Falko F Sniehotta

Falko F Sniehotta
Universität Heidelberg · Mannheim Institute of Public Health

PhD

About

391
Publications
197,290
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
16,565
Citations
Additional affiliations
January 2011 - December 2012
Newcastle University
June 2010 - present
Newcastle University
Position
  • Professor (Full)
June 2010 - present
Newcastle University
Position
  • Professor (Full)

Publications

Publications (391)
Article
Full-text available
Population health and health inequalities are best conceptualised in a complex systems model with interdependent elements at various levels within a connected whole. 1 This perspective suggests that wide effects on health, such as socioeconomic, cultural, and environmental factors as well as social, behavioural, and biological effects, interact in...
Article
Full-text available
N-of-1 studies test hypotheses within individuals based on repeated measurement of variables within the individual over time. Intra-individual effects may differ from those found in between-participant studies. Using examples from a systematic review of n-of-1 studies in health behaviour research, this article provides a state of the art overview o...
Article
Full-text available
N-of-1 studies are based on repeated observations within an individual or unit over time and are acknowledged as an important research method for generating scientific evidence about the health or behaviour of an individual. Statistical analyses of n-of-1 data require accurate modelling of the outcome while accounting for its distribution, time-rel...
Article
Full-text available
Background: Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice. Metho...
Article
Full-text available
http://www.tandfonline.com/doi/full/10.1080/17437199.2013.869710
Article
Full-text available
Background Anxiety disorders are common among primary-school aged children, but few affected children receive evidence-based treatment. Identifying and supporting children who experience anxiety problems through schools would address substantial treatment access barriers that families and school staff often face. We have worked with families and sc...
Article
Full-text available
Background Shared medical appointments (SMAs) or group consultations have been promoted in primary care to improve workload pressures, resource-use efficiency and patient self-management of long-term conditions (LTCs). However, few studies have explored stakeholders’ perspectives of this novel care delivery model in the English NHS context, particu...
Article
Full-text available
We compared intention to receive the seasonal influenza vaccine with a prospective coronavirus (COVID-19) vaccine among undecided or COVID-19 vaccine hesitant individuals to better understand the underlying differences and similarities in factors associated with vaccine intention. We delivered a cross-sectional online survey in October-November 202...
Article
Full-text available
Objectives A very small proportion of children with anxiety problems receive evidence-based treatment. Barriers to access include difficulties with problem identification, concerns about stigma and a lack of clarity about how to access specialist services and their limited availability. A school-based programme that integrates screening to identify...
Preprint
Background: COVID-19 continues to pose a threat to public health. Booster vaccine programmes are critical to achieve population-level immunity. Stage theory models of health behaviour can help our understanding of vaccine decision-making in the context of perceived threats of COVID-19.Purpose: To use the Precaution Adoption Process Model (PAPM) to...
Preprint
Background Shared medical appointments (SMAs) have the potential to address interlinked challenges of limited capacity in primary healthcare and rising prevalence of patients with multiple long-term conditions (LTCs). This review aimed to examine the effectiveness of SMAs compared to one-to-one appointments in primary care at improving health outco...
Article
Full-text available
Objectives: In action planning interventions, individuals specify and link cues with behavioural responses to implement behaviour change. To date, not much is known about how and how much the detection of the planned cue (entering and identifying the planned situation) and the execution of the planned behaviour (behavioural response exactly as pla...
Preprint
Background Shared medical appointments (SMAs) or group consultations have been promoted in primary care to improve workload pressures, resource-use efficiency and patient self-management of long-term conditions (LTCs). However, few studies have explored stakeholders’ perspectives of this novel care delivery model in the English NHS context, particu...
Article
Full-text available
Primary care providers (PCPs) have an important role in prevention of excess weight gain in pre-school children. Guidelines exist to support PCPs' practices. This systematic review of PCPs' practice behaviors and their perceptions of barriers to and facilitators of implementation of guidelines was the first step toward the development of an interve...
Preprint
Full-text available
Understanding what predicts behavior change is a hot topic in health psychology, especially with regard to physical activity. While existing research has revealed key factors of physical activity (e.g., reasoned cognitions, automatic processes), it fails to accurately identify those that are specific to the most inactive populations (e.g., older ad...
Article
Full-text available
Early studies showed that 28–36% of UK adults were unsure or unwilling to be vaccinated against COVID-19. We wanted to identify which socio-demographic, socio-economic, personal health and psychological factors were associated with COVID-19 vaccine intentions (CVI) in adults living in England who did not want, yet to consider, or not sure whether t...
Article
Full-text available
Background Audit and feedback (A&F) interventions improve patient care but may result in unintended consequences. To evaluate plausible harms and maximise benefits, theorisation using logic models can be useful. We aimed to explore the adverse effects of colonoscopy A&F using a feedback intervention theory (FIT) dark logic model before the National...
Article
Objective Behaviour change maintenance seems to be difficult for many people. To prevent people from relapsing, insight into determinants of relapse is needed. We synthesized the evidence on predictors of lapse and relapse in physical activity and dietary behaviour change. Design Prospective studies in adults aged ≥18 years were identified from sy...
Preprint
Full-text available
Background: Weight management is a priority for maternity services due to pregnancy risks and long-term health implications for women and babies. Pregnancy interventions significantly improve maternal diet, physical activity, weight, and some pregnancy outcomes. There are complex barriers, underpinned by self-efficacy, to midwives’ implementation o...
Article
Objective The Diabetes Remission Clinical Trial (DiRECT) used a formula total diet replacement programme followed by structured weight loss maintenance to induce and sustain weight loss and remission of type 2 diabetes in 36% of participants after two years. Nurses and dietitians delivering DiRECT in 22 primary care practices in Tyneside and Scotla...
Article
Full-text available
The number of individuals in England experiencing homelessness, substance use, and involvement with the criminal justice system is increasing. These issues, referred to as severe and multiple disadvantage (SMD), are often interlinked and co-occur. Health inequalities, particularly poor oral health, persist for those facing these inter-related issue...
Article
Full-text available
Increasing numbers of people in England experience homelessness, substance use, and repeated offending (known as ‘severe and multiple disadvantage’; SMD). Populations experiencing SMD often have extremely poor oral health, which is closely inter-linked with high levels of substance use, smoking, and poor diet. This study aims to undertake an eviden...
Article
Objective: Many adolescents report a lack of physical activity (PA) and excess screen time (ST). Psychological theories aiming to understand these behaviours typically focus on predictors of only one behaviour. Yet, behaviour enactment is often a choice between options. This study sought to examine predictors of PA and ST in a single model. Variab...
Technical Report
Full-text available
Effective communication between academics and policy makers plays an important role in informing political decision making and creating impact for researchers. Policy briefs are short evidence summaries written by researchers to inform the development or implementation of policy. This guide has been developed to support researchers to write...
Preprint
Effective communication between academics and policy makers plays an important role in informing political decision making and creating impact for researchers. Policy briefs are short evidence summaries written by researchers to inform the development or implementation of policy. This guide has been developed to support researchers to write effecti...
Conference Paper
Full-text available
Background Letters are regularly sent by healthcare organisations to healthcare professionals to encourage them to take action, change practice or implement guidance (e.g., regarding immunisation, blood pressure measurement, prescription, referral). However, whether letters are an effective tool in delivering a change in healthcare professional beh...
Conference Paper
Full-text available
Background As of 15 February 2021, over 20 million people in England have received their first dose of a COVID-19 vaccine. Population-level immunological protection requires the large majority to be vaccinated, though given the spread of misinformation and vaccine hesitancy concerns, this may be challenging. Therefore, this study aimed to elicit fr...
Article
Introduction The Diabetes REmission Clinical Trial (DiRECT) has shown that sustained remission of type 2 diabetes in primary care is achievable through weight loss using total diet replacement (TDR) with continued behavioural support. Understanding participants’ experiences can help optimise the intervention, allow implementation into healthcare, a...
Article
Full-text available
Objective To determine if the characteristics of behavioural weight loss programmes influence the rate of change in weight after the end of the programme. Design Systematic review and meta-analysis. Data sources Trial registries, 11 electronic databases, and forward citation searching (from database inception; latest search December 2019). Random...
Article
Full-text available
Objective To synthesise the published literature on practitioner, patient and carer views and experiences of shared medical appointments (SMAs) for the management of long-term conditions in primary care. Design Systematic review of qualitative primary studies. Methods A systematic search was conducted using MEDLINE (Ovid), PsycINFO (Ovid), CINAHL...
Preprint
Full-text available
Background: Anxiety disorders are common among primary-school aged children, but few affected children receive evidence-based treatment. Identifying and supporting children who experience anxiety problems through schools would address substantial treatment access barriers that families and school staff often face. We have worked with families and s...
Article
Full-text available
Background: Effective interventions and commercial programmes for weight loss (WL) are widely available, but most people regain weight. Few effective WL maintenance (WLM) solutions exist. The most promising evidence-based behaviour change techniques for WLM are self-monitoring, goal setting, action planning and control, building self-efficacy, and...
Article
Full-text available
Background Letters are regularly sent by healthcare organisations to healthcare professionals to encourage them to take action, change practice or implement guidance. However, whether letters are an effective tool in delivering a change in healthcare professional behaviour is currently uncertain. In addition, there are currently no evidence-based g...
Article
Full-text available
Introduction Anxiety difficulties are among the most common mental health problems in childhood. Despite this, few children access evidence-based interventions, and school may be an ideal setting to improve children’s access to treatment. This article describes the design, methods and expected data collection of the Identifying Child Anxiety Throug...
Preprint
BACKGROUND Physical activity (PA) can reduce cardiovascular disease (CVD) risk factors, and while primary care settings offer a large reach to promote PA and reduce cardiovascular disease risk, primary healthcare professionals may lack self-efficacy and tools to effectively promote PA in practice. Movement as Medicine for CVD Prevention is a suite...
Article
Full-text available
Background: Physical activity (PA) can reduce cardiovascular disease (CVD) risk factors, and although primary care settings offer a large reach to promote PA and reduce CVD risk, primary health care professionals may lack self-efficacy and tools to effectively promote PA in practice. Movement as Medicine for CVD Prevention is a suite of 2 theory-b...
Preprint
Full-text available
Background Audit and feedback (A&F) interventions improve patient care but may result in negative effects. To evaluate plausible harms and maximise benefits, a-priori theorisation using dark logic models can be useful. We aimed to assess the unintended adverse effects of A&F in colonoscopy using Feedback Intervention Theory (FIT) based dark logic m...
Preprint
Full-text available
Background: Behavioural interventions for weight loss maintenance have shown beneficial effects for weight loss maintenance. While the digital upgrade of behavioural interventions brings an enormous potential to tackle public health challenges, there is limited knowledge about the components of these interventions, i.e., its content, delivery and t...
Article
Full-text available
There is substantial evidence documenting the effects of behavioural interventions on weight loss (WL). However, behavioural approaches to initial WL are followed by some degree of longer-term weight regain, and large trials focusing on evidence-based approaches to weight loss maintenance (WLM) have generally only demonstrated small beneficial effe...
Preprint
Full-text available
This paper explored UK public understanding of antibody testing at the point in the Covid-19 pandemic when the UK Government thought antibody tests may offer hope that those with a positive antibody test result could return to normal life. On-line focus groups were conducted with members of the public resident in the UK.
Article
Full-text available
Background During the COVID-19 pandemic, antibody testing was proposed by several countries as a surveillance tool to monitor the spread of the virus and potentially to ease restrictions. In the UK, antibody testing originally formed the third pillar of the UK Government’s COVID-19 testing programme and was thought to offer hope that those with a n...
Chapter
Full-text available
Intervention development is an iterative, recursive process, and involvement of users and stakeholders is of upmost importance to produce interventions that are likely to be acceptable and effective. Health behavior change interventions can be developed using several frameworks. Although different, these focus on the same core set of steps: analyzi...
Article
Growing data from epidemiological studies highlight the association between excess body fat and cancer incidence, but good indicative evidence demonstrates that intentional weight loss, as well as increasing physical activity, offers much promise as a cost-effective approach for reducing the cancer burden. However, clear gaps remain in our understa...
Article
Full-text available
Background and study aims Colonoscopists with low polyp detection have higher post colonoscopy colorectal cancer incidence and mortality rates. The United Kingdom’s National Endoscopy Database (NED) automatically captures patient level data in real time and provides endoscopy key performance indicators (KPI) at a national, endoscopy center, and ind...
Preprint
Full-text available
BACKGROUND Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer promising means to delivering behaviour change approaches at low cost and on a wide scale. The NoHoW project was a European Commission H2020-funded project aimed to develop, test, and evaluat...
Article
Full-text available
Background Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer a promising means of delivering behavior change approaches at low costs and on a wide scale. The Navigating to a Healthy Weight (NoHoW) project, which was funded by the European Union’s Horiz...
Preprint
Full-text available
Background: Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer promising means to delivering behaviour change approaches at low cost and on a wide scale. The NoHoW project was a European Commission H2020-funded project aimed to develop, test, and evalua...
Article
Full-text available
Purpose: Behaviour change techniques are fundamental to the development of any behaviour change intervention, but surprisingly little is known about their properties. Key questions include when, why, how, in which contexts, for which behaviours, in what combinations, compared with what, and for whom behaviour change techniques are typically effect...
Preprint
Full-text available
Background: Letters are regularly sent by healthcare organisations to healthcare professionals to encourage them to take action, change practice or implement guidance. However, whether letters are an effective tool in delivering a change in clinical practice behaviour is currently uncertain. In addition, there are currently no evidence-based guidel...
Article
Food consumption decisions require consumers to evaluate the characteristics of products. However, the literature has given limited attention to how consumers determine the impact of food on health (e.g., kilocalories) and on the environment (e.g., carbon footprint). In this exercise, 1511 consumers categorised 43 food products as healthy/unhealthy...
Technical Report
Full-text available
In the UK, 30% of people on the organ transplant list are from a black, Asian and minority ethnic (BAME) background. For many people, the best match for an organ will come from a donor of the same ethnicity. However, the proportion of deceased donors from BAME backgrounds stands at 7%, compared to 11% in the general population.  This project was c...
Article
Full-text available
Objectives Many factors lead to the commencement and maintenance of smoking, and better understanding of these is relevant in the management of oral health, particularly as smoking cessation advice (SCA) from the dental team is a key component of patient care. Whereas most previous research has focused on dental professionals’ perceptions of provid...
Technical Report
Full-text available
An excessive workload and work-related stress have contributed to an increasing sense of job dissatisfaction amongst many GPs. This coupled with the reducing cap under pension changes introduced 2010-2014 (effectively a pension of around £50K p.a. above which there are significant prohibitive tax penalties) has led to many physicians retiring from...
Article
Full-text available
Childhood obesity has increased enormously. Several lifestyle factors have been implicated, including decreased physical activity, partially involving a decline in active travel to school. We aimed to establish the association between school transport mode and physical activity levels of primary 6 and 7 children (aged 10–12). Secondary outcomes wer...
Article
Full-text available
This commentary expands on the recent critical review by Swann et al. (2020) which aimed to update the applications of Goal-Setting Theory (Locke & Latham, 2019) in physical activity promotion. Drawing from other work on goal striving and behaviour change, we make four key points to further elaborate on Swann et al.’s review. First, goals are more...
Technical Report
Full-text available
This policy brief summarises the key messages from five virtual focus groups conducted with a total of 59 members of the general public. • There was limited and confused understanding of what an antibody test is and what its results mean • There was lack of clarity about reinfection, immunity and risks to self and others following testing • The mea...
Technical Report
Full-text available
Exploring shared medical appointments for the management of chronic conditions in primary care: experiences of practice staff and patients Shared medical appointments (SMAs), are a new type of consultation in which a group of patients with the same chronic health condition(s) meet with a healthcare professional, or team of healthcare professionals,...
Article
Full-text available
With an ageing global population, there is an urgent need to identify effective strategies to maintain brain health across the life course and therein minimise the risk of age‐related neurodegenerative disorders reaching a severe stage which may manifest as dementia. An increasing body of evidence indicates that nutrition is a modifiable lifestyle...
Article
With the objective of increasing the magnitude of treatment effects in behavioral health, there is a steadily growing interest in tailoring assessments and interventions to better match individual needs. This aligns with the central idea that behaviors can be adequately understood by considering the unique characteristics of the individual and cont...
Article
Full-text available
Background: The National Health Service diabetes prevention programme in England, (NHS DPP) aims to identify people at high risk of type 2 diabetes (T2D) and offer them a face-to-face, group-based, behaviour change intervention for at least 9 months. The NHS DPP was rolled out in phases. We aimed to elicit stakeholders' perceptions and experiences...
Technical Report
Full-text available
Behaviour change techniques for healthy weight services to support families with children aged 4-11 years Changing behaviour in families 2 About Public Health England Public Health England exists to protect and improve the nation's health and wellbeing and reduce health inequalities. We do this through world-leading science, research, knowledge and...