Translational Behavioral Medicine最新文献

{"title":"Clinical effectiveness of best-evidence cancer distress management in a real-world practice setting.","authors":"Shawna L Ehlers, Janae L Kirsch, Elizabeth L Kacel, Lisa M Gudenkauf, Sherrie M Hanna, Eleshia J Morrison, Jill Snuggerud, Jeffrey P Staab, Katharine A R Price, Andrea E Wahner Hendrickson, Carrie Bronars, Kristine A Donovan, Deanna Hofschulte, Holly C Edwards, Kathryn J Ruddy","doi":"10.1093/tbm/ibaf030","DOIUrl":"10.1093/tbm/ibaf030","url":null,"abstract":"<p><strong>Background: </strong>Despite 40 years of evidence supporting psychosocial interventions as a component of comprehensive cancer care, patients continue to report vast unmet psychosocial needs and distress. Cognitive behavioral therapies for cancer distress (CBT-C) are the most rigorously tested class of psychosocial interventions for cancer care.</p><p><strong>Purpose: </strong>To report clinical effectiveness outcomes of cancer-related distress and self-efficacy following implementation of best-evidence CBT-C, adapted for a real-world, billable practice setting.</p><p><strong>Methods: </strong>Patients who completed group-delivered, CBT-C (10 intervention hours, 5 sessions) in the practice setting were invited to enroll in a research study to document cancer distress across the year following CBT-C. Participants (n = 65) were primarily middle-aged (mean 50.5 years, 17% were young adults ≤40 years), female, and White. Analyses utilized mixed linear models with intent-to-treat procedures. Given group delivery and social skills training content within CBT-C, social self-efficacy was assessed as a potential treatment mechanism.</p><p><strong>Results: </strong>Distress decreased across the year following CBT-C (mean score change of 20 points for YAs, 6 points for non-YAs), with statistically significant age x time effects. Within-person improvements in social self-efficacy scores were related to reductions in cancer distress, including distress subscales of intrusive thoughts, avoidant coping, and hyperarousal. The model explained 76.6% of the total variance in cancer distress.</p><p><strong>Conclusions: </strong>This study demonstrates the effective translation of CBT-C from controlled research trials to the practice setting. CBT-C effectiveness within a mixed-cancer population and relatively rural region of the US is also supported. CBT-C can be effectively translated to the practice settings for which it is intended.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508937","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":"Leveraging artificial intelligence-mediated communication for cancer prevention and control and drug addiction: A systematic review.","authors":"Sunny Jung Kim, Viktor Clark, Jeff T Hancock, Reza Rawassizadeh, Hongfang Liu, Emmanuel A Taylor, Vanessa B Sheppard","doi":"10.1093/tbm/ibaf007","DOIUrl":"10.1093/tbm/ibaf007","url":null,"abstract":"<p><strong>Objective: </strong>To conduct a systematic review on Artificial Intelligence-Mediated Communication (AIMC) behavioral interventions in cancer prevention/control and substance use.</p><p><strong>Methods: </strong>Eight databases were searched from 2017 to 2022 using the Population Intervention Control Outcome Study (PICOS) framework. We synthesized findings of AIMC-based interventions for adult populations in cancer prevention/control or substance use, applying SIGN Methodology Checklist 2 for quality assessments and reviewing retention and engagement.</p><p><strong>Results: </strong>Initial screening identified 187 studies; seven met inclusion criteria, involving 2768 participants. Females comprised 67.6% (n = 1870). Mean participant age was 42.73 years (SD = 7.00). Five studies demonstrated significant improvements in substance use recovery, physical activity, genetic testing, or dietary habits.</p><p><strong>Conclusions: </strong>AIMC shows promise in enhancing health behaviors, but further exploration is needed on privacy risks, biases, safety concerns, chatbot features, and serving underserved populations.</p><p><strong>Implications: </strong>There is a critical need to foster comprehensive fully powered studies and collaborations between technology developers, healthcare providers, and researchers. Policymakers can facilitate the responsible integration of AIMC technologies into healthcare systems, ensuring equitable access and maximizing their impact on public health outcomes.</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":"143558291","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":"Differing conceptual maps of skills for implementing evidence-based interventions held by community-based organization practitioners and academics: A multidimensional scaling comparison.","authors":"Shoba Ramanadhan, Jennifer L Cruz, Maggie Weese, Shinelle Kirk, Madison K Rivard, Arthur Eisenkraft, Karen Peterson, Judi Kirk, Albert Whitaker, Chinyere Nwamuo, Scott R Rosas","doi":"10.1093/tbm/ibae051","DOIUrl":"10.1093/tbm/ibae051","url":null,"abstract":"<p><p>Community-based organizations (CBOs) are critical for delivering evidence-based interventions (EBIs) to address cancer inequities. However, a lack of consensus on the core skills needed for this work often hinders capacity-building strategies to support EBI implementation. The disconnect is partly due to differing views of EBIs and related skills held by those typically receiving versus developing capacity-building interventions (here, practitioners and academics, respectively). Our team of implementation scientists and practice-based advisors used group concept mapping to engage 34 CBO practitioners and 30 academics with experience addressing cervical cancer inequities implementing EBIs. We created group-specific maps of skills using multidimensional scaling and hierarchical cluster analysis, then compared them using Procrustes comparison permutations. The 98 skills were sorted into six clusters by CBO practitioners and five by academics. The groups generated maps with statistically comparable underlying structures but also statistically significant divergence. Some skill clusters had high concordance across the two maps, e.g. \"managing funding and external resources.\" Other skill clusters, e.g. \"adapting EBIs\" from the CBO practitioner map and \"selecting and adapting EBIs\" from the academic map, did not overlap as much. Across groups, key clusters of skills included connecting with community members, understanding the selected EBI and community context, adapting EBIs, building diverse and equitable partnerships, using data and evaluation, and managing funding and external resources. There is a significant opportunity to combine CBO practitioners' systems/community frames with the EBI-focused frame of academics to promote EBI utilization and address cancer and other health inequities.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683028","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":"Assessing multidimensional fidelity in a pilot optimization trial: A process evaluation of four intervention components supporting medication adherence in women with breast cancer.","authors":"Sophie M C Green, Christopher D Graham, Michelle Collinson, Pei Loo Ow, Louise H Hall, David P French, Nikki Rousseau, Hollie Wilkes, Christopher Taylor, Erin Raine, Rachel Ellison, Daniel Howdon, Robbie Foy, Rebecca E A Walwyn, Jane Clark, Catherine Parbutt, Jo Waller, Jacqueline Buxton, Sally J L Moore, Galina Velikova, Amanda J Farrin, Samuel G Smith","doi":"10.1093/tbm/ibae066","DOIUrl":"10.1093/tbm/ibae066","url":null,"abstract":"<p><p>Adherence to adjuvant endocrine therapy in women with breast cancer is low. We conducted a 24-1 fractional factorial pilot optimization trial to test four intervention components supporting medication adherence [text messages, information leaflet, acceptance and commitment therapy (ACT), self-management website], in the preparation phase of the multiphase optimization strategy. Guided by the National Institute of Health Behavior Change Consortium fidelity framework, we investigated fidelity of design, training, delivery, receipt, and enactment of four intervention components. Women prescribed adjuvant endocrine therapy (n = 52) were randomized to one of eight experimental conditions comprised of combinations of the four intervention components (ISRCTN: 10487576). We assessed fidelity using self-report data (4 months post-randomization), trial data, ACT session observations, behavior change technique (BCT) coding, and interviews with participants (n = 20) and therapists (n = 6). Design: Each intervention component targeted unique behavior change techniques with some overlap. Training: All 10 therapists passed the competency assessment. Delivery: All leaflets (27/27) and website (26/26) details were sent, and ACT procedural fidelity was high (85.1%-94.3%). A median of 32.5/41 (range 11-41) text messages were delivered, but a system error prevented some messages being sent to 22 of 28 participants. Receipt: Most participants [63.0% (ACT, leaflet) to 71.4% (text messages)] read all or at least some of the intervention components they were randomized to receive. Enactment was reported most positively for ACT. All intervention components demonstrated adequate fidelity. We have provided an exemplar for assessing fidelity using the National Institute of Health Behavior Change Consortium framework in the preparation phase of multiphase optimization strategy.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830580","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":"Initiation of a tobacco treatment program within an inpatient substance use treatment facility: A case study.","authors":"Amanda M Palmer, Demetress Adams-Ludd, Stephanie Stansell, Bridget Harris, K Michael Cummings, Alana Rojewski, Benjamin Toll","doi":"10.1093/tbm/ibaf014","DOIUrl":"https://doi.org/10.1093/tbm/ibaf014","url":null,"abstract":"<p><p>Tobacco use prevalence is disproportionately high among individuals with mental health conditions, including substance use disorders. Clinical practice guidelines recommend tobacco treatment for those receiving treatment for substance use given the health and psychosocial benefits from tobacco cessation. Despite this, there are several barriers to the provision of tobacco treatment in substance use treatment settings, and many patients in these settings do not receive treatment. This case study describes the acquisition of an inpatient substance use treatment facility by a major hospital system and the subsequent integration of a tobacco treatment service within this setting. In this case, we describe barriers, such as initial staff and patient hesitance toward the service, logistical challenges in service provision, and policy issues that needed to be addressed within the setting. Data derived from medical chart reviews of admitted patients show that following the introduction of the program, engagement with tobacco cessation pharmacotherapy and counseling substantially increased, which suggests acceptability and integration of the services. This case serves as a model of the adoption process of a comprehensive tobacco treatment program in substance use treatment settings as a way to reduce tobacco-related disparities in this priority population.</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":"144152624","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":"Implementation outcomes and associated constructs from the Consolidated Framework for Implementation Research among churches trained online to implement Faith, Activity, and Nutrition in a national implementation study.","authors":"Sara Wilcox, Ruth P Saunders, Andrew T Kaczynski, Caroline Rudisill, Ye Sil Kim, Jasmin Parker-Brown, Kelsey R Day","doi":"10.1093/tbm/ibaf015","DOIUrl":"10.1093/tbm/ibaf015","url":null,"abstract":"<p><p>Churches hold promise for reaching populations with high rates of chronic disease, yet few faith-based large-scale implementation studies exist. The study purpose was to examine 12-month implementation outcomes and associated Consolidated Framework for Implementation Research (CFIR) constructs after converting in-person training to online for an evidence-based intervention designed to improve church organizational practices related to physical activity (PA) and healthy eating (HE). US churches recruited from 2020 to 2022 participated in eight online lessons prior to implementation. Each church's coordinator completed an online baseline and 12-month survey assessing church practices for PA/HE components targeted in the Faith, Activity, and Nutrition (FAN) intervention (opportunities, messages, policies, and pastor support) and constructs from four CFIR domains. Mixed-effects regression models examined changes in practices over time and the impact of in-person versus online church operation at baseline. Linear regression tested associations between CFIR constructs and PA/HE implementation, adjusting for baseline practices. Churches (N = 107, 75% predominantly African American) from 23 states enrolled. At 12 months, 84% completed the survey. Implementation of all PA/HE practices increased, with larger effects for churches operating in-person for PA composite, messages, and policies and HE messages and policies. Constructs from all four CFIR domains were associated with implementation outcomes. In conclusion, online training was associated with significantly improved PA/HE church practices at 12 months. For churches operating in-person at baseline, effect sizes and CFIR associations with implementation outcomes were comparable to results of three prior studies using in-person training. Training for FAN is scalable with the potential to advance racial health equity.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182682","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 implementing Food is Medicine programs: Evidence from 21 food bank-healthcare partnerships.","authors":"Bailey Houghtaling, Eliza Short, Christopher R Long, Elizabeth T Anderson Steeves, Maryan Isack, Laura Flournoy, Nicole Cawrse, Elise August, Wm Thomas Summerfelt, Eric Calloway","doi":"10.1093/tbm/ibaf013","DOIUrl":"10.1093/tbm/ibaf013","url":null,"abstract":"<p><strong>Background: </strong>Food is Medicine (FIM) programs identify people experiencing food insecurity and diet-related chronic disease and connect them with nutritious foods. Food banks and healthcare partners are well positioned to deliver FIM programs; however, there is limited knowledge about factors that influence FIM program implementation in this context.</p><p><strong>Purpose: </strong>The goal of this study was to understand barriers and facilitators to FIM program implementation within food bank-healthcare partnerships in diverse US settings.</p><p><strong>Methods: </strong>A phenomenological study using semi-structured interviews was conducted with 21 programmatically and contextually diverse Food as Medicine 3.0 (FAM3) grantees, including food bank leads and some healthcare partners. The Consolidated Framework for Implementation Research (CFIR) 2.0 informed interview guide development, coding, and interpretation. Interviews and the analysis were completed by a team of trained researchers following best practices. Data was analyzed using Dedoose (version 9.2.12).</p><p><strong>Results: </strong>Fifty participants across 21 FAM3 grantees engaged in an interview. Most grantees shared challenges related to initiating and maintaining the healthcare partnerships needed for FIM programs. The tracking, gathering, and/or sharing of FIM program implementation and evaluation data was another primary challenge. Furthermore, limited healthcare and food bank staff capacity to carry out FIM programs was another prominent barrier. Despite these challenges, FIM programs were considered adaptable, testable, and to meet a core need among neighbors, all of which were implementation facilitators.</p><p><strong>Conclusions: </strong>Results of this study inform the need to design and test implementation strategies to overcome barriers to the implementation of a promising food bank-healthcare partnership model for FIM.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192376","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":"Adaptation of meaning-centered psychotherapy for healthcare providers to buffer work-induced distress and improve wellbeing.","authors":"William E Rosa, Hayley Pessin, Jaime Gilliland, Mia R Behrens, Anessa M Foxwell, Natalie S McAndrew, Amelia E Schlak, Allison J Applebaum, Wendy G Lichtenthal, Rebecca M Saracino, William Breitbart, Kailey E Roberts","doi":"10.1093/tbm/ibae071","DOIUrl":"10.1093/tbm/ibae071","url":null,"abstract":"<p><p>Healthcare providers (HCPs) face high rates of distress, experienced as burnout, moral distress, compassion fatigue, and grief. HCPs are also experiencing a crisis in meaning whereby distress is associated with disconnection from meaning in work and, in turn, a lack of meaning in work can further perpetuate distress for HCPs. Although scalable systems-level solutions are needed to tackle multidimensional HCP distress, it is also necessary to address HCP suffering at individual, team, and institutional levels. Targeted interventions to alleviate HCP distress are limited. Meaning-centered psychotherapy (MCP), a brief, evidence-based, intervention first developed for persons with advanced cancer, holds promise to mitigate HCP distress. This study adapted MCP for HCPs through feedback from a multidisciplinary sample of clinicians trained in MCP and working in healthcare settings. A survey was distributed electronically between November and December 2023 to HCPs previously trained in MCP assessing quantitative and qualitative feedback on the appropriateness of MCP for HCPs, the relevance of MCP session topics and exercises, and implementation barriers and facilitators. Descriptive statistics on relevant participant ratings were calculated; a matrix analysis approach was used for qualitative data. Forty participants, primarily mental health providers, expressed that MCP principles were highly relevant for HCPs and offered key insights on appropriate intervention modifications, including the need for a primary focus on meaning in professional life, reduced intervention length, and delivery in group format. Feedback informed critical adjustments to promote appropriateness and acceptability of MCP-HCP which is poised for pilot testing to determine its feasibility and preliminary efficacy for HCPs.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856307","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":"Supporting disability-inclusive knowledge translation and patient access to knowledge: A synthesis of select special education theories.","authors":"John C Hayvon, Mary Roduta Roberts","doi":"10.1093/tbm/ibaf027","DOIUrl":"10.1093/tbm/ibaf027","url":null,"abstract":"<p><p>Equitable access to knowledge and knowledge translation that is inclusive to marginalized patients-including those whose health conditions have resulted in lifelong disability-may be supportive of health equity. In enhancing the evidence base of what constitutes disability-inclusive knowledge translation, patients may be better supported in their health literacy, self-management, or autonomy in making health-related decisions. To identify potential guiding principles from the discipline of special education that has been invested in providing equitable access to knowledge for patients living with disabilities across all age groups. Qualitative synthesis of existing theories, models, and frameworks (TMFs) in special education is performed to identify constructs which may guide disability-inclusive knowledge translation. A search methodology adapted from PRISMA-ScR was conducted in Web of Science and Scopus to identify review-type studies in special education scholarship. A total of 69 unique review-type studies were retrieved in the English language, resulting in 21 meeting the inclusion criteria of presenting a special education TMF with potential to inform knowledge translation. Ten themes emerged through data charting of theoretical constructs, as well as open coding of five studies. Findings that may promote disability-inclusive knowledge translation are presented in a synthesized framework with 25 considerations. Special education TMFs are diverse in focus; this first-steps study illustrates significant potential of special education TMFs in informing disability-inclusive knowledge translation. Future studies that engage with a more expansive set of special education TMFs will bring value to implementation science.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530533","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":"Mixed-methods organizational evaluation of a physical activity programme for cancer survivors in primary care.","authors":"Famke Huizinga, Nico-Derk Lodewijk Westerink, Annemiek M E Walenkamp, Annette J Berendsen, Marjolein Y Berger, Daan Brandenbarg","doi":"10.1093/tbm/ibaf029","DOIUrl":"10.1093/tbm/ibaf029","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) has proven health benefits for cancer survivors, yet PA programmes are not routinely available in general practice.</p><p><strong>Purpose: </strong>This mixed-methods study used the RE-AIM framework to evaluate the Adoption, Implementation, and Maintenance of a PA programme at an organisational level for cancer survivors in Dutch general practice.</p><p><strong>Methods: </strong>Primary care practitioners (practice nurses, dieticians, and doctor's assistants) delivering a PA programme aimed at increasing PA in daily activities, and general practitioners (GPs) in whose practices it was performed, completed questionnaires and interviews. Quantitative and qualitative data were analysed descriptively or by thematic analysis, respectively.</p><p><strong>Results: </strong>Concerning Adoption, 9% of general practices (n = 14) took part and showed high representativeness. Primary care practitioners coached a median of seven patients over 18.5 months, with barriers and facilitators emerging mainly related to organizational support, programme alignment, and patient health benefits. Concerning Implementation, adherence to the protocol was 77%, and the training was evaluated as 8 out of 10. Concerning Maintenance, 11 primary care practitioners (69%) used programme elements outside the study context.</p><p><strong>Conclusions: </strong>We conclude that our PA programme seems feasible in general practice provided there is sufficient organizational capacity. Designating a lead-motivated practitioner, providing sufficient training, and aligning and integrating PA counselling in routine care are key to providing appropriate and targeted support for cancer survivors in general practice.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576641","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}