@article{ref1,
title="How best to reduce unhealthy risk-taking behaviours? A meta-review of evidence syntheses of interventions using self-regulation principles",
journal="Health psychology review",
year="2019",
author="Protogerou, Cleo and McHugh, R. Kathryn and Johnson, Blair T.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Self-regulation is a key antecedent of health and behaviour-change interventions have utilized self-regulation approaches to promote health. The present study used a novel methodology, a <i>nested meta-review,</i> to: (a) integrate and summarize information from evidence syntheses of diverse self-regulation interventions to reduce risk-taking, in the behavioural domains of smoking, alcohol and drug use, unhealthy eating, externalizing problem behaviours, and sexual risk-taking; (b) identify intervention features implicated in risk-taking prevention or reduction; and (c) provide recommendations for future research and practice. Searches of eight databases yielded 21 eligible evidence syntheses, 15 taking a primarily social-cognitive strategy (<i>k</i> = 1,103 total studies), and 6 taking a primary trait/developmental strategy (<i>k</i> = 119); total <i>N</i> > 650,000. Intervention features most frequently associated with reduced risk-taking included: delivery of multiple components through (either, or a mix of) group, individual, computer, and one-one-one delivery; screening and pharmacotherapy, where relevant; targeting only one behavioural outcome; provision of counselling, stress-management, skills-training, self-monitoring, self-control and impulsivity training, and personalized feedback; identification of barriers and 'resolution' of barriers; tailoring to age and ethnicity; and, also, incorporating social support by peers. Some of these patterns were more visible in meta-analyses with higher methodological quality. Recommendations for research and practice are offered.<p /> <p>Language: en</p>",
language="en",
issn="1743-7199",
doi="10.1080/17437199.2019.1707104",
url="http://dx.doi.org/10.1080/17437199.2019.1707104"
}