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From CEA literature in the field of health promotion two different frameworks were obtained that attempt to account for the complex process of behavior change in CEAs of behavioral interventions.
The Theory of Self-Regulation emphasizes an iterative, rational process of behavior change in which an individual working towards a behavioral goal learns from successes and failures and uses this knowledge to develop effective behavioral strategies to achieve his or her goal [ 37, 38].
These design features make the process of behavior change rewarding, easy, and desirable rather than a sacrifice or burden, as "diets" and "exercise" are often perceived to be.
The findings suggested that smoking cessation intervention strategies for Thai alcohol-dependent smokers should target the process of behavior change, nicotine dependence, self efficacy and decisional balance.
As demonstrated in interventions to reduce children's screen time, emphasis is placed on incentives for the process of behavior change rather than outcomes, by using frames to enhance intrinsic motivation such as perceived choice and control, individualization, fantasy and contextualization, challenge, curiosity, and cooperation and competition.
The major findings of the study were as follows: the variables that could discriminate between the „quitter‟ and "non-quitter groups amonon-quitter groupspendent smokers, amonge 0.05 significance level were process of behavior change, nicoThai dependency, self efficacy and decisional balance.
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eHealth is changing the way we conduct public health surveillance and conceptualize processes of behavior change.
Our study demonstrates that measures of enactment have the potential to add value to the process evaluation of behavior change intervention studies.
As noted above, studies on the temporal unfolding of behavior change processes indicate that current theories are either inaccurate or inadequately specified to provide a framework for such predictions (Riley et al. 2011; Shiffman et al. 2005).
EMA studies including those that assess factors such as implicit cognitions are needed to fully understand the unfolding of behavior change processes (Marhe et al. 2013) and identify critical junctures as temporal targets for interventions.
EMA is widely considered to represent a major advance in assessment methodology because of its ability to increase the accuracy of reporting, enable the examination of the dynamic unfolding of behavior change processes within individuals, and augment clinical assessment and treatment (Mehl and Connor 2013).
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