Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic Review

Non-communicable diseases (NCD) account for 74% of global mortality. Approximately 86% of all premature deaths occur in low- and middle-income countries majorly attributed to lifestyle changes or behavioural risk factors. The theory-based behaviour change interventions (BCIs) appear promising, but t...

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Main Authors: Tejaswini B. Darukaradhya, J. Krishnamurthy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Preventive Medicine: Research & Reviews
Subjects:
Online Access:https://journals.lww.com/10.4103/PMRR.PMRR_45_24
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author Tejaswini B. Darukaradhya
J. Krishnamurthy
author_facet Tejaswini B. Darukaradhya
J. Krishnamurthy
author_sort Tejaswini B. Darukaradhya
collection DOAJ
description Non-communicable diseases (NCD) account for 74% of global mortality. Approximately 86% of all premature deaths occur in low- and middle-income countries majorly attributed to lifestyle changes or behavioural risk factors. The theory-based behaviour change interventions (BCIs) appear promising, but their applicability is not explored within the national programmes. The current paper aims to review the effectiveness of theory-based BCI in modifying the NCD risk factors and provide insights into the national NCD programmes. Interventions conducted to evaluate theory-based BCIs between 2002 and 2022 in modifying behavioural risk factors for NCDs were identified from multiple databases (PubMed, Scopus, Google Scholar and Cochrane Library) for systematic review. The final analysis included 35 studies that used theories and models that broadly come under one of the four approaches, i.e. intrapersonal (targets inherent individual factors for behaviour change), interpersonal (targets the family or groups), community (target socio-cultural ecosystems) and integrated (combination of other three approaches). Twenty-seven studies showed significant results. The highest number of studies were of interpersonal approach using socio-cognitive theory and integrated (11 each), and strength of evidence was moderate for both. Twenty-six studies focused on physical inactivity and unhealthy diet. The review supports the effectiveness of behaviour change interventions for mitigating NCD risk factors. Further efforts, including implementation research study methods, should be directed to evaluate effects of these interventions on population health outcomes within specific cultural and social contexts.
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spelling doaj-art-ded2a329b5e343df889aa4175c17be5c2025-08-20T03:30:40ZengWolters Kluwer Medknow PublicationsPreventive Medicine: Research & Reviews2950-58282950-58362025-01-0121243910.4103/PMRR.PMRR_45_24Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic ReviewTejaswini B. DarukaradhyaJ. KrishnamurthyNon-communicable diseases (NCD) account for 74% of global mortality. Approximately 86% of all premature deaths occur in low- and middle-income countries majorly attributed to lifestyle changes or behavioural risk factors. The theory-based behaviour change interventions (BCIs) appear promising, but their applicability is not explored within the national programmes. The current paper aims to review the effectiveness of theory-based BCI in modifying the NCD risk factors and provide insights into the national NCD programmes. Interventions conducted to evaluate theory-based BCIs between 2002 and 2022 in modifying behavioural risk factors for NCDs were identified from multiple databases (PubMed, Scopus, Google Scholar and Cochrane Library) for systematic review. The final analysis included 35 studies that used theories and models that broadly come under one of the four approaches, i.e. intrapersonal (targets inherent individual factors for behaviour change), interpersonal (targets the family or groups), community (target socio-cultural ecosystems) and integrated (combination of other three approaches). Twenty-seven studies showed significant results. The highest number of studies were of interpersonal approach using socio-cognitive theory and integrated (11 each), and strength of evidence was moderate for both. Twenty-six studies focused on physical inactivity and unhealthy diet. The review supports the effectiveness of behaviour change interventions for mitigating NCD risk factors. Further efforts, including implementation research study methods, should be directed to evaluate effects of these interventions on population health outcomes within specific cultural and social contexts.https://journals.lww.com/10.4103/PMRR.PMRR_45_24behaviour change interventionsintegrated approachmodifiable risk factorsnon-communicable diseasessystematic review
spellingShingle Tejaswini B. Darukaradhya
J. Krishnamurthy
Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic Review
Preventive Medicine: Research & Reviews
behaviour change interventions
integrated approach
modifiable risk factors
non-communicable diseases
systematic review
title Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic Review
title_full Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic Review
title_fullStr Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic Review
title_full_unstemmed Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic Review
title_short Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic Review
title_sort modifying non communicable disease behaviours through effective health communication and behaviour change a systematic review
topic behaviour change interventions
integrated approach
modifiable risk factors
non-communicable diseases
systematic review
url https://journals.lww.com/10.4103/PMRR.PMRR_45_24
work_keys_str_mv AT tejaswinibdarukaradhya modifyingnoncommunicablediseasebehavioursthrougheffectivehealthcommunicationandbehaviourchangeasystematicreview
AT jkrishnamurthy modifyingnoncommunicablediseasebehavioursthrougheffectivehealthcommunicationandbehaviourchangeasystematicreview