Journal of Behavioral Medicine最新文献

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The recent history and near future of digital health in the field of behavioral medicine: an update on progress from 2019 to 2024. 行为医学领域数字医疗的近代史和不远的未来:2019 年至 2024 年的最新进展。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2024-10-28 DOI: 10.1007/s10865-024-00526-x
Danielle Arigo, Danielle E Jake-Schoffman, Sherry L Pagoto
{"title":"The recent history and near future of digital health in the field of behavioral medicine: an update on progress from 2019 to 2024.","authors":"Danielle Arigo, Danielle E Jake-Schoffman, Sherry L Pagoto","doi":"10.1007/s10865-024-00526-x","DOIUrl":"10.1007/s10865-024-00526-x","url":null,"abstract":"<p><p>The field of behavioral medicine has a long and successful history of leveraging digital health tools to promote health behavior change. Our 2019 summary of the history and future of digital health in behavioral medicine (Arigo in J Behav Med 8: 67-83, 2019) was one of the most highly cited articles in the Journal of Behavioral Medicine from 2010 to 2020; here, we provide an update on the opportunities and challenges we identified in 2019. We address the impact of the COVID-19 pandemic on behavioral medicine research and practice and highlight some of the digital health advances it prompted. We also describe emerging challenges and opportunities in the evolving ecosystem of digital health in the field of behavioral medicine, including the emergence of new evidence, research methods, and tools to promote health and health behaviors. Specifically, we offer updates on advanced research methods, the science of digital engagement, dissemination and implementation science, and artificial intelligence technologies, including examples of uses in healthcare and behavioral medicine. We also provide recommendations for next steps in these areas with attention to ethics, training, and accessibility considerations. The field of behavioral medicine has made meaningful advances since 2019 and continues to evolve with impressive pace and innovation.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"120-136"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523382","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
Physical activity interventions: an update on advancing sedentary time, technology, and dissemination and implementation research. 体育锻炼干预措施:关于延长久坐时间、技术以及传播和实施研究的最新进展。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2024-11-10 DOI: 10.1007/s10865-024-00533-y
Beth A Lewis, Melissa A Napolitano, Matthew P Buman, David M Williams, Claudio R Nigg
{"title":"Physical activity interventions: an update on advancing sedentary time, technology, and dissemination and implementation research.","authors":"Beth A Lewis, Melissa A Napolitano, Matthew P Buman, David M Williams, Claudio R Nigg","doi":"10.1007/s10865-024-00533-y","DOIUrl":"10.1007/s10865-024-00533-y","url":null,"abstract":"<p><p>Approximately 28% of American adults meet both the physical activity (PA) and strength training guidelines despite the numerous health benefits associated with a physically active lifestyle. The purpose of this paper is to provide an update of the 2017 Society of Behavioral Medicine PA Special Interest Group article that outlined future directions in sedentary time reduction interventions, technology-based PA interventions, and the dissemination and implementation of PA interventions. Since the prior review, there has been significant progress on effective interventions for reducing sedentary time. However, there has been less progress for improving the specificity of sedentary time guidelines. There has been a dramatic increase in the number of studies examining PA mHealth interventions and support for mHealth intervention has generally been positive, though sustaining engagement in mHealth interventions remains a challenge. Promising newer technologies that have been explored more extensively since the prior review including artificial intelligence (AI). Knowledge of how to implement and scale-up effective PA interventions has also increased. Several current trends in PA intervention research that continue to advance the field include examining the moderating effect of the built environment on the effectiveness of behavioral interventions, cultural tailoring of interventions, Just in Time Adaptive Interventions (JITAIs), and exercise snacks (vigorous intensity PA sessions that are less than one minute). Overall, there has been significant progress in the PA intervention field but significant work remains for creating effective interventions that can be readily implemented into real world settings.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"99-110"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630533","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
Minority stress in relation to biological outcomes among sexual and gender minority people: a systematic review and update. 少数族裔压力与性少数和性别少数人群的生物学结果的关系:系统回顾和更新。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2025-01-09 DOI: 10.1007/s10865-024-00539-6
Annesa Flentje, Gowri Sunder, Elliot Tebbe
{"title":"Minority stress in relation to biological outcomes among sexual and gender minority people: a systematic review and update.","authors":"Annesa Flentje, Gowri Sunder, Elliot Tebbe","doi":"10.1007/s10865-024-00539-6","DOIUrl":"10.1007/s10865-024-00539-6","url":null,"abstract":"<p><p>Here we present an updated systematic review identifying studies published 2019-2024, since our prior systematic review in 2020, that examine the association between minority stress and a biological outcome among sexual and gender minority (SGM) people. Pubmed, Web of Science, and Embase were queried to identify studies that examined an association between minority stress (including prejudice events and conditions, anticipation of rejection and discrimination, concealment or disclosure of SGM identity(ies), internalized stigma, or structural stigma) and a biological health outcome among SGM people. Included studies were coded for methodological approaches, study population, minority stress measure, biological outcomes, count of overall analyses, and count of analyses where an association was detected. Fifty-nine studies met inclusion criteria and included a total of 391 analyses between an element of minority stress and a biological outcome, among which 38% of analyses detected an association (44% detected this association when study outliers were removed). All elements of minority stress demonstrated associations with outcomes: multicomponent measures, prejudice events and conditions, and structural stigma demonstrated the highest proportion of associations. Associations with minority stress were detected for general physical health, sleep, immune, cardiovascular, metabolic, hormonal, brain health, allostatic load, epigenetic and transcriptional regulation. The highest proportion of associations were detected among sleep, immune, cardiovascular, and hormonal outcomes. These studies evidence associations between minority stress and biological outcomes among gender minority people in addition to evidence among sexual minority people. Future research should consider increasing rigor in methodology and expanding our understanding of moderators and mediators of these relationships.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"22-42"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956800","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
Maintaining habitual physical activity by overcoming disruptive competing actions: mechanisms and interventions. 通过克服破坏性竞争行为来维持习惯性体育活动:机制和干预措施。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2024-12-19 DOI: 10.1007/s10865-024-00541-y
Navin Kaushal, Donya Nemati, Darko Jekauc, Aleksandra Luszczynska, Martin S Hagger
{"title":"Maintaining habitual physical activity by overcoming disruptive competing actions: mechanisms and interventions.","authors":"Navin Kaushal, Donya Nemati, Darko Jekauc, Aleksandra Luszczynska, Martin S Hagger","doi":"10.1007/s10865-024-00541-y","DOIUrl":"10.1007/s10865-024-00541-y","url":null,"abstract":"<p><p>Habits are mental representations of associations between actions and contextual contingencies. Habit formation can be efficacious in promoting health behavior maintenance, including for highly complex behaviors such as physical activity. Changes in circumstances (e.g., job transitions, moving home) or the advent of disruptive events (e.g., work-related or personal responsibilities) can lead to habit discontinuity by eliminating the contextual contingencies associated with the behavior. Recently, habit theorists have distinguished between preparation or instigation and execution habits, with preparation or instigation habits proposed as central to the development and maintenance of complex habitual behaviors. Discontinuity for complex habitual behaviors may entail disruption of preparation, instigation, or execution habits making such behaviors highly vulnerable to disruption and discontinuity. We propose that the advent of events such as increased work demands or personal responsibilities (e.g., job demands or personal circumstances such as caregiving) and competing highly rewarding activities (e.g., technology-mediated screen activities such as using smartphone apps and games) have high potential to disrupt preparation and instigation habits for complex behaviors. We outline the mechanisms involved and propose several strategies that may be employed to minimize disruption and discontinuity of complex habitual behaviors using physical activity as an illustration. We identify reaffirming original goals, self-monitoring, and planning strategies as potentially efficacious means to minimize the potential for events and competing activities to disrupt physical activity preparation and instigation habits. We call for future research to investigate the efficacy of these strategies in managing disruptive events and promote maintenance of habitual physical activity habit maintenance.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"90-98"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865759","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
Patterns of dietary quality, physical activity, and sleep duration among cancer survivors and caregivers. 癌症幸存者和照顾者的饮食质量、体力活动和睡眠时间模式。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2024-10-02 DOI: 10.1007/s10865-024-00523-0
Meghan B Skiba, Terry A Badger, Thaddaeus W W Pace, Michael A Grandner, Patricia L Haynes, Chris Segrin, Rina S Fox
{"title":"Patterns of dietary quality, physical activity, and sleep duration among cancer survivors and caregivers.","authors":"Meghan B Skiba, Terry A Badger, Thaddaeus W W Pace, Michael A Grandner, Patricia L Haynes, Chris Segrin, Rina S Fox","doi":"10.1007/s10865-024-00523-0","DOIUrl":"10.1007/s10865-024-00523-0","url":null,"abstract":"<p><p>Fruit and vegetable intake (FVI), moderate-to-vigorous physical activity (MVPA), and sleep duration are each independently associated with cancer-related and general health outcomes among cancer survivors. Past research suggests that health behaviors cluster among cancer survivors, with caregivers demonstrating similar patterns. This analysis examined co-occurrence of FVI, MVPA, and sleep duration among cancer survivors and informal cancer caregivers and identified sociodemographic and clinical correlates of health behavior engagement. Using data from the Health Information National Trends Survey (HINTS), an exploratory latent profile analysis (LPA) was conducted among those self-reporting a history of cancer or identifying as a cancer caregiver. The LPA model was fit with daily self-reported FVI (cups/d), MPVA (minutes/d) and sleep duration (hours/d). Multinomial logistic regression models were used to predict profile membership based on sociodemographic and clinical characteristics. Four health behavior profiles were identified (Least Engaged-No MVPA, Least Engaged-Low MVPA, Moderately Engaged, and Highly Engaged). The largest profile membership was Least Engaged-No MVPA, capturing 37% of the sample. Profiles were most distinguished by MVPA, with the lowest variance in sleep duration. Participants reporting higher FVI also often reported greater MVPA and longer sleep duration. Profile membership was significantly associated with age, relationship status, education, income, rurality, alcohol use, self-efficacy, psychological distress, BMI, and cancer type. This study identified four health behaviors patterns and sociodemographic correlates that distinguished those patterns among cancer survivors and caregivers drawn from a nationally representative sample. Results may help identify for whom health behavior interventions could be of greatest benefit.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"162-175"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362325","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
Perceived discrimination and pain outcomes among black adults with chronic musculoskeletal pain: identifying modifiable psychosocial risk factors. 患有慢性肌肉骨骼疼痛的黑人成年人所感受到的歧视与疼痛结果:确定可改变的社会心理风险因素。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2024-10-05 DOI: 10.1007/s10865-024-00522-1
Katherine E Gnall, Julia E Hooker, James D Doorley, Jafar Bakhshaie, Ana-Maria Vranceanu
{"title":"Perceived discrimination and pain outcomes among black adults with chronic musculoskeletal pain: identifying modifiable psychosocial risk factors.","authors":"Katherine E Gnall, Julia E Hooker, James D Doorley, Jafar Bakhshaie, Ana-Maria Vranceanu","doi":"10.1007/s10865-024-00522-1","DOIUrl":"10.1007/s10865-024-00522-1","url":null,"abstract":"<p><p>Chronic musculoskeletal pain (CMP) is highly prevalent, frequently associated with negative health outcomes, and disproportionately impacts Black Americans. Perceived racial and ethnic discrimination has emerged as a factor that may influence the experience of chronic pain in this population. Identifying modifiable psychosocial factors that influence the link between perceived discrimination and pain and that can be directly targeted in treatment is vital to reducing the disproportionate burden of CMP among Black individuals. The present study examines the moderating role of five risk factors (i.e., pain avoidance, pain fusion, experiential avoidance, pain catastrophizing, and pain anxiety) on the relationship between perceived discrimination and pain outcomes (i.e., pain intensity and interference) in a sample of 401 Black adults with CMP. We recruited 401 Black individuals (M<sub>age</sub> = 35.98, 51.9% female) with self-reported CMP and assessed their self-reported perceived discrimination, pain intensity, pain interference, and pain-related psychosocial risk factors. Results indicated that higher scores on each of the psychosocial risk factors (i.e., pain avoidance, pain fusion, experiential avoidance, pain catastrophizing, and pain anxiety) were significantly associated with greater pain intensity and pain interference (all ps < 0.01). Further, pain avoidance (B = 0.12, p = .006), pain fusion (B = 0.13, p = .002), and pain anxiety (B = 0.13, p = .002) each significantly moderated the relation between perceived discrimination and pain intensity. Greater perceived discrimination was associated with greater pain intensity at higher levels of avoidance and fusion, and was associated with less pain intensity at lower levels of avoidance and pain anxiety. In interaction models predicting pain interference, both pain fusion (B = 0.14, p = .001) and pain anxiety (B = 0.10, p = .01) significantly moderated the relation between perceived discrimination and pain interference. Perceived discrimination was associated with greater pain interference at higher levels of pain fusion and pain anxiety, and was not associated with pain interference at lower levels of pain fusion and pain anxiety. The present findings provide important insights into psychosocial risk factors that moderate the link between perceived discrimination and pain outcomes, providing important clinical implications for the treatment of Black adults with chronic musculoskeletal pain.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"176-187"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376152","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
Progress on theory of planned behavior research: advances in research synthesis and agenda for future research. 计划行为理论研究进展:研究综述与展望。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2025-02-01 Epub Date: 2025-01-20 DOI: 10.1007/s10865-024-00545-8
Martin S Hagger, Kyra Hamilton
{"title":"Progress on theory of planned behavior research: advances in research synthesis and agenda for future research.","authors":"Martin S Hagger, Kyra Hamilton","doi":"10.1007/s10865-024-00545-8","DOIUrl":"10.1007/s10865-024-00545-8","url":null,"abstract":"<p><p>The theory of planned behavior is a social cognition theory that has been widely applied to identify the psychological determinants of intentions and behavior in health contexts. Our 2015 meta-analysis of theory applications in chronic illness contributed to a burgeoning evidence base comprising syntheses supporting theory predictions in health behavior. In this review, we identify limitations of prior meta-analyses of theory applications in health behavior and highlight salient evidence gaps, summarize how recent meta-analyses of the theory have addressed some of the limitations, outline outstanding research questions, and suggest future research syntheses, including those currently in progress, to resolve them. We point to recent and ongoing meta-analyses addressing theory hypotheses and assumptions not tested in previous syntheses, such as perceived behavioral control moderating effects and indirect effects of environmental (e.g., sociostructural variables) and intrapersonal (e.g., personality traits) determinants on health behavior mediated by theory constructs. We also highlight meta-analyses examining behavioral effects of constructs representing extended processes (e.g., habit, implicit cognition) in the context of the theory. Further, we summarize recent meta-analyses addressing directional and causal inferences in theory effects, including meta-analyses of longitudinal studies and experimental and intervention research. We also highlight attempts to test the mechanisms of action of interventions based on the theory including the change meta-analysis method and mediation analyses. We conclude by summarizing the advances that recent meta-analyses of the theory have made to the evidence base of health behavior determinants and interventions and highlighting suggestions for meta-analyses that will further progress the evidence base.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"43-56"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014310","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
Socio-cognitive facilitators of ART-adherence among predominantly black sexual and gender minoritized persons living with HIV in Atlanta, Georgia: a latent profile analysis. 佐治亚州亚特兰大以黑人为主的性与性别少数群体艾滋病病毒感染者坚持抗逆转录病毒疗法的社会认知促进因素:潜在特征分析。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-08-31 DOI: 10.1007/s10865-024-00510-5
John Mark Wiginton, Lisa A Eaton, Valeria A Earnshaw, Ryan J Watson, Seth C Kalichman
{"title":"Socio-cognitive facilitators of ART-adherence among predominantly black sexual and gender minoritized persons living with HIV in Atlanta, Georgia: a latent profile analysis.","authors":"John Mark Wiginton, Lisa A Eaton, Valeria A Earnshaw, Ryan J Watson, Seth C Kalichman","doi":"10.1007/s10865-024-00510-5","DOIUrl":"10.1007/s10865-024-00510-5","url":null,"abstract":"<p><p>The Integrated Change Model describes several social and cognitive factors (e.g., health attitudes, social support, self-efficacy) that can affect medication adherence. Guided by this model, we sought to identify profiles of socio-cognitive facilitators of ART (antiretroviral therapy) adherence among diversely minoritized persons living with HIV enrolled in a behavioral intervention trial in Atlanta, Georgia (N = 477). To do this, we performed latent profile analysis on baseline responses to scales assessing 6 indicators of interest: HIV-care self-efficacy, social support, TasP (treatment-as-prevention) beliefs, trust in healthcare providers, perceived need for ART, and trust in ART. We regressed emergent profiles on internalized, enacted, and microaggressive HIV stigma and compared prospective 30-day ART adherence and several cross-sectional HIV outcomes across profiles. Mean age was 29 years; 83% of participants were non-Hispanic Black, 53% were gay/homosexual-identifying, and 12% were gender expansive. Three profiles emerged: \"Constrained/Capable\" (6%), featuring high self-efficacy but low-moderate provider trust, social support, TasP beliefs, ART trust, and ART need; \"Conflicted\" (13%), featuring high TasP beliefs, provider trust, and ART need but moderate self-efficacy, ART trust, and social support; and \"Motivated\" (81%), featuring high levels of all indicators. Greater internalized, enacted, and microaggressive stigma were positively associated with \"Conflicted\" relative to \"Motivated\" profile membership. ART-nonadherence, unsuppressed viral load, and viral load unawareness were more likely for the \"Conflicted\" relative to the \"Motivated\" profile. Personalized HIV care tailored to such profiles may improve ART adherence and related outcomes for minoritized persons living with HIV.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"1012-1027"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113492","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 therapy for insomnia in Black women: a pilot randomized controlled trial. 针对黑人女性失眠症的正念疗法:随机对照试验。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-21 DOI: 10.1007/s10865-024-00521-2
Soohyun Nam, Sangchoon Jeon, Monica Ordway, Carolyn Mazure, Rajita Sinha, Lauren Yau, Joanne Iennaco
{"title":"Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial.","authors":"Soohyun Nam, Sangchoon Jeon, Monica Ordway, Carolyn Mazure, Rajita Sinha, Lauren Yau, Joanne Iennaco","doi":"10.1007/s10865-024-00521-2","DOIUrl":"10.1007/s10865-024-00521-2","url":null,"abstract":"<p><p>The purpose of the study was to evaluate the feasibility, acceptability, and preliminary efficacy of mindfulness-based therapy for insomnia (MBT-I) among Black women. The MBT-I group received weekly sessions that included mindfulness meditation and behavioral sleep strategies. The time and attention control group received lifestyle health education (HE) that included healthy eating, physical activity, and sleep hygiene. The primary outcome was post-intervention changes in insomnia severity score by the Insomnia Severity Index (ISI) at week 10. Other measures included: Pittsburgh Sleep Quality Index, Sleep Hygiene Practice, Spielberger State-Trait Anxiety Inventory (STAI), and Patient Health Questionnaire-9 (PHQ-9). Objective sleep was measured by Actiwatch™ at baseline and week 10. Thirty Black women completed the interventions with no attrition. About 97% of all participants attended 6-8 out of 8 sessions. The ISI scores were reduced at week 10 (MBT-I vs. HE: -7.67 vs. -7.22, p < .05). Anxiety and depression symptoms were significantly improved only in the MBT-I group. This is the first MBT-I for Black women with insomnia. Online MBT-I may be feasible and acceptable for Black women. The MBT-I and HE showed a clinically significant improvement in insomnia symptoms (ISI reduction > 7). MBT-I may be more effective in improving anxiety and depression symptoms than HE. Our findings encourage further study efforts with a longer follow-up and larger sample size to address sleep health disparities among Black women.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"1094-1106"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298895","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
Physical health mindsets and information avoidance. 身体健康心态和信息回避。
IF 2.8 3区 医学
Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-21 DOI: 10.1007/s10865-024-00514-1
Abigail G O'Brien, Jeremy L Foust, Jennifer M Taber
{"title":"Physical health mindsets and information avoidance.","authors":"Abigail G O'Brien, Jeremy L Foust, Jennifer M Taber","doi":"10.1007/s10865-024-00514-1","DOIUrl":"10.1007/s10865-024-00514-1","url":null,"abstract":"<p><p>Health mindsets refer to beliefs about the malleability (growth mindset) versus stability (fixed mindset) of physical health and have gained traction as a predictor of health beliefs and behaviors. Across two studies, we tested whether health mindsets were associated with avoiding personalized health risk information. In Study 2, we also tested whether conceptually-related constructs of internal and chance health locus of control, health self-efficacy, fatalism, and genetic determinism were associated with information avoidance. Health mindsets were manipulated in Study 1 (college students, n = 284; 79.58% female; M<sub>age </sub>= 19.74) and measured in Study 2 (participants recruited through MTurk, n = 735; 42.04% female; M<sub>age </sub>= 35.78). In both studies, participants viewed a prediabetes infographic and were informed they could learn their prediabetes risk by completing an online risk calculator. Behavioral obligation was also manipulated in both studies to test whether an additional behavioral requirement associated with learning one's risk would exacerbate any negative impact of health mindsets on avoidance rates. All participants then indicated their interest in learning their prediabetes risk (avoidance intentions) and decided whether to complete the online risk calculator (avoidance behavior). In Study 1, there was no impact of health mindsets, behavioral obligation, or their interaction on avoidance intentions or behavior. Study 2 similarly did not provide consistent evidence for an association of health mindsets, behavioral obligation, or their interaction with avoidance intentions or behavior. However, in Study 2, internal health locus of control was consistently associated with both intentions and behavior. Health information avoidance may be a barrier to prevention and early detection of disease. To encourage individuals to learn potentially important health information, public health interventions might seek to increase people's beliefs that their own actions play a role in their health outcomes. Interventions may also seek to increase people's knowledge about and skills regarding improving their health outcomes, which may influence health locus of control beliefs.</p>","PeriodicalId":48329,"journal":{"name":"Journal of Behavioral Medicine","volume":" ","pages":"1052-1066"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11499518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298896","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
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