Translational Behavioral Medicine最新文献

{"title":"Does the relationship between health and behavior depend on changes in immune functioning?","authors":"Robert M Kaplan","doi":"10.1093/tbm/ibag013","DOIUrl":"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":2.8,"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":2.8,"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":"Process evaluation of a digital school-based intervention: lessons learned from the Health4Life study.","authors":"Katrina E Champion, Lauren A Gardner, Bridie Osman, Siobhan O'Dean, Emily Hunter, Louise Thornton, Cath Chapman, Tim Slade, Nyanda McBride, Courtney Stewart, Matthew Sunderland, Leanne Hides, Steve Allsop, David R Lubans, Belinda Parmenter, Bonnie Spring, Lyra Egan, Scarlett Smout, Maree Teesson, Nicola C Newton","doi":"10.1093/tbm/ibag060","DOIUrl":"10.1093/tbm/ibag060","url":null,"abstract":"<p><strong>Background: </strong>Process evaluations of preventive health interventions are essential for enhancing their implementation and impact.</p><p><strong>Purpose: </strong>This study presents the process evaluation of Health4Life, a digital school-based program designed to modify multiple health risk behaviors among adolescents.</p><p><strong>Methods: </strong>Data were derived from a cluster randomized controlled trial in 71 Australian secondary schools from 2019 to 2022, including data from 2085 students and 118 teachers. Based on the Medical Research Council guidance for process evaluations this study explored three key questions: (i) Was the Health4Life intervention delivered and received as intended? (ii) How did participants respond? and (iii) What contextual factors influenced implementation? Fidelity, dose and exposure to intervention components were assessed through teacher self-report and website analytics. Participant responsiveness included student and teacher acceptability, and factors associated with a positive program evaluation (i.e. students' ratings of enjoyment, relevance, and utility). Contextual factors relating to schools and the intervention were assessed via teacher-reported open-ended feedback. The Consolidated Framework for Implementation Research (CFIR) was applied to support interpretation of findings.</p><p><strong>Results: </strong>Fidelity to the online modules was high based on teacher self-report, but the dose received by students was moderate (62% full dose), and use of the supplementary components varied. Program acceptability was high, with most students (73%) and teachers (84%) rating Health4Life favorably overall. Key factors associated with a positive student evaluation were identifying as female, and having higher baseline knowledge of health risk behaviors, greater self-control and higher socioeconomic advantage. Qualitative data identified key contextual barriers and facilitators relating to program design, technology and school contextual issues.</p><p><strong>Conclusions: </strong>These findings provide valuable insights to support the ongoing refinement and broader implementation of Health4Life. A set of recommendations are proposed to inform the future development, implementation, and evaluation of digital health interventions in school environments.</p><p><strong>Clinical trial information: </strong>The Health4Life study was pre-registered with the Australian New Zealand Clinical Trials Registry (ACTRN12619000431123).</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971916","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":"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":2.8,"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":"Implementing mobile mammography in primary care: a community-based Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) evaluation.","authors":"Amanda M Ziegler, Pamela Harold, Laurene M Tumiel-Berhalter","doi":"10.1093/tbm/ibag062","DOIUrl":"10.1093/tbm/ibag062","url":null,"abstract":"<p><strong>Background: </strong>Mobile mammography units (MMU) address disparities in breast cancer screening. Challenges integrating MMU into routine healthcare delivery limit their sustained impact, particularly in underserved communities.</p><p><strong>Purpose: </strong>This study evaluated the implementation of a mobile mammography program embedded within primary care practices described within the Practical, Robust Implementation and Sustainability Model (PRISM) and evaluated according to the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.</p><p><strong>Methods: </strong>We conducted a REAIM implementation evaluation of a MMU program delivered from 2013 to 2019 within six primary care practices serving medically underserved populations. Data sources included administrative records, Patient Ambassador outreach and screening day logs, provider focus groups, and patient satisfaction surveys. RE-AIM domains were used to assess organizational uptake and sustainability, implementation processes, patient reach, and patient-reported experience.</p><p><strong>Results: </strong>Practices adopted MMU integration with varied duration and intensity. Predictable screening schedules and clinic-based appointment prescheduling achieved greater screening completion and sustainability than sites relying primarily on patient outreach. Patient Ambassadors facilitated implementation through scheduling, logistics, and patient education, reducing administrative burden on clinical staff. Key implementation challenges included limited MMU capacity, missed appointments, staffing demands, and MMU accessibility constraints. Reach included over 6400 completed mammograms and more than 10 000 outreach calls. Patient satisfaction and intention to use the MMU again remained high throughout the program.</p><p><strong>Conclusions: </strong>Embedding MMU within primary care, supported by Patient Ambassadors, can expand access to breast cancer screening in underserved communities. Sustainable implementation requires predictable scheduling, adequate coordination capacity, leadership engagement, and adaptation to local clinical and patient contexts.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992108","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":"Building bridges, breaking silos: a social network analysis of collaboration in an implementation science center for addiction health services.","authors":"Helene Chokron Garneau, Wouter Vermeer, Savanna Stromberg, Praise Olatunde, Mark McGovern","doi":"10.1093/tbm/ibag074","DOIUrl":"10.1093/tbm/ibag074","url":null,"abstract":"<p><strong>Background: </strong>Large scale collaborative or research centers are designed to accelerate scientific progress, promote sustained collaboration, and bridge gaps across areas of expertise. Traditionally, metrics of evaluation for such centers have focused on quantifiable outcomes, such as number and impact of publications. These take time to materialize yet formation, growth, and evolution of collaborative ties, which are fundamental to achieve these quantifiable outcomes, are seldom examined.</p><p><strong>Purpose: </strong>To investigate collaborative ties, we applied social network analysis to the NIH-funded Center for Dissemination & Implementation at Stanford (C-DIAS). We illustrate the development and structure of collaborative, cross-disciplinary, and mentorship relationships within the center during its first three years.</p><p><strong>Methods: </strong>Data was collected from C-DIAS members in 2020, 2023, and 2025. Social network analyses examined four components: growth of interaction and collaboration networks, bridging disciplinary boundaries, establishing national reach, and building capacity through mentorship.</p><p><strong>Results: </strong>Across three waves, C-DIAS expanded cross-disciplinary networks, with boundary-spanning ties growing from 21 to 180 while maintaining high connectivity. Interaction and collaboration networks grew substantially, converting interpersonal contact into productive partnerships. Geographic reach increased from 10 to 28 institutions, and near-universal mentorship integrated new members, supporting sustained development of early-career investigators across cohorts.</p><p><strong>Conclusions: </strong>In 3 years, C-DIAS cultivated a highly connected, disciplinary network linking addiction health services and implementation science researchers. Intentional infrastructure fostered collaboration, mentorship, and national reach, demonstrating that structured networks can break silos and accelerate the translation of research into practice.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128655","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":"Behavior change technique delivery during routine smoking cessation advice in primary care and associations with abstinence.","authors":"Emma M Brown, Fabiana Lorencatto, Tim Coleman, A Toby Prevost, Stephen Sutton, Felix Naughton","doi":"10.1093/tbm/ibag035","DOIUrl":"10.1093/tbm/ibag035","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the content of routine smoking cessation support in primary care and how it relates to abstinence. While 121 behavior change techniques (BCTs) have been identified for cessation treatment, English treatment guidelines recommend 30 across cessation consultations.</p><p><strong>Purpose: </strong>We sought to identify: (1) BCTs delivered during routine cessation support in primary care in England; (2) associations between abstinence and (a) the total number of BCTs used, (b) delivery of the 30 recommended BCTs, (c) delivery of individual BCTs.</p><p><strong>Method(s): </strong>In an evaluation trial across 32 English General Practices, 149 pre-quit consultations (across 29 practitioners trained in cessation support) from a multisession cessation program were audio-recorded, transcribed, and analyzed for BCT delivery using a modified BCT taxonomy v1 and smoking-specific taxonomy. Abstinence was collected at 4-weeks (biochemically verified), 8-weeks (primary outcome, self-reported), and 6-months (self-reported) post quit date. Multilevel modelling assessed associations.</p><p><strong>Results: </strong>Of 121 BCTs, 85 were delivered in at least one consultation. A mean of 13.4 (SD = 2.76) of recommended BCTs were delivered, with 33% (10/30) delivered in at least half of the consultations. Total BCTs delivered were not associated with abstinence. Delivery of more guideline-recommended BCTs was only associated with abstinence at 4 weeks (OR = 1.03, 95% CI 1.00-1.06; P = .03). One BCT was positively associated, and one negatively associated with abstinence.</p><p><strong>Conclusions: </strong>One-third of recommended BCTs were delivered in at least 50% of initial consultations, with delivery associated with short-term abstinence. Limited practitioner time may constrain BCT delivery and is a consideration for future guidelines.</p><p><strong>Clinical trials information: </strong>The Clinical Trials Registration #ISRCTN 56702353.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13331279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383065","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":"Adaptations of an evidence-based intervention for child obesity treatment delivered in a home health setting: a brief report.","authors":"Alyssa M Button, Angelle Ullmer, Peter T Katzmarzyk, Stewart Gordon, Mark Gros, Hanim E Diktas, Corby K Martin, Jeremy Domingue, Amanda E Staiano","doi":"10.1093/tbm/ibag073","DOIUrl":"https://doi.org/10.1093/tbm/ibag073","url":null,"abstract":"<p><strong>Background: </strong>Access remains a key barrier preventing families from enrolling in intensive health behavior and lifestyle treatment (IHBLT) to manage their obesity.</p><p><strong>Purpose: </strong>This demonstration project integrated the Positive Actions Towards Health (PATH) IHBLT into a home health agency, documented delivery adaptations, and explored preliminary effects on health outcomes.</p><p><strong>Methods: </strong>PATH was embedded into home health workflows and billed to Medicaid. Clinicians at a pediatric clinic referred patients ages 6-12 years with obesity (body mass index percentile [BMI%ile] ≥ 95th) to the home health agency who then delivered the 12-month program in the child's home as part of their standard practice. The Framework for Reporting Adaptation and Modifications to Evidence-based Interventions (FRAME) was used to document modifications and Reach Effectiveness Adoption Implementation and Maintenance was used to track implementation. BMI%ile, blood pressure, and quality of life (QoL) were tracked.</p><p><strong>Results: </strong>Eleven adaptations were identified using FRAME-IS. Key modifications to improve delivery included building PATH lesson content and assessment into the home health EHR, digitizing a tailored weight path to inform program adherence, and refining recruitment procedures. Ten families enrolled, attending an average 8 ± 7 sessions (Mean ± SD; range: 2-21). Five participants completed measures at six months and two at twelve months. Across timepoints BMI%ile appeared to be attenuated, systolic blood pressure improved, and gains in QoL were evident.</p><p><strong>Conclusions: </strong>The PATH IHBLT was adapted for home health delivery and billed to Medicaid, showing preliminary success but challenges with retention. Further work is needed to increase dosage of IHBLT delivered in the home setting.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149376","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":"Patient preferences for the integration of exercise for depression into mental health care.","authors":"Tyler M Dregney, Sarah M Kaja, Hana-May Eadeh, Melissa Adkins-Hempel, Lisa A Uebelacker, Louisa G Sylvia, Ana M Abrantes, Andrew M Busch","doi":"10.1093/tbm/ibag041","DOIUrl":"10.1093/tbm/ibag041","url":null,"abstract":"<p><strong>Background: </strong>Exercise is an evidence-based treatment for depression, yet it is rarely integrated into mental health care in the United States.</p><p><strong>Purpose: </strong>The purpose of this study was to examine patient experiences with and preferences for integrating exercise into mental health care.</p><p><strong>Methods: </strong>Participants were 457 US adults with depression who reported current or past receipt of mental health care and completed an online survey assessing experienced and preferred levels of exercise integration using parallel three-level ordinal scales. Related samples Wilcoxon signed-rank tests compared experienced versus preferred levels of exercise integration. Multivariable ordinal logistic regression examined predictors of preferred exercise integration.</p><p><strong>Results: </strong>22.5% preferred no discussion of exercise in the context of mental health care, 56.5% preferred general education and encouragement around exercise in mental health care, and 21.0% preferred structured exercise goal setting in mental health care. Participants preferred significantly greater exercise integration than they had experienced (Z = 6.8, P < .001). In multivariable analyses, prior experience with exercise being integrated into mental health care and greater belief in exercise's antidepressant effects were associated with higher preferred integration, whereas current antidepressant use and physical health conditions limiting exercise were associated with lower preferred integration. Preference for integration of exercise into mental health care was unrelated to depression severity or physical activity level.</p><p><strong>Conclusion: </strong>US adults with depression prefer greater integration of exercise into mental health care than they currently receive, but most prefer limited integration. These findings highlight the importance of flexible, patient-centered approaches to exercise integration into mental health care.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13322392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370391","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":"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":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13186628/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}