Translational Behavioral Medicine最新文献

{"title":"Using the Consolidated Framework for Implementation Research (CFIR) to understand student perceptions of reach, relevance, and fit of opioid overdose education and naloxone distribution programs on university campuses.","authors":"Matthew Lee, Savannah P Alexander, Elizabeth Shelton, G Tharp, WaiKwan Bonnie Li, Melanie Bernitz, Michael McNeil, Lisa Rosen-Metsch, Rachel C Shelton","doi":"10.1093/tbm/ibaf054","DOIUrl":"10.1093/tbm/ibaf054","url":null,"abstract":"<p><strong>Background: </strong>Opioid overdose education and naloxone distribution (OEND) programs provide naloxone kits and training on recognizing and responding to opioid overdoses. While there are some early adopters of college campus OEND programs, this important setting remains underutilized.</p><p><strong>Purpose: </strong>We conducted research on student-level perceptions of the reach, relevance, and fit of routine OEND implementation on a college campus in New York City.</p><p><strong>Methods: </strong>Semi-structured, in-depth qualitative interviews (n = 40) were completed across three student groups: (i) those who were invited to and attended an OEND training, and opted to take a free naloxone kit (n = 24); (ii) those who were invited, but did not attend a training (n = 13); and (iii) those who were invited and attended a training, but did not take a kit (n = 3). We employed a framework-driven pragmatic qualitative approach using the Consolidated Framework for Implementation Research (CFIR).</p><p><strong>Results: </strong>Our findings, synthesized across groups, were: (i) students were generally receptive to OEND program implementation on campuses broadly including their own, but perceived it as more relevant to the outer setting surrounding campus, which universities need to engage; (ii) beyond OEND programs, students expressed wanting better access to broader substance use and mental health services; and (iii) students described the need for improved university communications about its commitments to OEND program implementation to promote relevance and reach.</p><p><strong>Conclusions: </strong>This study provides in-depth understanding of student-level perceptions around implementing campus OEND programs and identifies opportunities to improve future implementation and sustainability.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12597890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483066","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":"Investigating the Delivery of the National Diabetes Prevention Program to Latines: Coaches' Perspectives.","authors":"Manuel Gutierrez Chavez, Haley Parsons, Cassidy A Gutner, Anu Asnaani, Katherine J W Baucom","doi":"10.1093/tbm/ibaf024","DOIUrl":"10.1093/tbm/ibaf024","url":null,"abstract":"<p><strong>Background: </strong>Latines (Latina/o/x) in the United States are disproportionately impacted by type 2 diabetes. Yet, the National Diabetes Prevention Program (National DPP), an evidence-based lifestyle intervention created by the Centers for Disease Control and Prevention, has not successfully reached and engaged Latine individuals. Implementation science frameworks stand to enhance the study of these disparate outcomes to promote equitable delivery of the National DPP.</p><p><strong>Purpose: </strong>This project leverages the Consolidated Framework for Implementation Research (CFIR) to assess how Lifestyle Coaches of the National DPP deliver this intervention to Latines across the U.S. to understand disparate outcomes better.</p><p><strong>Methods: </strong>A total of 28 Lifestyle Coaches completed a semi-structured interview based on the CFIR, which assessed potential barriers and facilitators that might impact the program's implementation to this specific population. A qualitative content analysis was conducted to identify patterns across coaches, including coding agreement through consensual validation and triangulation with an implementation science expert.</p><p><strong>Results: </strong>Primarily related to the Inner Setting and Characteristics of Individuals domains of the CFIR, Lifestyle Coaches demonstrated a strong need for cultural humility training to improve their awareness of barriers; Lifestyle Coaches felt unprepared to deliver the National DPP to Latine participants. Additionally, coaches expressed contradicting beliefs regarding the National DPP's need for cultural adaptation, suggesting a need for reframing the DPP's original findings in the context of more recent effectiveness research.</p><p><strong>Conclusions: </strong>Understanding Lifestyle Coach's experiences with and beliefs in delivering the National DPP to Latine participants improves our understanding of the disparities in implementing the National DPP.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334139","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":"Spending patterns of middle schools that deliver multiple evidence-based physical activity and nutrition programs.","authors":"Gor Kikanian, Lizeth Tapia, Allyson Schaefers, Julie Gardner, Paula Butler, Jacob Szeszulski","doi":"10.1093/tbm/ibaf026","DOIUrl":"10.1093/tbm/ibaf026","url":null,"abstract":"<p><p>Physical activity and nutrition programs improve children's health. However, cost and competition for resources between programs are common implementation challenges. Currently, no guidance exists for practitioners about how to spend money within various programs. This study examines spending patterns of schools that concurrently delivered multiple programs to help provide spending guidance. Middle schools (n = 8; 75% rural) that participated in the Healthy School Recognized Campus (HSRC) initiative were provided $3500. To achieve HSRC recognition, schools complete a school-wide walking program, a physical activity or nutrition program for students, and a physical activity or nutrition program for adults (teachers and parents). We tracked purchases, grouped receipts by categories and program, and analyzed spending using descriptive statistics. On average, schools spent $3383.26 ± $159.27. For both adult and teacher incentives, over half of the schools spent $0. Program equipment ($1145.14 ± $1139.10; e.g. cooking equipment and hydroponics kit) was the largest category of spending, followed by student incentives ($945.04 ± $946.62). Schools purchased 5031 items (628.88 ± 926.50 items/school) categorized as small student incentives (e.g. water bottles and gift cards), averaging $1.04 each, and 12 items (1.5 ± 2.78 items/school) on large student incentives (e.g. bike) averaging $124.72 each. On average schools completed 2.88 ± 0.83 (range 2-4) youth programs and 1.50 ± 0.93 (range 0-2) adult programs, which cost around $300-$1500 and $0-$700 per program, respectively. Schools spent almost all the money allocated for HSRC and made strategic spending decisions to maximize student engagement, specifically prioritizing student programs over adult ones. This information about how schools spend their money offers insights for decision-making in future programs.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12466311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286898","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":"Patient-clinician discussions on lung cancer screening in the United States before and after 2021 guidelines.","authors":"Timothy J Williamson, Whitney M Brymwitt, Erin A Hirsch, McKenzie T Reese, Lisa Carter-Bawa","doi":"10.1093/tbm/ibaf039","DOIUrl":"10.1093/tbm/ibaf039","url":null,"abstract":"<p><strong>Background: </strong>Screening for lung cancer via low-dose computed tomography of the chest can promote early detection and reduce mortality. However, since the United States Preventive Service Task Force (USPSTF) issued lung cancer screening guidelines in 2013, uptake has been low. The USPSTF revised the guidelines in 2021 to expand eligibility.</p><p><strong>Purpose: </strong>To determine whether patient-clinician discussions about lung cancer screening differs from 2017 to 2022 following 2021 revisions to the guidelines for lung cancer screening.</p><p><strong>Methods: </strong>Data were obtained from the Health Information National Trends Survey (2017, 2020, and 2022). Community-dwelling US adults (N = 2973) were in the eligible age range for lung cancer screening (55-80 for 2017 and 2020; 50-80 for 2022), reported current or former smoking, and had no prior history of lung cancer. The primary outcome was self-reported patient-clinician discussions about lung cancer screening within the last 12 months.</p><p><strong>Results: </strong>The weighted proportion of respondents who discussed lung cancer screening with a healthcare provider was 12.34% in 2017, 13.77% in 2020, and 9.42% in 2022. The odds of reporting screening discussions were significantly lower in 2022 than 2020 (OR = 0.58, 95% CI [0.36, 0.93]). Individuals with insurance (OR = 9.12, 95% CI [2.81, 29.96]) and those who were currently smoking (OR = 2.80, 95% CI [1.89, 4.13]) had higher odds of discussing screening.</p><p><strong>Conclusions: </strong>Patient-clinician discussions about lung cancer screening were lower in 2022 than 2020, despite revised guidelines that broadened eligibility. Research should explore strategies to increase awareness of lung cancer screening and prioritize discussions about screening among those who are uninsured and formerly smoked.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849368","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":"Mindful self-compassion for lung cancer (MSC-LC): Incorporating perspectives of lung cancer patients, clinicians, and researchers to create an adapted intervention to reduce lung cancer stigma.","authors":"Timothy J Williamson, Whitney M Brymwitt, Jaime Gilliland, Lisa Carter-Bawa, Jun J Mao, Kathleen A Lynch, Nicholas Emard, Sarah Omachi, Rocky L Jacobs, Metasebiya Y Tefera, McKenzie T Reese, Jamie S Ostroff","doi":"10.1093/tbm/ibae074","DOIUrl":"10.1093/tbm/ibae074","url":null,"abstract":"<p><strong>Background: </strong>Stigma is a pervasive and distressing problem experienced frequently by lung cancer patients, and there is a lack of psychosocial interventions that target the reduction of lung cancer stigma. Mindful self-compassion (MSC) is an empirically supported intervention demonstrated to increase self-compassion and reduce feelings of shame and distress in non-cancer populations. However, there are several anticipated challenges for delivering MSC to lung cancer patients, and modifications may be needed to improve acceptability, appropriateness, and feasibility.</p><p><strong>Purpose: </strong>To gather feedback from lung cancer patients, psycho-oncology researchers, expert MSC teachers, and oncology clinicians to identify themes supporting the adaptation of MSC to reduce lung cancer stigma.</p><p><strong>Methods: </strong>We conducted a two-phase process of stakeholder focus groups with researchers and clinicians (n=12) and semi-structured interviews with lung cancer patients (n=14) with elevated stigma. Transcripts were analyzed using thematic content analysis.</p><p><strong>Results: </strong>Five themes were identified: (i) Patients expressed a desire for an intervention that bolstered self-compassion and addressed stigma; (ii) Intervention instructions were acceptable and understood clearly; (iii) Patients preferred intervention content to directly address lung cancer and stigma yet mentioned that doing so should be done with sensitivity; (iv) Ambivalence about delivering the intervention in person or remotely; (v) Acceptance for an intervention of 8-weeks (or longer) with 90-minute sessions and a group size of ≤ 15.</p><p><strong>Conclusions: </strong>Findings informed the development of an adapted clinical protocol for MSC for lung cancer (MSC-LC), which can be pilot tested to determine implementation outcomes (e.g. acceptability, feasibility, efficacy).</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048254","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":"Co-created improvement goals and strategies for implementing SBIRT and MAUD in primary care settings in a facilitator-supported, tailored implementation study.","authors":"Erin S Kenzie, Tiff Weekley, Chrystal Barnes, Mellodie Seater, Victoria Sánchez, Brigit A Hatch, Jennifer Coury, Melinda M Davis","doi":"10.1093/tbm/ibae059","DOIUrl":"10.1093/tbm/ibae059","url":null,"abstract":"<p><p>Evidence-based approaches to screening and treatment for unhealthy alcohol use have the potential to reduce morbidity and mortality but are currently underutilized in primary care settings. To support implementation of screening, brief intervention, and referral to treatment (SBIRT) and medication-assisted treatment for alcohol use disorder (MAUD) by identifying goals co-developed by clinics and practice facilitators in a flexible implementation study. In a pragmatic implementation study, we used practice facilitation to support the implementation of SBIRT and MAUD in 48 clinical practices across Oregon, Washington, and Idaho. Our study used a tailored approach, in which facilitators and clinics co-identified implementation goals based on clinic needs. We used clinic contact logs, individual interviews, group periodic reflections with practice facilitators, and exit interviews with clinic staff to inform qualitative analysis. With support from practice facilitators, clinics identified goals spanning SBIRT, MAUD, reporting, targeted patient outreach, and quality improvement capacity. Goals addressed both the technical (e.g. data tracking) and social (e.g. staff training) aspects of SBIRT and MAUD. A decision tree summarizes emergent findings into a tool to support future implementation of SBIRT in primary care settings. A facilitator-supported, tailored approach to SBIRT implementation enabled clinics to identify a variety of goals to improve SBIRT and MAUD implementation. These identified priorities, along with a decision tree describing the hierarchical structure of these goals, could support future implementation efforts.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511004","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":"Application of an implementation premortem: A novel qualitative approach leveraging prospective hindsight to enhance barbershop health interventions for Black men.","authors":"Guillermo M Wippold, Dylan Wong, Kaylyn A Garcia, Zion Crichlow, Sarah Grace Frary, Thrisha Mote, Derek M Griffith","doi":"10.1093/tbm/ibae060","DOIUrl":"10.1093/tbm/ibae060","url":null,"abstract":"<p><p>Barbershop-based efforts to promote health among Black men have been uniquely successful. Despite the success of these efforts, the emphasis on outcomes as opposed to how these outcomes can be achieved has created a gap in the literature. The present study addresses this gap by describing implementation-related program priorities that Black men identify for barbershop-based interventions. Twenty-three Black men participated in implementation premortem activities. Participants were: (i) given details about a barbershop-based health promotion effort, (ii) told that the effort had failed, and (iii) were asked to identify potential sources of program failure and strategies to overcome those challenges. The frequency of program priorities was calculated based on the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework, and focus group data were analyzed using an inductive thematic qualitative data analytic approach. Data analyses occurred in three phases: (i) excerpts were grouped by Phase, Domain, and Construct of the EPIS Framework; (ii) themes within each excerpt were then identified using an inductive approach; and (iii) themes were organized into conceptually similar and parsimonious categories. Participants suggested that the biggest source of program failure was that more attention needed to be paid to Program Fit during the Implementation Phase. Participants reported concerns with the accessibility and convenience of the effort. Additional participant concerns included economic issues, community ownership, climate, staffing processes, cultural sensitivity, engagement, and trust. The implementation of health promotion programs for Black men should pay particular attention to how the intervention fits the needs, lives, and contexts of potential participants.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548412","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":"Advancing translational research in digital cardiac rehabilitation: The preparation phase of the Multiphase Optimization Strategy.","authors":"Eanna Kenny, John W McEvoy, Jenny McSharry, Rod S Taylor, Molly Byrne","doi":"10.1093/tbm/ibae068","DOIUrl":"10.1093/tbm/ibae068","url":null,"abstract":"<p><p>While digital cardiac rehabilitation (CR) is an effective alternative to center-based CR, its components and mechanisms of change remain poorly understood. The Multiphase Optimization Strategy (MOST) provides a framework that allows the effects of individual components of complex interventions to be studied. There is limited guidance within MOST on how to develop a conceptual model. This article describes the development of a conceptual model of digital CR. The conceptual model was developed based on several strands of evidence: (i) a systematic review of 25 randomized controlled trials to identify the behavior change techniques in digital CR interventions, (ii) a qualitative study of patients' (n = 11) perceptions of the mechanisms of digital CR, and (iii) a review of international guidelines. Tools and frameworks from behavioral science, including the Behaviour Change Wheel, Capability, Opportunity, Motivation and Behavior model, and Theoretical Domains Framework were used to integrate the findings. An initial conceptual model of digital CR was developed and then refined through discussion. The conceptual model outlines the causal process through which digital CR can enhance outcomes for patients with cardiovascular disease. The model illustrates the key intervention components (e.g. goal setting and self-monitoring, education, exercise training), targeted outcomes (e.g. physical activity, healthy eating, medication adherence), and theorized mediating variables (e.g. knowledge, beliefs about capability). The article provides an example of how behavioral science frameworks and tools can inform the preparation phase of MOST. The developed conceptual model of digital CR will inform guide decision-making in a future optimization trial.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839941","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":"Enhancing adapted physical activity training for community organizations: co-construction and evaluation of training modules.","authors":"Nour Saadawi, Krista L Best, Olivia L Pastore, Roxanne Périnet-Lacroix, Jennifer R Tomasone, Mario Légaré, Annabelle de Serres-Lafontaine, Shane N Sweet","doi":"10.1093/tbm/ibae065","DOIUrl":"10.1093/tbm/ibae065","url":null,"abstract":"<p><p>Community-based physical activity programmes benefit persons with disabilities. However, there is a lack of evidence-based tools to support kinesiologists' training in such programmes. This study aimed to co-create and evaluate physical activity training modules for community-based adapted physical activity (APA) programmes. In Phase 1, a working group (n = 8) consisting of staff, kinesiologists from two community-based APA programmes, and researchers met over four online meetings to discuss needs, co-create training modules, and assess usability. In Phase 2, a pre-post quasi-experimental design evaluated changes in capability, opportunity, and motivation of kinesiologists (n = 14) after completing the training modules, which included standardized mock client assessments and participant ratings of module feasibility. Means and standard deviations were computed for feasibility, followed by paired-samples t-tests, along with Hedge's correction effect size. Mock client sessions underwent coding and reliability assessment. The working group meetings generated two main themes: training in (i) motivational interviewing and behaviour change techniques and (ii) optimizing APA prescription. Nine online training modules were created. In Phase 2, medium to large effects of training modules were observed in capability (Hedge's g = 0.67-1.19) for 8/9 modules, opportunity (Hedge's g = 0.77-1.38) for 9/9 modules, and motivation (Hedge's g = 0.58-1.03) for 6/9 modules. In mock client assessments, over 78% of participants appropriately used five behaviour change techniques and, on average, participants demonstrated good use of motivational interviewing strategies. The findings indicate that training kinesiologists was feasible and has the potential to enhance community-based physical activity programmes for persons with disabilities.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824845","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":"Understanding engagement with digital health interventions designed for adults with hearing loss and tinnitus: a mixed-method systematic review.","authors":"Akshaya Ravichandran, Melanie A Ferguson, Wilhelmina H A M Mulders, Robyn S M Choi, Rebecca J Bennett","doi":"10.1093/tbm/ibaf028","DOIUrl":"10.1093/tbm/ibaf028","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss and tinnitus are pervasive disabilities globally, which significantly impact individuals' quality of life. Integrating Digital Health Interventions (DHIs) with traditional audiological management has proven beneficial for hearing loss and tinnitus management. Although it is established that DHI engagement is important for the real-world effectiveness of DHIs, there is a lack of systematic evidence aiming to understand engagement with DHIs in audiology.</p><p><strong>Purpose: </strong>This systematic review identified factors associated with hearing healthcare DHI engagement to inform future DHI development and research in audiology.</p><p><strong>Methods: </strong>Adhering to Synthesis without Meta-Analysis guidelines, we conducted a mixed-methods systematic review using a convergent integrated approach. A comprehensive search across seven databases until December 16, 2023, identified 62 studies meeting inclusion criteria. Data extraction involved modifying the Joanna Briggs Institute (JBI) extraction form and deductive coding using the Perski et al. (2017) framework to identify factors related to engagement.</p><p><strong>Results: </strong>The review revealed a diverse range of factors associated with DHI engagement in the audiology literature.</p><p><strong>Conclusion: </strong>Analysis within the Perski et al. (2017) framework highlighted the importance of user-related constructs, such as enhancing DHI accessibility, empowering users, and aligning DHIs with user needs and lifestyles in facilitating engagement. Due to the limited number of studies focusing on engagement as the primary outcome, we based our inferences on secondary outcomes and discussions from the available literature. While this review consolidates existing knowledge on engagement, it underscored the imperative for more in-depth investigations into engagement with hearing healthcare DHIs.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530534","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}