour. These BCTs and modes of delivery merit further systematic study, and can be used as a foundation for improving interventions targeting increases in motivation for physical activity.

AB - Motivation is a proximal determinant of behaviour, and increasing motivation is central to most health behaviour change interventions. This systematic review and meta-analysis sought to identify features of physical activity interventions associated with favourable changes in three prominent motivational constructs: intention, stage of change and autonomous motivation. A systematic literature search identified 89 intervention studies (k=200; N=19,212) which assessed changes in these motivational constructs for physical activity. Intervention descriptions were coded for potential moderators, including behaviour change techniques (BCTs), modes of delivery and theory use. Random effects comparative subgroup analyses identified 18 BCTs and 10 modes of delivery independently associated with changes in at least one motivational outcome (effect sizes ranged from d=0.12 to d=0.74). Interventions delivered face-to-face or in gym settings, or which included the BCTs behavioural goal setting', self-monitoring (behaviour)' or behavioural practice/rehearsal', or which combined self-monitoring (behaviour) with any other BCT derived from control theory, were all associated with beneficial changes in multiple motivational constructs (effect sizes ranged from d=0.12 to d=0.46). Meta-regression analyses indicated that increases in intention and stage of change, but not autonomous motivation, were significantly related to increases in physical activity. The intervention characteristics associated with changes in motivation seemed to form clusters related to behavioural experience and self-regulation, which have previously been linked to changes in physical activity behaviour. These BCTs and modes of delivery merit further systematic study, and can be used as a foundation for improving interventions targeting increases in motivation for physical activity.

KW - 5144 Social psychology

KW - Meta-analysis

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KW - intention

KW - stage of change

KW - autonomous motivation

KW - behaviour change techniques

KW - SELF-DETERMINATION THEORY

KW - BEHAVIOR-CHANGE INTERVENTIONS

KW - RANDOMIZED-CONTROLLED-TRIALS

KW - PROCESS APPROACH HAPA

KW - PLANNED BEHAVIOR

KW - TRANSTHEORETICAL MODEL

KW - HEALTH BEHAVIOR

KW - META-REGRESSION

KW - PRIMARY-CARE

KW - BODY-MASS

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DO - 10.1080/17437199.2018.1435299

M3 - Review Article

VL - 12

SP - 211

EP - 230

JO - Health Psychology Review

JF - Health Psychology Review

SN - 1743-7199

IS - 3

ER -