Translational Behavioral Medicine最新文献

{"title":"FREEDcan: an integrated early intervention for eating disorders care model for community and primary care settings in Canada.","authors":"Nicole Obeid, Janessa Porter, Andrea LaMarre, Patricia Silva-Roy, Jennifer S Coelho, Gina Dimitropoulos, Aryel Maharaj, Stephen Feder, Mark Norris, Wendy Spettigue, Shaleen Jones, Sonia Kumar, Suzanne Phillips, Emily Tam, Catherine Ford, Gail McVey, Jennifer Couturier, Jo Lam, Stéphanie Drouin, Michele Laliberte","doi":"10.1093/tbm/ibaf092","DOIUrl":"10.1093/tbm/ibaf092","url":null,"abstract":"<p><strong>Background: </strong>Early intervention for eating disorders (EDs) models and services is not formalized in Canada, despite increasing demand for care and well-established clinical, social, and economic benefits of intervening early.</p><p><strong>Purpose: </strong>FREEDcan (First Episode Rapid Early Intervention for Eating Disorders-Canada) introduces a community-based model to improve early identification, initial response, and access to evidence-based interventions for young people aged 8-25 years with early-stage EDs.</p><p><strong>Methods: </strong>FREEDcan was co-adapted from the United Kingdom's evidence-based FREED model for the Canadian context with a multi-partner advisory group of clinicians, community organizations, youth and family advisors, researchers, and an implementation science team. It has three pillars: early identification, initial response, and evidence-based interventions for early-stage EDs. Implementation is supported by intersectoral partnerships, community-driven adaptation, and integrated workforce expansion to build capacity and facilitate sustainable, integrated early intervention.</p><p><strong>Anticipated outcomes: </strong>From a service perspective, FREEDcan aims to improve early detection of EDs, reduce duration of untreated illness through rapid, low-barrier responses, and increase access to stage-appropriate interventions. Additional implementation-based outcomes are anticipated, including evidence for core components, costs, and adaptations relevant to scaling this model in diverse regions across Canada.</p><p><strong>Conclusions: </strong>FREEDcan has the potential to provide an accessible, youth-centered, developmentally appropriate approach to early ED care within a collaborative, community-driven, integrated care framework. Using a learning health systems approach, it strives for continuous evaluation to support real-time learning, opportunities for model improvement, and evidence-generation for a new integrated model of care for early-stage ED care for young people in Canada.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying behavior change theory to intervention design: promoting clinic-level implementation of self-measured blood pressure monitoring in safety net primary care settings.","authors":"Lina Tieu, Elaine C Khoong, Nilpa D Shah, Melissa M Gosdin, Sophia J Wang, Anjana Sharma, Nooshin Abtahi, Rachel J Stern, Crystal Zhou, Urmimala Sarkar, Courtney R Lyles","doi":"10.1093/tbm/ibaf094","DOIUrl":"10.1093/tbm/ibaf094","url":null,"abstract":"<p><strong>Background: </strong>Self-measured blood pressure (SMBP) monitoring is an evidence-based practice effective for improving the diagnosis and control of hypertension. Healthcare settings face challenges integrating it into clinical care.</p><p><strong>Purpose: </strong>This study applied behavior change theory to design a clinic-based intervention to integrate SMBP within safety net primary care settings.</p><p><strong>Methods: </strong>We conducted multi-phase, mixed methods research to adapt a clinic-level intervention across 25 safety net primary care clinics within three California public healthcare systems as part of the Championing Hypertension Remote Monitoring for Equity and Dissemination (CHARMED) Study. From February to August 2024, clinic champions participated in surveys and focus groups to assess: (i) current practices in hypertension management, (ii) implementation barriers, and (iii) strategies for optimizing the use of SMBP within clinics. Using the Behavior Change Wheel, we designed and tailored the intervention to improve clinical practices for SMBP.</p><p><strong>Results: </strong>Over 50 clinicians/staff participated. Surveys revealed varying SMBP use due to knowledge gaps, lack of standardized processes, and insufficient financial and human resources. Focus groups highlighted the importance of increasing SMBP knowledge among patients and care teams (capability); promoting structured workflows/templates for documenting and acting on SMBP data (opportunity); and building care team buy-in for SMBP (motivation). These insights guided the final intervention activities.</p><p><strong>Conclusions: </strong>Using behavior change theory and stakeholder-engaged methods, we developed a multi-component clinic-focused intervention to promote tailored SMBP implementation within safety net primary care clinics. This evidence-based, adaptable approach may inform future efforts to implement SMBP at multiple levels of care.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #NCT06113458.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776751","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":"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":"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":2.8,"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":"Examining the associations among produce prescription program implementation characteristics and incentive redemption and participant outcomes.","authors":"Victoria A Zigmont, Bailey Houghtaling, Elise Mitchell, Gabrielle E Talavera, Eric E Calloway, Courtney Parks, Kofi Essel, James Marriott, Ka Her, Carmen Byker Shanks, Erin Summerlee, Christopher R Long","doi":"10.1093/tbm/ibag040","DOIUrl":"10.1093/tbm/ibag040","url":null,"abstract":"<p><strong>Background: </strong>Produce prescription programs (PRx) have the potential to improve participants' fruit and vegetable intake (FVI), and food security (FS), but further information is needed to understand which program characteristics contribute to these participant outcomes.</p><p><strong>Purpose: </strong>To explore the associations between PRx design characteristics, incentive redemption, and program-level participant outcomes including FVI, FS, and perceived health.</p><p><strong>Methods: </strong>An ecological, exploratory study with a quasi-experimental design (one group pre-test post-test) following the exploration, preparation, implementation, sustainment (EPIS) framework was used among Gus Schumacher Nutrition Incentive Program (GusNIP)-funded PRxs in the United States. Data were sourced from a GusNIP program operator survey (84% response rate; n = 80), PRx redemption data (n = 77), and an outcomes sample including redemption and participant outcomes data (n = 39 programs). Redemption data included program-level incentive distribution and redemption rates, measured as the dollar amount of incentives redeemed per participant per month. Participant data included changes in FVI (dietary screener questionnaire), FS (USDA household FS survey module), and perceived health (healthy days). Nonparametric and parametric comparisons were examined between program characteristics with program level-redemption rates and changes in aggregated participant-level outcomes.</p><p><strong>Results: </strong>Program-level characteristics, design, and implementation features were associated both positively and negatively with redemption data and changes in participant outcomes including FVI, FS, and perceived health. Programs that provide more funds but serve fewer participants, offer transportation assistance, and offer staff training were positively associated with improved aggregated participant outcomes.</p><p><strong>Conclusions: </strong>This exploratory research identified factors to be considered for promoting favorable program and participant outcomes in GusNIP PRx and similar initiatives.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473704","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":"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":2.8,"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":"Cultural adaptations made to existing implementation science theories, models, frameworks, or outcomes: a scoping review.","authors":"Zoe Fehlberg, Samantha Croy, Madeline Graham, Marlena Klaic, Stephanie Best","doi":"10.1093/tbm/ibag021","DOIUrl":"10.1093/tbm/ibag021","url":null,"abstract":"<p><strong>Background: </strong>Cultural adaptation to implementation science research tools may be necessary to avoid biases in how evidence is collected and analyzed when working with multi-cultural communities.</p><p><strong>Purpose: </strong>This scoping review aimed to examine literature reporting community-specific adaptations to existing research tools associated with implementation science theories, models, frameworks, and outcomes.</p><p><strong>Methods: </strong>A pre-registered protocol informed by the PRISMA-SC guided the process. Six databases were searched from inception to April 2025. Articles were selected using a predetermined criterion. The purpose, type of, and adaptation process(es) were extracted, and a narrative synthesis informed by two adaptation frameworks was undertaken. Data on the application, testing, and impact of the adapted tool were extracted.</p><p><strong>Results: </strong>Twelve articles were included. Studies reported working with Indigenous, Black-American, Latinx, Hispanic, immigrant, or multi-ethnic communities. All adaptations were researcher-initiated, 92% were proactively planned, and 42% included community engagement. Half of the adaptations were to frameworks identifying factors influencing implementation. Adaptations largely involved changing the content, concepts, or the goals of the tool by integrating complementary cultural concepts or models. Six studies empirically and two hypothetically applied the tool. No study systematically evaluated the impact.</p><p><strong>Conclusions: </strong>Our scoping review found community-specific adaptations are occurring and provides insight into why and how. More research is needed into the impact of adaptation and whether it better equips those who use implementation research tools in practice with the ability to conduct research that provides policymakers and healthcare decision-makers with meaningful evidence to promote health equity.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786407","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 obesity treatment choices: a mixed-methods study of patient preferences and shared decision-making.","authors":"Kirstie M Herb Neff, Lyndell Wright, Deserae Clarke, Christopher D Still, Lisa Bailey-Davis","doi":"10.1093/tbm/ibag051","DOIUrl":"10.1093/tbm/ibag051","url":null,"abstract":"<p><strong>Background: </strong>Shared decision-making (SDM) is recommended in obesity treatment. Yet, little is known about how it occurs in real-world practice, particularly given recent advances in treatment options.</p><p><strong>Purpose: </strong>This prospective mixed-methods study aimed to understand patient preferences and decision-making processes for obesity treatment.</p><p><strong>Methods: </strong>Adults with obesity (N = 103) seeking specialty weight management treatment completed a survey, and a subset (n = 17) participated in qualitative interviews. Both assessed weight loss history, knowledge and expectations of obesity treatment options, decision-making factors, and perceptions of SDM.</p><p><strong>Results: </strong>Participants reported an average of 10.1 (SD = 13.5) prior weight loss attempts and were primarily motivated by physical well-being (86.4%). Key factors influencing decision-making included desired weight loss (84.5%), provider recommendations (76.7%), and cost (62.1%). Anti-obesity medications were viewed most favorably, followed by behavioral and surgical approaches. Qualitative analysis generated four themes: (i) a chronic cycle of weight loss and regain; (ii) guided by stories, not science alone; (iii) navigating trade-offs in choosing weight-loss strategies; and (iv) feeling heard, but still seeking direction.</p><p><strong>Conclusions: </strong>Patients demonstrate strong awareness of obesity treatments and value SDM and personalized recommendations when making decisions. Findings highlight the need for interventions that strengthen SDM and deliver tailored, high-quality health communication.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632289","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":"Applying the ADAPT-ITT framework to adapt a lifestyle Redesign® occupational therapy intervention for diabetic foot ulcer self-management.","authors":"Stacey L Schepens Niemiec, Lauren Styer, Jasmine Chapman, Elliot Myong, Ryan Moshtael, Christopher Lopez, Jocelyn Arteaga, Elaine Wong, Diana Motta Morales, Neel Kumar, Tze-Woei Tan","doi":"10.1093/tbm/ibag030","DOIUrl":"10.1093/tbm/ibag030","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcers (DFUs) affect approximately 25% of people with diabetes and are associated with decreased quality of life, high healthcare costs, recurrent wounds, and amputation risk. Standard DFU care emphasizes offloading to promote healing; however, adherence is often poor due to behavioral, psychosocial, and everyday life challenges. These gaps highlight the need for person-centered interventions that support DFU self-management within daily routines.</p><p><strong>Purpose: </strong>To systematically adapt a Lifestyle Redesign® occupational therapy intervention (LR-OT) for DFU self-management using the ADAPT-ITT framework.</p><p><strong>Methods: </strong>An iterative, stakeholder-engaged adaptation process was conducted across the first seven ADAPT-ITT phases: Assessment, Decision, Administration, Production, Topical Experts, Integration, and Training. Activities included targeted literature synthesis, theater testing with individuals with DFUs and DFU care providers, iterative material development, and expert consultation. Adaptation efforts focused on refining intervention content, delivery, and training supports to DFU-specific care demands while retaining alignment with LR-OT core elements.</p><p><strong>Results: </strong>The ADAPT-ITT process yielded an interventionist-ready, DFU-specific LR-OT package, including patient-facing materials, an interventionist resource guide, and a conceptual mapping linking LR-OT theoretical elements to DFU-targeted management activities. Stakeholder input informed coordinated refinements to content, session structure, and delivery to support feasibility within DFU care contexts.</p><p><strong>Conclusion: </strong>Application of the ADAPT-ITT framework supported a transparent, stakeholder-informed, and reproducible process for adapting an evidence-based occupational therapy intervention for a high-risk and medically complex population. This work illustrates how lifestyle-focused interventions can be systematically adapted for specialty care contexts, with subsequent testing needed to evaluate fidelity and effectiveness.</p><p><strong>Clinical trial information: </strong>#NCT06278935.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13228136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151820","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":"The multiphase optimization strategy in healthcare research: a scoping review of applications and a proposed preliminary phase-specific reporting checklist.","authors":"Silan Yang, Yao Luo, Sijie Hu, Quan Shen, Mingzhu Chen, Ziyan Li, Ping Tu, Tan He, Jun Lei, Dong Roman Xu","doi":"10.1093/tbm/ibag049","DOIUrl":"https://doi.org/10.1093/tbm/ibag049","url":null,"abstract":"<p><strong>Background: </strong>The multiphase optimization strategy is employed to develop multi-component interventions that strike a balance between effectiveness, affordability, scalability, and efficiency. Detailed reporting is crucial for enhancing the rigor and reproducibility of the research within healthcare. However, checklists for the optimization and evaluation phases have not yet been developed.</p><p><strong>Purpose: </strong>To examine the range and identify the gap in the application of the multiphase optimization strategy.</p><p><strong>Methods: </strong>This scoping review was conducted across 16 online databases and related websites to locate studies published in English and Chinese before 14 May 2025. The pertinent information was extracted and synthesized by data-charting form.</p><p><strong>Results: </strong>159 papers met the inclusion criteria. Most papers focused on optimizing evidence-based practices (n = 138) rather than on implementation strategies (n = 21). In phase 1, 45.3% of studies did not report a conceptual model or did not depict it in a figure. One hundred and forty-six papers did not define optimization constraints, and 151 papers did not describe how constraints were determined. Similarly, 104 papers did not define the optimization objective or explain how it was established. In phase 2, the decision processes for selecting the optimal component were not described in 117 papers. A preliminary phase-specific reporting checklist was proposed.</p><p><strong>Conclusions: </strong>The review reveals that many studies conflate \"optimal\" with \"best,\" leading to under-specification of the optimization objectives and constraints and, consequently, to unclear decision rules for selecting components. It also reveals the need for a rigorous report of each phase for future research.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170449","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":"Implementing intervention mapping to tailor the evidence-based PREDIMED intervention for medically underserved prostate cancer patients.","authors":"Rebekka S Garcia, Carrie R Daniel, Cindy Hwang, Erma Levy, Matthew Smith, Dalnim Cho, Daniel E Frigo, Andrew W Hahn, Hilary Ma, Margaux Robert, Curtis Pettaway, Brian F Chapin, Denise LaRue, Steven Canfield, Jennifer Wargo, Peng Wei, Lorna McNeill, Justin R Gregg","doi":"10.1093/tbm/ibag028","DOIUrl":"10.1093/tbm/ibag028","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer is the most common noncutaneous malignancy among men and disproportionately affects those with low socioeconomic status, particularly men from racial and ethnic minority populations.</p><p><strong>Purpose: </strong>This study describes the development of a culturally tailored Mediterranean diet intervention for medically underserved Black and Hispanic men with prostate cancer, using the Intervention Mapping Adaptation (IM ADAPT) framework.</p><p><strong>Methods: </strong>Conducted at a county safety-net hospital in a large urban area, which serves a population with high medical needs and low socioeconomic status, the project aimed to ensure the intervention was culturally relevant and evidence-based. A collaborative process was used, involving community scientists and patient stakeholders to identify dietary barriers and preferences, while existing interventions were reviewed for cultural fit. Guided by the six steps of the IM ADAPT framework, stakeholder feedback was incorporated throughout the adaptation process. The result was a culturally adapted intervention that included tailored dietary modifications, food provision strategies, and educational materials specifically designed for Black and Hispanic men.</p><p><strong>Results: </strong>Completion of the IM ADAPT steps yielded a culturally adapted Mediterranean diet intervention incorporating tailored dietary recommendations, provision of food, and distribution of educational materials designed to meet the specific needs of Black and Hispanic men.</p><p><strong>Conclusions: </strong>The IM ADAPT framework enabled the development of a culturally tailored, evidence-based dietary intervention ready for pilot testing among medically underserved men with prostate cancer. This approach may serve as a replicable model for designing interventions for other racial and ethnic minority populations affected by cancer.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13370764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206662","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}