Journal of Behavioral Medicine最新文献

{"title":"Moderating effect of pain sensitivity on dental anxiety: a randomized controlled cognitive-behavioral intervention trial.","authors":"Eugene M Dunne, Elizabeth Konneker, Huaqing Zhao, Amid I Ismail, Marisol Tellez","doi":"10.1007/s10865-026-00691-1","DOIUrl":"10.1007/s10865-026-00691-1","url":null,"abstract":"<p><p>Pain sensitivity is considered a stable characteristic that can influence the development of situational fears. It has been related to dental anxiety and expectation of pain before dental procedures. The objective of this analysis was to examine whether baseline pain sensitivity moderated the efficacy of an online cognitive-behavioral therapy (CBT) intervention for dental anxiety relative to an active control condition. Participants with high dental anxiety were recruited from a dental school clinic in the northeastern United States to participate in a randomized controlled trial. Patients were randomized to receive an online CBT intervention or a time- and attention-matched control intervention. Changes in dental anxiety were assessed using the Modified Dental Anxiety Scale (MDAS). Baseline pain sensitivity was measured by the Pain Sensitivity Index (PSI), which assesses the fearful appraisal of pain and expected consequences of pain. Participants completed questionnaires at baseline, and at 1- and 3-month follow ups. Linear mixed-effects model analyses using mean-centered interaction terms examined whether baseline levels of pain sensitivity moderated the treatment effect on dental anxiety. A total of 499 participants (70.6% female, 62% Black, Mean age = 49) were enrolled in the clinical trial and randomized to the CBT intervention (n = 329) or control condition (n = 170). Baseline pain sensitivity ratings between intervention group (Mean = 67.4, SD = 22.3) and control group (Mean = 67.6, SD = 24.2 did not significantly differ (t = - 0.10, p = 0.92). Baseline pain sensitivity significantly moderated the effect of the online CBT intervention on dental anxiety, such that participants with low pain sensitivity were significantly more likely to see reductions in dental anxiety when compared to those with high pain sensitivity, (F(1, 633) = 5.91, p = 0.015). Participants with lower pain sensitivity experienced the greatest benefit in terms of reduction in dental anxiety following an online CBT intervention. Individuals with high pain sensitivity may require more targeted interventions or higher intervention dose to achieve adequate reduction in dental anxiety.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"734-740"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362629","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}

{"title":"Mindfulness-based eating awareness training (MB-EAT) decreases emotional eating behavior among Hong Kong university students: a randomized controlled trial.","authors":"Dalinda Isabel Sanchez Vidaña, Daniel Kwasi Ahorsu, Lynette McCormack, Roy Rongyue Zeng, Tiev Miller, Nestor Vinas Guasch, Ngai-Man Jackie Chan, Kenneth Ka-Hei Lo, Pablo Cruz Gonzalez, Benson Wui-Man Lau, Way Kwok-Wai Lau","doi":"10.1007/s10865-026-00673-3","DOIUrl":"10.1007/s10865-026-00673-3","url":null,"abstract":"<p><p>University students in Hong Kong facing academic stress are prone to engage in emotional eating, that has detrimental physical and psychological effects. Addressing emotional eating through interventions like Mindfulness-Based Eating Awareness Training (MB-EAT), which effectively treats clinical eating disorders, is crucial, yet its effectiveness among students remains underexplored. A parallel group randomized controlled trial with 46 students (42 female, 4 male) evaluated the effect of a 10-week MB-EAT intervention, delivered through Zoom, on emotional eating (primary outcome), measured by the Salzburg Emotional Eating Scale at pre-, mid-, and post-intervention, with secondary measures of mood and mindfulness evaluated pre- and post-intervention. Students in the MB-EAT group showed greater reductions in emotional eating and improvements in depression and mindful eating. MB-EAT may offer greater long-term benefits for students with emotional eating by reducing negative psychosocial effects, helping students better cope with stress through emotion regulation and mindful eating skills.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"599-618"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018309","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}

{"title":"From sensation to action: expectation, appraisal, and decision-making in patient-triggered cardiac monitoring.","authors":"Maeve M Sargeant, Michael Li, Camden Harrell, Ekin C Uzunoglu, Steven Mullane, Crystal Miller, Ghanshyam Shantha, Samuel F Sears","doi":"10.1007/s10865-026-00690-2","DOIUrl":"10.1007/s10865-026-00690-2","url":null,"abstract":"<p><p>This study examined whether objective physiological arousal predicts patient-triggered recordings (PTRs) in patients with an implantable loop recorder (ILR), to clarify how normative autonomic activation and clinically meaningful rhythm disturbances relate to symptom-triggered monitoring behavior during long-term surveillance. Data were drawn from 2,266 ILR patients enrolled in the CERTITUDE registry between 2019 and 2025; analyses were restricted to the 878 individuals who used the PTR function at least once. Day-level ILR data from the first 12 months following implantation were analyzed. Daily physical activity percent per day (PA), weekly variability in PA, and counts of device-detected atrial fibrillation, bradycardia, and asystole were modeled as predictors of daily PTR counts using within-person repeated-measures correlations and linear mixed-effects models. Subgroup analyses were conducted by primary clinical indication. Daily PA showed near-zero within-person associations with PTR behavior (overall r = - .018), and mixed-effects models yielded very small coefficients. Weekly PA variability was not associated with PTR activation. Device-detected arrhythmic events accounted for only marginal additional variance in PTR counts, and asystole was not associated with PTR use. Patterns were consistent across ILR indications. Overall, objective physiological arousal explained little of the observed variation in PTR behavior. PTR behavior during long-term ILR monitoring appears to be shaped largely by interpretive and decisional processes, rather than by direct detection of physiological events alone. Conceptualizing PTRs as behavioral responses to ambiguity in bodily sensations highlights the importance of patient education, contextualized physiological feedback, and attention to symptom appraisal in the clinical management of ILR patients.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"588-598"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362634","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}

{"title":"Ecological predictors of daily dietary intake in black adolescents with overweight and obesity in the families improving together (FIT) for weight loss trial.","authors":"Taylor R White, Dawn K Wilson, Sonali Tucker, Allison Sweeney","doi":"10.1007/s10865-026-00686-y","DOIUrl":"10.1007/s10865-026-00686-y","url":null,"abstract":"<p><p>Healthful eating habits (i.e., increased fruit and vegetable and decreased hyperpalatable energy-dense food and drink consumption) are important for preventing chronic disease risk (e.g., obesity) and improving overall health in Black adolescents.This study examines the intrapersonal, interpersonal, and environmental factors associated with daily dietary intake in Black adolescents with overweight and obesity. Baseline data were analyzed from 241 Black parent-adolescent dyads who participated in the Families Improving Together (FIT) for Weight Loss trial (Adolescent: Mage = 12.8 years, SD = 1.8; 63% female; MBMI% = 96.6, SD = 4.3). Intrapersonal factors included dietary motivation. Interpersonal factors included social support for diet from family. Environmental factors included access to food in the home. Dietary outcomes were measured using validated adolescent self-reported surveys. Separate multiple linear regressions revealed several associations between ecological factors and daily food intake. Greater access to more-healthful foods was associated with increased daily vegetable intake (β = 0.18, SE = 0.08, p < .05), whereas greater access to less-healthful foods was associated with increased daily fruit intake (β = 0.24, SE = 0.08, p < .05). Greater access to less-healthful foods was associated with increased daily energy-dense food intake (β = 0.75, SE = 0.10, p < .001), whereas increased self-reported dietary motivation was associated with decreased daily energy-dense food intake (β = -0.24, SE = 0.10, p < .05). Greater access to less-healthful foods (β = 1.48, SE = 0.23, p < .001) and higher adolescent BMI (β = 0.84, SE = 0.40, p < .05) was also associated with increased sugar-sweetened beverage consumption. These findings suggest that access to more-healthful foods is associated with greater vegetable intake, while restricting access to less-healthful foods and increased motivation for more healthful eating were associated with lower sugar-sweetened beverage and energy-dense food consumption among Black adolescents. These findings may inform future health promotion programs across various ecological levels of dietary behaviors in Black youth with overweight and obesity.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"631-643"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362688","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}

{"title":"Psychological determinants of medication adherence in patients with hypertension: a systematic review and meta‑analysis.","authors":"Ziqiang Yao, Yu Wang, Shuangjiao Shi, Min Wang, Zhuqing Zhong","doi":"10.1007/s10865-026-00637-7","DOIUrl":"10.1007/s10865-026-00637-7","url":null,"abstract":"<p><p>Pharmacological treatment is essential for achieving blood pressure control in patients with hypertension; however, medication adherence remains suboptimal. Understanding its determinants is essential, but the role of psychological factors in medication adherence among hypertensive patients is still unclear. This study aimed to identify and synthesize evidence on modifiable psychological determinants associated with medication adherence in hypertensive patients. A comprehensive search was conducted across multiple databases, including Web of Science, PubMed, EMBASE, CINAHL, and PsycARTICLES, up to September 1, 2025. A random-effects model was used to estimate pooled effect sizes with 95% confidence intervals. A total of 5,455 records were initially retrieved, of which 112 studies met the inclusion criteria. Fifty-one studies were eligible for meta-analysis. The findings identified depressive symptoms (OR = 0.86, 95%CI 0.77 to 0.95, I² = 60.6%) and self-efficacy (OR = 1.60, 95% CI 1.15 to 2.23, I²=93.9%) as the most strongly associated modifiable determinants of medication adherence, with findings supported by sensitivity analyses. Illness perception (β = 0.23, 95% CI 0.13 to 0.32, I²=68.8%), and self-regulation (β = 0.34, 95% CI: 0.23 to 0.44, I²=92.9%) were also associated with adherence; however, these associations should be interpreted cautiously due to substantial heterogeneity and limited robustness across analyses. This study identified several modifiable psychological factors related to medication adherence in patients with hypertension, while highlighting considerable variability across studies. Future research should aim to elucidate the mechanisms by which these psychological determinants impact medication adherence and develop targeted interventions to improve treatment uptake and blood pressure control.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"557-570"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150969","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}

{"title":"The role of the 'obligation to help others' within the superwoman schema: implications for physical activity in African American women with low activity levels.","authors":"Allison M Sweeney, Lisa Brockington, Timothy Simmons, Dawn K Wilson, Pamela Martin, Nicole Zarrett","doi":"10.1007/s10865-026-00678-y","DOIUrl":"10.1007/s10865-026-00678-y","url":null,"abstract":"<p><p>The Superwoman Schema (SWS) provides a critical framework for understanding how African American (AA) women respond to stress resulting from adversity. While past studies have found that components of the SWS are associated with negative mental health outcomes, little research has evaluated physical activity (PA) and has been limited by self-reports. This study examined whether the 'obligation to help others' subscale of the SWS was associated with PA after accounting for selected social-motivational variables commonly examined in PA research, including self-efficacy, self-determined motivation, and social support from family. Baseline data from 301 AA women (MBMI = 35.89 ± 7.60; Mage = 53.47 ± 13.66) who participated in the 'Together Everyone Achieves More Physical Activity' randomized controlled trial were included. Participants completed a baseline survey, including the 'obligation to help others' subscale of the SWS and measures of self-efficacy, self-determined motivation, and social support. Participants wore an ActiGraph accelerometer for 7-days to assess daily minutes of light and moderate to vigorous PA (MVPA). Linear regression models revealed that the 'obligation to help others' was positively associated with greater light PA (B = 3.90, SE = 1.88, p = 0.039), which is contrary to past research on the SWS with self-reported PA. Only autonomous motivation was significantly associated with greater light (B = 6.91, SE = 1.98, p = 0.001) and MVPA (B = 0.27, SE = 0.08, p = 0.001). This study highlights the importance of addressing barriers and sources of resiliency related to the SWS, including the obligation to help others, in future PA interventions for AA women.Trials registration ClinicalTrials.gov NCT (# NCT05519696).</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"658-670"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018357","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}

{"title":"Weight discrimination and cardiometabolic health in underrepresented US adults.","authors":"Mary A Gerend, Anna W Lu","doi":"10.1007/s10865-026-00696-w","DOIUrl":"10.1007/s10865-026-00696-w","url":null,"abstract":"<p><p>This study investigated the association between perceived weight discrimination and cardiometabolic health. A demographically diverse sample of 2632 US adults (36% Black/African American; 36% Hispanic/Latino; 29% sexual minority) completed a cross-sectional online survey. Linear regression was used to assess the association between perceived weight discrimination (assessed with the Stigmatizing Situations Survey-Brief) and cardiometabolic risk (indicated by the number of cardiometabolic conditions reported: high blood pressure, high cholesterol, heart disease, stroke, kidney disease, or diabetes), adjusting for body mass index and demographic characteristics. Cigarette smoking, alcohol use, and sleep disturbance were investigated as mediators. Perceived weight discrimination was associated with higher cardiometabolic risk. Further, greater exposure to weight discrimination was associated with higher likelihood of smoking, problematic drinking behavior, and disrupted sleep, and those behaviors in turn predicted higher cardiometabolic risk. Findings underscore the importance of addressing the negative health consequences of weight discrimination in cardiometabolic disease prevention programs.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"684-694"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370319","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}

{"title":"The mechanisms between illness representations and depression in a sample of Chinese chronic kidney disease patients: mediation via maladaptive emotional coping and positive reframing.","authors":"Shufang Pan, Peng Zheng, Zi Tao, Luoxiang Fang, Tao Yao, Yuanyuan Zheng","doi":"10.1007/s10865-026-00689-9","DOIUrl":"10.1007/s10865-026-00689-9","url":null,"abstract":"<p><p>Depression is common among individuals with chronic kidney disease (CKD). The Common-Sense model suggests that illness representations are related to coping responses and emotional outcomes as individuals interpret and respond to health-related threats. This study investigated the associations between illness representations and depression in Chinese CKD patients, with a focus on maladaptive emotional coping and positive reframing as potential mediators. A total of 442 participants (mean age = 36.28, SD = 10.23; 57.5% female) with CKD were recruited. Participants completed self-reported measures assessing illness representations, coping strategies, and depression. Structural equation modeling was used to explore the relationships among illness representations, coping strategies, and depression. The study found that several dimensions of illness representations, including consequences, timeline acute/chronic, illness identity, illness concern, and emotional representations, were positively associated with depression. In contrast, personal control and treatment control were negatively associated with depression. In addition, maladaptive emotional coping and positive reframing showed significant indirect associations between illness representations and depression. Overall, the findings provide theory-informed evidence that illness representations, coping-related processes, and depression are closely associated in patients with CKD. These results may help inform future intervention development in this population.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"706-718"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266650","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}

{"title":"Adapting evidence-based practices for Asian American and Asian immigrant communities: insights from community-based organizations and therapists.","authors":"Kristen Fu, Mariko Iwamoto, Ellen Chang, Lien Dao, Min Zheng, Keye Xu, Cruz Chan, Angela Tang, Tooru Nemoto","doi":"10.1007/s10865-026-00674-2","DOIUrl":"10.1007/s10865-026-00674-2","url":null,"abstract":"<p><p>The mental health needs of Asian American and Asian Immigrant (AAAI) communities are largely unaddressed due to limited access to culturally responsive care. Evidence-based practices (EBPs) often fail to meet the cultural needs of AAAI people. While many AAAI-serving therapists and staff at community-based organizations (CBOs) help bridge these gaps to improve care for this population, efforts to document modifications have been scarce. The main objective of this study is to identify types of EBPs used with this population and explore culturally responsive adaptations of EBPs to enhance the effectiveness of mental health services for AAAI clients. Thirty-nine semi-structured qualitative interviews were conducted with CBO executives (n = 15), CBO staff (n = 15), and individual therapists (n = 9) across California. All but one interviewee identified as Asian. Interviews explored the types of EBPs used, strategies for cultural adaptation, and implementation of EBPs. Thematic analysis was used to code interview transcripts to identify EBPs used, cultural adaptations, and the implementation process. Findings indicated that CBOs and therapists have frequently employed EBPs, such as cognitive behavioral therapy (CBT), to provide trauma-informed care to AAAI clients. Almost all interviewees mentioned adopting culturally responsive modifications at the individual level for their clients, including integrating cultural values and addressing cultural stigma. Therapists also emphasized the importance of relationship building to increase trust and safety for trauma-impacted clients, as well as individualizing treatment to meet clients' needs. On the organizational and community levels, implementation factors affect the scope and scale of culturally responsive mental health care and services. Major challenges in serving AAAI communities included a lack of culturally responsive training for therapists and limited accessibility to culturally specific mental health resources. Our findings underscore the importance of culturally adapting EBPs to improve behavioral and mental health outcomes for AAAI communities. They can be used to guide therapist decision-making on the individual level and provide key factors to focus on for the successful implementation of EBPs at the organizational and community levels. Insights from therapists and CBO staff are valuable for identifying promising strategies to improve engagement and enhance the effectiveness of EBPs in serving this population. The study also highlights the need for continued efforts in developing, implementing, and evaluating culturally adapted EBPs for AAAI populations.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"719-733"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965230","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}

{"title":"Associations of park visits, physical activity and health outcomes among churchgoing Latino adults in low-income urban communities.","authors":"Kathryn P Derose, Rachana Seelam, Lilian G Perez, Elva Arredondo, Bing Han, Gabriela Castro, Deborah A Cohen","doi":"10.1007/s10865-026-00672-4","DOIUrl":"10.1007/s10865-026-00672-4","url":null,"abstract":"<p><p>This study examines factors associated with park visits, physical activity (PA), and chronic health conditions using baseline data from a cluster randomized controlled trial to promote PA and park visits among churchgoing Latino adults in low-income urban communities. Participants (n = 726) were recruited from 12 Catholic churches in predominantly Latino neighborhoods in and near East Los Angeles. Data collection included accelerometer-measured PA, self-reported weekly park visits, socio-demographics, history of hypertension and Type 2 diabetes, family and friend social support for PA, depression (PHQ8), stress, and measured height and weight. Multivariable linear and logistic regression models assessed associations between predictors and health outcomes. The average age was 52.3 years; 76% were women; 71% had completed high school or less; and the average BMI was 31.1 (obese). Age, female gender, and higher depressive symptoms were negatively associated with moderate-to-vigorous PA (MVPA). Being employed, greater depressive symptoms, and more safety concerns were negatively associated with park visits, while higher family support for PA was positively associated. Both accelerometer-based MVPA and self-reported park visits were associated with lower depressive symptoms. Park visits were also associated with lower odds of Type 2 diabetes, and higher family support for PA was linked with reduced odds of hypertension. These results address gaps in understanding the relationships between PA and park visits and physical and mental health among churchgoing Latino adults. Churches may serve as important venues to support family-oriented park events and promote greater use of parks for health promotion in Latino communities. Association of park visits, physical activity and health outcomes among Latino church members in low-income urban communities.Clinical trial registration number NCT03858868; 2019-02-27.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"619-630"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844699","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}