Journal of Behavioral Medicine最新文献

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Implementing a behavioral physical activity program in children and adolescent survivors of childhood cancer: a pilot randomized controlled trial. 在儿童癌症幸存者和青少年中实施行为体育活动计划:随机对照试验。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-05-12 DOI: 10.1007/s10865-024-00497-z
Maxime Caru, Smita Dandekar, Brett Gordon, David E Conroy, Emily D Barb, Shawna E Doerksen, Gayle M Smink, Daniel J McKeone, Nidhi B Shah, Robert J Greiner, Joseph W Schramm, Pooja Rao, Lisa McGregor, Kathryn H Schmitz
{"title":"Implementing a behavioral physical activity program in children and adolescent survivors of childhood cancer: a pilot randomized controlled trial.","authors":"Maxime Caru, Smita Dandekar, Brett Gordon, David E Conroy, Emily D Barb, Shawna E Doerksen, Gayle M Smink, Daniel J McKeone, Nidhi B Shah, Robert J Greiner, Joseph W Schramm, Pooja Rao, Lisa McGregor, Kathryn H Schmitz","doi":"10.1007/s10865-024-00497-z","DOIUrl":"10.1007/s10865-024-00497-z","url":null,"abstract":"<p><p>Purpose We aimed to document the acceptability (enrollment rate) and feasibility (phone call delivery rate) of implementing a behavioral PA intervention over 12 weeks, in addition to documenting its effects on patient-reported outcomes and physical functioning. This study also describes the costs of carrying out a behavioral PA intervention. A total of 40 participants were randomized in a 1:1 ratio. The tailored behavioral PA intervention was developed based on the most recent PA guidelines in pediatric oncology and on the COM-B framework to enact PA behavior changes. The prescription (frequency, intensity, time and type (FITT)) was adjusted each week during the weekly support calls. The control group did not receive the intervention. 26 males and 14 females (13.6 years old on average and 2.9 years post-cancer treatment on average) participated in our study. The acceptability rate was 90.9% and the feasibility rate was > 85%. We found that 85% improved PA frequency, 80% improved PA intensity, 100% improved PA time, and 50.0% achieved the recommended PA guidelines. No adverse events were reported over the duration of the intervention. Physical function improved with longer 6-minute walk distances in the intervention group (465.8 ± 74.5 m) than in the control group (398.7 ± 92.9 m) (p = 0.016). PROs scores for all participants were within the limits of the normal range. The estimated cost per participant of carrying out this intervention was USD $126.57. Our 12-week behavioral PA intervention, based on the COM-B framework, was found to be acceptable, feasible and safe in childhood cancer survivors. This study is an important step in the right direction to make exercise standard practice in pediatric oncology.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909656","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
Arriba por la Vida Estudio: a randomized controlled trial promoting standing behavior to reduce sitting time among postmenopausal Latinas. Arriba por la Vida Estudio:一项随机对照试验,旨在促进绝经后拉丁裔妇女的站立行为,以减少久坐时间。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-05-09 DOI: 10.1007/s10865-024-00493-3
Gregory A Talavera, Sheila F Castañeda, Maria D Lopez-Gurrola, Ana Rebeca Alvarez-Malo, Johanne Hernandez, Isel Estrada, Umesh Narayan, Chase Ruetuer, Loki Natarajan, Dorothy D Sears, Michelle Takemoto, Ya-Ju Chang, Yesenia Avitia, Ariela Haimovich, Luis Ornelas, Andrea De La Torre, Jordan Carlson, Matthew A Allison
{"title":"Arriba por la Vida Estudio: a randomized controlled trial promoting standing behavior to reduce sitting time among postmenopausal Latinas.","authors":"Gregory A Talavera, Sheila F Castañeda, Maria D Lopez-Gurrola, Ana Rebeca Alvarez-Malo, Johanne Hernandez, Isel Estrada, Umesh Narayan, Chase Ruetuer, Loki Natarajan, Dorothy D Sears, Michelle Takemoto, Ya-Ju Chang, Yesenia Avitia, Ariela Haimovich, Luis Ornelas, Andrea De La Torre, Jordan Carlson, Matthew A Allison","doi":"10.1007/s10865-024-00493-3","DOIUrl":"10.1007/s10865-024-00493-3","url":null,"abstract":"<p><p>Postmenopausal Hispanic/Latina (N = 254) women with a body mass index (BMI) ≥ 25 kg/m<sup>2</sup> were randomized to an intervention to reduce sitting time or a comparison condition for 12 weeks. The standing intervention group received three in-person health-counseling sessions, one home visit, and up to eight motivational interviewing calls. The heart healthy lifestyle comparison group (C) received an equal number of contact hours to discuss healthy aging. The primary outcome was 12-week change in sitting time measured via thigh-worn activPAL. Group differences in outcomes were analyzed using linear mixed-effects models. Participants had a mean age of 65 (6.5) years, preferred Spanish language (89%), BMI of 32.4 (4.8) kg/m<sup>2</sup>, and sat for an average of 540 (86) minutes/day. Significant between-group differences were observed in reductions of sitting time across the 12-week period [M<sub>difference</sub> (SE): C - 7.5 (9.1), SI - 71.0 (9.8), p < 0.01]. Results demonstrate that coaching models to reduce sitting are feasible and effective.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899558","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
Self-regulatory and self-efficacy mechanisms of weight loss in women within a community-based behavioral obesity treatment. 社区肥胖症行为治疗中女性减肥的自我调节和自我效能机制。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-05-18 DOI: 10.1007/s10865-024-00494-2
James J Annesi, Francine A Stewart
{"title":"Self-regulatory and self-efficacy mechanisms of weight loss in women within a community-based behavioral obesity treatment.","authors":"James J Annesi, Francine A Stewart","doi":"10.1007/s10865-024-00494-2","DOIUrl":"10.1007/s10865-024-00494-2","url":null,"abstract":"<p><p>Given the traditional methods of treating obesity through education on controlling eating and increasing exercise have largely failed beyond the very short term, a more intensive focus on psychosocial correlates of those weight-loss behaviors has been suggested. Multiple behavioral theories incorporate self-regulation, self-efficacy, and mood; however, their interrelations and effects over both the short and long term within cognitive-behavioral obesity treatments remain unclear. Within a novel community-based program with women with obesity who had either low (n = 29) or high (n = 71) mood disturbance scores, there were significant improvements in exercise- and eating-related self-regulation and eating-related self-efficacy-primary targets of that intervention-with no significant difference in those changes by mood disturbance grouping. Changes in the summed exercise- and eating-related self-regulation scores significantly mediated relationships between changes in eating-related self-efficacy and weight (over both 6 and 12 months). There were similar results with mediation assessed via the extent exercise-related self-regulation carried over to eating-related self-regulation. In both of those models a reciprocal relationship between self-regulation and self-efficacy changes was indicated. In serial multiple mediation equations, paths of changes in exercise-related self-regulation → eating-related self-regulation → eating-related self-efficacy → weight were significant. However, paths were not significant when change in self-efficacy was entered as the predictor (initial) variable. Findings suggest viability in first focusing on exercise-related self-regulation, then eating-related self-regulation, in the course of increasing self-efficacy and probabilities for inducing enough sustained weight loss to improve obesity-associated health risks. Benefits of field-based research findings generalizing to weight-management applications were suggested.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960209","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
Combining anchoring with financial incentives to increase physical activity: a randomized controlled trial among college students. 将锚定与经济激励相结合以增加体育锻炼:一项针对大学生的随机对照试验。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-05-05 DOI: 10.1007/s10865-024-00492-4
Chad Stecher, Ching-Hua Chen, James Codella, Sara Cloonan, James Hendler
{"title":"Combining anchoring with financial incentives to increase physical activity: a randomized controlled trial among college students.","authors":"Chad Stecher, Ching-Hua Chen, James Codella, Sara Cloonan, James Hendler","doi":"10.1007/s10865-024-00492-4","DOIUrl":"10.1007/s10865-024-00492-4","url":null,"abstract":"<p><p>The purpose of this study was to: (1) compare the relative efficacy of different combinations of three behavioral intervention strategies (i.e., personalized reminders, financial incentives, and anchoring) for establishing physical activity habits using an mHealth app and (2) to examine the effects of these different combined interventions on intrinsic motivation for physical activity and daily walking habit strength. A four-arm randomized controlled trial was conducted in a sample of college students (N = 161) who had a self-reported personal wellness goal of increasing their physical activity. Receiving cue-contingent financial incentives (i.e., incentives conditional on performing physical activity within ± one hour of a prespecified physical activity cue) combined with anchoring resulted in the highest daily step counts and greatest odds of temporally consistent walking during both the four-week intervention and the full eight-week study period. Cue-contingent financial incentives were also more successful at increasing physical activity and maintaining these effects post-intervention than traditional non-cue-contingent incentives. There were no differences in intrinsic motivation or habit strength between study groups at any time point. Financial incentives, particularly cue-contingent incentives, can be effectively used to support the anchoring intervention strategy for establishing physical activity habits. Moreover, mHealth apps are a feasible method for delivering the combined intervention technique of financial incentives with anchoring.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874908","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
Comparing the effectiveness of acceptance-based emotion regulation therapy and acceptance and commitment therapy on hemoglobin glycosylated and self-care in patients with type II diabetes: A randomized controlled trial. 比较基于接纳的情绪调节疗法和接纳与承诺疗法对 II 型糖尿病患者糖化血红蛋白和自我护理的效果:随机对照试验。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-31 DOI: 10.1007/s10865-024-00507-0
Elnaz Hajati, Banafsheh Gharraee, Fahimeh Fathali Lavasani, Hojjatollah Farahani, Asadollah Rajab
{"title":"Comparing the effectiveness of acceptance-based emotion regulation therapy and acceptance and commitment therapy on hemoglobin glycosylated and self-care in patients with type II diabetes: A randomized controlled trial.","authors":"Elnaz Hajati, Banafsheh Gharraee, Fahimeh Fathali Lavasani, Hojjatollah Farahani, Asadollah Rajab","doi":"10.1007/s10865-024-00507-0","DOIUrl":"10.1007/s10865-024-00507-0","url":null,"abstract":"<p><p>Type 2 diabetes (T2D) is a chronic metabolic disorder characterized by impaired glucose regulation. This study aimed to compare the effectiveness of Acceptance-Based Emotion Regulation Therapy (ABERT) and Acceptance and Commitment Therapy (ACT) on HbA1c levels and self-care behaviors in patients living with T2D. Participants were randomly assigned to ABERT (n = 16), ACT (n = 17), and control (n = 17) groups. The treatment groups received therapy based on treatment manuals, while the control group received treatment as usual (i.e., standard medical treatment). Assessments were conducted pre- and post-treatment, with a six-month follow-up, measuring HbA1c levels and self-care behaviors. Results from repeated-measures ANOVAs and post-hoc analysis demonstrated that both ABERT and ACT led to significant improvements compared to the control group. However, ABERT was more effective than ACT in reducing HbA1c levels and enhancing self-care behaviors, with sustained benefits observed in the long term. At the individual level, a higher percentage of participants in the ACT and ABERT groups experienced a global improvement in HbA1c compared to the control group during the post-test assessment. Furthermore, a higher percentage of participants in the ABERT group showed global improvement compared to both the ACT and control groups in the post-test to follow-up period. No statistically significant differences in self-care behaviors were observed between the groups at the individual level. These findings suggest that the ABERT may be a valuable intervention for individuals living with T2D, though more studies are needed to examine this subject.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856844","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
Passive sensing of smartphone use, physical activity and sedentary behavior among adolescents and young adults during the COVID-19 pandemic. 被动感知 COVID-19 大流行期间青少年和年轻人的智能手机使用情况、体育活动和久坐行为。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-06-02 DOI: 10.1007/s10865-024-00499-x
Abigail M Faust, Alexandria Auerbeck, Alexandra M Lee, Ian Kim, David E Conroy
{"title":"Passive sensing of smartphone use, physical activity and sedentary behavior among adolescents and young adults during the COVID-19 pandemic.","authors":"Abigail M Faust, Alexandria Auerbeck, Alexandra M Lee, Ian Kim, David E Conroy","doi":"10.1007/s10865-024-00499-x","DOIUrl":"10.1007/s10865-024-00499-x","url":null,"abstract":"<p><p>The research that links excessive screen time to adverse health outcomes is based on self-reported screen use. Few studies have documented how passively-sensed smartphone and app use relate to health behaviors like activity and sitting. Furthermore, they have not considered that daily fluctuations in smartphone/app use may have different relationships to these behaviors than a person's usual smartphone/app use. This study evaluated whether physical activity or sedentary (sitting) behavior are associated with either smartphone screen time or specific smartphone app use by adolescents and young adults during the COVID-19 pandemic. Adolescents and young adults aged 13-29 years wore activPAL4 micro activity monitors while their smartphones logged daily screen time and app use durations for nine days. Data were collected in 2020-2021 and analyzed in 2022-2023. Participants (N = 125) had a mean (SD) age of 19.7 (4.3) years. Participants' usual smartphone screen time was negatively associated with daily step counts. Daily deviations in smartphone screen time were negatively associated with daily step counts and moderate-vigorous physical activity durations. Time spent on Instagram, YouTube and, to a lesser extent, TikTok were linked with reduced activity levels. Daily sedentary behavior was not associated with usual or daily screen time. Interventions to promote physical activity during the transition into adulthood may benefit from limiting excessive smartphone screen time. Specific intervention targets could include limiting use of apps with infinite scrolling feeds algorithmically tuned to maintain user engagement, such as Instagram, YouTube and TikTok.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187154","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
Differential signaling effects of blood glucose on delay discounting in individuals with and without type 1 diabetes. 血糖对 1 型糖尿病患者和非 1 型糖尿病患者延迟折现的不同信号影响。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-06-09 DOI: 10.1007/s10865-024-00500-7
Zheng Liu, Noel E Schaeffer, XiaoTian Wang
{"title":"Differential signaling effects of blood glucose on delay discounting in individuals with and without type 1 diabetes.","authors":"Zheng Liu, Noel E Schaeffer, XiaoTian Wang","doi":"10.1007/s10865-024-00500-7","DOIUrl":"10.1007/s10865-024-00500-7","url":null,"abstract":"<p><p>Based on the signaling hypothesis of blood glucose (BG), a rise in BG levels signals a positive energy budget for healthy individuals but cellular starvation for individuals with type 1 diabetes. We examined this novel prediction and its intervention implications in the context of delay discounting, the degree to which delayed rewards are discounted, and the regulatory effects of insulin ingestion. We recruited 44 adults with type 1 diabetes (mean age 30.8 years, diabetes duration 15.4 years) and recorded their BG levels. The delay discounting rate was measured using the intertemporal choice task, where participants were required to choose between sets of smaller-and-sooner (SS) and larger-and-later (LL) rewards. In addition, 82 age-matched healthy participants were recruited to provide a baseline comparison on delay discounting. Random forest analysis showed that among many diagnostic factors, delay discounting was most dominating in differentiating the individuals with type 1 diabetes from the control participants. A hierarchical linear mixed model revealed that participants with type 1 diabetes had a stronger preference for SS rewards (p < .001) after controlling for covariates. Participants who had insulin delivered before the last meal exhibited a stronger preference for LL rewards compared to after-meal delivery. In contrast, subjective measures (e.g., self-reported hunger) failed to predict the participants' actual BG levels and delay discounting rates. In sum, individuals with type 1 diabetes tend to discount future rewards excessively compared to the control participants. Pre-meal insulin ingestion was associated with a higher LL preference for future rewards.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297064","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
Factors associated with intention of HIV testing among Asian American men: a path analysis. 美国亚裔男性艾滋病检测意向的相关因素:路径分析。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-09 DOI: 10.1007/s10865-024-00502-5
Minh Luu, Regine Haardörfer, Eric Nehl, Cam Escoffery, Jessica Sales
{"title":"Factors associated with intention of HIV testing among Asian American men: a path analysis.","authors":"Minh Luu, Regine Haardörfer, Eric Nehl, Cam Escoffery, Jessica Sales","doi":"10.1007/s10865-024-00502-5","DOIUrl":"10.1007/s10865-024-00502-5","url":null,"abstract":"<p><p>Research has pointed to myriad cultural and socio-psychological factors associated with HIV testing, such as acculturation, social norms about HIV testing, masculinity, homonegativity, and constructs from the Theory of Planned Behavior. However, the interrelationships of these factors on the intentions of HIV testing among the population of Asian American men remains unknown. A dataset of 425 Asian American men in the U.S., collected online with convenience sampling method during 2020-2021, was analyzed to test a conceptual framework that aimed to fill this gap. Results from a path model with two endogenous variables (homonegativity and HIV testing intention) indicated that perceived social norms about HIV testing, attitude about HIV testing, and perceived HIV risk had directandindirect relationships with the intentions of HIV testing in the study population. However, social norms about HIV testing and perceived HIV risk showed stronger direct effects (standardized estimates = 0.37 and 0.34, respectively, p-value < 0.001). Additionally, we found that the relationships of these factors with HIV testing intention were also mediated by homonegativity. Findings from this study advance our understanding of pathways of associations between a host of cultural and socio-psychological factors with HIV testing intention among an understudied population - Asian American men. Our results will help inform the development of future intervention programs to increase HIV testing in this population.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559994","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
Social isolation, coping efficacy, and social well-being over time in patients with lung cancer. 肺癌患者随时间变化的社会隔离、应对能力和社会福利。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-29 DOI: 10.1007/s10865-024-00508-z
Victoria J Dunsmore, Shevaun D Neupert
{"title":"Social isolation, coping efficacy, and social well-being over time in patients with lung cancer.","authors":"Victoria J Dunsmore, Shevaun D Neupert","doi":"10.1007/s10865-024-00508-z","DOIUrl":"10.1007/s10865-024-00508-z","url":null,"abstract":"<p><strong>Background: </strong>Little work has examined how coping efficacy and lung cancer-related social isolation relate to social well-being in the context of a patient's computed tomography (CT) scan. Researchers tested the cross-sectional relationship of social isolation and social well-being, and the longitudinal relationship between coping efficacy and social well-being before CT scans.</p><p><strong>Method: </strong>25 patients with lung cancer, within 6 months of their upcoming CT scan, participated. Baseline surveys collected clinical information, demographics, and social isolation; repeated monthly surveys collected coping efficacy and social well-being every 30 days until one's scan.</p><p><strong>Results: </strong>[Cross-sectional] High levels of social isolation were associated with low levels of social well-being. [Longitudinal] On months patients reported high coping efficacy, they also reported increases in social well-being.</p><p><strong>Conclusions: </strong>Social interventions may improve well-being among those with lung cancer as our work shows that getting and receiving support are strongly related to well-being in the time surrounding a scan.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cognitive behavioral therapy for the treatment of insomnia in patients with cardiovascular diseases: a meta-analysis with GRADE analysis. 治疗心血管疾病患者失眠症的认知行为疗法:GRADE分析荟萃。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-02 DOI: 10.1007/s10865-024-00490-6
Ahmed Abdelaziz, Abdelrahman H Hafez, Merna Raafat Roshdy, Mohamed Abdelaziz, Moemen A Eltobgy, Hanaa Elsayed, Youssef El-Sherif, Mohamed Atef, Abdullah Ashraf Hamad, Hany Atwan, Rama Jamal Eddin Haboush, Nada Ibrahim Hendi, Alyaa Hefny, Hazem S Ghaith
{"title":"Cognitive behavioral therapy for the treatment of insomnia in patients with cardiovascular diseases: a meta-analysis with GRADE analysis.","authors":"Ahmed Abdelaziz, Abdelrahman H Hafez, Merna Raafat Roshdy, Mohamed Abdelaziz, Moemen A Eltobgy, Hanaa Elsayed, Youssef El-Sherif, Mohamed Atef, Abdullah Ashraf Hamad, Hany Atwan, Rama Jamal Eddin Haboush, Nada Ibrahim Hendi, Alyaa Hefny, Hazem S Ghaith","doi":"10.1007/s10865-024-00490-6","DOIUrl":"10.1007/s10865-024-00490-6","url":null,"abstract":"<p><p>Insomnia, as a difficulty in initiating and maintaining sleep, coupled with cardiovascular diseases (CVDs) increase the risk of aggravate daytime symptoms, mortality, and morbidity. Cognitive behavioral therapy (CBT) is thought to have a significant impact on insomnia treatment, but in patients with CVDs, there is a paucity of data. To provide a comprehensive appraisal on the impact of CBT on the treatment of insomnia in patients with CVDs. We searched Ovid, Scopus, Web of science, and Cochrane central, to randomized controlled trials (RCTs) from inception till November 2022. Outcomes of interest were insomnia severity index (ISI), Pittsburgh Sleep Quality Index (PSQI), sleep efficiency (SE), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), and sleep disorders questionnaire (SDQ). Pooled data were analyzed using mean difference (MD) with its 95% confidence interval (CI) in a random effect model using STATA 17 for Mac. Nine RCTs comprising 365 patients were included in the analysis. CBT significantly reduced scores of ISI (MD =  - 3.22, 95%  CI - 4.46 to - 1.98, p < 0.001), PSQI (MD =  - 2.33, 95%  CI - 3.23 to - 1.44, p < 0.001), DBAS (MD =  - 0.94, 95%  CI - 1.3 to - 0.58, p < 0.001), SDQ (MD =  - 0.38, 95%  CI - 0.56 to - 0.2, p < 0.001). Also, it increased the score of SE (MD = 6.65, 95% CI 2.54 to 10.77, p < 0.001). However, there was no difference in terms of ESS. CBT is an easy and feasible intervention with clinically significant improvement in insomnia symptoms. Further large-volume studies are needed to assess sustained efficacy.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493963","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}
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