Although health-promotion interventions that recommend changes across multiple behavioral domains are a newer alternative to single-behavior interventions, their general efficacy and their mechanisms of change have not been fully ascertained. This comprehensive meta-analysis (6,878 effect sizes from 803 independent samples from 364 research reports, N = 186,729 participants) examined the association between the number of behavioral recommendations in multiple-behavior interventions and behavioral and clinical change across eight domains (i.e., diet, smoking, exercise, HIV [Human Immunodeficiency Virus] prevention, HIV testing, HIV treatment, alcohol use, and substance use). Results showed a positive, linear effect of the number of behavioral recommendations associated with behavioral and clinical change across all domains, although approximately 87% of the samples included between 0 and 4 behavioral recommendations. This linear relation was mediated by improvements in the psychological well-being of intervention recipients and, in several domains (i.e., HIV, alcohol use, and drug use), suggested behavioral cuing. However, changes in information, motivation, and behavioral skills did not mediate the impact of the number of recommendations on behavioral and clinical change. The implications of these findings for theory and future intervention design are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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针对多种行为的健康促进干预措施：对一般和特定行为变化过程的荟萃分析回顾。


尽管建议跨多个行为领域进行改变的健康促进干预措施是单一行为干预措施的较新替代方案，但其总体功效和改变机制尚未完全确定。这项全面的荟萃分析（来自 364 份研究报告的 803 个独立样本的 6,878 个效应量，N = 186,729 名参与者）检查了多重行为干预中的行为建议数量与跨八个领域（即饮食、吸烟、锻炼、艾滋病毒[人类免疫缺陷病毒]预防、艾滋病毒检测、艾滋病毒治疗、饮酒和药物滥用）。结果显示，尽管大约 87% 的样本包含 0 到 4 条行为建议，但与所有领域的行为和临床变化相关的行为建议数量都存在积极的线性影响。这种线性关系是通过干预接受者心理健康的改善来调节的，并且在多个领域（即艾滋病毒、酒精使用和吸毒），表明行为暗示。然而，信息、动机和行为技能的变化并不能调节建议数量对行为和临床变化的影响。讨论了这些发现对理论和未来干预设计的影响。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。