Review Article

An Analysis of Behaviour Change Techniques Used in a Sample of Gestational Weight Management Trials

Table 1

Study characteristics and definite Behaviour Change Technique categories.

StudyIntervention delivery Number of participants randomised Number of participants analysedGWG in kgSignificant differenceAgreed BCT categories
Intervention group
mean (SD)
Control group
mean (SD)

Diet based interventions
Clapp 1997 [15]Not stated1211.8 (5.6)19.7 (2.9)
Crowther et al. 2005 [16]Dietician100010008.1 (0.3)9.8 (0.4)Adjusted Feedback and monitoring,
shaping knowledge,
comparison of outcomes
Landon et al. 2009 [17]Clinician9589312.8 (4.5)5 (3.3)Feedback and monitoring
Ney et al. 1982 [18]Not stated202011.8 (4.5)15.9 (6.8)
Quinlivan  et al. 2011 [19]Food technologist, clinical psychologist1321247.0 (5.2)13.8 (5.2)Goals and planning,
feedback and monitoring,
shaping knowledge,
regulation
Thornton et al. 2009 [20]Dietician, physician2572324.99 (6.79)14.06 (7.40)Goals and planning,
feedback and monitoring
Wolff et al. 2008 [21]Dietician64506.6 (5.5)13.3 (7.5)Goals and planning,
feedback and monitoring,
comparison of outcomes
Bechtel-Blackwell 2002 [22]Research nurse60466.87 (NR)5.57 (NR)NS
Briley et al. 2002 [23]Nutritionist272011.9 (6.3)15.2 (5.1)NSGoals and planning,
feedback and monitoring,
shaping knowledge
Khoury et al. 2005 [24]Dietician2902908.9 (3.1)9.4 (3.0)NS Goals and planning,
shaping knowledge,
repetition and substitution
Rae et al. 2000 [25] Research dietician12511711.56 (10.48)9.68 (10.66)NS
Badrawi et al. 1992 [26]Not stated100NRNRNR
Gomez et al. 1994 [27]Not stated60NRNRNR

Physical activity based interventions
Sedaghati et al. 2007 [28]Qualified instructor and midwife1009013.55 (1.131)15.1 (2.102)Feedback and monitoring,
shaping knowledge,
antecedents
Baciuk et al. 2008 [29]
Cavalcante et al. 2009 [30]
Qualified instructor717014.3 (2.1)15.1 (1.6)NS Feedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution,
antecedents
Barakat et al. 2009 [31]Qualified fitness specialist16014211.5 (3.7)12.4 (3.4)NS (but some difference in obese only group)Feedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution,
antecedents
Barakat et al. 2012 [32]Qualified instructor with obstetric assistance1008312.5 (3.2)13.8 (3.1)NS Feedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution,
antecedents
Clapp et al. 2000 [33]Not stated504615.7 (4.7)16.3 (3.4)NS
Erkkola 1976 [34]Not stated766211.8 (NR)11 (NR)NSFeedback and monitoring,
shaping knowledge,
natural consequences
Garshasbi  and Faghih 2005 [35]Midwife26621214.1 (3.8)13.8 (5.2)NS Comparison of outcomes
Haakstad and Bo 2011 [36]Qualified instructor10510513 (4)13.8 (3.8)NS Goals and planning,
feedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution
Hopkins et al. 2010 [37]Not stated98848.2 (3.5)8 (3.7)NSGoals and planning,
feedback and monitoring,
antecedents
Marquez-Sterling et al. 2000 [38]Qualified instructor201516.2 (3.4)15.7 (4)NS Goals and planning,
comparison of behaviour,
repetition and substitution
Ong et al. 2009 [39]Supervised12123.7 (3.4)5.2 (1.3)NS Shaping knowledge,
repetition and substitution,
antecedents
Prevedel et al. 2003 [40]Not stated604115 (NR)12.7 (NR)NSFeedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution
Santos et al. 2005 [41]Not stated92725.7 (NR)6.3 (NR)NS Feedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution,
antecedents
Bell and Palma 2000 [42]Not applicable6161NRNRNR
Erkkola and Makela 1976 [43]Not stated103103NRNRNRFeedback and monitoring,
shaping knowledge,
natural consequences
Khaledan et al. 2010 [44]Not stated39NRNRNRGoals and planning,
feedback and monitoring,
repetition and substitution,
antecedents
Lee et al. 1996 [45]Qualified instructor370351NRNRNRFeedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution,
antecedents
Yeo et al. 2000 [46]Not stated1716NRNRNR

Mixed interventions
Asbee et al. 2009 [47]Dietician, physician, nurse14410013.02 (5.67)16.15 (7.03)Goals and planning,
feedback and monitoring,
comparison of outcomes,
reward and threat
Huang et al. 2011 [48]Nurse trained in nutrition and fitness24018914.02 (2.38)16.22 (3.26)Goals and planning,
feedback and monitoring,
shaping knowledge,
reward and threat
Jeffries et al. 2009 [49]Medical student28623610.7 (4.21)11.5 (4.03) in overweight group but NS in underweight, normal weight or obeseGoals and planning,
feedback and monitoring
Phelan et al. 2011 [50]Research assistants, nurses, clinicians401363Normal weight 16.2 (4.6) obese 15.1 (7.5)Normal weight 15.3 (4.4) obese 14.7 (6.9)significant increase in normal weight women exceeding IOM guidelinesGoals and planning,
feedback and monitoring,
shaping knowledge,
associations,
antecedents
Polley et al. 2002 [51]Nutritionist or clinical psychologist120110Normal weight 15.4 (7.1)
overweight 13.6 (7.2)
Normal weight 16.4 (4.8);
overweight 10.1 (6.2)
significant increase in normal weight women exceeding IOM guidelinesGoals and planning,
feedback and monitoring,
repetition and substitution
Vinter et al. 2011 [52]Dietician, physiotherapist360304median range
7.0 (4.7–10.6)
median range
8.6 (5.7–11.5)
Goals and planning,
shaping knowledge,
comparison of behaviour,
repetition and substitution,
antecedents
Guelinckx et al. 2010 [53]Nutritionist195122Active group 9.8 (7.6)
Passive group 10.9 (5.6)
10.6 (6.9)NSGoals and planning,
feedback and monitoring,
shaping knowledge,
reward and threat
Hui et al. 2011 [54]Dietician and fitness trainer524514.2 (5.3)14.2 (6.3)NS Goals and planning,
feedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution,
comparison of outcomes,
antecedents
Hui et al. 2006 [55]Dietician and fitness trainer22419015.2 (5.9)14.1 (6.0)NS Goals and planning,
feedback and monitoring,
shaping knowledge,
comparison of behaviour,
repetition and substitution,
comparison of outcomes,
antecedents
Jackson et al. 2011 [56]Video doctor simulating health care provider32128915.15 (NR)15.24 (NR)NS
Bung et al. 1991 [57]Not stated4134NRNRNRGoals and planning,
feedback and monitoring,
shaping knowledge,
antecedents
Ferrara et al. 2011 [58]Trained dietician, lactation consultant197197NRNRNRGoals and planning,
shaping knowledge,
natural consequences,
comparison of outcomes
Kulpa et al. 1987 [59]Nutritionist, exercise physiologist and obstetrician14185Primigravida 14.3 (NR)
Multigravida
12.5 (NR)
Prigravida 14.2 (NR)
Multigravida 15.4 (NR)
NRGoals and planning

GWG = gestational weight gain.
SD = standard deviation.
BCT = Behaviour Change Technique.
NR = not reported.
NS = not significant.
IOM = Institute of Medicine.