Journal of Behavioral Medicine最新文献_第4页

Examining relationships between delay and probability discounting and perceived stress in a high-income online sample. 在高收入在线样本中检验延迟和概率折扣与感知压力之间的关系。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-09-03 DOI: 10.1007/s10865-026-00711-0

Mary J King, Michelle Rockwell, John Epling, Jeffrey S Stein

{"title":"Examining relationships between delay and probability discounting and perceived stress in a high-income online sample.","authors":"Mary J King, Michelle Rockwell, John Epling, Jeffrey S Stein","doi":"10.1007/s10865-026-00711-0","DOIUrl":"https://doi.org/10.1007/s10865-026-00711-0","url":null,"abstract":"Previous studies have shown a positive association between perceived stress and delay discounting (DD; devaluation of a consequence as a function of its delay); individuals experiencing high levels of stress tend to prefer smaller, immediate rewards over larger, delayed rewards. However, the link between perceived stress and DD may be confounded by their mutual and well-documented association with socioeconomic disadvantage (e.g., low income, scarcity). Moreover, few studies have examined the association between perceived stress and probability discounting (PD; devaluation of probabilistic outcomes), which is also reliably associated with socioeconomic disadvantage. To isolate the association between perceived stress, DD, and PD from socioeconomic disadvantage, the current study recruited a sample of US adults (N = 247) reporting minimal income constraints (i.e., household incomes ≥ $100,000/year) on Prolific, an online crowdsourcing platform. Participants completed DD and PD assessments for two separate reward magnitudes ($100 and $10,000), the Perceived Stress Scale (PSS), and a demographic questionnaire. In multiple regression, greater perceived stress was associated with higher DD rates for $100 (p < .05) and PD rates for $100 (p < .01); however, perceived stress was not significantly associated with DD or PD for $10,000. Thus, the association between perceived stress and both DD and PD appears independent of socioeconomic disadvantage, although our findings suggest that these associations are restricted to smaller reward magnitudes. Future research is needed to examine the association between these factors across varying populations, and how elevated stress levels may negatively impact real-world decision-making involving delay and uncertainty.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889140","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

Network analysis of risk factors for firearm assault. 枪械攻击危险因素的网络分析。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-31 DOI: 10.1007/s10865-026-00698-8

Dorothy R Stearns, Patrick M Carter, Philip Stallworth, M Kit Delgado, Lauren K Whiteside, Erin E Bonar, Jason E Goldstick

{"title":"Network analysis of risk factors for firearm assault.","authors":"Dorothy R Stearns, Patrick M Carter, Philip Stallworth, M Kit Delgado, Lauren K Whiteside, Erin E Bonar, Jason E Goldstick","doi":"10.1007/s10865-026-00698-8","DOIUrl":"https://doi.org/10.1007/s10865-026-00698-8","url":null,"abstract":"Although individual risk and protective factors have been identified, the extent to which these factors interact within a broader risk network remains inadequately understood. We used network analysis to characterize the partial correlation structure among previously identified risk factors for firearm violence. We used baseline data from a prospective longitudinal study of 1506 participants aged 18-24 recruited from four Level 1 trauma centers in Philadelphia, Flint, and Seattle (2021-2023), 14.4% of which self-reported firearm assault (victimization or aggression, including threats) at baseline. Risk factors included substance use, mental health symptoms, firearm carrying, peer/family factors, and community factors. Regularized partial correlation network models estimated the partial correlation network. We characterized the network using various centrality indices, and discriminatory power of variable domains was quantified by the area under the receiver operator characteristic curve (AUROC). The network showed groupings of mental health symptoms (depression, anxiety, PTSD), substance use and negative behaviors (alcohol use, drug use, negative peer behaviors), and protective factors (resiliency, prosocial attitudes, peer support, positive peer behaviors, parental support). Centrality measures identified PTSD, community violence exposure, negative peer behaviors, and family conflict as strongly interconnected and influential. Nearly all predictive power of the full predictor set (AUROC = 0.86) was captured using these central factors; community violence was the strongest standalone factor (AUROC = 0.81). Firearm violence risk among young adults is shaped by an interconnected network of psychosocial, familial, and community factors. Central risk elements, particularly community violence and PTSD, emerge as high-impact leverage points for trauma-informed, multifaceted interventions addressing social and structural determinants.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867344","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

Mediators of the effects of an HIV prevention advocacy training intervention on prevention advocacy among persons living with HIV in Uganda. 艾滋病毒预防宣传培训干预对乌干达艾滋病毒感染者预防宣传效果的调解人。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-31 DOI: 10.1007/s10865-026-00704-z

Glenn J Wagner, Laura M Bogart, Joseph K B Matovu, Violet Gwokyalya, Harold D Green, Susan Ninsiima, David J Klein, Stephen Okoboi

{"title":"Mediators of the effects of an HIV prevention advocacy training intervention on prevention advocacy among persons living with HIV in Uganda.","authors":"Glenn J Wagner, Laura M Bogart, Joseph K B Matovu, Violet Gwokyalya, Harold D Green, Susan Ninsiima, David J Klein, Stephen Okoboi","doi":"10.1007/s10865-026-00704-z","DOIUrl":"10.1007/s10865-026-00704-z","url":null,"abstract":"Pathways through which advocacy training enhances engagement in advocacy among persons living with HIV (PLWH) are not well understood. In a secondary analysis from a randomized controlled trial of a peer advocacy training intervention for PLWH, we examined mediators of intervention effects on HIV prevention advocacy (i.e., encouraging others to engage in HIV protective behaviors) across members of their social network. A sample of 210 PLWH (105 in each of the intervention and control arms) provided information about their advocacy to their social network members at baseline, and 6-, 12-, and 18-month follow-up. Repeated measures linear regressions showed that PLWH in the intervention group targeted more social network members with advocacy for HIV testing, condom use, pre-exposure prophylaxis (PrEP) use, HIV care, and ART use over the follow-up period compared to those in the control group. In path analysis that examined each mediator in a separate model, reduced internalized HIV stigma and increased HIV knowledge as measured at month 6, each fully mediated the intervention effect on HIV care advocacy; reduced stigma partially mediated the effects on advocacy targeting each of the other four HIV protective behaviors, while increased knowledge partially mediated effects on HIV testing, condom and PrEP use advocacy. Results were unchanged when examining the joint mediation of stigma and knowledge. HIV disclosure and advocacy self-efficacy had no mediating effect. These findings highlight the importance of helping PLWH to cope with HIV stigma and gain knowledge about basic facts and common misconceptions related to HIV, to propel their engagement in advocacy for multiple HIV protective behaviors within their social networks.The trial was registered 2021-10-18 (NCT05098015).","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867341","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

Testing the use of local large language models to extract trauma identification and contextualize posttraumatic stress symptoms from self-report. 测试使用本地大语言模型从自我报告中提取创伤识别和创伤后应激症状。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-22 DOI: 10.1007/s10865-026-00707-w

Mikael Rubin, Elena Stuart, Elizabeth Santos, Matthew Cordova, Kayleigh Watters

{"title":"Testing the use of local large language models to extract trauma identification and contextualize posttraumatic stress symptoms from self-report.","authors":"Mikael Rubin, Elena Stuart, Elizabeth Santos, Matthew Cordova, Kayleigh Watters","doi":"10.1007/s10865-026-00707-w","DOIUrl":"https://doi.org/10.1007/s10865-026-00707-w","url":null,"abstract":"Accurate contextualization of trauma is critical for assessing posttraumatic stress disorder (PTSD) in behavioral health contexts, yet standard self-reports often fail to link symptoms to specific index traumas. This study evaluated the feasibility of using a local, privacy-preserving Large Language Model (LLM) to extract trauma exposure types from free-text narratives and evaluate their association with PTSD symptoms for description and prediction. Participants (N = 109) recruited online via Prolific as part of a larger study completed an extended Life Events Checklist (LEC) with up to three free-text trauma descriptions, and the PTSD Checklist for DSM-5 (PCL-5). A local LLM was prompted to extract trauma types, which were compared with trauma categorizations generated by two expert clinical psychologists. Results indicated variable agreement; the LLM demonstrated high specificity (> 85% for most trauma types) and strong agreement for more frequently reported experiences, such as sexual assault (κ = 0.68-0.74). Cluster analysis based on LLM-derived features revealed significant differences in total PCL-5 scores (p = .04) across clusters. Findings suggest local LLMs can effectively extract clinically relevant features from brief trauma descriptions. While refinement is needed, this approach offers preliminary evidence for a scalable and secure method to augment PTSD screening in behavioral medicine.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799711","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

Parental sexual socialization and contraceptive use in young Black women and adolescent girls. 年轻黑人妇女和少女的父母性社会化和避孕措施的使用。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-20 DOI: 10.1007/s10865-026-00701-2

Joni A Brown, Julia R Steinberg, Patrick A Wilson, Christine Dunkel Schetter, Jessica D Gipson

{"title":"Parental sexual socialization and contraceptive use in young Black women and adolescent girls.","authors":"Joni A Brown, Julia R Steinberg, Patrick A Wilson, Christine Dunkel Schetter, Jessica D Gipson","doi":"10.1007/s10865-026-00701-2","DOIUrl":"https://doi.org/10.1007/s10865-026-00701-2","url":null,"abstract":"Contraceptive use is particularly low among young Black women and adolescent girls in the United States. Sociocultural factors such as parent-child communication about sex (i.e., parental sexual socialization) may be relevant to contraceptive use in young Black women and girls. However, no research has identified patterns in the content of sexual socialization messages received by young Black women and adolescent girls in the U.S., nor examined the associations between sexual socialization patterns and contraceptive use in this population. Thus, we performed a latent class analysis using data from the 2013-2019 National Survey of Family Growth from Black women and girls aged 15-24 (Nunweighted = 794) to identify sexual socialization patterns. We identified four patterns of parental sexual socialization: (1) Comprehensive; (2) Limited; (3) Abstinence-focused; (4) Contraception-focused. Binomial and multinomial logistic regression analyses were then performed to investigate the associations between these socialization patterns and contraceptive practices at the first and most recent sexual intercourse. Compared to respondents in the Contraception-focused class, those in the Limited and Abstinence-focused classes were less likely to engage in preventive contraceptive behaviors at the first intercourse. However, there were few differences between the patterns in contraceptive behaviors at the most recent intercourse. These results underscore differences in sexual socialization experiences of young Black women and adolescent girls. The findings also have important implications for identifying those who may be at risk of unintended pregnancies, and for informing Black parents about what messages are most beneficial to promote contraceptive use in Black girls.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799663","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

Substance use interactive toxicity beliefs impede HIV pre-exposure prophylaxis use among men who have sex with men. 物质使用相互作用毒性的信念阻碍了男男性行为者使用艾滋病毒暴露前预防措施。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-20 DOI: 10.1007/s10865-026-00705-y

Seth C Kalichman, Nikole Babcock, Peter S McCauley, Ryan J Watson, Raymond L Moody, Moira Kalichman, Lisa A Eaton

{"title":"Substance use interactive toxicity beliefs impede HIV pre-exposure prophylaxis use among men who have sex with men.","authors":"Seth C Kalichman, Nikole Babcock, Peter S McCauley, Ryan J Watson, Raymond L Moody, Moira Kalichman, Lisa A Eaton","doi":"10.1007/s10865-026-00705-y","DOIUrl":"https://doi.org/10.1007/s10865-026-00705-y","url":null,"abstract":"Ending HIV epidemics hinges on antiretroviral therapies (ART), including their use in pre-exposure prophylaxis (PrEP). Unfortunately, PrEP use remains low among populations that could benefit most. PrEP use is impeded by multiple barriers including concerns about side-effects and erroneous beliefs about hazards of mixing PrEP with alcohol and other drugs. The current study tested the hypothesis that substance use interactive toxicity beliefs would mediate the association between concerns about PrEP side-effects and four separate PrEP use outcomes: past use, current use, uptake, and adherence. Black HIV negative men who have sex with men (n = 436) completed baseline and up to 18-months of follow-up for measures of demographic and health characteristics, PrEP use, concerns about PrEP side-effects, and substance use interactive toxicity beliefs. All participants reported alcohol or other drug use in the past two-months at baseline. Cross-sectional mediation analyses confirmed our hypothesis, showing that concerns about PrEP side-effects were directly associated with past and current PrEP use, and these associations were mediated by interactive toxicity beliefs. Prospective models did not confirm mediation but showed that greater substance use interactive toxicity beliefs significantly predicted PrEP uptake and adherence. These results support the importance of substance use interactive toxicity beliefs as a barrier to PrEP use and warrant interventions to address underlying biases and misinformation.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799639","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

Trauma, discrimination, and intimate partner violence: intergenerational pathways in racially minoritized communities. 创伤、歧视和亲密伴侣暴力：少数族裔社区的代际途径。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-20 DOI: 10.1007/s10865-026-00697-9

Danielle Lindsay, Makayla Kepner, Ying Zhang

{"title":"Trauma, discrimination, and intimate partner violence: intergenerational pathways in racially minoritized communities.","authors":"Danielle Lindsay, Makayla Kepner, Ying Zhang","doi":"10.1007/s10865-026-00697-9","DOIUrl":"https://doi.org/10.1007/s10865-026-00697-9","url":null,"abstract":"This study examined whether childhood violence exposure contributes to adult intimate partner violence (IPV) perpetration across racial groups and whether adolescent racial discrimination and parental racial socialization shape IPV risk among Black men. Integrating social learning and intersectionality theories within an eco-developmental framework, 253 cisgender men aged 18-35 (Black = 128, White = 125) completed measures of retrospectively reported childhood violence exposure, adolescent discrimination, parental racial socialization, and adult IPV perpetration. Childhood violence exposure was significantly associated with greater IPV perpetration for both Black and White participants (β = .25, p < .001), with no differences by race. Among Black participants, adolescent discrimination was independently associated with greater IPV perpetration (β = .32, p = .002). Furthermore, proactive racial socialization moderated the association between childhood violence exposure and IPV perpetration (β = -.30, p = .02) for Black men. Findings suggest that childhood violence exposure and adolescent discrimination may independently represent risk factors for IPV perpetration, whereas proactive racial socialization may serve as a protective factor among Black men.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799666","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

Psychological pathways from daily discrimination to pain: a longitudinal mediation model. 从日常歧视到疼痛的心理路径：纵向中介模型。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-11 DOI: 10.1007/s10865-026-00670-6

Nguyen P Nguyen, Wajiha Masroor, Nnenna Uche, Jayoon Choi

{"title":"Psychological pathways from daily discrimination to pain: a longitudinal mediation model.","authors":"Nguyen P Nguyen, Wajiha Masroor, Nnenna Uche, Jayoon Choi","doi":"10.1007/s10865-026-00670-6","DOIUrl":"https://doi.org/10.1007/s10865-026-00670-6","url":null,"abstract":"Perceived discrimination, self-esteem, and self-acceptance have each been linked to pain outcomes, yet few studies have examined these factors together or investigated the psychological pathways connecting them. Grounded in the Biopsychosocial framework, this study explored the longitudinal mediating roles of self-esteem and self-acceptance in the relationship between perceived daily discrimination and pain interference. Archival data were drawn from the Midlife in the United States (MIDUS) study, with MIDUS II (2004-2006) as Time 1 and MIDUS III (2013-2014) as Time 2. The sample included 501 participants (ages 34-83) who self-reported chronic pain at both timepoints; the majority identified as White (92.2%) and female (60.7%). A multiple longitudinal mediation analysis revealed that perceived daily discrimination at Time 1 predicted greater pain interference at Time 2, an association mediated by lower levels of self-acceptance and self-esteem at Time 2. Notably, self-acceptance emerged as a more robust mediator than self-esteem. These findings suggest that the long-term impact of discrimination on pain outcomes may operate through its erosion of the sense of self, particularly self-acceptance. Clinically, these findings highlight the importance of addressing discrimination's influence on self-acceptance as a critical pathway for intervention, prevention, and future research.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708135","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

Gender differences in trauma type but not PTSD symptoms among Latine Americans. 拉丁美洲创伤类型的性别差异，而非创伤后应激障碍症状。

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-07 DOI: 10.1007/s10865-026-00703-0

Melanie Garcia, Gerardo Garcia, Giezel Guevarra, Yajairy Cabrales, Mariam Sultan, Miguel Castano, Richard Chang, Gloria Wong-Padoongpatt

{"title":"Gender differences in trauma type but not PTSD symptoms among Latine Americans.","authors":"Melanie Garcia, Gerardo Garcia, Giezel Guevarra, Yajairy Cabrales, Mariam Sultan, Miguel Castano, Richard Chang, Gloria Wong-Padoongpatt","doi":"10.1007/s10865-026-00703-0","DOIUrl":"https://doi.org/10.1007/s10865-026-00703-0","url":null,"abstract":"Latine communities in the United States experience disproportionate exposure to trauma, yet gendered patterns of trauma and their relationship to posttraumatic stress disorder (PTSD) symptoms remain understudied. This study used a primarily quantitative investigation using quantitative content analysis to examine gender differences in trauma type (i.e., specific violence experience) and PTSD symptoms among 297 Latine American adults (i.e., cismen and ciswomen) recruited through an online survey. A content analysis of open-ended trauma descriptions identified fourteen categories, which were consolidated into four for quantitative analyses: structural/systemic trauma and severe accidents, interpersonal violence and abuse, sexual assault and abuse, and health- and loss-related trauma. An independent-samples t-test indicated no significant gender differences in PTSD symptoms with a negligible effect size (d = 0.11). However, a chi-square test revealed that trauma type differed significantly by gender (Cramér's V = 0.25); Latinas reported more sexual/physical assault, while Latinos reported more health- and loss-related trauma. A 2 × 4 ANCOVA (controlling for generation status) showed that trauma type significantly predicted PTSD symptoms (partial η2 = 0.036), whereas gender (partial η2 = 0.002) and the gender × trauma interaction (η2 = 0.009) were not significant. Interpersonal violence and abuse were associated with more PTSD symptoms than structural/systemic trauma. Generation status significantly predicted PTSD severity (partial η2 = 0.043). These findings indicate that while PTSD severity may not differ by gender, gender is associated with differential exposure to trauma types, and trauma type, particularly interpersonal violence, is the primary predictor of PTSD symptom severity in this sample.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686492","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

Features of smoking cessation, alcohol reduction, and diet and physical activity interventions associated with changing behaviours during pregnancy: a systematic review of reviews. 戒烟、减少酒精、饮食和身体活动干预与怀孕期间行为改变相关的特点：综述的系统综述

IF 2.7 3区医学

Journal of Behavioral Medicine Pub Date : 2026-08-06 DOI: 10.1007/s10865-026-00702-1

James J Newham, Maria Raisa Jessica Aquino, Daniel Jones, Louise Kingston, Liane Azevedo, Anna Boath, Louise Hayes, Catherine McParlin, Shona Haston, Nicola Heslehurst

{"title":"Features of smoking cessation, alcohol reduction, and diet and physical activity interventions associated with changing behaviours during pregnancy: a systematic review of reviews.","authors":"James J Newham, Maria Raisa Jessica Aquino, Daniel Jones, Louise Kingston, Liane Azevedo, Anna Boath, Louise Hayes, Catherine McParlin, Shona Haston, Nicola Heslehurst","doi":"10.1007/s10865-026-00702-1","DOIUrl":"https://doi.org/10.1007/s10865-026-00702-1","url":null,"abstract":"Systematic reviews of smoking, alcohol, diet and physical activity (PA) behaviour change interventions in pregnancy have high heterogeneity in effectiveness estimates for maternal behaviours and pregnancy outcomes, and it is unclear which features of interventions are integral to promoting effectiveness. This systematic review of reviews aimed to compare findings to identify any shared behaviour change techniques (BCTs), content, or delivery of interventions that may be associated with effectiveness across diet, physical activity, smoking and alcohol behaviours, and to identify intervention features showing promise in targeting one behaviour but have yet to be tested in addressing other behaviours. The search strategy covered reviews published between 2013 and 2025 and identified 66 reviews (9 smoking, 6 alcohol, 50 diet/PA, 1 smoking, diet, and/or PA). Diet/PA interventions should begin in the first trimester, run for a longer duration, and entail frequent engagement via a range of modalities in a supervised format (ideally from a specialist provider). Smoking intervention effectiveness was consistently associated with incentives and counselling. Brief interventions were consistently reported as effective interventions for alcohol use but there was a lack of standardisation in delivery. BCTs from the \"goals and planning\" and \"feedback and monitoring\" domains were routinely associated with effectiveness. Further research is required to explore intervention features that have shown promise in one behaviour but have yet to be tested for other behaviours, such as incentives in alcohol interventions.","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680617","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