British Journal of Health Psychology (2017)
© 2017 The British Psychological Society
www.wileyonlinelibrary.com
Reducing fat intake using implementation
intentions: A meta-analytic review
Irene Vil a* , Isabel Carrero and Raquel Redondo
Comillas Pontifical University-ICADE, Madrid, Spain
Purpose. To study the efficacy of forming implementation intentions for fat intake
reduction as well as possible moderating variables.
Methods. Systematic review and meta-analysis of 12 empirical studies (N = 3,323)
published in English and Spanish in the Web of Science (Core Collection) and MEDLINE
(1990–January 2016) databases.
Results. This study found that the efficacy of planning interventions on fat consumption
reduction was higher than expected, as a moderate overall effect of implementation
intentions was observed (d= 0.488). Moreover, planning for a fat intake reduction seems
to be more powerful for men than for women (b = .623; p = .025) and in cases where
there is no monitoring during the intervention (d= 0.671 vs. d= 0.231).
Conclusions. Previous research was sceptical of the efficacy of planning in the case of
avoiding goals in healthy eating. However, our results show that planning is an efficient
intervention that can be used by health education programmes to reduce fat intake and,
therefore, increase citizen well-being. These results also support the existence of a key
variable in the implementation intentions process, that is, goal complexity, and the
presence of two moderating variables, that is, gender and monitoring.
Statement of contribution
What is already known on this subject?
Implementation intentions are action plans subordinate to goal intentions that specify the ‘when,
where, and how’ of responses leading to goal attainment.
In healthy eating, the average effect of forming implementation intentions is small to medium, but
this efficacy changes depending on the type of intended behaviour. Past evidence shows that the
effect size seems to be lower when the intervention aims at reducing unhealthy behaviours versus
promoting healthy behaviours.
What does this study add?
Forming implementation intentions is an efficient intervention to reduce fat intake with a medium
overall effect.
The efficacy of this intervention is increased when men are targeted and when there is no
monitoring during the process.
This study introduces a new line of research focused on the study of the effect of planning on
complex goals.
Healthy eating is becoming an increasingly important behaviour due to problems
resulting from poor dietary habits. Prior to 1980, obesity rates were well below 10%
*Correspondence should be addressed to Irene Vil a, Alberto Aguilera 23, 28015 Madrid, Spain (email: ivila@comillas.edu).
DOI:10.1111/bjhp.12230
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