Health Psychology and Behavioral Medicine最新文献

{"title":"A four-phase framework for culturally responsive vaccine messaging.","authors":"Kyra Hamilton, Jessica Balla, Amber Carmen Arroyo, Mayra Y Bámaca, Anna E Epperson, Rosa D Manzo, Mercedes Peña, Martin S Hagger","doi":"10.1080/21642850.2026.2666714","DOIUrl":"10.1080/21642850.2026.2666714","url":null,"abstract":"<p><strong>Background: </strong>Efficacious messaging campaigns are essential for increasing vaccine uptake, particularly in communities with low coverage and heightened hesitancy. A major barrier to equitable vaccination is the lack of culturally responsive messaging that reflects the values and experiences of underserved minoritized populations. Despite growing recognition of cultural responsiveness, few studies offer systematic, theory-informed approaches to message design, implementation, and validation. To address this gap, we propose a four-phase framework that explicitly centers culture and behavioral theory into vaccine messages, with the goal of improving relevance, resonance, and effectiveness among marginalized groups.</p><p><strong>Methods: </strong>Grounded in a design science approach, the framework comprises four integrated phases across seven sequential steps. <i>Phase 1</i> involves formative research comprising an environmental scan of public health messaging (Step 1) and a systematic review of message efficacy studies (Step 2), as well as focus groups assessing the cultural responsiveness of existing messages (Step 3). <i>Phase 2</i> includes belief elicitation through open-ended surveys to identify key factors influencing vaccine decisions (Step 4). <i>Phase 3</i> uses quantitative methods to examine belief-based correlates of vaccination hesitancy and intentions (Step 5). <i>Phase 4</i> applies findings from earlier phases to develop culturally informed message prototypes, assessed for appropriateness through focus groups (Step 6) and evaluated in a feasibility trial using a pre-post design (Step 7).</p><p><strong>Conclusion: </strong>This four-phase framework offers a rigorous, replicable approach for developing theory-driven, culturally tailored health messages. It is intended for future vaccine communication initiatives and can be adaptable to other health behavior contexts and diverse minoritized populations.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2666714"},"PeriodicalIF":2.7,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148137822","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":"Occupational stress and burnout among Japanese early childhood education and care teachers: the mediating role of psychological safety.","authors":"Yuko Matsuda, Shoko Hamada","doi":"10.1080/21642850.2026.2668170","DOIUrl":"10.1080/21642850.2026.2668170","url":null,"abstract":"<p><strong>Background: </strong>Early childhood education and care (ECEC) teachers in Japan experience high levels of occupational stress, placing them at significant risk of burnout. While organizational support has been explored concerning burnout, limited research has examined the role of psychological safety as a mediating factor in this context.</p><p><strong>Objective: </strong>This study investigated the mediating role of psychological safety in the relationship between occupational stress and burnout among ECEC teachers in Japan.</p><p><strong>Methods: </strong>A longitudinal data survey was conducted in early May 2023 (Time 1) and late March 2024 (Time 2), with 500 participants completing both surveys. Measures included the Brief Job Stress Questionnaire (Time 1) and Japanese versions of the Burnout and Psychological Safety Scales (Time 2).</p><p><strong>Results: </strong>Covariance structure analysis revealed that quantitative job overload had a direct positive association with only emotional exhaustion. Higher job control was associated with lower levels across all dimensions of burnout and was partially mediated by psychological safety. Supervisor support had a direct negative association with only reduced personal accomplishment, while having a significant indirect association with all burnout dimensions through psychological safety. The association of coworker support with burnout was fully mediated by psychological safety.</p><p><strong>Conclusion: </strong>These findings underscore the critical role of psychological safety in the relationship between occupational stress and burnout. Notably, they suggest that interventions to enhance psychological safety may effectively prevent burnout among ECEC teachers.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2668170"},"PeriodicalIF":2.7,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13151769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868057","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":"Factors contributing to resilience amongst adolescent girls in artisanal and small-scale mining communities in Ghana and Uganda.","authors":"Hanna Chidwick, Betty Kwagala, Asiimwe John Bosco, Nowshin Nahela, Lydia Kapiriri","doi":"10.1080/21642850.2026.2668157","DOIUrl":"10.1080/21642850.2026.2668157","url":null,"abstract":"<p><strong>Background: </strong>Resilience is critical to the health and well-being of last-mile adolescent girls and young women (AGYW) who work in artisanal and small-scale mining (ASM) communities. The COVID-19 pandemic exacerbated the health and economic challenges that AGYW in ASM communities experience. Despite a growing focus and discussion of adolescent resilience in the literature, there is a continued gap in information on the experience of last-mile or hard-to-reach adolescents, such as those in ASM communities, and their resilience. This paper aims to understand adolescent resilience in ASM communities in Uganda and Ghana and identify contributing factors.</p><p><strong>Methods: </strong>This study employed quantitative analysis of survey responses from 1618 AGYW in Ugandan and Ghanaian ASM communities. Survey questions focused on resilience and were adapted from the Brief Resilience Scale (BRS). Responses were analyzed (descriptive, bivariate, logistics regression) using STATA and BRS scoring to indicate low and normal/high resilience.</p><p><strong>Results: </strong>Across AGYW in both Ghana and Uganda, an average of 57% had a normal/high resilience score and 43% had a low resilience score. Variables that were significantly related to normal/high resilience (p value equal to or less than 0.05) included residence in Ghana, AGYW 18 years or above, completed secondary education, were migrants, were employed by their parents or other relatives, received fair payments, had savings, drank alcohol, did not experience physical violence or a combination of physical and sexual violence, and had monthly incomes higher than $70.</p><p><strong>Conclusions: </strong>Findings correlate with existing literature on resilience amongst adolescents. Targeted resilience interventions with the AGYW in ASM have the potential to break cycles of vulnerability and should focus on savings and financial literacy, along with advocacy for mitigating sexual and gender-based violence and enhancing girls' rights to continue to build resilience. Long-term multi-stakeholder collaborations are key to building resilience within ASM communities.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2668157"},"PeriodicalIF":2.7,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147928620","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":"Understanding vaccine hesitancy in Slovakia: mapping slovak population through latent class analysis.","authors":"Alexandra Šurinová, Veronika Korim, Veronika Jurková, Radomír Masaryk","doi":"10.1080/21642850.2026.2667618","DOIUrl":"10.1080/21642850.2026.2667618","url":null,"abstract":"<p><strong>Background: </strong>Vaccine hesitancy and public adherence to health measures remain critical challenges in Slovakia, where coverage of COVID-19 vaccination has been low, and parents' decisions regarding vaccination of their children further illustrate variability in immunization uptake.</p><p><strong>Methods: </strong>This study investigates how Slovak adults (<i>N</i> = 505) differ in their perceptions of vaccination, compliance with restrictions, and health literacy. Using Latent Class Analysis, we identified three distinct population segments that reflect both internationally recognized typologies and the unique sociocultural context of Slovakia.</p><p><strong>Results: </strong>Our findings indicate that health literacy is an important characteristic distinguishing population segments with different vaccine-related beliefs and behaviours. Individuals with higher health literacy demonstrated greater confidence in vaccination and more autonomous, informed decision-making, whereas those with lower literacy relied more on external authority and restrictive measures.</p><p><strong>Conclusions: </strong>These results highlight the importance of tailored public health communication strategies that prioritize clarity, accessibility, and credibility, alongside interventions that combine education and community engagement. By targeting health literacy, policymakers can potentially reduce vaccine hesitancy and foster sustainable trust in health systems. Future research should explore longitudinal and mixed-method approaches to examine causal mechanisms and the dynamic interplay of literacy, trust, and social influence over time.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2667618"},"PeriodicalIF":2.7,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837065","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 relationship between post-traumatic growth and social participation in patients receiving maintenance dialysis: cross-lagged analysis of two waves.","authors":"Xiyu Peng, Jianying Li, Yanru Chen, Jiaxin Liu, Jinjie Liu, Huiqun Li, Jieling Chen","doi":"10.1080/21642850.2026.2661452","DOIUrl":"10.1080/21642850.2026.2661452","url":null,"abstract":"<p><strong>Purpose: </strong>Social participation and post-traumatic growth (PTG) both exert beneficial effects on well-being of patients receiving maintenance dialysis. However, the temporal directionality of their association has remained unexamined. This study aimed to examine the bidirectional, longitudinal relationship between PTG and social participation over 1-year period among patients receiving maintenance dialysis.</p><p><strong>Methods: </strong>Research data were collected from patients receiving dialysis treatment for over 3 months at two tertiary hospitals in China. A total of 193 participants completed the baseline survey, and 147 completed the second-wave survey. Self-reported questionnaires were delivered to assess their PTG and social participation. Cross-lagged analysis was used to examine the possible relationship between PTG and social participation.</p><p><strong>Results: </strong>After adjusting for confounding factors, a unidirectional linear relationship was observed: higher levels of PTG at baseline were associated with greater social participation over time (<i>β</i> = 0.290, 95% CI: 0.151-0.430, <i>p</i> < 0.001), whereas baseline social participation was not significantly associated with subsequent PTG.</p><p><strong>Conclusions: </strong>This study revealed low levels of social participation among patients receiving maintenance dialysis. Based on the cross-lagged analysis, PTG appears to play a contributing role in improving social participation over time.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2661452"},"PeriodicalIF":2.7,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13103989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769917","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":"Co-designing an exercise maintenance intervention for older adults exiting falls prevention programmes: a multi-stage stakeholder consultation approach.","authors":"Sarah Audsley, Nicola Adams, Gill Barry, Paul Court, Seema Haridas, Rory Harrison, Amy Hemmings, Bob Laventure, Victoria Mercer, Sarah A Moore, Alasdair F O'Doherty, Emma Stanmore, Dawn A Skelton","doi":"10.1080/21642850.2026.2662110","DOIUrl":"10.1080/21642850.2026.2662110","url":null,"abstract":"<p><strong>Background: </strong>Falls Management Exercise (FaME) programmes improve physical function and reduce falls rate and risk in older adults, but after completion exercise engagement declines, leading to loss of the health benefits gained. This study aimed to co-design an exercise maintenance intervention for older adults exiting FaME programmes, addressing the critical need to sustain physical activity benefits after programme completion.</p><p><strong>Methods: </strong>A three-stage co-design process: Stage 1 involved community-based stakeholder consultations with older adults completing FaME and rehabilitation professionals (<i>n</i> = 16) to identify acceptable intervention components. Stage 2 consisted of professional stakeholder consultations (<i>n</i> = 11) to assess feasibility. In Stage 3, the Normalisation Process Theory guided development of implementation procedures with service-providers (<i>n</i> = 2). Data were analysed using descriptive statistics and thematic analysis.</p><p><strong>Results: </strong>Community-based stakeholders identified core components: information on local physical activity opportunities (88%), motivational strategies (81%), follow-up group meetings (69%), and health education (63%). Professional stakeholders confirmed unanimous agreement for motivational strategies and health education. Concerns emerged regarding affordability of follow-up meetings for service-providers and equity of digital interventions. Follow-up phone calls, text message reminders, self-completed functional fitness assessments and exercise snacks in face-to-face sessions emerged as additional components.</p><p><strong>Conclusion: </strong>KESS is a rigorous, co-designed, stakeholder informed intervention targeting exercise maintenance in older adults after FaME ends. KESS aims to prevent a decline in exercise adherence and consequent increasing risk of falling, observed in FaME programme attendees >6 months after programmes end if appropriate activity is not maintained. KESS is ready for feasibility and acceptability testing.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2662110"},"PeriodicalIF":2.7,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13103995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769949","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":"Factors associated with the intention to donate blood among secondary school students in East Central Uganda: an application of the theory of planned behavior.","authors":"Martha Akulume, Angela Nakanwagi Kisakye, Florence Rosebell Nankya, Suzanne Namusoke Kiwanuka","doi":"10.1080/21642850.2026.2661450","DOIUrl":"10.1080/21642850.2026.2661450","url":null,"abstract":"<p><strong>Background: </strong>The availability of donated blood in Uganda rests on the goodwill of voluntary donors. Previous studies have shown that intention to donate blood predicts the practice of blood donation. To design interventions aimed at improving the availability of donated blood, there is a need to understand intention to donate blood. This study aimed to apply the theory of planned behavior (TPB) to assess the factors associated with the intention to donate blood among secondary school students, the major blood donor group in Uganda.</p><p><strong>Methods: </strong>We analyzed secondary data from the blood donation awareness project baseline survey. The blood donation awareness project baseline survey was conducted in four purposively selected secondary schools in East Central Uganda. All the students eligible for the study were invited to participate in the baseline survey. A self-administered questionnaire was used to collect data on the socio-demographic characteristics as well as the TPB constructs. Data were analyzed in STATA version 14. Correlations and structural equation modelling were used to examine the associations among the TPB constructs. A <i>p-</i>value of < 0.05 was considered significant.</p><p><strong>Results: </strong>The mean score for intention to donate blood was 14.7 out of a total score of 20. The three TPB constructs explained 34.7% variance in the students' intention to donate blood. Perceived behavioral control had the strongest association with the students' intention to donate blood (<i>β</i> = 0.366, <i>p-</i>value < 0.001). Subjective norms were also significantly associated with the students' intention to donate blood (<i>β</i> = 0.080, <i>p-</i>value = 0.003). The students' attitude towards blood donation and moral responsibility were not associated with their intention to donate blood.</p><p><strong>Conclusion: </strong>Our findings showed a moderate level of intention to donate blood among the students. Perceived behavioral control and subjective norms were associated with the students' intention to donate blood.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2661450"},"PeriodicalIF":2.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769883","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":"From body to mind: how body-mind axial awareness training enhances body awareness, mindfulness, positive embodiment and mental health in healthcare students.","authors":"Yi-Min Tien, Chia-Yao Lin, Yunn-Wen Lien, Li-Chuan Hsu","doi":"10.1080/21642850.2026.2656029","DOIUrl":"10.1080/21642850.2026.2656029","url":null,"abstract":"<p><strong>Background: </strong>Healthcare students face intense emotional and academic stress, leading to anxiety and poor mental health. Body-Mind Axial Awareness (BMAA)-a movement-based, body-centered practice-integrates bodily awareness and interoceptive attention to promote mind-body regulation and mental health.</p><p><strong>Methods: </strong>A pretest-posttest controlled design was used with 38 students in the BMAA group and 27 in the control group. Group differences arising from non-random enrollment were statistically adjusted using analysis of covariance (ANCOVA), and within-group changes were examined using paired t-tests and repeated-measures multivariate analysis of variance (MANOVA). Participants completed eight weeks of BMAA training involving weekly two-hour sessions and daily home practice. Assessments before and after intervention included four domains of psychological functioning, measured using validated instruments: body awareness (Body Awareness Ability Inventory; Multidimensional Assessment of Interoceptive Awareness), mindfulness (Mindful Attention Awareness Scale), positive embodiment (Experience of Embodiment Scale), and mental health (Adult Mental Health Scale; Toronto Alexithymia Scale-20; State-Trait Anxiety Inventory-Trait; Satisfaction with Life Scale).</p><p><strong>Results: </strong>After controlling for baseline differences, the BMAA group showed greater gains than the control group in body awareness, mindfulness, positive embodiment, and mental health. Within-group analyses further indicated that BMAA participants demonstrated significant pre-post improvements across most body awareness and mindfulness subscales (except Not-Distracting and Not-Worrying), as well as across embodiment dimensions (except Resisting Objectification), along with enhanced emotional awareness and expression, reduced anxiety, and higher life satisfaction (<i>p</i> < .05 for relevant comparisons). Despite the absence of random assignment and modest group-size imbalance, ANCOVA and within-group findings demonstrated consistent effects.</p><p><strong>Conclusion: </strong>The findings demonstrate that BMAA training enhances multiple facets of body-mind functioning, including bodily awareness, mindfulness, positive embodiment, and mental health. As healthcare students encounter cognitive and emotional demands, BMAA may offer a feasible embodied approach for strengthening psychological resilience and adaptive stress management during professional training.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2656029"},"PeriodicalIF":2.7,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13072697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689735","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":"Participant experiences and engagement with the enhanced heart failure care program: a qualitative study.","authors":"Hannah Fraser Wetzler, Andrew Boyle, Breanne Hobden, Aaron L Sverdlov, Nicholas Zwar, Rob Hungerford, Nicholas Collins, Trent Williams, Francesco Paolucci, Cameron Robson, Kristy Fakes","doi":"10.1080/21642850.2026.2654919","DOIUrl":"10.1080/21642850.2026.2654919","url":null,"abstract":"<p><strong>Introduction: </strong>Mental health disorders are common among people with heart failure (HF). The Enhanced HF Care program is a digital health intervention designed to remotely monitor and support the wellbeing of patients discharged with acute decompensated HF via online modules and surveys. This qualitative study explores participants' experiences, engagement with and feedback on the program.</p><p><strong>Methods: </strong>The design was a qualitative in-trial sub-study. Participants were recruited pre-discharge from two public hospitals in New South Wales, Australia. Semi-structured telephone interviews were conducted one- and/or six-months post-recruitment with a sample of participants who received the intervention to understand their experience of the program. Transcripts were analysed based on a qualitative descriptive approach and content analysis.</p><p><strong>Results: </strong>Twenty-four interviews were conducted with 18 participants (3 female, 15 male; age range 39-87 years). Four overarching themes were identified: program engagement; program benefits; additional information needs; and multidimensional perspectives on health. Most participants reported the program as beneficial, comprehensive and detailed enough for their needs, particularly valuing the opportunity for self‑reflection on mental and physical health. However, engagement was variable, with competing priorities and feeling overwhelmed after discharge limiting uptake for some participants. Easy post‑discharge access to information and the ability to share it with family were also valued.</p><p><strong>Discussion: </strong>Patient feedback highlighted the acceptability and positive impacts of the program, though some challenges remain for uptake including information overload and competing time priorities. These findings underscore the importance of timing, tailoring, and responsiveness to individual patient contexts within digital health interventions.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2654919"},"PeriodicalIF":2.7,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13055023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638610","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":"Has the COVID-19 pandemic changed characteristics, administration modalities, and implementation of psychological interventions for chronic headache? An updated systematic review.","authors":"Annalisa De Lucia, Valeria Donisi, Michela Rimondini, Lidia Del Piccolo, Cinzia Perlini","doi":"10.1080/21642850.2026.2650006","DOIUrl":"10.1080/21642850.2026.2650006","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has brought increased global attention to headache disorders. Building on a pre-pandemic published systematic review covering the period from 2008 to 2018, we updated the literature on evidence-based psychological interventions for adults with chronic headaches (CH), with a specific focus on the potential impact of the pandemic. Besides exploring characteristics of the interventions, evidence, and possible factors influencing their implementation in clinical practice, we aimed to investigate whether the pandemic affected interventions' features, delivery modalities, and uptake.</p><p><strong>Methods: </strong>We conducted a systematic search of PubMed and PsycINFO (2019-2024), checked ClinicalTrials.gov for upcoming trials, and consulted websites of clinical centers cited in the included studies. We assessed the quality of selected studies using the <i>Quality Assessment Tool with Diverse Designs</i> and carried out a narrative synthesis.</p><p><strong>Results: </strong>We included 20 studies (10 new and 10 updates of previously reviewed studies), with migraine being the most represented disease, and 12 upcoming trials. An emphasis on cognitive-behavioral therapy, biofeedback, and relaxation training still emerged, alongside a significant rise in eHealth solutions, particularly in upcoming trials, after the pandemic.</p><p><strong>Discussion: </strong>While the pandemic seems to have accelerated the adoption of eHealth for CH, the gap between research and clinical implementation of psychological intervention has not yet been effectively bridged.</p>","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":"14 1","pages":"2650006"},"PeriodicalIF":2.7,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591728","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}