Multiple health behavior change in adults with or at risk for cancer: a systematic review.
OBJECTIVE
To identify components of efficacious interventions for multiple health behavior change (MHBC) in adult cancer survivors or adults at high risk for cancer.


METHODS
A systematic review of MHBC interventions was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework.


RESULTS
Ten studies met inclusion criteria. Most studies changed at least 2 health behaviors. Diet, exercise, and smoking cessation were consistently changed with in-person interventions. Longer duration interventions using phone or mail contact had a positive association with changing diet and exercise.


CONCLUSIONS
MHBC interventions positively influenced behavior change in adults with cancer and those at high risk for cancer. Future studies should focus on increasing dissemination and implementation of efficacious interventions.
College of Nursing & Health Sciences, University of Massachusetts, Boston, MA, USA. amanda.green002@umb.edu.
Amanda C
AC
Green
College of Nursing & Health Sciences, and Associate Vice-Provost for Research, University of Massachusetts, Boston, MA, USA.
Laura L
LL
Hayman
Phyllis F. Cantor Center, Research in Nursing and Patient Care, Dana-Farber Cancer Institute, Boston, MA, USA.
Mary E
ME
Cooley
D015438:Health Behavior; D006293:Health Promotion / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D009369:Neoplasms / Q000517:prevention & control / Q000523:psychology*