Social determinants as moderators of the effectiveness of health behavior change interventions: scientific gaps and opportunities.

Autor: Alcántara C; School of Social Work, Columbia University, New York, NY, USA., Diaz SV; School of Social Work, Columbia University, New York, NY, USA., Cosenzo LG; School of Social Work, Columbia University, New York, NY, USA., Loucks EB; Department of Epidemiology, Brown University, Providence, RI, USA., Penedo FJ; Department of Psychology, University of Miami, Coral Gables, FL, USA., Williams NJ; Department of Population Health, New York University, New York, NY, USA.
Jazyk: angličtina
Zdroj: Health psychology review [Health Psychol Rev] 2020 Mar; Vol. 14 (1), pp. 132-144.
DOI: 10.1080/17437199.2020.1718527
Abstrakt: Social determinants of health (SDOH) refer to the broad range of social, economic, political, and psychosocial factors that directly or indirectly shape health outcomes and contribute to health disparities. There is a growing and concerted effort to address SDOH worldwide. However, the application of SDOH to health behavior change intervention research is unknown. We reviewed the synthesis literature on health behavior change interventions targeting self-regulation to (a) describe the sociodemographic characteristics, (b) determine which types of social determinants were tested as moderators of health behavior change interventions, (c) evaluate the methodological quality of the meta-analytic evidence, and (d) discuss scientific gaps and opportunities. Thirty (45.4%) of 66 articles examined heterogeneity of treatment effects by SDOH. There was a lack of racial/ethnic, immigrant, sexual/gender minority, and lifecourse sample diversity. Overall, 73.5% of SDOH moderator analyses tested heterogeneity of treatment effects by gender, race/ethnicity, and intervention setting; none examined neighborhood factors. Methodological quality was negatively correlated with number of SDOH analyses. Most SDOH moderator analyses were atheoretical and indicated statistically non-significant differences. We provide an integrated SDOH and science of behavior change framework and discuss scientific opportunities for intervention research on health behavior change to improve health equity.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje