Translational Behavioral Medicine最新文献

{"title":"Addressing vaccine hesitancy: A systematic review comparing the efficacy of motivational versus educational interventions on vaccination uptake.","authors":"Sara Labbé, Simon L Bacon, Nana Wu, Paula A B Ribeiro, Vincent Gosselin Boucher, Jovana Stojanovic, Brigitte Voisard, Frédérique Deslauriers, Noémie Tremblay, Lydia Hébert-Auger, Kim L Lavoie","doi":"10.1093/tbm/ibae069","DOIUrl":"10.1093/tbm/ibae069","url":null,"abstract":"<p><p>Traditional approaches to increase vaccination rely upon educating patients about vaccines. However, research shows that \"knowing\" vaccines are important is often insufficient: patients need to believe that getting vaccinated is important. Evidence-based motivational approaches, such as motivational interviewing/communication (MI/MC), have become increasingly popular for promoting good health behaviors, including vaccination. The objective of this review was to compare the efficacy of educational and MI/MC interventions on vaccination rates relative to each other and to usual/standard care. Pubmed, PsycINFO, and Cochrane trials databases were searched to identify articles that assessed vaccination rates post-patient education or MI/MC vaccine counseling in the context of adult or child vaccination (PROSPERO: CRD42019140255). Following the screening, 118 studies were included (108 educational and 10 MI/MC). The pooled effect sizes for vaccination rates corresponded to 52% for educational interventions (95% CI: 0.48-0.56) and 45% for MI/MC interventions (95% CI: 0.29-0.62) (P = .417). Fifty-nine randomized controlled studies (55 educational and 4 MI/MC) showed that, compared with usual/standard of care, exposure to education and MI/MC was associated with a 10% (RR =1.10; 95% CI =1.03-1.16, P = .002) and 7% (RR =1.07; 95% CI =0.78-1.45, P = .691) increased likelihood of getting vaccinated, respectively. Results suggest comparable efficacy of educational and MI/MC interventions on vaccination uptake and a small superiority of educational interventions compared with usual/standard of care. The overall poor quality of the studies, including lack of fidelity assessments of MI/MC studies, contributes to low confidence in the results and highlights the need for better quality intervention trials examining the efficacy of MI/MC for vaccine uptake.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Back to school: a qualitative study evaluating a community-informed COVID-19 risk communication intervention for rural elementary school children and their families.","authors":"Miriana C Duran, Parth D Shah, Ari M Bell-Brown, Janet Rojina, Morgan Glascock, Magaly Ramirez, Genoveva Ibarra, Lorenzo Garza, Sandra Linde, Sonia Bishop, Michelle M Garrison, Kelley M Pascoe, Paul K Drain, Chuan Zhou, Linda K Ko","doi":"10.1093/tbm/ibaf062","DOIUrl":"https://doi.org/10.1093/tbm/ibaf062","url":null,"abstract":"<p><strong>Background: </strong>ReOpening Schools Safely and Educating Youth (ROSSEY) was a cluster randomized controlled trial of a risk communication intervention for COVID-19 prevention to promote safe return to school among students in a rural, agricultural community.</p><p><strong>Purpose: </strong>This qualitative study evaluated the implementation of a risk communication intervention and a school district's COVID-19 testing program through parent focus groups and interviews with school staff and students.</p><p><strong>Methods: </strong>Parents (n = 37), students (n = 19), and school staff (n = 14) from seven schools that received the intervention shared their experience via focus groups and interviews informed by the RE-AIM framework. Deductive and inductive coding was conducted by four data analysts. Themes were validated with community members.</p><p><strong>Results: </strong>Parent focus groups, student and staff interviews provided insight into the ROSSEY study implementation. We identified five main themes: (i) social and financial drivers of participation; (ii) personal beliefs and unique challenges to research participation; (iii) intervention reinforced knowledge and shifted behavior; (iv) the appeal of comic books and videos supported adoption; and (v) multimodal communication and partnerships enhanced implementation.</p><p><strong>Conclusions: </strong>The risk communication intervention was deemed culturally appropriate, reinforced previous knowledge, and encouraged adoption of preventive behaviors. The partnership with the school district and collaboration with the district's COVID-19 testing program ensured success of recruitment, study implementation, and adoption of preventive behaviors.</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":"145369067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful implementation of evidence-based interventions-Factors to be considered.","authors":"David Victor Fiedler, David H Peters, Laurence Moore, Paul Estabrooks, Claudio R Nigg","doi":"10.1093/tbm/ibaf025","DOIUrl":"10.1093/tbm/ibaf025","url":null,"abstract":"<p><p>A range of health behavior interventions demonstrate efficacy in controlled settings, but face challenges when it comes to real-world implementation. These challenges arise due to the variation in participant, implementation staff, and implementation organization needs and resources which influence intervention delivery and effectiveness outcomes of these evidence-based interventions. We present potential approaches and considerations to prevent common pitfalls throughout the process of evidence-based intervention adoption, implementation, and sustainment. This includes using program theory, active engagement, cultural considerations, and understanding the connection between strategies, mechanisms, and outcomes right from the beginning to diligently develop, evaluate, implement, and disseminate evidence-based interventions. These approaches will help behavioral medicine/health psychology implementation researchers to get one step closer to the holy grail: To integrate evidence-based interventions sustainably into programs, systems, policy, and environments to facilitate long-term health behavior change and better health.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital adaptive intervention in the medical field: a bibliometric analysis.","authors":"Chi Ma, Xuedan Wang, Xiang He, Yidan Li, Mengyu Yang, Qiuxia Qian, Yuxia Ma","doi":"10.1093/tbm/ibaf037","DOIUrl":"10.1093/tbm/ibaf037","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the concept of adaptive interventions (AIs) has attracted the attention of researchers in the medical field. Our study aimed to visualize the publications to determine the hotspots and frontiers in research on AIs and provide guidance and reference for further study.</p><p><strong>Methods: </strong>We searched the Web of Science Core Collection up to December 2024, and only articles and review articles about AIs were included. The countries of origin, authors, co-citation references, hotspots, and frontier were analyzed by VOSviewer V.1.6.20, CiteSpace V.5.7.R5, and Scimago Graphica.</p><p><strong>Results: </strong>A total of 429 publications were identified, including 399 original studies and 30 reviews. The number of studies has proliferated since 2016. The United States, especially the University of Michigan, made significant contributions to this field. There was a closer collaboration among author teams and more frequent AIs research development and collaboration in Europe, the United States, and Australia. Just-in-time adaptive interventions are the predominant intervention design of concern at this stage, with addictive behavior and mental health as the main fields of research in medicine. AIs utilizing mobile health, combining ecological momentary assessment tools, may represent an emerging trend in future research.</p><p><strong>Conclusion: </strong>Researchers' understanding of AIs has improved dramatically over the past 20 years. At present, the emphasis of research on AIs is gradually transitioning from initial theoretical development to practical application and effectiveness evaluation, and we look forward to seeing it applied in more areas.</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":"144838313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving animated instructional videos for colorectal cancer screening: An application of learner verification and revision.","authors":"Jennifer S Rivelli, Jennifer L Schneider, Katherine A Vaughn, Blake W Locher, Meagan C Shaw, Lourdes S Martinez, Esmeralda Ruiz, Jamie H Thompson, Anne L Escaron, Gloria D Coronado","doi":"10.1093/tbm/ibaf020","DOIUrl":"10.1093/tbm/ibaf020","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Latino adults in the USA have low rates of colorectal cancer (CRC) screening. Fecal immunochemical tests (FITs) can improve screening rates. Promoting FIT completion via text-based reminders could improve CRC screening participation, yet literature on text-based interventions for CRC screening among Latino adults is limited. This study employed a user-centered approach, learner verification and revision (LV&R), to improve instructional animated videos on FIT completion and colonoscopy. We interviewed 24 unique patients from a large urban health center in Los Angeles that were sent the animated videos via text message. Patients were age-eligible for CRC screening and spoke English or Spanish. Telephone interviews explored LV&R constructs like acceptability, comprehension, and cultural relevance of the videos. Interviews were recorded, transcribed, and summarized using rapid content analysis techniques. Interviews revealed positive perceptions of both videos' accessibility, content, and appeal. Participants appreciated the straightforward language and clear instructions provided in the videos, which were found to be culturally and linguistically acceptable across English- and Spanish-speaking groups. Videos were viewed as informative and persuasive, motivating participants to consider CRC screening and to share videos with others. To enhance effectiveness of the videos, participants suggested improvements such as adding language related to screening guidelines, colonoscopy bowel preparation, results communication, and reassuring statements about overcoming any fears related to the procedures. By applying LV&R methodology, we improved instructional videos to promote CRC screening and potentially help close the screening gap among Latino adults. Future research might assess the most effective modes of delivering such videos to patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Colorectal cancer (CRC) screening rates are low among Latino adults in the USA. An at-home test called the fecal immunochemical test (FIT) can help increase these rates. Sending concise instructional videos via text message may help close CRC screening gaps.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study team created customized videos for a target audience of Latino adults. Researchers interviewed 24 patients from a large health center in Los Angeles who were due for CRC screening, had received a FIT kit, and spoke English or Spanish. The interviews were conducted by phone and focused on the videos' acceptability, clarity, usefulness, and cultural relevance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The participants reported a positive view of the videos, finding them easy to understand and appealing. The clear instructions and straightforward language were well-received in both English and Spanish. Some suggested adding more details about screening guidelines, bowel preparation, results communication, and reassuring statements about overcoming any fears, while keeping the videos short.&lt;/p&gt;&lt;p","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"Individual and clinical factors associated with patient acceptance of referrals to social services and community resources at a multi-purpose resource hub.","authors":"Gabrielle Green, Roxana Flores, Noel C Barragan, Karla Gonzalez, Tony Kuo","doi":"10.1093/tbm/ibae072","DOIUrl":"10.1093/tbm/ibae072","url":null,"abstract":"<p><p>Emerging evidence suggests that bi-directional communication and referral pathways, when employed strategically, can lead to favorable health outcomes by connecting patients with complex, multi-faceted health and social needs to appropriate services and resources. However, despite these benefits, patient acceptance of referrals via these pathways remains suboptimal. In this study, we describe individual and clinical factors associated with patient acceptance of these referrals. We extracted individual-level demographic and clinical data for patients referred primarily from a large safety-net health system to a multi-purpose resource hub co-located on the campus of its largest hospital, for the period October 2019 to June 2023. Descriptive statistics, Chi-square analyses, and multinomial regression modeling were performed to examine these data. Of 1865 patients in the study sample, 54.2% accepted a referral, 27.4% were lost to follow-up, and 18.4% declined. Most patients who accepted referrals were female (67.1%), Latino (81.5%), and had hypertension and/or prediabetes or diabetes (84.1%). In modeling analyses, those who accepted referrals tended to be female, and were referred from primary care clinics; many were referred for multiple service/resource categories. We found associations between patient acceptance of referrals and gender and source of referral. Drawing upon these results as well as experience implementing these systems, we propose several practical strategies for increasing successful referrals, including identifying and addressing barriers for patients who declined or were lost to follow-up; using standardized screening tools to routinely assess for multi-faceted health and social needs; increasing provider awareness about the benefits and functioning of these pathways; and monitoring progress so mid-course adjustments can be made when necessary.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reported use of implementation science theories, models, and frameworks in 151 implementation trials: secondary analysis of a systematic review targeting nursing practice.","authors":"Charlene Weight, Rachael Laritz, Simonne E Collins, Meagan Mooney, Billy Vinette, Sonia A Castiglione, Nicola Straiton, Gabrielle Chicoine, Shuang Liang, Justin Presseau, Kristin Konnyu, Marie-Pierre Gagnon, Sonia Semenic, Sandy Middleton, Natalie Taylor, Vasiliki Bessy Bitzas, Catherine Hupé, Nathalie Folch, Brigitte Vachon, Geneviève Rouleau, Andrea Patey, Nicola McCleary, Joshua Porat-Dahlerbruch, Guillaume Fontaine","doi":"10.1093/tbm/ibaf043","DOIUrl":"10.1093/tbm/ibaf043","url":null,"abstract":"<p><strong>Background: </strong>Theories, models, and frameworks (TMFs) are central to the development and evaluation of implementation strategies supporting evidence-based practice (EBP). However, evidence on how and to what extent TMFs are used in implementation trials remains limited.</p><p><strong>Purpose: </strong>This study aimed to examine the nature and extent of TMF use in implementation trials, identify which TMFs are most frequently employed, and explore temporal trends in their use.</p><p><strong>Methods: </strong>A secondary analysis was conducted on 151 randomized trials of implementation strategies targeting EBP in nursing. Trials and their protocols were coded in NVivo 14 using a framework adapted from Painter's continuum of theory use (2005) and Michie and Prestwich's theory coding scheme (2010). The framework categorized theory use as \"informed by,\" \"applied,\" \"tested,\" or \"built\" theory. Descriptive statistics were calculated in R, and temporal trends in TMF use across categories were analyzed.</p><p><strong>Results: </strong>Among the 151 trials, 54 (36%) reported using a TMF. Of these, most applied TMFs to guide implementation strategy design (28%), followed by justifying the study's purpose, aims, or objectives (15%). Testing theory was infrequent (9%), and no trials reported refining or building theory. Classic theories, such as the theory of planned behavior and social cognitive theory, were the most frequently cited. No clear temporal trend was found in TMF use across the categories.</p><p><strong>Conclusions: </strong>TMFs remain underutilized in implementation trials, with their application primarily limited to justifying study rationale or informing implementation strategy development. Greater emphasis on the testing and refinement of TMFs is recommended to advance implementation science.</p><p><strong>Registration information: </strong>Review registration: PROSPERO CRD42019130446.</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/PMC12422783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034486","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":"Effects of Sustainability via Active Garden Education on preschool-aged children's locomotor skills.","authors":"Gabrielli T de Mello, Jacob Szeszulski, Teresia O'Connor, Elizabeth Lorenzo, Jennie L Hill, Rebecca E Lee","doi":"10.1093/tbm/ibaf052","DOIUrl":"https://doi.org/10.1093/tbm/ibaf052","url":null,"abstract":"<p><strong>Background: </strong>Physical activity and locomotor skills influence children's current and future health trajectories.</p><p><strong>Purpose: </strong>To (i) assess the effect of Sustainability via Active Garden Education (SAGE) intervention on locomotor skills in children, and (ii) test whether changes were related to the fidelity and dose of the program.</p><p><strong>Methods: </strong>SAGE installed a garden in early care and education (ECE) facilities and implemented a curriculum consisting of 12 one-hour sessions to promote healthy eating and physical activity. Quantitative locomotor skills were assessed by the number of laps completed on the progressive aerobic cardiovascular endurance run (PACER), while qualitative assessment was conducted using the CHAMPS protocol. Fidelity was the number of active games completed, while dose was the number of gross motor skills implemented. Two-level linear mixed models adjusted by sex and age examined the effects of SAGE on locomotor outcomes. Fidelity and dose were tested as moderators.</p><p><strong>Results: </strong>A total of 173 children [50.90% boys; mean age 4.43 years (SD: 0.38)] participated in the study. Significant improvements over time were observed on overall qualitative locomotor score [β = 2.51; 95% confidence interval (CI): 1.32; 3.70], and the subscores of slide (β = 1.04; 95% CI: 0.54; 1.55) and hop (β = 1.16; 95% CI: 0.61; 1.72). There was a significant effect of SAGE on the hop skill score in the intervention group compared to control (β = 1.14; 95% CI: 0.41; 2.24). Fidelity and dose delivered did not moderate changes.</p><p><strong>Conclusions: </strong>Children's overall qualitative locomotor score, hop, and slide skills increased across both groups. Participation in SAGE improved the hop locomotor skill.</p><p><strong>The clinical trials registration: </strong>The study clinical trials registration is NCT03261492.</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":"145233606","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":"Analysis of facilitators of and barriers to enactment of state regulation of indoor tanning by minors.","authors":"Carolyn J Heckman, Anna Mitarotondo, David B Buller, Julia Berteletti, Kevin Schroth, Jerod L Stapleton, Robert P Dellavalle, Sophie J Balk, Shawna V Hudson","doi":"10.1093/tbm/ibaf044","DOIUrl":"https://doi.org/10.1093/tbm/ibaf044","url":null,"abstract":"<p><strong>Background: </strong>Indoor tanning (IT) causes skin cancers, including potentially deadly melanoma. IT often starts during youth, a critical time for deleterious skin damage. About half of the US states have enacted laws banning IT for minors under age 18.</p><p><strong>Purpose: </strong>This study reports qualitative findings from interviews with key informants (KIs) involved in IT legislative efforts to identify/describe factors influencing law enactment, based on the multiple streams framework.</p><p><strong>Methods: </strong>Guided by expert advisors and using snowball-sampling, KIs from 16 states with most recently enacted IT laws regulating minor access and states without restrictions were contacted. In virtual interviews, KIs shared their unique \"story\" of IT bill efforts, enactment, implementation, impact, and potential future directions, which were transcribed and qualitatively coded by trained staff.</p><p><strong>Results: </strong>Although KI roles (e.g. legislators, advocates, clinicians, and melanoma survivors; n = 64) and legislative processes vary by state, similar facilitators and barriers to IT bill passage were identified: personal stories, advocacy, opposition, preparation, legislator education, economic/enforcement issues, bill stringency, political values/partisanship, and legislative process. Other factors influencing bill enaction included failed Food and Drug Administration attempts toward federally banning minor IT and competing priorities.</p><p><strong>Conclusions: </strong>Despite evidence of laws' impact on minors' IT, policy enaction is challenging and slow. Understanding key facilitators and barriers may help advocates to advance legislation efforts. Advocating for stringent laws necessitates consideration of potential downstream effects. For example, even with policy enactment, KIs believed enforcement and compliance were likely insufficient and variable, with minors continuing to indoor tan, putting them at risk for potentially deadly skin cancer.</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":"145226157","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}