The NZ Guidelines Group completed a rapidE process as part of their contract with the Ministry of Health to produce evidence-based guidance for the health sector focusing on implementation. The rapidE process looked at the available evidence on the effectiveness of health behaviour change interventions for people with long-term conditions. The rapidE process produced a suite of documents.
Purpose
In 2011,the New Zealand Guidelines Group (NZGG) was commissioned by the Ministry of Health to:- perform a systematic review to identify the most effective evidence-based theories and programmes for bringing about health behaviour change in people with chronic health conditions
- document, via a series of case studies, New Zealand experience of implementing health behaviour change interventions.
Key Results
The systematic review found that no one particular theory or programme had been proven to be consistently superior in bringing about health behaviour change across chronic conditions. It also noted that heterogeneity across reviewed studies probably serves to understate the effectiveness of behaviour change interventions in any systematic review.Social Learning Theory was the most widely applied and effective health behaviour change theory; it improved several behaviours across patient groups with specific individual chronic conditions, and also in a mixed patient group. Motivational Interviewing was also an effective health behaviour change intervention for several chronic conditions. Cognitive Behavioural Theory/Therapy, the Transtheoretical Model, and Self-regulation also showed some success for particular chronic conditions.