Adherence
Interventions tailored to the stages-of-change model (e.g., Transtheoretical Model) do not demonstrate superior effectiveness in promoting health-related behavior change compared to non-stage-based interventions or usual care.
Do not rely on complex stage-assessment tools to tailor health behavior interventions (like smoking cessation or diet plans) expecting better results than standard care. The evidence suggests that standard interventions are just as effective as those meticulously matched to a patient's self-reported 'stage of change'. Focus on delivering effective standard interventions rather than investing resources in complex staging algorithms.
Overall there appears to be little evidence to suggest that stage-based interventions are more effective compared to non-stage-based interventions. Similarly there is little evidence that stage-based interventions are more effective when compared to no intervention or usual-care.
Why this rating
Systematic review of 37 RCTs, though methodological quality was mixed.
Source
Continuous positive airway pressure devices for the treatment of obstructive sleep apnoea–hypopnoea syndrome: a systematic review and economic analysis
Catriona McDaid et al. · Health Technology Assessment · 2009
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