Translational Behavioral Medicine最新文献

{"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}

{"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":"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":"Remotely delivered mindfulness-based cognitive therapy for spontaneous coronary artery dissection survivors.","authors":"Christina M Luberto, Maria Lopes, Joanna G Cloutier, Daniel L Hall, Malissa Wood, Zev Schuman-Olivier, Bettina B Hoeppner, Elyse R Park","doi":"10.1093/tbm/ibaf064","DOIUrl":"https://doi.org/10.1093/tbm/ibaf064","url":null,"abstract":"<p><strong>Background: </strong>After spontaneous coronary artery dissection (SCAD), 80% of survivor's experience fear of recurrence (FOR) which contributes to poorer clinical outcomes. Although FOR interventions (i.e. mindfulness-based cognitive therapy; MBCT) exist, none have been targeted to SCAD survivors.</p><p><strong>Purpose: </strong>To assess the feasibility, acceptability, and preliminary FOR effects of MBCT for SCAD survivors (UpBeat-MBCT).</p><p><strong>Methods: </strong>In this single-arm feasibility study, SCAD survivors were recruited from a hospital clinic to participate in UpBeat-MBCT, an 8-week group intervention combining cognitive-behavioral therapy, mindfulness meditation, and health behavior promotion. Participants completed surveys of psychological and behavioral variables pre-post intervention, actigraphy, and daily diaries of sleep and physical activity for 7 days pre-post intervention. The primary outcomes were feasibility and acceptability. Exploratory outcomes included changes in psychological and behavioral variables.</p><p><strong>Results: </strong>SCAD survivors (N = 19) were enrolled across two sequential group cohorts (94% female, 95% non-Hispanic White, Mage = 51). In Cohort 1, results indicated that hearing about SCAD from others was emotionally activating and associated with high attrition (33% retained). Refinements for Cohort 2 included placing boundaries around group discussion, and 90% of participants were retained. Among retained participants across both cohorts (n = 12), program satisfaction was M = 8.3/10 (SD = 1.8), 91% (10/11) would recommend the program, and changes in FOR showed a medium-large effect size for improvement (d = 0.72).</p><p><strong>Conclusion: </strong>UpBeat-MBCT is the first FOR intervention for SCAD survivors. When boundaries are set to guide discussion of SCAD, results support the feasibility, acceptability, and benefits of an MBCT group approach and the need for expanded testing.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #: NCT04983680.</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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349307","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":"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":"School participation in a health behavior program: qualitative perspectives from schools that did and did not adopt the iAmHealthy program.","authors":"Bethany Forseth, Jordan Carlson, Brittany Lancaster, Anna S Trofimoff, Karynn Glover, Katherine R Hendel, Galen Hoft, Ann M Davis","doi":"10.1093/tbm/ibaf036","DOIUrl":"10.1093/tbm/ibaf036","url":null,"abstract":"<p><strong>Background: </strong>Childhood overweight/obesity in rural areas is a public health concern. Schools provide access to youth/families for health behavior programming but have adoption challenges.</p><p><strong>Purpose: </strong>To explore school adoption of a family-based behavioral obesity program (iAmHealthy) from the perspective of three groups: (i) schools adopting iAmHealthy (\"adopters\"; took part in the iAmHealthy program), (ii) schools failing to adopt iAmHealthy (\"initial adopters\"; initially signed up for the iAmHealthy program, but could not continue), and (iii) schools that did not adopt iAmHealthy (\"non-adopters\"; never signed up for the iAmHealthy program).</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with rural school representatives (N = 33; n = 12 adopters, n = 9 initial adopters, and n = 12 non-adopters). Interviews were analyzed thematically and aligned with constructs and domains from the Consolidated Framework for Implementation Research (CFIR).</p><p><strong>Results: </strong>Five themes emerged: (i) Regardless of the extent of healthy lifestyle programming schools offered, iAmHealthy would not compete and would benefit families, (ii) School representatives perceived a varied need for healthy behavior programming but challenges regarding limited resources were widespread, (iii) Partially due to concerns about stigma, school representatives preferred school-wide approaches that included integration with the curriculum and the community, (iv) School representatives considered many factors when deciding to participate in a health behavior program, and (v) School representatives expressed concerns about health behavior programming not being a priority for families. CFIR constructs within the domains of innovation, inner setting, outer setting, and individual characteristics aligned with the themes. Specifically, commonly cited barriers often aligned with the CFIR constructs of relative priority and local attitudes.</p><p><strong>Conclusion: </strong>Findings indicate health behavior programming would fill an unmet need, but that there are adoption barriers, including limited resources, weight-related stigmatization concerns, and differing priorities across schools, communities, and families.</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/PMC12342187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838242","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 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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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":"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":3.0,"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}