Health Psychology and Behavioral Medicine最新文献

{"title":"From Gym to App: integrating digital monitoring to enhance student engagement in physical education.","authors":"Stefan Alecu, Gheorghe Adrian Onea","doi":"10.1080/21642850.2026.2741524","DOIUrl":"10.1080/21642850.2026.2741524","url":null,"abstract":"<p><p>This study examines the effect of integrating a digital fitness application into university physical education on students' physical activity, motivation, and self-perceptions. A quasi-experimental design was conducted over 14 weeks with 1,614 undergraduate students, divided into an experimental group (<i>n</i> = 812) and a control group (<i>n</i> = 802). Both groups attended weekly physical education sessions, while the experimental group also used the Google Fit application to monitor activity and achieve at least 150 Heart Points per week. Physical activity and motivation were assessed using an IPAQ-derived activity composite and a BREQ-3 aggregate, alongside measures of perceived physical competence and body image. Both groups showed improvements, but the experimental group reported significantly greater changes. Physical activity increased by 0.66 points in the experimental group (Cohen's dz = 1.42) and by 0.18 points in the control group (dz = 0.40), while motivation increased by 0.56 points (dz = 1.63) and 0.12 points (dz = 0.40), respectively. Both outcomes were derived from 5-point response scales. Cluster-adjusted differences in change were statistically significant across all variables (<i>p</i> < 0.001). The findings are consistent with a beneficial effect of the multicomponent digitally supported intervention, while the quasi-experimental design limits causal attribution.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2741524"},"PeriodicalIF":2.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13670276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and psychometric validation of the symptom catastrophizing scale in cardiac surgery patients: a cross-sectional study.","authors":"Duo Zhang, Haoyang Zheng, Wencan Cheng, Yuehang Yang, Fan Yang, Yanrong Zhou","doi":"10.1080/21642850.2026.2744739","DOIUrl":"https://doi.org/10.1080/21642850.2026.2744739","url":null,"abstract":"<p><strong>Background: </strong>Symptom catastrophizing reflects maladaptive cognitive and emotional responses to physical symptoms and may worsen symptom burden, distress, and recovery. However, no validated Chinese instrument is available for cardiac surgery patients, limiting patient-centered assessment and early risk identification.</p><p><strong>Objective: </strong>To translate and culturally adapt a symptom-neutral catastrophizing measure derived from the original Post-concussion Symptom Catastrophizing Scale and evaluate its psychometric properties in Chinese cardiac surgery patients.</p><p><strong>Methods: </strong>Following Brislin's translation model, the scale was translated into Chinese. A convenience sample of 676 cardiac surgery patients was recruited from June to October 2025. Item analysis included critical ratio testing, item-total correlations, and internal consistency evaluation. Reliability was assessed using internal consistency, split-half, and test-retest methods. Content validity was evaluated through expert consultation. Exploratory and confirmatory factor analyses were conducted to examine construct validity. Data were analyzed using SPSS 29.0 and Mplus 8.0.</p><p><strong>Results: </strong>The adapted Chinese Symptom Catastrophizing Scale demonstrated strong content validity in cardiac surgery patients (S-CVI/Ave = 0.975; CVR = 0.800-1.000). Exploratory factor analysis extracted a three-factor model explaining 79.774% of the variance. Confirmatory factor analysis indicated acceptable model fit (χ²/df = 2.175, CFI = 0.970, TLI = 0.962, RMSEA = 0.059). Reliability coefficients included Cronbach's <i>α</i> = 0.936, split-half reliability = 0.894, test-retest reliability = 0.958, and McDonald's <i>ω</i> = 0.934.</p><p><strong>Conclusion: </strong>The Chinese Symptom Catastrophizing Scale demonstrated satisfactory initial reliability and validity evidence in cardiac surgery patients. It provides a brief, standardized, patient-centered measure for identifying maladaptive symptom responses and may facilitate early psychological risk screening, targeted symptom management, and future patient-reported outcome research.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2744739"},"PeriodicalIF":2.7,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health psychology for more sustainable healthcare: a systems-oriented framework.","authors":"Nicola Grignoli, Jeannette Büchel, Olivier Favre, Roger Keller, Myrta Isenschmid, Tiffany Martin, Serena Petrocchi, Chantal Martin Soelch, Jennifer Inauen","doi":"10.1080/21642850.2026.2745672","DOIUrl":"https://doi.org/10.1080/21642850.2026.2745672","url":null,"abstract":"<p><strong>Background: </strong>Healthcare systems face growing pressure from rising costs, workforce shortages, chronic disease burden, and increasing mental health needs. At the same time, many health outcomes depend on behavioural and psychosocial factors that remain insufficiently integrated into healthcare delivery. Although health psychology provides evidence-based approaches to prevention, behaviour change, and patient-centred care, its contribution often remains fragmented rather than structurally embedded within healthcare systems. This policy-oriented conceptual perspective aims to fill this gap and inform stakeholders about how the discipline can contribute to more sustainable healthcare systems through the integration of behavioural and psychosocial expertise.</p><p><strong>Method: </strong>This perspective and framework was developed through iterative discussions among the authors, experts from health psychology academia and practice, informed by established health psychology theories and selected interdisciplinary literature, with an emphasis on systematic reviews, large-scale studies, and authoritative policy sources.</p><p><strong>Results: </strong>We identified three interrelated domains of contribution of health psychology: (1) research, education, and policy support; (2) health promotion and prevention in schools, workplaces, and communities; and (3) interprofessional clinical integration in hospitals and primary care.</p><p><strong>Conclusions: </strong>Coordinated psychosocial integration across prevention and care pathways may strengthen health promotion and prevention, improve care coordination, and reduce avoidable healthcare costs and burden.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2745672"},"PeriodicalIF":2.7,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying behaviour change science to change motivational interaction in physical activity and sports professionals: stepwise development and acceptability pre-test of the MotiStyleSport intervention.","authors":"Minttu Palsola, Elina Renko, Melina Puolamäki, Pilvikki Absetz, Leen Haerens, Taru Lintunen, Sebastian Potthoff, Kaisa Saurio, Nelli Hankonen","doi":"10.1080/21642850.2026.2716945","DOIUrl":"https://doi.org/10.1080/21642850.2026.2716945","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) counselling and sports coaching are more effective when professionals use self-determination theory-based need-supportive interaction. Existing interventions generally involve information provision and practical exercise, and show modest, short-term effects. Behaviour change science has rarely been incorporated, despite its potential to support sustainable change.</p><p><strong>Aims: </strong>This study systematically applies behaviour change science to develop an intervention to train professionals in motivational interaction behaviours.</p><p><strong>Methods: </strong>A four-step mixed-methods design included a needs assessment questionnaire (<i>n</i> = 203), and pre-test acceptability questionnaires and group interviews (<i>n</i> = 15). Systematic intervention development involved: 1) identifying target behaviours, determinants and behaviour change strategies, 2) formulating a theory of change, 3) co-development of intervention materials, and 4) acceptability evaluation. Qualitative data were content analysed and means and medians of quantitative data (58 items, scale 1-5) were explored.</p><p><strong>Results: </strong>1) We selected nine motivational interaction behaviours (e.g. open questions, clarifying expectations) alongside seven determinants (e.g. self-efficacy) and intervention strategies. 2) Habit and control theories informed self-monitoring, action and coping planning, and habit formation/disruption activities. The intervention was delivered via 3) an online platform, slide shows, videos, and homework. 4) Overall acceptability was high after iterative optimisation. Prior to optimisation, self-insight maps had low overall acceptability (M = 2.8). Implementation intentions were rated acceptable (M = 3.6), but qualitative data revealed substantial misunderstandings concerning intervention coherence, perceived effectiveness, and self-efficacy.</p><p><strong>Conclusion: </strong>Quantitative-qualitative divergence in implementation intention data underlines the value of mixed-methods evaluation. Habit theory-based exercises show promise, but feasibility and effectiveness testing are needed before conclusions about behavioural impact.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2716945"},"PeriodicalIF":2.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149180926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health and environmental goals and behaviors: parallel and facilitating effects.","authors":"Shoshana Shiloh, Gabriel Nudelman","doi":"10.1080/21642850.2026.2732740","DOIUrl":"https://doi.org/10.1080/21642850.2026.2732740","url":null,"abstract":"<p><strong>Introduction: </strong>The concept of behavioral eco-wellness highlights behaviors that simultaneously influence personal health and environmental sustainability, including those relevant to the climate crisis. This study examined health- and environment-related goals and behaviors jointly, addressing the following questions: How important are health and environmental goals? How are these goals associated? How do they associate with behaviors that serve either one or both goals? And how do perceived inter-goal facilitation relations relate to these behaviors?</p><p><strong>Methods: </strong>A sample of 228 participants completed an online questionnaire assessing the importance of health and environmental goals, perceived inter-goal relations, engagement in and expected benefits of four behaviors: reducing red meat consumption and preferring walking or biking over driving, both benefiting health and the environment, and attending recommended health checkups and recycling plastic bottles, which primarily benefit health or the environment, respectively.</p><p><strong>Results: </strong>Health goals were rated as significantly more important than environmental goals, and the two were positively correlated. The behavior most highly engaged in was attending recommended health checkups, perceived as highly beneficial for health, whereas reducing red meat consumption, perceived as low in benefits for both domains, was least engaged in. Goal importance correlated with single-goal behaviors, whereas behaviors serving both goals showed only weak associations with either goal. Perceived inter-goal facilitation explained additional variance in most behaviors beyond the contributions of each goal's importance.</p><p><strong>Discussion: </strong>Health and environmental goals, independently and jointly, help explain relevant behaviors. Goal-behavior relationships differed across behaviors and their perceived benefits.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2732740"},"PeriodicalIF":2.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13629766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregivers in amyotrophic lateral sclerosis (ALS): preliminary results between paid care and family care.","authors":"Elisa Zambetti, Irene Baronchelli, Simone Belli, Clara Mucci, Andrea Greco","doi":"10.1080/21642850.2026.2709184","DOIUrl":"10.1080/21642850.2026.2709184","url":null,"abstract":"<p><strong>Background: </strong>Amyotrophic lateral sclerosis (ALS) is a rare neurodegenerative disease affecting about 6,000 people in Italy. Caring for ALS impacts the quality of life and mental health of formal and informal caregivers, but few studies have explored this.</p><p><strong>Methods: </strong>This research analyzes experiences of 9 formal caregivers (FC; 8 women) with an average age of 49.29 years (<i>SD =</i> 3.861) and 6.58 years of average length of service (<i>SD =</i> 5.975), and 11 informal caregivers (iFC; 9 women) with an average age of 48.30 years (<i>SD =</i> 13.500) and who have been caring for relatives for 3.29 years (<i>SD =</i> 2.500). All participants were recruited from an Italian healthcare residence. We assessed psychological well-being, burnout (for FC), and burden (for iFC), and included testimonies retrieved from online sources. Data were analyzed using mixed-methods analysis, including nonparametric tests, Emotional Text Mining, and discourse analysis.</p><p><strong>Results: </strong>The results showed both groups had high psychological well-being (<i>Mfc</i> = 85.86; <i>SDfc</i> = 9.026; <i>Mifc</i> = 83.10; <i>SDifc</i> = 11.435). FC had low emotional exhaustion (<i>M =</i> 16.67; <i>SD =</i> 10.087) and depersonalization (<i>M =</i> 2.56; <i>SD =</i> 2.186), and a moderate level of personal gratification (<i>M =</i> 29.11; <i>SD =</i> 11.667; <i>M =</i> 27.43; <i>SD =</i> 11.238). iFC experienced a higher burden when the patient is in a healthcare residence than when he/she was at home. FC discussed patient and family challenges, emphasizing the necessity of research and new therapies; iFC focused on social and emotional needs, seeing themselves as adaptors out of necessity.</p><p><strong>Conclusions: </strong>The study highlights the psychological impact of caregiving and preliminary qualitative differences between paid and family caregivers. Further analysis could explore these distinctions, aiding the development of targeted interventions to promote caregivers' well-being.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2709184"},"PeriodicalIF":2.7,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13591974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An empirical analysis of Living Well (<i>Buen Vivir</i>) among indigenous peoples in Latin America and the Caribbean: systematic review.","authors":"Lorena P Gallardo-Peralta, Yrma Magaly López Torres, Rosa Araya Añicoy, Raquel Latorre Martínez, Karla Lara Vargas","doi":"10.1080/21642850.2026.2721751","DOIUrl":"10.1080/21642850.2026.2721751","url":null,"abstract":"<p><strong>Background: </strong>There is extensive scientific debate regarding ancestral knowledge of Living Well (<i>Buen Vivir</i>) in Latin America and the Caribbean (LAC), with potential policy ramifications. The debate is positioned as a decolonial response and concerns situated knowledge as opposed to the developmentalist, extractivist and anthropocentric ideas that dominate in various neoliberal LAC States.</p><p><strong>Objective: </strong>The basis for this article is a systematic review of scientific articles that empirically analyse Living Well in LAC, guided by the following questions: In which countries and indigenous communities has this topic been researched? Which have been the main methodologies used? Have they been participative in nature? Which dimensions of Living Well have studies most frequently examined?</p><p><strong>Methods: </strong>The SALSA methodology (Search, AppraisaL, Synthesis and Analysis) was used to carry out the systematic literature review. The Web of Science (WoS), Scopus, Dialnet, SciELO and PubMed bibliography databases were selected to search and identify relevant literature.</p><p><strong>Results: </strong>The results show 57 studies, led by Colombia (13) and Ecuador (12), mainly based on qualitative research (49), with a limited number using participative methodologies (10). This review includes 58 indigenous peoples, with the most extensively studied being the Quechua/Kichwa/Kiwcha people (16).</p><p><strong>Conclusion: </strong>The underlying dimensions can be grouped into: nature and territory; community organisation; health and holistic wellbeing; intergenerational care and gender roles; and indigenous and intercultural training and education. Although not constituting an independent dimension, several studies also explored the values and principles underpinning Living Well across these thematic area.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2721751"},"PeriodicalIF":2.7,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13587554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experimentally induced mood changes and simultaneously changing heart rate variability (HRV).","authors":"Maud Vroemen, Anne Marsman, Thérèse van Amelsvoort, Richel Lousberg","doi":"10.1080/21642850.2026.2709754","DOIUrl":"10.1080/21642850.2026.2709754","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between rapidly changing emotional states and simultaneously measured heart rate variability (HRV).</p><p><strong>Methods: </strong>Eighty-two healthy subjects underwent a mood induction procedure while ECG recordings were made. The subjects were asked to look at an image for 30 s and then instructed to visualize the image again with closed eyes for 1 min. RR intervals were calculated as the time between two adjacent R-peaks. HRV was calculated by taking the square root of the mean absolute differences between RR intervals for each 10-s segment. This value was then logarithmically transformed.</p><p><strong>Results: </strong>Following a series of validation analyses, the relationship between mood changes and HRV was assessed. A first positively loaded image corresponded with higher levels of HRV compared to a first negatively loaded image. For the second image of opposite emotional valence, no reversal of HRV could be demonstrated. In contrast, the HRV level measured during the first image continued during the visualization phase of the second image.</p><p><strong>Conclusion: </strong>This study provides evidence that experimentally manipulated mood covaries with HRV. However, when mood states change rapidly, the relationship with HRV is not detectable. Several post-hoc explanations are provided. Possible implications for clinical practice are discussed.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2709754"},"PeriodicalIF":2.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between illness representations, coping resources, and subjective well-being among family caregivers of prolonged mechanical ventilation patients.","authors":"Tanya Lavrinenko, Shiri Shinan-Altman","doi":"10.1080/21642850.2026.2700054","DOIUrl":"10.1080/21642850.2026.2700054","url":null,"abstract":"<p><p><b>Background:</b> Prolonged mechanical ventilation (PMV) imposes emotional, physical, and social burdens on family caregivers, yet limited research focuses on their subjective well-being (SWB). This study aimed to explore the factors associated with SWB among family caregivers of hospitalized PMV patients, guided by the Self-Regulation Model. <b>Methods:</b> A total of 134 family caregivers completed questionnaires assessing SWB, illness representations, sense of coherence, and perceived social support. <b>Results:</b> Path analysis revealed that positive illness representations-such as perceptions of shorter illness duration and effective treatment control-enhanced SWB through higher sense of coherence and perceived social support. Conversely, negative representations, including severe perceived consequences and heightened emotional responses, adversely affected SWB. Symptom burden and illness understanding were not significantly linked to coping resources or SWB. <b>Conclusions:</b> Although we offer a mediation model with cross-sectional data, the findings underscore the role of coping resources as mediators in the relationships between illness representations and SWB. Future longitudinal research is recommended to further support the mediation model suggested in our study. Interventions fostering adaptive illness representations and bolstering coping resources, such as sense of coherence and social support, are recommended to alleviate caregiver burden and improve well-being. These insights offer practical guidance for healthcare providers in supporting caregivers and enhancing outcomes for both patients and families.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2700054"},"PeriodicalIF":2.7,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diet and physical activity behaviours among people with insomnia symptoms: a cross-sectional survey to understand treatment needs and acceptability.","authors":"Jacy Hyland, Moira Junge, Joseph J Scott, David Cunnington, Mia A Schaumberg, Mathew J Summers, Timothy Baird, Claire M Ellender, Caitlin Fehily, Emma Axelsson, Sara Winter, Jenny Bowman, Hattie H Wright, Christopher D Askew, Alexandra P Metse","doi":"10.1080/21642850.2026.2721023","DOIUrl":"10.1080/21642850.2026.2721023","url":null,"abstract":"<p><strong>Background: </strong>High adherence to a Mediterranean diet and regular moderate-intensity physical activity (≥5 days/week, ≥30 minutes/day) reduce the risk of insomnia symptom onset and maintenance, yet engagement in these behaviours among adults with insomnia symptoms and the acceptability of lifestyle support are not well understood.</p><p><strong>Methods: </strong>Objectives: (1) characterise diet and physical activity behaviours among people with insomnia symptoms, including adherence to the Mediterranean diet and physical activity guidelines (moderate-intensity physical activity on ≥5days/week for ≥30 minutes/day), as well as the regularity of these behaviours; (2) explore clinical and socio-demographic factors associated with these behaviours; and (3) investigate the acceptability of receiving support to optimise diet and physical activity as part ofin insomnia treatment. Australian adults with insomnia symptoms completed an online cross-sectional survey (<i>n</i> = 308; 85% female; 18-65 years). Diet and physical activity were assessed using the Mediterranean Diet Adherence Screener (MEDAS) and the International Physical Activity Questionnaire (IPAQ), alongside the regularity of meal and activity patterns. Acceptability was measured using the Acceptability of Intervention Measure (AIM). Logistic regression explored associations with gender, age, insomnia severity, and education.</p><p><strong>Results: </strong>Most participants reported low Mediterranean diet adherence (72%), low or -moderate activity levels (66%), did not meet physical activity guidelines (69%), and had irregular meal (71%) and activity patterns (60%). Mediterranean diet adherence was lower in men, younger adults, and those with lower education; no factors were associated with physical activity. Support was acceptable to 57% (mean AIM = 3.8/5, SD = 0.8), with higher acceptability among women and those with severe insomnia symptoms.</p><p><strong>Conclusions: </strong>Findings provide preliminary evidence of an unmet need for interventions to support lifestyle behaviour change among those with insomnia symptoms. While support is acceptable to many, targeted approaches may be needed for subgroups with lower adherence and acceptability.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2721023"},"PeriodicalIF":2.7,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148827727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}