Translational Behavioral Medicine最新文献

{"title":"Barriers and facilitators to the implementation of sit-less and move-more interventions within Australian primary healthcare settings.","authors":"Aaron Beecroft, David Dunstan, Shannon Sahlqvist, Devdini Mohotti, Anna Chapman","doi":"10.1093/tbm/ibag025","DOIUrl":"https://doi.org/10.1093/tbm/ibag025","url":null,"abstract":"<p><strong>Background: </strong>Due to the excessive burden and health costs of noncommunicable diseases, public health and clinical practice guidelines emphasize the importance of targeting population changes in risk factors of physical activity and sedentary behavior. Primary healthcare presents a pragmatic setting for embedding interventions targeting sitting less and moving more. However, to design effective implementation strategies for such interventions, it is necessary to understand the determinants that drive implementation in this setting.</p><p><strong>Purpose: </strong>To determine the barriers and facilitators influencing the implementation of sit-less and move-more interventions within Australian primary healthcare, as perceived by general practitioners and general practice nurses.</p><p><strong>Methods: </strong>Ten general practitioners and 10 general practice nurses completed online semi-structured individual interviews. Interviews were digitally transcribed and analyzed deductively; both the interview guide and analysis were guided by the Theoretical Domains Framework.</p><p><strong>Results: </strong>All domains within the Theoretical Domains Framework were represented. Notable barrier domains were: Environmental Context and Resources, related to reported time constraints; Skills, relating to limited formal training; Social Influences, relating to patient engagement challenges. Notable facilitator domains were: Beliefs about Consequences, reflecting perceived health benefits for patients with healthier movement behaviors, Environmental Context and Resources, including use of educational resources and integration of sit-less and move-more assessments within clinic workflows; and Social/Professional Role and Identity, highlighting how both general practitioners and general practice nurses have a role in implementation.</p><p><strong>Conclusions: </strong>These findings provide a foundation for future research focusing on the co-design of strategies supporting the implementation of such interventions within primary healthcare.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786362","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":"From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health.","authors":"Claudia Corpus-Espinosa, Isotta Mac Fadden, Marta Lima-Serrano","doi":"10.1093/tbm/ibag026","DOIUrl":"https://doi.org/10.1093/tbm/ibag026","url":null,"abstract":"<p><strong>Background: </strong>Applying established frameworks for cultural adaptation of evidence-based programs (EBPs) is essential to ensure cost-effectiveness, adoption, and sustainability while advancing health equity. However, adaptation processes often lack systematic approaches, particularly outside academic contexts.</p><p><strong>Purpose: </strong>This study explores how cultural adaptation processes of prevention programs are delivered to address adolescent substance use and common mental health issues, from the perspective of the main stakeholders involved in these processes. In parallel, it aims to empirically refine and specify the 11 stages synthesized in prior work that integrated insights from multiple cultural adaptation processes and frameworks.</p><p><strong>Methods: </strong>A qualitative analysis was conducted using content analysis of 22 semi-structured interviews with stakeholders from the quadruple helix model: 6 from Academia, 6 from Non-governmental organizations (NGOs), and 10 from Public administration, selected globally. Stakeholders were identified via brainstorming and purposive-convenience sampling, based on their roles in adapting, implementing, evaluating, or funding prevention programs addressing adolescent substance use and mental health issues. Despite extensive recruitment efforts, no representation from the Business helix was achieved, as only one business contact agreed to be interviewed, which was not considered sufficient for inclusion.</p><p><strong>Results: </strong>The qualitative analysis refined and expanded the stages of a cultural adaptation sequence that reflects how cultural adaptation processes are conducted in practice: building synergies, local needs assessment, program selection, initial cultural adaptation, advisory group consultation, staff training, piloting, program refinement and readiness for implementation, implementation, monitoring and evaluation, and dissemination and sustainability. Notably, not all stakeholders followed or applied the steps uniformly. Furthermore, academics were the only group to report using formal cultural adaptation models, while NGOs and the Public administration relied on experiential and contextual knowledge.</p><p><strong>Conclusions: </strong>Findings underscore the importance of translating scientific knowledge into practice contexts while ensuring continuous evaluation, dissemination, and sustainability of adapted EBPs targeting adolescent substance use and mental health issues. Collaborative efforts and co-creative strategies are crucial to maintaining cultural relevance. This study contributes by offering empirical refinement and operational specification of an 11-step cultural adaptation sequence identified in a prior scoping review. Linking evidence from prior literature with practice provides greater clarity and applicability for implementers seeking to culturally adapt prevention programs across diverse contexts.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13117601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786549","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":"Identifying effective behavior change techniques in interventions for enhancing the implementation of school-based policies and/or practices to prevent chronic disease in students: a secondary analysis of a systematic review.","authors":"Daniel C W Lee, Kate M O'Brien, Justin Presseau, Serene Yoong, Sam McCrabb, Katrina McDiarmid, Christophe Lecathelinais, Luke Wolfenden, Rebecca K Hodder","doi":"10.1093/tbm/ibaf087","DOIUrl":"10.1093/tbm/ibaf087","url":null,"abstract":"<p><strong>Background: </strong>School-based interventions improve healthy eating, physical activity, and reduce tobacco, and/or alcohol use in students. While strategies supporting their implementation have been found effective, a comprehensive understanding of the active ingredients [e.g. behavior change techniques (BCTs)] remains unclear.</p><p><strong>Purpose: </strong>To describe and examine which BCTs within implementation strategies are associated with increased implementation of school-based interventions targeting healthy eating, physical activity, tobacco, and/or alcohol use in students aged 5-18.</p><p><strong>Methods: </strong>A secondary analysis was conducted on 39 randomized controlled trials (RCTs) from a 2024 Cochrane review. Individual BCTs within implementation strategies were coded using the BCT taxonomy v1 and mapped to the Behavior Change Technique Ontology (BCTO). Mode of delivery, setting, and source were coded. Meta-regressions using random-effect models assessed the associations between identified BCTs (at the highest level of aggregation of the BCTO) and effective implementation of policies and/or practice (e.g. number of curriculum lessons taught).</p><p><strong>Results: </strong>Eighty-four independent BCTs were identified and meta-regression analysis revealed that out of 14 highest level of aggregation BCTs, \"Associative learning\" (e.g. Prompt intended action) had a statistically significant association with increased implementation (standard mean difference 0.90, 95% confidence interval 0.08, 1.72; 30 trials), which were primarily delivered face to face and by teachers or researchers.</p><p><strong>Conclusions: </strong>Our findings suggest that \"Associative learning BCTs\" should be prioritized in future school-based interventions to address implementation barriers and increase implementation of policies and/or practices. Opportunities remain to operationalize and evaluate underrepresented BCTs amenable to school settings in future implementation studies.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953625","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":"mHealth to support resistance training using outdoor gyms: the ecofit hybrid type 3 implementation-effectiveness trial.","authors":"Ronald C Plotnikoff, Anna K Jansson, Mitch J Duncan, Sam Beacroft, Adrian Bauman, John Attia, Emily R Cox, Jordan J Smith, Sara L Robards, Mark Babic, David R Lubans","doi":"10.1093/tbm/ibag024","DOIUrl":"https://doi.org/10.1093/tbm/ibag024","url":null,"abstract":"<p><strong>Background: </strong>There is a need to scale up effective physical activity interventions among the general population, particularly those incorporating resistance training. Ecofit is a community-based, multicomponent intervention promoting resistance and aerobic physical activity through smartphone technology, the outdoor built environment, and social support. This study aimed to scale up ecofit by comparing Low versus Moderate implementation support on the reach (outdoor gym use) of ecofit within two large regional municipalities.</p><p><strong>Methods: </strong>A hybrid type 3 implementation-effectiveness trial was conducted across two large municipalities in eastern Australia. Outdoor gyms (n = 18) were randomized to Low (ecofit app only) or Moderate [ecofit app, QR (quick response) codes on equipment, face-to-face workout sessions] implementation support. The primary outcome of \"reach\" was defined as the baseline-adjusted difference in the number of outdoor gym users (i.e. adults using outdoor gym equipment for resistance training) between groups. Reach was measured at baseline and 3-month follow-up using a modified System for Observing Play and Recreation in Communities tool, with blinded assessors observing community members perceived to be ≥18 years [categorized as Adults (aged 18-59) or Seniors (aged ≥60)]. Secondary outcomes included app uptake, dose received, implementation fidelity, and acceptability, feasibility, and dose-satisfaction regarding the app and guided sessions.</p><p><strong>Results: </strong>There was no significant difference in people using outdoor gym equipment for resistance training between Low and Moderate support groups at 3-month follow-up [incidence rate ratio (IRR) = 1.68, 95% CI: 0.96-2.94]. Among adults (aged 18-59), the Moderate support group showed significantly higher outdoor gym use at follow-up (IRR = 1.83, 95% CI: 1.01-3.31) compared to the Low support group. Over 6 months, 1273 users registered for the app, completing 503 workouts, 62% of which occurred indoors.</p><p><strong>Conclusions: </strong>Ecofit shows promise for promoting resistance training, particularly among adults. Broader marketing and enhanced engagement strategies may be required to increase outdoor gym use and sustain participation over time.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822608","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":"Incentivizing social support in the randomized mobile Lifestyle Intervention for Food and Exercise study: the impact of gamification on social support perceptions, provision, and receipt.","authors":"Gabrielle Turner-McGrievy, Courtney Monroe, Carolina Delgado-Diaz, Halide Zeynep Aydin, Kelli DuBois, Yesil Kim, Homayoun Valafar, Sara Wilcox","doi":"10.1093/tbm/ibaf086","DOIUrl":"10.1093/tbm/ibaf086","url":null,"abstract":"<p><strong>Background: </strong>Few weight loss interventions have isolated the use of gamification through points to incentivize the social support needed for successful weight loss during a mobile intervention.</p><p><strong>Purpose: </strong>To compare a group that receives points [mLife (mobile Lifestyle Intervention for Food and Exercise)+points] vs. a group that did not receive points (mLife) for completing social support activities. Differences in social support perceptions, provision, and receipt were examined as part of a 12-month weight loss intervention. The mediating role of these activities with weight loss was also examined.</p><p><strong>Methods: </strong>Participants with overweight/obesity (n = 243 enrolled) were recruited to participate in a 12-month randomized trial delivered via the mLife app. Perceived social support was measured via survey [Multidimensional Scale of Perceived Social Support (MSPSS)] and by ratings of support received in the app. Social support provision was assessed via the number of social support activities completed in the mLife app over 12 months, and social support receipt was assessed as the number of social support activities a participant received over 12 months.</p><p><strong>Results: </strong>At 12 months, mLife+points participants had greater perceived social support (difference between groups: total MSPSS 0.52 ± 0.16, P < .01; ratings of support via app: 0.17 ± 0.07, P = .02) and greater rate ratio (RR) of providing social support (RR = 2.23, P < .001) and receiving social support (RR = 2.4, P < .001) as compared to mLife participants. Both social support receipt and provision mediated the relationship between group and 12-month weight loss.</p><p><strong>Conclusions: </strong>Incentivizing social support provision during a weight loss intervention via points is a potential way to increase social support perceptions, provision, and receipt.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #NCT05176847.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913706","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":"Social determinants of health influence maternal health behaviors and engagement in an obesity prevention intervention.","authors":"Amanda Gilbert, Abygail Martinez, Sarah Farabi, Alejandra Cortez, Ana A Baumann, Debra Haire-Joshu, Ross C Brownson, Alexandra B Morshed, Rachel G Tabak","doi":"10.1093/tbm/ibaf088","DOIUrl":"10.1093/tbm/ibaf088","url":null,"abstract":"<p><strong>Background: </strong>Mothers experience increased risk of obesity due to pregnancy and caregiving demands. Maternal obesity influences women's health, pregnancy outcomes, and children's obesity risk. Effective obesity prevention interventions rely on participant engagement. Research suggests that social determinants of health (SDOH) influence intervention engagement; however, research is limited on how SDOH influence engagement and ways interventions may help mothers navigate SDOH.</p><p><strong>Purpose: </strong>Understand how SDOH influence mothers' obesity risk and participation in the 24-month Healthy Eating and Active Living Taught at Home (HEALTH) intervention delivered by parent educators (PEs) through the Parents as Teachers home visiting organization.</p><p><strong>Methods: </strong>Semistructured interviews were conducted with participants (mothers) from the HEALTH Dissemination and Implementation study. Interviews were recorded, transcribed, and analyzed in NVivo using a priori codes and a dual nonindependent approach.</p><p><strong>Results: </strong>Thirteen mothers (five Spanish-speaking, eight English-speaking) were interviewed. The most common SDOH influencing health behaviors were neighborhood physical activity environment, food environment, and community/social context. Mothers felt that HEALTH was needed, available (PEs flexibility to meet in-person at home/other locations; virtual meetings), fit their needs/strengths (adapted to mothers' health behaviors; motivation for change), and provided actionable steps for navigating SDOH (incorporating short walks or stretching at home to overcome childcare/time demands). Spanish-speaking mothers benefited from shared language and community with PEs.</p><p><strong>Conclusions: </strong>Obesity prevention interventions for mothers may help minimize negative SDOH and leverage positive SDOH for health behaviors. Interventions delivered through community-based home visiting organizations may overcome SDOH barriers to intervention engagement through availability and relational connections with providers.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #NCT03758638.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12951579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913709","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 community health worker-delivered behavioral health models: A primer for healthcare organizations.","authors":"Erika L Gustafson, Stacy Ignoffo, Kelly McCabe, Gloria Seals, Madeline Woodberry, Anubhav Kidambi, Greg Staszko, Helen Margellos-Anast","doi":"10.1093/tbm/ibag004","DOIUrl":"10.1093/tbm/ibag004","url":null,"abstract":"<p><strong>Background: </strong>Mounting evidence demonstrates the effectiveness of community health worker (CHW) delivered behavioral health (BH) interventions, identifying them as a promising strategy to address the growing unmet BH needs in the United States. However, sustainable CHW BH models require not only a CHW workforce trained in the delivery of BH interventions, but also organizational and systems infrastructure to support ongoing implementation.</p><p><strong>Purpose: </strong>This Commentary describes lessons learned from Sinai Urban Health Institute, a community-engaged research center based in a safety net healthcare system, that since 2000, has developed, implemented, and evaluated CHW models, including CHW BH services.</p><p><strong>Conclusions: </strong>Using an implementation science lens, we apply lessons learned to delineate challenges and recommendations for implementing CHW BH models, focusing on addressing implementation determinants at the organizational and health system levels, as these domains were identified in a systematic review as particularly prevalent and challenging determinants to address. Integrating CHW BH services into health systems will require investments in supervisors for CHW BH models, material resources, team building with partnering clinics, relationship building with community partners, and policy advocacy.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776726","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":"Evaluating an online-delivered resistance exercise intervention for racially diverse breast cancer survivors using the RE-AIM framework.","authors":"Isabel L Wakefield, Océane Streubel, Adana A M Llanos, Shawna V Hudson, Kathryn Schmitz, Siobhan M Phillips, Sharon L Manne, N Lynn Henry, Ken Resnicow, Angela J Fong","doi":"10.1093/tbm/ibag019","DOIUrl":"https://doi.org/10.1093/tbm/ibag019","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer survivors (BCS) experience persistent physical and psychological effects after treatment, with racially diverse groups demonstrating lower adherence to cancer-specific resistance exercise guidelines. Online resistance exercise interventions show promise for enhancing accessibility and health outcomes among BCS. However, evidence regarding their feasibility of implementation remains limited. Yet, such information is critical for assessing scalability and implementation in non-laboratory settings.</p><p><strong>Purpose: </strong>Using the RE-AIM (reach, efficacy, adoption, implementation, and maintenance) framework, this study evaluated the reach, efficacy, adoption, and implementation of a 12-week, supervised, online resistance exercise intervention for racially diverse BCS.</p><p><strong>Methods: </strong>A mixed methods approach with a pre-post-study design was used. Quantitative outcomes included sociodemographic representativeness (reach), physical function (efficacy), and session fidelity (implementation). Qualitative interviews examined participant experiences, barriers, and facilitators (adoption).</p><p><strong>Results: </strong>The intervention enrolled a racially diverse BCS sample (N = 47; 57.4% White, 23.4% Black, 14.8% Asian) that was mostly representative of the host institution catchment area, though participants had higher education levels. The intervention group demonstrated statistically significant improvements in upper- (P = .009) and lower-body physical function (P = .003) versus control, only. Adoption facilitators included program convenience, accessibility of online delivery, and trainer support, while barriers were equipment challenges, competing priorities, and cancer-related side effects. Program implementation fidelity was high for core components.</p><p><strong>Conclusions: </strong>Key factors contributed to the feasibility of implementation of the intervention. Future remote exercise interventions should address equipment needs, individualized support, and tailored recruitment to enhance adoption and facilitate scalability in non-laboratory settings.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #NCT04562233.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700215","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 study of implementation fidelity to an adapted community-based model of enhanced group prenatal care.","authors":"Bridgette Blebu, Martha Tesfalul, Guadalupe Ramirez, Kristin Carraway, Erica Martinez, Mary A Garza, Kesia Garibay, Miriam Kuppermann","doi":"10.1093/tbm/ibag001","DOIUrl":"https://doi.org/10.1093/tbm/ibag001","url":null,"abstract":"<p><strong>Background: </strong>Group prenatal care (GPC) is a promising intervention for improving maternal health outcomes and reducing disparities. However, implementation can be challenging, and the role of community partnerships in supporting delivery is not well understood.</p><p><strong>Purpose: </strong>This study examined the implementation fidelity of an enhanced GPC (eGPC) program, Glow! GPC and support, delivered collaboratively by prenatal care providers and a community agency, either virtually or in person, within a randomized trial comparing eGPC to enhanced individual prenatal care.</p><p><strong>Methods: </strong>Using a mixed methods convergent design, quantitative surveys completed by co-facilitators assessed adherence to core content and process components, while qualitative data from provider interviews (n = 6) and a facilitator focus group (n = 6) explored implementation experiences. Descriptive statistics and thematic analysis were integrated using a joint display to identify convergence, divergence, and expansion across data sources.</p><p><strong>Results: </strong>Of 59 cohorts initiated, 49% were canceled due to low enrollment. Among 26 completed cohorts (n = 159; mean = 6 participants), mean content fidelity was 68%, higher in virtual (73%) than in-person (61%) cohorts. Process fidelity was high (89%), though virtual sessions had lower adherence to health checks. Qualitative data revealed four themes related to strong facilitator engagement, recruitment challenges, integration with routine care, and virtual delivery. Integration demonstrated convergence between qualitative and quantitative data.</p><p><strong>Conclusions: </strong>Despite moderate-to-high fidelity, eGPC implementation was constrained by recruitment and childcare barriers due to the COVID-19 pandemic. Integrated findings underscore community partnerships as critical to strengthening delivery and sustaining scale-up in resource-limited clinical settings.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203412","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":"Factors critical for implementing a sustainable depression intervention in faith-based settings.","authors":"Bernadine Y Waller, Michelle Richardson-Ridley, Ana Stefancic, Chiamaka Chidi, Temiloluwa Adeyemo, Leah G Pope, Mosinmiloluwa Adeyemo, Sidney H Hankerson Iii, Rachel C Shelton","doi":"10.1093/tbm/ibaf091","DOIUrl":"10.1093/tbm/ibaf091","url":null,"abstract":"<p><strong>Background: </strong>There is an adverse circuitous relationship between intimate partner violence (IPV) victimization, depression, and femicide, disproportionately affecting depressed Black women IPV survivors, hereafter referred to as \"depressed survivors\", who lack access to culturally responsive care. The Black church has long-been a trusted resource and may be a viable pathway for depression care delivery.</p><p><strong>Purpose: </strong>Plan for implementing a sustainable mental health intervention for depressed survivors help-seeking in faith-based organizations.</p><p><strong>Methods: </strong>We conducted individual, in-depth interviews with 10 Black women IPV survivors, hereafter referred to as \"survivors,\" 10 women clergy or lay ministry leaders and 10 mental health providers. The integrated sustainability framework (ISF) guided interview protocol development and analysis. Inductive-deductive thematic analysis was employed.</p><p><strong>Results: </strong>Factors were found in five ISF domains: (i) outer/community context, (ii) inner/church context, (iii) processes, (iv) intervention characteristics, and (v) interventionist/lay provider characteristics. The funding environment and sociopolitical context emerged as critical outer/community contextual factors. Within the inner/church context, clergy- and lay ministry leader-participants highlighted the need for pastoral support, program champions, and organizational resources/funding. Among processes, the need for stepped care with community partners for crisis referrals as needed, as well as training and supervision were identified. Intervention characteristics included perceived need, adaptability, and contextual fit. As it relates to interventionist/lay provider characteristics, survivor-participants emphasized the demand for discreet, psychologically healthy, and proficient lay health providers.</p><p><strong>Conclusion: </strong>Findings point to the elements critical for developing and implementing sustainable solutions for depressed survivors help-seeking in the Black church. Fundamental to achieving mental health equity is employing collaborative approaches that respond to the nuanced needs and cultural preferences of this historically marginalized community of depressed survivors.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229303","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}