The state of the art and future opportunities for using longitudinal n-of-1 methods in health behaviour research: a systematic literature overview
View / Open Files
Health Psychology Review
Taylor & Francis
MetadataShow full item record
McDonald, S., Quinn, F., Vieira, R., O'Brien, N., White, M., Johnston, D., & Sniehotta, F. (2017). The state of the art and future opportunities for using longitudinal n-of-1 methods in health behaviour research: a systematic literature overview. Health Psychology Review https://doi.org/10.1080/17437199.2017.1316672
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 of the use of n-of-1 methods, organised according to key methodological considerations related to n-of-1 design and analysis, and describes future challenges and opportunities. A comprehensive search strategy (PROSPERO:CRD42014007258) was used to identify articles published between 2000 and 2016, reporting observational or interventional n-of-1 studies with health behaviour outcomes. Thirty-nine articles were identified which reported on n-of-1 observational designs and a range of n-of-1 interventional designs, including AB, ABA, ABABA, alternating treatments, n-of-1 randomised controlled trial, multiple baseline and changing criterion designs. Behaviours measured included treatment adherence, physical activity, drug/alcohol use, sleep, smoking and eating behaviour. Descriptive, visual or statistical analyses were used. We identify scope and opportunities for using n-of-1 methods to answer key questions in health behaviour research. n-of-1 methods provide the tools needed to help advance theoretical knowledge and personalise/tailor health behaviour interventions to individuals.
n-of-1 methods, health behaviour, single-case, idiographic methods
This work was part of the LiveWell programme. LiveWell was supported by the Lifelong Health and Wellbeing initiative (LLHW), under Grant number G0900686. The LLHW initiative is a funding collaboration between the UK Research Councils and Health Departments. The funding partners are: Biotechnology and Biological Sciences Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Medical Research Council, Chief Scientist Office of the Scottish Government Health Directorates, National Institute for Health Research /The Department of Health, The Health and Social Care Research & Development of the Public Health Agency (Northern Ireland), and Wales Office of Research and Development for Health and Social Care, Welsh Assembly Government.
Wellcome Trust (087636/Z/08/Z)
Embargo Lift Date
External DOI: https://doi.org/10.1080/17437199.2017.1316672
This record's URL: https://www.repository.cam.ac.uk/handle/1810/263580
Attribution 4.0 International, Attribution 4.0 International, Attribution 4.0 International, Attribution 4.0 International