Translational Behavioral Medicine最新文献

{"title":"Harmonizing adapted interventions across contexts: lessons from harmonizing the World Health Organization's Caregiver Skills Training in Ethiopia and Kenya.","authors":"Melissa Washington-Nortey, Eva Mwangome, Mekdes Demissie, Vibian Angwenyi, Victoria Lewa, Eunice Ombech, Yuan Yao, Tigist Eshetu, Rehana Abdurahman, Fikirte Girma, Ruth Tsigebrhan, Laura Pacione, Erica Salomone, Chiara Servili, Amina Abubakar, Charles R Newton, Rosa A Hoekstra","doi":"10.1093/tbm/ibag003","DOIUrl":"10.1093/tbm/ibag003","url":null,"abstract":"<p><strong>Background: </strong>Despite the increasing evidence on the importance of contextual adaptation of interventions, there is limited understanding of how intervention adaptations made for one context can inform adaptation and implementation efforts in others or how to harmonize adapted interventions for use across multiple contexts.</p><p><strong>Purpose: </strong>This paper outlines the process used to further adapt and harmonize previous Kenyan and Ethiopian cultural and contextual adaptations of the World Health Organization's Caregiver Skills Training intervention as a case study to propose a framework for similar efforts. It also outlines key lessons learned.</p><p><strong>Results: </strong>The Compare, Decide, Develop drafts, and Test and train (CoDDaT) framework is a four-phased, stepwise approach to intervention adaptation and harmonization that involves: (i) comparing available intervention materials and measures across contexts, (ii) deciding in collaboration with key stakeholders on adaptations needed, (iii) developing drafts of harmonized intervention materials and measures, and (iv) testing harmonized intervention materials and measures and training staff. It complements existing implementation frameworks by describing the preparatory phase ahead of implementing an adapted or harmonized project. Critical lessons learned included the importance of accurate documentation, the team's phase-specific size and composition, time management, and the opportunities for network growth and skills development offered by the harmonization process.</p><p><strong>Conclusions: </strong>We demonstrate how lessons from context-specific adaptations can be applied cross-culturally, while incorporating critical revisions and preserving core intervention components. CoDDaT may inform efforts to adapt and implement interventions to promote health behavior change across contexts and advance the field by challenging interventionists to move beyond single-context-focused adaptations and consider applying adapted interventions to other similar contexts, harmonizing, or refining adapted interventions for more extensive use.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647071","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":"Does the relationship between health and behavior depend on changes in immune functioning?","authors":"Robert M Kaplan","doi":"10.1093/tbm/ibag013","DOIUrl":"https://doi.org/10.1093/tbm/ibag013","url":null,"abstract":"<p><strong>Background: </strong>Psychoneuroimmunology research has explored how stress and health behaviors may influence disease risk through immune mechanisms, often relying on surrogate biomarkers such as cytokines, cortisol, and natural killer cell activity to explain health outcomes.</p><p><strong>Purpose: </strong>This narrative review critically evaluates whether behavioral and psychological interventions improve health outcomes by modifying immune function.</p><p><strong>Methods: </strong>Evidence from systematic reviews, landmark reports, and conceptual frameworks published over the past eight decades is reviewed, assessing the degree to which immune markers serve as effective mediators of behavioral health benefits.</p><p><strong>Results: </strong>While stress and social adversity are consistently associated with certain immune parameters, randomized trials have not shown that modifying these markers reliably improves patient-centered outcomes (e.g. quality of life, functioning, or longevity). Behavioral interventions appear to benefit health primarily through pathways other than immune modulation.</p><p><strong>Conclusions: </strong>These findings suggest that behavioral medicine should shift its focus to outcomes meaningful to patients, rather than surrogate immunologic markers. Future work should prioritize functional capacity, health-related quality of life, and life expectancy as primary endpoints.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677950","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":"Applying the Behavior Change Wheel to develop strategies to integrate hypertension and HIV care in South African urban primary care clinics.","authors":"Leslie C M Johnson, Karla I Galaviz, Claudia E Ordóñez, Athini Nyatela, Mark Siedner, Martin Heine, Kerstin Klipstein-Grobusch, Mohammed K Ali, Francois Venter, Vincent C Marconi, Samanta T Lalla-Edward","doi":"10.1093/tbm/ibag008","DOIUrl":"10.1093/tbm/ibag008","url":null,"abstract":"<p><strong>Background: </strong>Hypertension is a leading comorbidity among people with HIV in South Africa, yet integration of hypertension screening and treatment into HIV care remains limited. To address persistent gaps in implementation, context-specific strategies grounded in implementation science frameworks are needed.</p><p><strong>Purpose: </strong>This formative study aimed to develop locally relevant implementation strategies for integrating hypertension and HIV care in South African primary care clinics using the Behavior Change Wheel (BCW).</p><p><strong>Methods: </strong>Barriers to hypertension care were identified through patient interviews (n = 46), manager interviews (n = 7), and clinical staff focus group discussions (nine groups; n = 44 total participants) and were ranked by a Community Advisory Board (CAB) to inform implementation strategy development. Using the BCW, we mapped intervention functions and behavior change techniques based on prioritized barriers, then identified and specified strategies through community engagement. This process consisted of virtual meetings and workshops with CAB members, surveys, and qualitative feedback from clinic managers.</p><p><strong>Results: </strong>Priority barriers identified included long clinic wait times, limited clinician training, poor patient understanding of hypertension, and weak information management systems. To address these barriers, the CAB identified feasible, high-priority strategies, including structured patient education, clinician training, use of care champions, providing audit and feedback, revising clinic workflows and record systems, and adding resources to support routine blood pressure checks.</p><p><strong>Conclusion: </strong>This study demonstrates the utility of the BCW to guide community-informed implementation strategy design. The resulting implementation strategies will be tested in a type 2 hybrid effectiveness-implementation trial to determine their impact on clinical and implementation outcomes.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482039","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":"Evaluation of an algorithm to tailor implementation strategies for community nutrition interventions to local readiness and capacity.","authors":"Jillian B Schulte, David Ngendahimana, Timothy H Ciesielski, Jarrod E Dalton, Eunice Lee, Darcy A Freedman","doi":"10.1093/tbm/ibag023","DOIUrl":"https://doi.org/10.1093/tbm/ibag023","url":null,"abstract":"<p><strong>Background: </strong>Policy, systems, and environmental (PSE) interventions are recommended to address diet-related chronic diseases, yet guidance for selecting PSE implementation strategies for unique community contexts remains limited. Previous research identified the importance of specific readiness and capacity factors for implementing PSEs at farmers markets and translated them into a weighted assessment for practitioners.</p><p><strong>Purpose: </strong>We examined the robustness of a weighted scoring algorithm and algorithm derived recommendations to guide implementation of PSE interventions.</p><p><strong>Methods: </strong>The scoring algorithm, a hierarchical weighted-sum model, quantifies PSE readiness and generates recommendations to guide implementation strategies. Two tests evaluated the algorithm's performance. Test 1 analyzed assessment data from practitioners in OH (N = 5) to explore readiness score variation and algorithm derived recommendations. Test 2 used a 30-indicator survey on farmers' market PSEs to simulate 1000 baseline assessments (T0) and reassessments at three follow up time points (T1-T3). During reassessments, the simulation assigned probabilistic improvements in prioritized indicators to reflect varying success in accomplishing recommendations.</p><p><strong>Results: </strong>In Test 1, overall readiness scores ranged from 37.31 to 70.31 (maximum = 100); 66.6% of all algorithm derived recommendations were unique to one responder. In Test 2, by the third reassessment (T = 3), 89.5% of the simulated respondents experienced changes in one (40.5%), two (36.7%), or three (12.3%) prioritized indicators from the preceding reassessment.</p><p><strong>Conclusion: </strong>The algorithm effectively characterized distinct readiness and capacity profiles and refined recommendations for PSE implementation strategies in response to changes in community readiness. Findings highlight one approach to efficiently prioritize PSE implementation strategies across different communities.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786492","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":"Identifying barriers and facilitators of the implementation of nutrition guidelines in food banks using the Consolidated Framework for Implementation Research.","authors":"Violeta Chacón, Isabelli L Costa da Silva, Sarah McKee, Katie Martin, Maisie Campbell, Marlene Schwartz, Caitlin Caspi, Maria Gombi Vaca","doi":"10.1093/tbm/ibag018","DOIUrl":"10.1093/tbm/ibag018","url":null,"abstract":"<p><strong>Background: </strong>The Healthy Eating Research Nutrition Guidelines for the Charitable Food System (HER Guidelines) are nutrition standards to measure and improve the nutritional quality of foods distributed to people experiencing food insecurity.</p><p><strong>Purpose: </strong>This qualitative study used the Consolidated Framework for Implementation Research (CFIR) to systematically identify the barriers and facilitators to implementing the HER Guidelines in a national sample of US food banks.</p><p><strong>Methods: </strong>We conducted in-depth interviews among a random sample of food banks that reported implementing the HER Guidelines for at least 1 year. Interviews (12 food banks) were recorded and transcribed. The CFIR was used to create a semi-structured interview guide, coding guide, and thematic analysis. Interrater reliability was assessed by double coding 25% of the transcripts.</p><p><strong>Results: </strong>Food banks employed different approaches to implementing the HER Guidelines yet often faced similar successes and challenges. Successful HER implementation practices included strategies to prioritize resources, such as focusing efforts on purchased items first and using online tools like WellSCAN to rank foods from USDA (US Department of Agriculture) food programs. Challenges included difficulties evaluating the categories of mixed dishes and grains, evaluating assortments of donated foods, and having enough staff to complete the task of ranking. Food banks expressed the need for more educational resources to train food bank staff members involved in the implementation of the HER Guidelines.</p><p><strong>Conclusion: </strong>This study identified successful strategies, common challenges, and opportunities to improve the implementation of HER Guidelines to support the availability of healthier food products across the charitable food system.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677878","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":"Bridging the gap: a systematic cultural adaptation of the Surviving Cancer Competently Intervention Program (SCCIP) for Chinese families using the ADAPT-ITT framework.","authors":"Guiyuan Ma, Yunyun Peng, Li Liu, Jun Ma, Carmen W H Chan, Cho Lee Wong, Zitong Zhang, Can Gu","doi":"10.1093/tbm/ibag016","DOIUrl":"https://doi.org/10.1093/tbm/ibag016","url":null,"abstract":"<p><strong>Background: </strong>Psychosocial interventions are essential for families of children with cancer. The Surviving Cancer Competently Intervention Program (SCCIP), an evidence-based intervention (EBI) has effectively improved the negative emotions of American children and their families. Due to the national and cultural differences, it is not suitable to apply it to China directly.</p><p><strong>Objectives: </strong>This study aimed to culturally adapt the SCCIP for Chinese families of children with cancer and to pilot test it in improving Post-Traumatic Stress Symptoms (PTSS) and anxiety.</p><p><strong>Methods: </strong>The adaptation process followed a modified ADAPT-ITT framework. We assessed parents' intervention needs (Assessment), reviewed the literature to select the SCCIP (Decision), translated and culturally adjusted the intervention (Administration), developed an intervention plan (Production), gathered expert feedback (Topical Experts), created a caregiver manual (Integration), and trained the interveners (Training). A pilot test was then conducted with 30 families (Testing). Mixed methods (including cross-sectional survey, interviews, pilot testing) were used throughout the process.</p><p><strong>Results: </strong>Using the ADAPT-ITT framework, minor yet important changes were made to enhance the SCCIP's relevance, acceptability, and feasibility. Modifications were made to language, methods, content, metaphors, and context, such as changing \"tumor\" to \"sick\" in language. Chinese families of children with cancer generally responded positively to the intervention. Pilot test results indicated that the adapted SCCIP reduced parents' PTSS and anxiety scores, decreased children's PTSS and negative emotion scores, and increased children's positive emotion scores.</p><p><strong>Conclusions: </strong>We successfully modified SCCIP for the Chinese context, maintaining its core component. The pilot study demonstrated that the adapted SCCIP is feasible, acceptable, and promising.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692869","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":"Culturally adapting diabetes self-management education: a community engaged co-design approach.","authors":"Tina Kansariwala, Martha Maurer, Meng-Jung Wen, Annika Pickard, Olayinka O Shiyanbola","doi":"10.1093/tbm/ibag002","DOIUrl":"10.1093/tbm/ibag002","url":null,"abstract":"<p><strong>Background: </strong>Black adults are disproportionately burdened by diabetes as they face systemic, cultural, and historical barriers to participating in and engaging in diabetes self-management education (DSME). Adapting DSME to address lived experiences and cultural values of Black adults may improve its effectiveness and relevance.</p><p><strong>Purpose: </strong>This study describes the co-design process of collaborating with a Stakeholder Advisory Board (SAB) to develop a culturally adapted supplemental guide for facilitators to use alongside an evidence-based DSME curriculum, titled Healthy Living with Diabetes (HLWD).</p><p><strong>Methods: </strong>We actively engaged a SAB consisting of Black adults with diabetes, previous HLWD facilitators, community health workers, and community leaders. To guide the adaptation of the DSME curriculum for Black adults, we held five structured co-design SAB meetings with the focus of tailoring the content and implementation strategies. Qualitative meeting notes including feedback from the SAB were analyzed to inform the development of the supplemental guide.</p><p><strong>Results: </strong>The SAB emphasized the importance of including the addressing of social and historical context, mistrust, family influence, stigma, and emotional challenges within Black communities. The co-developed supplemental guide included culturally relevant visuals, analogies, and facilitation strategies. The implementation strategies focused on relationship development, trauma-informed facilitation, and the use of affirming language.</p><p><strong>Conclusions: </strong>A culturally rooted codesign approach along with Stakeholder Advisory Board engagement led to the creation of a culturally adapted DSME supplemental guide that may enhance the engagement and cultural relevance of DSME programs for Black adults.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203493","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":"FREEDcan: an integrated early intervention for eating disorders care model for community and primary care settings in Canada.","authors":"Nicole Obeid, Janessa Porter, Andrea LaMarre, Patricia Silva-Roy, Jennifer S Coelho, Gina Dimitropoulos, Aryel Maharaj, Stephen Feder, Mark Norris, Wendy Spettigue, Shaleen Jones, Sonia Kumar, Suzanne Phillips, Emily Tam, Catherine Ford, Gail McVey, Jennifer Couturier, Jo Lam, Stéphanie Drouin, Michele Laliberte","doi":"10.1093/tbm/ibaf092","DOIUrl":"https://doi.org/10.1093/tbm/ibaf092","url":null,"abstract":"<p><strong>Background: </strong>Early intervention for eating disorders (EDs) models and services is not formalized in Canada, despite increasing demand for care and well-established clinical, social, and economic benefits of intervening early.</p><p><strong>Purpose: </strong>FREEDcan (First Episode Rapid Early Intervention for Eating Disorders-Canada) introduces a community-based model to improve early identification, initial response, and access to evidence-based interventions for young people aged 8-25 years with early-stage EDs.</p><p><strong>Methods: </strong>FREEDcan was co-adapted from the United Kingdom's evidence-based FREED model for the Canadian context with a multi-partner advisory group of clinicians, community organizations, youth and family advisors, researchers, and an implementation science team. It has three pillars: early identification, initial response, and evidence-based interventions for early-stage EDs. Implementation is supported by intersectoral partnerships, community-driven adaptation, and integrated workforce expansion to build capacity and facilitate sustainable, integrated early intervention.</p><p><strong>Anticipated outcomes: </strong>From a service perspective, FREEDcan aims to improve early detection of EDs, reduce duration of untreated illness through rapid, low-barrier responses, and increase access to stage-appropriate interventions. Additional implementation-based outcomes are anticipated, including evidence for core components, costs, and adaptations relevant to scaling this model in diverse regions across Canada.</p><p><strong>Conclusions: </strong>FREEDcan has the potential to provide an accessible, youth-centered, developmentally appropriate approach to early ED care within a collaborative, community-driven, integrated care framework. Using a learning health systems approach, it strives for continuous evaluation to support real-time learning, opportunities for model improvement, and evidence-generation for a new integrated model of care for early-stage ED care for young people in Canada.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195822","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":"Applying behavior change theory to intervention design: promoting clinic-level implementation of self-measured blood pressure monitoring in safety net primary care settings.","authors":"Lina Tieu, Elaine C Khoong, Nilpa D Shah, Melissa M Gosdin, Sophia J Wang, Anjana Sharma, Nooshin Abtahi, Rachel J Stern, Crystal Zhou, Urmimala Sarkar, Courtney R Lyles","doi":"10.1093/tbm/ibaf094","DOIUrl":"10.1093/tbm/ibaf094","url":null,"abstract":"<p><strong>Background: </strong>Self-measured blood pressure (SMBP) monitoring is an evidence-based practice effective for improving the diagnosis and control of hypertension. Healthcare settings face challenges integrating it into clinical care.</p><p><strong>Purpose: </strong>This study applied behavior change theory to design a clinic-based intervention to integrate SMBP within safety net primary care settings.</p><p><strong>Methods: </strong>We conducted multi-phase, mixed methods research to adapt a clinic-level intervention across 25 safety net primary care clinics within three California public healthcare systems as part of the Championing Hypertension Remote Monitoring for Equity and Dissemination (CHARMED) Study. From February to August 2024, clinic champions participated in surveys and focus groups to assess: (i) current practices in hypertension management, (ii) implementation barriers, and (iii) strategies for optimizing the use of SMBP within clinics. Using the Behavior Change Wheel, we designed and tailored the intervention to improve clinical practices for SMBP.</p><p><strong>Results: </strong>Over 50 clinicians/staff participated. Surveys revealed varying SMBP use due to knowledge gaps, lack of standardized processes, and insufficient financial and human resources. Focus groups highlighted the importance of increasing SMBP knowledge among patients and care teams (capability); promoting structured workflows/templates for documenting and acting on SMBP data (opportunity); and building care team buy-in for SMBP (motivation). These insights guided the final intervention activities.</p><p><strong>Conclusions: </strong>Using behavior change theory and stakeholder-engaged methods, we developed a multi-component clinic-focused intervention to promote tailored SMBP implementation within safety net primary care clinics. This evidence-based, adaptable approach may inform future efforts to implement SMBP at multiple levels of care.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #NCT06113458.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776751","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":"Cultural adaptations made to existing implementation science theories, models, frameworks, or outcomes: a scoping review.","authors":"Zoe Fehlberg, Samantha Croy, Madeline Graham, Marlena Klaic, Stephanie Best","doi":"10.1093/tbm/ibag021","DOIUrl":"https://doi.org/10.1093/tbm/ibag021","url":null,"abstract":"<p><strong>Background: </strong>Cultural adaptation to implementation science research tools may be necessary to avoid biases in how evidence is collected and analyzed when working with multi-cultural communities.</p><p><strong>Purpose: </strong>This scoping review aimed to examine literature reporting community-specific adaptations to existing research tools associated with implementation science theories, models, frameworks, and outcomes.</p><p><strong>Methods: </strong>A pre-registered protocol informed by the PRISMA-SC guided the process. Six databases were searched from inception to April 2025. Articles were selected using a predetermined criterion. The purpose, type of, and adaptation process(es) were extracted, and a narrative synthesis informed by two adaptation frameworks was undertaken. Data on the application, testing, and impact of the adapted tool were extracted.</p><p><strong>Results: </strong>Twelve articles were included. Studies reported working with Indigenous, Black-American, Latinx, Hispanic, immigrant, or multi-ethnic communities. All adaptations were researcher-initiated, 92% were proactively planned, and 42% included community engagement. Half of the adaptations were to frameworks identifying factors influencing implementation. Adaptations largely involved changing the content, concepts, or the goals of the tool by integrating complementary cultural concepts or models. Six studies empirically and two hypothetically applied the tool. No study systematically evaluated the impact.</p><p><strong>Conclusions: </strong>Our scoping review found community-specific adaptations are occurring and provides insight into why and how. More research is needed into the impact of adaptation and whether it better equips those who use implementation research tools in practice with the ability to conduct research that provides policymakers and healthcare decision-makers with meaningful evidence to promote health equity.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786407","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}