Translational Behavioral Medicine最新文献

{"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":3.6,"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}

{"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":3.6,"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":"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":3.6,"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":"A systematic review to determine the effect of strategies to sustain chronic disease prevention interventions in clinical and community settings.","authors":"Edward Riley-Gibson, Alix Hall, Adam Shoesmith, Luke Wolfenden, Rachel C Shelton, William Pascoe, Belinda Peden, Emma Doherty, Emma Pollock, Debbie Booth, Ramzi G Salloum, Celia Laur, Byron J Powell, Melanie Kingsland, Cassandra Lane, Maji Hailemariam, Rachel Sutherland, Nicole Nathan","doi":"10.1093/tbm/ibae070","DOIUrl":"10.1093/tbm/ibae070","url":null,"abstract":"<p><p>This review assessed the effect of strategies designed to sustain the delivery of evidenced based interventions (EBIs) which target behavioural risk factors linked to leading causes of chronic disease in clinical and community settings. Seven electronic databases were searched for randomised controlled studies published from earliest record to November 2022. Studies were included if they tested a strategy to sustain the delivery of an EBI within clinical or community settings. Results were synthesised using vote counting based on direction of effect, and reported in accordance with non-meta-analytic review standards following the Synthesis Without Meta-analysis (SWiM) guidelines. Three studies met the study inclusion criteria. Two studies were community-based, with one conducted in Australian community sports clubs and the second in afterschool clubs in the United States. The single clinical-based study was conducted in community health care centres in the United States. Across the three studies, 25 strategies were employed and only two strategies were common across all studies. Synthesis using vote counting based on direction of effect indicated that two of three studies favoured the intervention as positively impacting sustainment of EBIs. Few studies have been conducted to assess the effect of strategies designed to support sustainment of EBIs for chronic disease prevention in clinical and community settings. As such, it is difficult to determine the effect of strategies designed to support sustainment. Further research with comprehensive reporting of the selection, use and testing of sustainment strategies is needed to advance understanding of how to sustain EBIs in clinical and community settings.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014601","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":"Addressing vaccine hesitancy: A systematic review comparing the efficacy of motivational versus educational interventions on vaccination uptake.","authors":"Sara Labbé, Simon L Bacon, Nana Wu, Paula A B Ribeiro, Vincent Gosselin Boucher, Jovana Stojanovic, Brigitte Voisard, Frédérique Deslauriers, Noémie Tremblay, Lydia Hébert-Auger, Kim L Lavoie","doi":"10.1093/tbm/ibae069","DOIUrl":"10.1093/tbm/ibae069","url":null,"abstract":"<p><p>Traditional approaches to increase vaccination rely upon educating patients about vaccines. However, research shows that \"knowing\" vaccines are important is often insufficient: patients need to believe that getting vaccinated is important. Evidence-based motivational approaches, such as motivational interviewing/communication (MI/MC), have become increasingly popular for promoting good health behaviors, including vaccination. The objective of this review was to compare the efficacy of educational and MI/MC interventions on vaccination rates relative to each other and to usual/standard care. Pubmed, PsycINFO, and Cochrane trials databases were searched to identify articles that assessed vaccination rates post-patient education or MI/MC vaccine counseling in the context of adult or child vaccination (PROSPERO: CRD42019140255). Following the screening, 118 studies were included (108 educational and 10 MI/MC). The pooled effect sizes for vaccination rates corresponded to 52% for educational interventions (95% CI: 0.48-0.56) and 45% for MI/MC interventions (95% CI: 0.29-0.62) (P = .417). Fifty-nine randomized controlled studies (55 educational and 4 MI/MC) showed that, compared with usual/standard of care, exposure to education and MI/MC was associated with a 10% (RR =1.10; 95% CI =1.03-1.16, P = .002) and 7% (RR =1.07; 95% CI =0.78-1.45, P = .691) increased likelihood of getting vaccinated, respectively. Results suggest comparable efficacy of educational and MI/MC interventions on vaccination uptake and a small superiority of educational interventions compared with usual/standard of care. The overall poor quality of the studies, including lack of fidelity assessments of MI/MC studies, contributes to low confidence in the results and highlights the need for better quality intervention trials examining the efficacy of MI/MC for vaccine uptake.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755305","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":"SBM supports permanent federal funding for Food is Medicine to address nutrition-related chronic conditions.","authors":"Marcela D Radtke, Lisa Goldman Rosas, Tainayah Thomas, Elizabeth Adams, Melanie K Bean, Sara M St George, Roger Figueroa, Christopher Gardner","doi":"10.1093/tbm/ibaf019","DOIUrl":"10.1093/tbm/ibaf019","url":null,"abstract":"<p><p>The Society for Behavioral Medicine supports permanent federal funding for Food is Medicine services to address nutrition-related chronic conditions. The Section 1115 Demonstration Waivers are currently serving as a temporary funding mechanism to pilot interventions aimed at improving health-related social needs, including food-related programs that support the prevention, management, and treatment of nutrition-related chronic conditions; however providing permanent funding for Food is Medicine services covered under Section 1115 Demonstration Waivers will allow states to utilize their federally set budgets to provide nutrition supports as a healthcare service. The sense of impermanency of the nutrition programs being implemented during the pilot period makes it challenging to establish effective workflow and implementation at scale.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286897","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":"A Community Health Worker-driven and integrated interactive text messaging intervention to promote smoking cessation and lung cancer screening uptake rates among high-risk Asian immigrants: a feasibility pilot RCT study.","authors":"Kuang-Yi Wen, Julie Barta, Jessica Liang, KyungHee Koh, Rebecca No, Steven Zhu, Kailin Li, Christine Shusted, Hee-Soon Juon","doi":"10.1093/tbm/ibaf018","DOIUrl":"https://doi.org/10.1093/tbm/ibaf018","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Lung cancer is a leading cause of cancer mortality among Asian-Americans. Despite the potential of lung cancer screening (LCS) to detect disease at an earlier stage and reduce mortality, the uptake of LCS remains low. This is particularly concerning among Asian subgroups with high smoking prevalence. Additionally, there are scarce intervention programs tailored specifically for Asian-Americans. The purpose of this pilot study was to develop and evaluate the Connect4LungHealth intervention to enhance LCS adoption and promote smoking cessation in high-risk Chinese and Korean communities via a Community-Health Worker (CHW)-driven approach integrated with mobile text messaging (TXT) strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Connect4LungHealth intervention is a culturally sensitive, linguistically tailored program, facilitated by CHWs, collaboratively developed with our local Chinese and Korean community stakeholders to improve lung cancer control. Guided by our Community Advisory Board, LCS-eligible individuals were invited through community advertisements and social networks. Enrolled participants attended a Lung Health in-person workshop at a community setting and were then randomized to the Connect4LungHealth or an attention control (AC) group on the workshop level for a one-month intervention duration with a baseline, 1-month, and 3-month follow ups. Participants in the Connect4LungHealth arm received three tailored text messages per week, covering topics such as smoking cessation knowledge, self-regulatory skills, and raising LCS awareness with proactive CHW weekly check-in phone calls. The AC group received the same frequency of messages about healthy eating and was given information for connecting with CHW. Participants interested in LCS were directed to our institution's centralized LCS Program, supported by CHWs who could connect patients to insurance resources and accompany participants to an in-person shared decision-making visit performed by the LCS Program nurse navigator, followed immediately by a same-day low-dose CT (LDCT) scan.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among 48 LCS eligible community individuals we reached via community workshops, 36 (75%, 19 Chinese American and 17 Korean American) agreed, consented, and completed baseline assessment. Enrolled participants were randomized to the Connect4LungHealth (N=20) or the (AC) group (N=16). Participants were an average of 61 years old, 86.1% were males and 80.6% had education level of high school or below and 50% had limited English proficiency. The retention rate was above 75% with high satisfaction reported by the intervention participants. Although not statistically significant, potentially due to the small sample size, we observed a greater reduction in cigarette use and an increase in self-efficacy from baseline to 3-month follow-up in the Connect4LungHealth group compared to the AC group. Further, Connect4LungHealth group achieved a 40% LDCT com","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235646","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":"Individual and clinical factors associated with patient acceptance of referrals to social services and community resources at a multi-purpose resource hub.","authors":"Gabrielle Green, Roxana Flores, Noel C Barragan, Karla Gonzalez, Tony Kuo","doi":"10.1093/tbm/ibae072","DOIUrl":"10.1093/tbm/ibae072","url":null,"abstract":"<p><p>Emerging evidence suggests that bi-directional communication and referral pathways, when employed strategically, can lead to favorable health outcomes by connecting patients with complex, multi-faceted health and social needs to appropriate services and resources. However, despite these benefits, patient acceptance of referrals via these pathways remains suboptimal. In this study, we describe individual and clinical factors associated with patient acceptance of these referrals. We extracted individual-level demographic and clinical data for patients referred primarily from a large safety-net health system to a multi-purpose resource hub co-located on the campus of its largest hospital, for the period October 2019 to June 2023. Descriptive statistics, Chi-square analyses, and multinomial regression modeling were performed to examine these data. Of 1865 patients in the study sample, 54.2% accepted a referral, 27.4% were lost to follow-up, and 18.4% declined. Most patients who accepted referrals were female (67.1%), Latino (81.5%), and had hypertension and/or prediabetes or diabetes (84.1%). In modeling analyses, those who accepted referrals tended to be female, and were referred from primary care clinics; many were referred for multiple service/resource categories. We found associations between patient acceptance of referrals and gender and source of referral. Drawing upon these results as well as experience implementing these systems, we propose several practical strategies for increasing successful referrals, including identifying and addressing barriers for patients who declined or were lost to follow-up; using standardized screening tools to routinely assess for multi-faceted health and social needs; increasing provider awareness about the benefits and functioning of these pathways; and monitoring progress so mid-course adjustments can be made when necessary.</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":"142848102","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":"Successful implementation of evidence-based interventions-Factors to be considered.","authors":"David Victor Fiedler, David H Peters, Laurence Moore, Paul Estabrooks, Claudio R Nigg","doi":"10.1093/tbm/ibaf025","DOIUrl":"10.1093/tbm/ibaf025","url":null,"abstract":"<p><p>A range of health behavior interventions demonstrate efficacy in controlled settings, but face challenges when it comes to real-world implementation. These challenges arise due to the variation in participant, implementation staff, and implementation organization needs and resources which influence intervention delivery and effectiveness outcomes of these evidence-based interventions. We present potential approaches and considerations to prevent common pitfalls throughout the process of evidence-based intervention adoption, implementation, and sustainment. This includes using program theory, active engagement, cultural considerations, and understanding the connection between strategies, mechanisms, and outcomes right from the beginning to diligently develop, evaluate, implement, and disseminate evidence-based interventions. These approaches will help behavioral medicine/health psychology implementation researchers to get one step closer to the holy grail: To integrate evidence-based interventions sustainably into programs, systems, policy, and environments to facilitate long-term health behavior change and better health.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477388","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":"Improving animated instructional videos for colorectal cancer screening: An application of learner verification and revision.","authors":"Jennifer S Rivelli, Jennifer L Schneider, Katherine A Vaughn, Blake W Locher, Meagan C Shaw, Lourdes S Martinez, Esmeralda Ruiz, Jamie H Thompson, Anne L Escaron, Gloria D Coronado","doi":"10.1093/tbm/ibaf020","DOIUrl":"10.1093/tbm/ibaf020","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Latino adults in the USA have low rates of colorectal cancer (CRC) screening. Fecal immunochemical tests (FITs) can improve screening rates. Promoting FIT completion via text-based reminders could improve CRC screening participation, yet literature on text-based interventions for CRC screening among Latino adults is limited. This study employed a user-centered approach, learner verification and revision (LV&R), to improve instructional animated videos on FIT completion and colonoscopy. We interviewed 24 unique patients from a large urban health center in Los Angeles that were sent the animated videos via text message. Patients were age-eligible for CRC screening and spoke English or Spanish. Telephone interviews explored LV&R constructs like acceptability, comprehension, and cultural relevance of the videos. Interviews were recorded, transcribed, and summarized using rapid content analysis techniques. Interviews revealed positive perceptions of both videos' accessibility, content, and appeal. Participants appreciated the straightforward language and clear instructions provided in the videos, which were found to be culturally and linguistically acceptable across English- and Spanish-speaking groups. Videos were viewed as informative and persuasive, motivating participants to consider CRC screening and to share videos with others. To enhance effectiveness of the videos, participants suggested improvements such as adding language related to screening guidelines, colonoscopy bowel preparation, results communication, and reassuring statements about overcoming any fears related to the procedures. By applying LV&R methodology, we improved instructional videos to promote CRC screening and potentially help close the screening gap among Latino adults. Future research might assess the most effective modes of delivering such videos to patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Colorectal cancer (CRC) screening rates are low among Latino adults in the USA. An at-home test called the fecal immunochemical test (FIT) can help increase these rates. Sending concise instructional videos via text message may help close CRC screening gaps.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study team created customized videos for a target audience of Latino adults. Researchers interviewed 24 patients from a large health center in Los Angeles who were due for CRC screening, had received a FIT kit, and spoke English or Spanish. The interviews were conducted by phone and focused on the videos' acceptability, clarity, usefulness, and cultural relevance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The participants reported a positive view of the videos, finding them easy to understand and appealing. The clear instructions and straightforward language were well-received in both English and Spanish. Some suggested adding more details about screening guidelines, bowel preparation, results communication, and reassuring statements about overcoming any fears, while keeping the videos short.&lt;/p&gt;&lt;p","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318454","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}