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If this is true, it may explain the preponderance of negative trials of behaviour change interventions founded on models of individual intentions and behaviours.
A recent issue of the British Journal of Cancer contains a Cochrane analysis of randomised trials of behaviour change strategies designed to promote exercise behaviour in cancer patients defined as sedentary (i.e., conducting ⩽30 mins of self-reported aerobic exercise three times per week) (Bourke et al, 2014).
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As such, findings from trials of health behaviour interventions in the general population are unlikely to be generalisable to this patients group.
This time frame was chosen to enable identification of trials of health behaviour interventions which are most applicable and relevant to a contemporary cohort of patients with colorectal adenoma.
Only three trials reported measures of behaviour change and the methods of data collection were susceptible to bias.
A potential limitation of any trial of clinician behaviour is the Hawthorne effect, where awareness of being observed may change behaviour or practice.
The CHAMP trial is the first large scale trial of cognitive behaviour therapy for health anxiety in secondary care.
The HTA CHAMP trial (07/01/26) was the first large scale trial of cognitive behaviour therapy for health anxiety in secondary care.
A previous trial of screening behaviour found that uptake of reduced-laxative CTC was markedly higher compared with full-laxative OC (34%% vs. 22%%, respectively) [ 44].
In contrast to the wealth of experimental trials of lifestyle-based behaviour modification approaches for normoglycaemic overweight and obese youth, very little experimental evidence exists for the efficacy of lifestyle changes on cardiometabolic health outcomes in youth with type 2 diabetes [ 13, 32].
The most recent such endeavour, a collaboration between Novartis, a giant drugs firm, and the Banner Alzheimer's Institute, in Arizona, was announced on July 15th.For now, the most promising data for delaying dementia stem not from drug trials but from studies of behaviour.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com