Journal of Behavioral Medicine最新文献

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Self-control, food choices, and affective well-being in daily life: an experience sampling study.
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-20 DOI: 10.1007/s10865-025-00549-y
Patrycja Sleboda, Michael Sobolev, Frederick Muench, Sarah-Jeanne Salvy, Geetanjali D Datta
{"title":"Self-control, food choices, and affective well-being in daily life: an experience sampling study.","authors":"Patrycja Sleboda, Michael Sobolev, Frederick Muench, Sarah-Jeanne Salvy, Geetanjali D Datta","doi":"10.1007/s10865-025-00549-y","DOIUrl":"https://doi.org/10.1007/s10865-025-00549-y","url":null,"abstract":"<p><p>Food-related decisions are one of the most frequently subject to self-control failure and play a significant role in regulating mood and emotions. Failure to exercise self-control itself is associated with negative outcomes, including poor mental health and happiness. As such, prior research examined the link between food related lack of self-control as a personality trait or experiences of loss of control in food choices with emotional states, general affect and mood, referred to as affective well-being. However, these studies often focused on either trait or state self-control. This study examines how individual differences in eating-related lack of self-control and daily experiences of loss control in food choices are jointly related to affective well-being, captured daily as feelings and dimensional affect. In a 21-day study among a non-clinical sample of adults (N = 97), baseline individual differences in lack of self-control over eating was positively associated with the proportion of days participants reported experiencing loss of self-control in food choices. These individual differences in lack of self-control were positively associated with daily feeling of distraction, boredom, shame, tiredness, loneliness, aimlessness, and negatively associated with positive affect averaged across 21-days. Daily experiences of loss of self-control in food choices were associated with feeling more distracted, ashamed, tired, and experiencing less positive affect on the next day. This study provides preliminary evidence of the complementary associations of trait self-control, daily experiences of loss of control around food selection and affective well-being in daily life.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mindfulness-based interventions for binge eating: an updated systematic review and meta-analysis.
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-20 DOI: 10.1007/s10865-025-00550-5
Jianyi Liu, Mara Tynan, Alexandra Mouangue, Caroline Martin, Stephanie Manasse, Kathryn Godfrey
{"title":"Mindfulness-based interventions for binge eating: an updated systematic review and meta-analysis.","authors":"Jianyi Liu, Mara Tynan, Alexandra Mouangue, Caroline Martin, Stephanie Manasse, Kathryn Godfrey","doi":"10.1007/s10865-025-00550-5","DOIUrl":"https://doi.org/10.1007/s10865-025-00550-5","url":null,"abstract":"<p><p>Mindfulness-based interventions (MBIs) have gained popularity in recent years in treating binge eating. Previous reviews and meta-analyses have found that MBIs demonstrated medium-large to large effects in reducing binge eating. However, as the literature on this topic has been growing rapidly, an updated review on MBIs' effectiveness is much needed. This study is a 10-year update of the Godfrey, Gallo, & Afari (2015) systematic review and meta-analysis of MBIs for binge eating. PubMED, PsycINFO, and Web of Science were searched using keywords including binge eating, overeating, objective bulimic episodes, acceptance and commitment therapy, dialectical behavior therapy, mindfulness, meditation, and mindful eating. Results indicate there has been a large increase in the number of studies testing MBIs for binge eating in the past 10 years with 54 studies meeting inclusion criteria, compared to 19 ten years ago. The majority of the studies yielded large and medium effect sizes. The random effects meta-analysis of between-group effect sizes yielded medium-large effects for MBIs versus non-psychological intervention controls at post-treatment (mean Hedge's g = - 0.65) and follow-up (mean Hedge's g = - 0.71), and negligible effects for MBIs versus active psychological controls at post-treatment (mean Hedge's g = - 0.05) and follow-up (mean Hedge's g = 0.13). Of all MBIs, DBT had the most studies with large effects. More studies examined MBIs that directly targeted binge eating had larger effects than studies with MBIs targeting other health outcomes (with binge eating as a secondary outcome). New studies included in the current review were internationally-conducted, focused more on participants with overweight or obesity, involved more self-help and technology-based components, and had more novel and innovative interventions components. Future MBIs research should conduct more RCTs comparing MBIs with other psychological interventions, conduct meta-analyses to examine the effectiveness of different types of MBIs and intervention targets, and extend follow-up periods.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How does removing menthol tobacco product displays at point-of-sale affect adolescents' cigarette smoking intentions? The mediating effects of social norms.
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-20 DOI: 10.1007/s10865-025-00551-4
Jody Chin Sing Wong, Claude Messan Setodji, Michael S Dunbar, Steven Martino, Grace van Valkenburg, Desmond Jenson, William G Shadel
{"title":"How does removing menthol tobacco product displays at point-of-sale affect adolescents' cigarette smoking intentions? The mediating effects of social norms.","authors":"Jody Chin Sing Wong, Claude Messan Setodji, Michael S Dunbar, Steven Martino, Grace van Valkenburg, Desmond Jenson, William G Shadel","doi":"10.1007/s10865-025-00551-4","DOIUrl":"https://doi.org/10.1007/s10865-025-00551-4","url":null,"abstract":"<p><p>This study investigates the psychological mechanisms through which a removal of mentholated tobacco products from retail stores affects future smoking intentions among youth. Descriptive norms and injunctive norms were examined as candidate mediators. The study was conducted in the RAND StoreLab (RSL), a life-sized replica of a convenience store developed to evaluate how changing point-of-sale (POS) tobacco advertising influences tobacco use outcomes during simulated shopping experiences. Participants were assigned to shop randomly in the RSL under one of three experimental conditions that were (1) status quo condition in which all tobacco-, sweet-, and menthol-flavors were displayed; (2) tobacco/menthol condition in which only tobacco- and menthol-flavored tobacco products were displayed (sweet characterizing flavors other than tobacco or menthol/mint were removed from the display, effectively \"banned\"); and (3) tobacco-only condition in which only tobacco-flavored products were displayed (all sweet- and menthol-flavored products were removed). Results revealed that injunctive norms mediated the relationship between the removal of menthol cigarettes from the POS setting and increased intentions to smoke menthol-flavored cigarettes, whereas descriptive norms were not a significant mediator. These findings suggest that targeting injunctive smoking norms in public health communications may be a promising strategy to mitigate potential unintended consequences of a menthol ban on future smoking intentions for youth.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The mediating role of social support in behavioral changes and weight loss outcomes among overweight Appalachian adults.
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-09 DOI: 10.1007/s10865-025-00555-0
Xiaochen Zhang, Abigail Shoben, Ashley S Felix, Brian C Focht, Ryan D Baltic, Electra D Paskett
{"title":"The mediating role of social support in behavioral changes and weight loss outcomes among overweight Appalachian adults.","authors":"Xiaochen Zhang, Abigail Shoben, Ashley S Felix, Brian C Focht, Ryan D Baltic, Electra D Paskett","doi":"10.1007/s10865-025-00555-0","DOIUrl":"https://doi.org/10.1007/s10865-025-00555-0","url":null,"abstract":"<p><p>Social support plays a key role in behavioral changes, especially in Appalachian populations. We examined the mediating effect of social support in behavioral changes and corresponding weight loss outcomes among Appalachian adults. Data were from a group-randomized trial that compared a 12-month faith-based weight loss intervention to an active control group among overweight Appalachian adults in churches. Participants from the weight loss intervention who completed the 12-month assessment were the focus of this analysis. Baseline and 12-month data on weight, social support for eating habits (SSEH) and physical activity (SSPA) from family, friends, and church family, physical activity, and dietary intake were collected. Logistic and linear regression models evaluated mediating effects of SSEH and SSPA on the association between intervention attendance and behavioral changes and corresponding weight loss outcomes. Most participants (n = 243) were female (76.2%), white (97.5%), and married or living with a partner (81.2%). After the 12-month intervention, participants lost weight (1.1 ± 0.3 kg), increased fruit and vegetable intake (0.4 ± 0.1servings/day), reduced caloric intake (322.9 ± 42.2 kcal/day), improved SSEH from family, and increased SSPA from the church family (all P < 0.05). Increased SSEH from family mediated 62% of the association between intervention attendance and fruit and vegetable servings per day. Each 100 kcal decrease in caloric intake was associated with decreased weight and BMI at 12-months (0.2 ± 0.1 kg, P = 0.003; 0.1 ± 0.02 kg/m<sup>2</sup>, P = 0.002). Our study demonstrated the mediation effect of social support for healthy eating on the association between intervention attendance and fruit and vegetable intake, which underscored the critical role of social support and calorie intake among Appalachian populations in losing weight. The study was pre-registered at clinicaltrials.gov (#NCT02121691).</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of experiential avoidance on anxiety and depressive disorders in hematological cancer patients.
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-09 DOI: 10.1007/s10865-025-00553-2
Gregor Weißflog, Jochen Ernst, Peter Esser, Uwe Platzbecker, Vladan Vucinic, Anja Mehnert-Theuerkauf, Franziska Springer
{"title":"The impact of experiential avoidance on anxiety and depressive disorders in hematological cancer patients.","authors":"Gregor Weißflog, Jochen Ernst, Peter Esser, Uwe Platzbecker, Vladan Vucinic, Anja Mehnert-Theuerkauf, Franziska Springer","doi":"10.1007/s10865-025-00553-2","DOIUrl":"https://doi.org/10.1007/s10865-025-00553-2","url":null,"abstract":"<p><p>Anxiety disorders and/or depressive disorders co-occurring with hematological cancer are an additional burden for patients. Experiential avoidance (EA; efforts to avoid negative emotions, thoughts, or memories) is an empirically evident transdiagnostic factor for the onset and maintenance of anxiety and depressive disorders in non-cancer populations. There is lack of evidence on the impact of EA in predicting anxiety and depression in cancer patients. A total of 291 patients with hematological cancer (60% male, mean age 55 years) were included in this cross-sectional observational study. Participants were assessed using the Structured Clinical Interview for DSM-5 mental disorders (SCID-5). EA was assessed via self-report using the Brief Experiential Avoidance Questionnaire (BEAQ). Hierarchical binomial logistic regression was conducted in order to estimate the impact of EA on anxiety and depressive disorders. A total of 38 patients (13.3%) met the diagnostic criteria for a current anxiety disorder, while 49 patients (17.2%) met the criteria for a current depressive disorder. In bivariate analyses, EA was significantly elevated in patients with an anxiety disorder in comparison to those without (54.4 vs. 48.9; p = 0.01). The same was true for depressive disorder (54.9 vs. 48.6; p < 0.01). After controlling for relevant sociodemographic and medical factors, EA did not predict anxiety or depressive disorder in separate regression models. The presence of an anxiety disorder was significantly predicted by female sex, younger age and elevated comorbidity burden. In contrast, the presence of a depressive disorder was predicted by comorbidity burden. Sociodemographic and medical predictors have greater predictive potential than EA regarding current anxiety and depressive disorder in hematological cancer patients.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting antiretroviral medication adherence among substance-using people with HIV: test and extension of the information-motivation-behavioral skills model.
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-09 DOI: 10.1007/s10865-025-00557-y
Archana Krishnan, Yerina S Ranjit, Xin Zhou, Frederick L Altice
{"title":"Predicting antiretroviral medication adherence among substance-using people with HIV: test and extension of the information-motivation-behavioral skills model.","authors":"Archana Krishnan, Yerina S Ranjit, Xin Zhou, Frederick L Altice","doi":"10.1007/s10865-025-00557-y","DOIUrl":"https://doi.org/10.1007/s10865-025-00557-y","url":null,"abstract":"<p><p>Antiretroviral therapy (ART) is effective in reducing HIV transmission and mortality, yet daily adherence remains a challenge for many people with HIV (PWH). Suboptimal adherence can lead to virological failure and increased mortality, particularly among those with substance use disorders, such as cocaine use disorder (CUD). The Information-Motivation-Behavioral (IMB) skills model offers a framework to understand and enhance ART adherence by addressing individual and social barriers. In this study, we tested the IMB skills model among 80 cocaine-using PWH currently on ART, and found that behavioral skills significantly predicted adherence. In the extension of the IMB skills model, the addition of practical barriers altered the relationship by showing that motivational barriers such as treatment fatigue and practical barriers significantly affected ART adherence. The findings suggest that for PWH with substance use disorders, addressing practical barriers and motivational factors may be crucial for improving ART adherence, in addition to building behavioral skills.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cyclic sighing in the clinic waiting room may decrease pain: results from a pilot randomized controlled trial.
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-04 DOI: 10.1007/s10865-024-00548-5
Adam W Hanley, Allison Davis, Phillip Worts, Steven Pratscher
{"title":"Cyclic sighing in the clinic waiting room may decrease pain: results from a pilot randomized controlled trial.","authors":"Adam W Hanley, Allison Davis, Phillip Worts, Steven Pratscher","doi":"10.1007/s10865-024-00548-5","DOIUrl":"https://doi.org/10.1007/s10865-024-00548-5","url":null,"abstract":"<p><p>Pain is a common medical experience, and patient access to pain management could be improved with novel intervention formats. Emerging evidence indicates brief, asynchronous, single-session interventions delivered in the clinic waiting room can improve patient outcomes, but only a few treatment modalities have been investigated to date. Breathwork is a promising approach to managing acute clinical pain that could be delivered asynchronously in the clinic waiting room. However, the direct impact of a breathwork intervention (e.g., brief cyclic sighing) on patients' pain and psychological distress (e.g., anxiety and depression symptoms) while waiting in the clinic waiting room remains unexamined. This single-site, pilot, randomized controlled trial examined the impact of a 4-minute, asynchronous, cyclic sighing intervention on participants' acute clinical symptoms in the x-ray waiting room of a walk-in orthopedic clinic relative to a time- and attention-matched injury management control condition. Pain unpleasantness, pain intensity, anxiety symptoms, and depression symptoms were measured in the study. Participants receiving the cyclic sighing intervention reported significantly less pain unpleasantness and pain intensity while waiting for an x-ray relative to controls. Anxiety symptoms and depression symptoms were not found to differ by condition. Results from this RCT indicate a brief, asynchronous, cyclic sighing intervention may be capable of quickly decreasing pain in the waiting room. Continued investigation is now needed to determine if embedding brief, asynchronous, cyclic sighing interventions in clinic waiting rooms has the potential to help people experiencing acute pain feel better faster. CLINICAL TRIAL REGISTRATIONS: NCT06292793.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anxiety moderates the association between severity of food insecurity and sleep duration among young adults in food-insecure households.
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-01-28 DOI: 10.1007/s10865-024-00542-x
Jesujoba I Olanrewaju, Leah A Irish, Vivienne M Hazzard, Rachel Widome, Dianne Neumark-Sztainer
{"title":"Anxiety moderates the association between severity of food insecurity and sleep duration among young adults in food-insecure households.","authors":"Jesujoba I Olanrewaju, Leah A Irish, Vivienne M Hazzard, Rachel Widome, Dianne Neumark-Sztainer","doi":"10.1007/s10865-024-00542-x","DOIUrl":"https://doi.org/10.1007/s10865-024-00542-x","url":null,"abstract":"<p><p>This study examined associations between food insecurity (FI) severity, anxiety symptoms, and sleep duration among young adults in food-insecure households. We hypothesized that more severe FI and higher anxiety would independently predict shorter sleep duration, and that anxiety would amplify the FI-sleep duration relationship. Analysis was conducted on a subsample (n = 96) of the EAT 2010-2018 young adult cohort. Participants completed the U.S. Household Food Security Survey Module, Generalized Anxiety Disorder-7, and sleep assessment items. Linear regression models, controlling for demographics, showed that increased anxiety symptoms were associated with decreased sleep duration (p < .001), while FI severity was not significantly associated. A synergistic interaction between FI severity and anxiety (p = .04) revealed that individuals with severe FI and high anxiety had the shortest sleep duration. Results suggest that people struggling with both FI and anxiety may be at high risk of short sleep. Future interventions for individuals with FI should consider anxiety's role in influencing sleep disturbance.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric evaluation of Liking and Wanting implicit association tests for physical activity and recreational screen use. 体育活动和娱乐屏幕使用的喜欢和想要内隐联想测试的心理测量学评价。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-01-20 DOI: 10.1007/s10865-024-00544-9
Youjie Zhang, Jiayuan Lin, Rujin Wang, Yixuan Chen
{"title":"Psychometric evaluation of Liking and Wanting implicit association tests for physical activity and recreational screen use.","authors":"Youjie Zhang, Jiayuan Lin, Rujin Wang, Yixuan Chen","doi":"10.1007/s10865-024-00544-9","DOIUrl":"https://doi.org/10.1007/s10865-024-00544-9","url":null,"abstract":"<p><p>Interest in the implicit processing of activity behaviors has been growing, but the psychometric properties of its measurement are often overlooked. This study examined the reliability and validity of two implicit association tests (IATs) designed to assess implicit affective and motivational processes. In the first session, 101 college students completed a Liking-IAT, a Wanting-IAT, and a survey on their attitudes and intentions regarding physical activity and sedentary screen-based recreational activities. One week later, participants reported their engagement in these activities, and 34 of them completed the IATs again. The psychometric evaluation revealed high split-half correlation coefficients and significant correlations with behavioral attitudes and intentions for both the IATs, indicating good split-half reliability and convergent validity. The Liking IAT but not the Wanting IAT demonstrated satisfactory test-retest reliability over a one-week interval and predictive potential for weekend physical activity and screen time. Divergence in psychometric performances suggests underlying differences in corresponding implicit processes, highlighting the need for further investigation into the temporal validity, sensitivity to change, and the interplay of various implicit processes.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proof-of-concept for integrating multimodal digital health assessments into lifestyle interventions for older adults with dementia risk factors. 将多模式数字健康评估纳入有痴呆风险因素的老年人生活方式干预的概念验证。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-01-20 DOI: 10.1007/s10865-024-00546-7
Matthew W Schroeder, Madelyn R Frumkin, Ryan A Mace
{"title":"Proof-of-concept for integrating multimodal digital health assessments into lifestyle interventions for older adults with dementia risk factors.","authors":"Matthew W Schroeder, Madelyn R Frumkin, Ryan A Mace","doi":"10.1007/s10865-024-00546-7","DOIUrl":"https://doi.org/10.1007/s10865-024-00546-7","url":null,"abstract":"<p><p>Multimodal digital health assessments overcome the limitations of patient-reported outcomes by allowing for continuous and passive monitoring but remain underutilized in older adult lifestyle interventions for brain health. Therefore, we aim to (1) report ecological momentary assessment (EMA) and ActiGraph adherence among older adults during a lifestyle intervention; and (2) use dynamic data collected via EMA and ActiGraph to examine person-specific patterns of mindfulness, steps, and sleep throughout the intervention. We analyzed EMA and ActiGraph data from a pilot study of the 8-week My Healthy Brain program (N = 10) lifestyle group for older adults (60+) with subjective cognitive decline. EMA adherence metrics included proportion of EMA completed and the proportion of days with at least 10 mindfulness minutes. ActiGraph GT9X adherence metrics included the number of valid wear days (≥ 7 h) and the number of days participants achieved their step goal. We used linear mixed-effects models to examine person-specific patterns of step count, sleep efficiency, and mindfulness practice. On average, participants completed 39 of the 49 possible EMAs (80%) during the program. ActiGraph adherence was slightly higher than EMA (M = 61.40 days, 87.71%). Participants achieved the daily mindfulness goal (10 min/day) and step goal on 46.32% and 55.10% of days, respectively. Dynamic data revealed that on average, participant step counts increased by approximately 16.5 steps per day (b = 16.495, p = 0.002). However, some participants exhibited no changes while improvements made by other participants returned to baseline levels of activity. There was substantial heterogeneity in trajectories of mindfulness practice and sleep efficiency. EMA and ActiGraph are feasible for older adults enrolled in dementia risk reduction lifestyle interventions. Future studies are needed to better understand how mechanisms of lifestyle behaviors captured by EMA and ActiGraph are related to cognitive outcomes in older adults.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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