Translational Behavioral Medicine最新文献

{"title":"Effects of a leadership-focused implementation strategy on uptake of digital measurement-based care in mental health clinics: a cluster randomized trial.","authors":"Nathaniel J Williams, Gregory A Aarons, Mark G Ehrhart, Nallely Vega, Steven C Marcus","doi":"10.1093/tbm/ibag007","DOIUrl":"10.1093/tbm/ibag007","url":null,"abstract":"<p><strong>Background: </strong>Leaders of healthcare organizations are often called on to guide the implementation of new innovations, including evidence-based practices and digital health technologies. However, many leaders lack preparation for this role and most available leadership trainings have not been rigorously tested, particularly over periods incorporating multiple implementation phases.</p><p><strong>Purpose: </strong>This study tested the effects of the Leadership and Organizational Change for Implementation (LOCI) strategy on the uptake of digital measurement-based care (MBC) in mental health settings across 35 months, incorporating implementation and sustainment phases.</p><p><strong>Methods: </strong>In 21 outpatient mental health clinics serving youth, a two-arm, cluster randomized, hybrid type III effectiveness-implementation trial tested whether adding LOCI (k = 11) to standard digital MBC training and technical assistance (k = 10) improved uptake of digital MBC, assessed using system generated data and operationalized as clinic-level monthly counts of the number of youths with a measure administered and with feedback viewed by their clinician.</p><p><strong>Results: </strong>On both outcomes, clinics randomized to LOCI exhibited superior initial uptake (3 months post-baseline: mean difference in youths with measure administered per clinic (MYMA_Diff=5.09, 95% CI=[1.63-8.55]); mean difference in youths with feedback viewed per clinic (MYFV_Diff=3.81 [1.26-6.37]), superior uptake when the implementation phase concluded (13 months post-baseline: MYMA_Diff=9.03, [1.64-16.41]; MYFV_Diff=8.31 [3.07-13.56]), and superior uptake when the sustainment phase concluded (35 months post-baseline: MYMA_Diff=3.82 [1.28-6.36]; MYFV_Diff=1.41 [0.22-2.60]).</p><p><strong>Conclusions: </strong>LOCI is an effective approach for training organizational leaders to support implementation of evidence-based digital health technologies in healthcare settings. Studies examining how policy-level variables interact with leadership training are needed.</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/PMC13016732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460712","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":"Correction to: CHARMED Consortium, Applying behavior change theory to intervention design: promoting clinic-level implementation of self-measured blood pressure monitoring in safety net primary care settings.","authors":"","doi":"10.1093/tbm/ibag014","DOIUrl":"10.1093/tbm/ibag014","url":null,"abstract":"","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/PMC13064974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient and provider perspectives of Brief Cognitive Behavioral Therapy for Chronic Pain: a qualitative analysis of a pilot randomized controlled trial.","authors":"Mandy Conrad, Justin M Kimber, Dezarie Moskal, Vincent A Pietropaoli, Paul R King, Gregory P Beehler, Mandy Conrad, Justin M Kimber, Dezarie Moskal, Vincent A Pietropaoli, Paul R King, Gregory P Beehler","doi":"10.1093/tbm/ibag011","DOIUrl":"https://doi.org/10.1093/tbm/ibag011","url":null,"abstract":"<p><strong>Objective: </strong>Brief non-pharmacologic chronic pain treatments are largely effective and widely recommended for pain self-management. The purpose of this study was to evaluate veteran and provider perceptions of acceptability, appropriateness, and feasibility of Brief Cognitive Behavioral Therapy (Brief CBT-CP) content and materials to inform future implementation efforts in primary care and other integrated settings.</p><p><strong>Design: </strong>Qualitative analysis of data from a pilot randomized controlled trial (RCT).</p><p><strong>Setting: </strong>Two Veterans Affairs (VA) primary care clinics in the Northeast.</p><p><strong>Subjects: </strong>Veterans (n = 10) who completed Brief CBT-CP treatment, integrated behavioral health providers (IBHPs; n = 3 clinical social workers; n = 4 clinical psychologists), and primary care physicians (PCPs; n = 5).</p><p><strong>Method: </strong>Rapid Qualitative Analysis of semi-structured interview data.</p><p><strong>Intervention: </strong>Brief CBT-CP, an adapted intervention for chronic pain intended for use in primary care and other integrated care settings utilizing brief treatment modalities.</p><p><strong>Results: </strong>PCPs and IBHPs described Brief CBT-CP as highly acceptable and clinically useful, particularly in response to its focus on biopsychosocial pain self-management skills. Similarly, veterans pointed to the non-pharmacologic skills as a highly acceptable component of treatment. The intervention was also viewed as highly appropriate by providers who emphasized the treatment's alignment with the tenets of primary care, accessibility, and potential to strengthen stepped care adherence. Some providers suggested minor modifications to the content. Veterans regarded Brief CBT-CP as highly appropriate due to the customizability of the non-pharmacologic skills which helped them achieve their recovery goals while acknowledging that the primary limitation was the intervention's inability to completely eliminate pain. Providers, who viewed the intervention as practical overall, anticipated issues such as patient readiness and logistics as potentially impacting treatment uptake; veterans, however, perceived the intervention as feasible, favoring flexibility with scheduling.</p><p><strong>Conclusions: </strong>Veterans and providers endorsed Brief CBT-CP as a highly acceptable, highly appropriate, and generally feasible non-pharmacological behavioral pain treatment. Veterans described improvements across behavioral, cognitive, and affective domains including decreased pain levels, increased pain tolerance, improved functioning, and decreased stress related to pain.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #NCT03490981.</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":"147692883","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":"Organizational readiness for implementing comprehensive and tailored Veteran suicide prevention programming in community agencies.","authors":"Patricia D Russell, Joseph Mignogna, Lindsey L Monteith, Nathaniel Mohatt, Justin Benzer, Edgar Villarreal, Elisa Borah, Craig J Bryan, Kathryn Bongiovanni, Claire Hoffmire, Alan L Peterson, Jenna Heise, Sylvia Baack, Kimberly Weinberg, Marcy Polk, Bryann B DeBeer","doi":"10.1093/tbm/ibaf093","DOIUrl":"https://doi.org/10.1093/tbm/ibaf093","url":null,"abstract":"<p><strong>Background: </strong>Suicide rates among Veterans were over 70% higher than non-Veterans in 2022, and nearly 60% had not recently used the Veterans Health Administration (VHA). Veterans have unique experiences and healthcare needs. VHA provides military culturally competent suicide prevention care to Veterans. There is a lack of research demonstrating that community agencies are adequately prepared to provide military culturally competent care, when appropriate.</p><p><strong>Purpose: </strong>The purpose of this analysis was to understand organizational readiness and gaps related to providing military culturally competent Veteran suicide prevention programming in community agencies.</p><p><strong>Methods: </strong>Semistructured qualitative interviews were conducted with 24 Veteran-serving community agencies to assess each organization's interactions with and navigation of VHA and care coordination, suicide prevention policies, procedures, and quality improvement, staff training on suicide prevention and military cultural competency, Veteran status screening procedures, crisis line dissemination, and suicide prevention metric tracking.</p><p><strong>Results: </strong>Organizations lack awareness of their role in Veteran suicide prevention, and lack of readiness to implement comprehensive and military culturally competent Veteran suicide prevention programming. Salient implementation needs included: screening for Veteran status, collection of metrics, military cultural competency and suicide prevention training, Veterans Crisis Line dissemination, suicide prevention policies and standardized operating procedures, and care coordination between community agencies and VHA.</p><p><strong>Conclusions: </strong>Findings suggest a need to bolster intraorganizational readiness to provide comprehensive and tailored suicide prevention programming to Veterans receiving care in the community with the aim of strengthening a community-wide safety net to reduce Veteran suicide deaths.</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":"147277337","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 a community-based physical activity program within a randomized controlled trial: A confessional tale of philosophical and methodological tensions.","authors":"Naomi Maldonado-Rodriguez, Erica Bennett, Shelly Tognazzini, Mark Beauchamp, Hélène C F Côté, Melanie C M Murray, Angela Kaida, Eli Puterman","doi":"10.1093/tbm/ibag006","DOIUrl":"https://doi.org/10.1093/tbm/ibag006","url":null,"abstract":"<p><strong>Introduction: </strong>Randomized controlled trials (RCTs) are the gold standard design to evaluate physical activity interventions. Community-based participatory research (CBPR) approaches are increasingly embedded within RCTs to improve the application and impact of such interventions, particularly when they involve equity-owed communities. Longstanding critiques of this methodological fusion highlight key philosophical and methodological tensions between the underlying principles of CBPR and RCTs which may impact researchers' capacity to meaningfully conduct an RCT with a CBPR approach. Such critiques primarily revolve around differences in philosophical orientation (i.e. postpositivist vs. interpretivist/critical paradigms) and their impact on methods, procedures, and knowledge generation and outputs. Despite these critiques, little has been written about the realities of implementing an RCT using CBPR approaches and contending with these tensions in real time.</p><p><strong>Purpose: </strong>This study seeks to address this gap by describing our experiences designing and implementing a community-based dance program with, by, and for women living with HIV.</p><p><strong>Methods: </strong>Using a confessional tales approach, we reflect on the tensions between RCTs and CBPR and present our experiences delivering a dance program and our process in adapting and responding to the challenges we encountered.</p><p><strong>Results: </strong>Our reflections focus on three themes: (i) The importance of articulating values and axiological commitments; (ii) Navigating the complexities of building trust and emergent contextual factors; and (iii) Emphasizing capacity building to promote sustainability.</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":"147437013","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":"Refining interpretation of national trends in lung cancer screening discussions.","authors":"Nav La, Nathkapach K Rattanapitoon, Chutharat Thanchonnang, Schawanya K Rattanapitoon","doi":"10.1093/tbm/ibag012","DOIUrl":"https://doi.org/10.1093/tbm/ibag012","url":null,"abstract":"<p><p>This letter comments on Williamson et al.'s nationally representative analysis of patient-clinician discussions on LCS across the 2013-2021 USPSTF guideline periods. We highlight that changes in survey wording and approximated eligibility criteria may partially explain the reported decline in discussions, rather than a true reduction in clinician engagement. We emphasize the behavioral and measurement implications of terminology awareness and eligibility approximation, and propose analytic considerations for future surveillance efforts to support equitable translation of LCS guidelines.</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":"147677864","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":"Using EPIS and facilitation to support delivery of classroom-based physical activity interventions: a case study.","authors":"Rebecca E Hasson, Danielle Dros, Heidi Roy-Borland, Andria B Eisman, Penelope J Friday, Anna Schwartz, Hala I Abbas","doi":"10.1093/tbm/ibag005","DOIUrl":"https://doi.org/10.1093/tbm/ibag005","url":null,"abstract":"<p><strong>Background: </strong>Youth physical inactivity is a major public health concern, particularly in schools serving socioeconomically disadvantaged children. Classroom-based physical activity (PA) interventions offer structured, equitable opportunities for movement, but adoption-fidelity gaps persist. Implementation science frameworks can support schools in aligning interventions with local context and sustaining delivery.</p><p><strong>Purpose: </strong>This study examined the feasibility of using the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, paired with facilitation by trained regional school health coordinators, to guide classroom PA implementation in a Michigan elementary school.</p><p><strong>Methods: </strong>An EPIS-aligned implementation guide was developed and refined through a two-phase process to ensure theoretical grounding and practical applicability. Six coordinators were trained and evaluated the training using validated measures of acceptability, appropriateness, and feasibility. One coordinator facilitated InPACT implementation at a single school over 18 months, supporting pre-implementation, rollout, and early sustainment. Implementation was documented using the Hexagon Tool, RE-AIM, Plan-Do-Study-Act cycles, and routine administrative data.</p><p><strong>Results: </strong>Coordinators rated the training highly on all measures. In the pilot school, teachers delivered an average of three PA breaks per day, with lower-elementary classrooms averaging four and upper-elementary classrooms averaging two. Fidelity was supported through structured ramp-up, teacher training, technical assistance, and classroom tracking. Integration into school systems helped to fill gaps in the school district wellness policy. Behavioral referral data indicated a 34% reduction in minor classroom incidents over the first year of implementation.</p><p><strong>Conclusions: </strong>EPIS-guided implementation with facilitation is feasible for supporting adoption, fidelity, and early sustainment of classroom PA. Structured pre-implementation planning, phase-specific support, and alignment with school priorities are critical. Multi-site studies are needed to examine grade-specific strategies, fidelity variability, and long-term sustainment.</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":"147786514","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":"Mapping the type, frequency, intensity, temporality, and pathways of dissemination strategies during the national scale-up of TransformUs Secondary.","authors":"Anna Fitriani, Harriet Koorts, Ana María Contardo Ayala, Natalie Lander, Jess Orr, Nicole Martin-Alcaide, Jo Salmon","doi":"10.1093/tbm/ibaf089","DOIUrl":"10.1093/tbm/ibaf089","url":null,"abstract":"<p><strong>Background: </strong>Schools are ideal settings for implementing evidence-based physical activity interventions at scale due to their wide reach. However, dissemination strategies used to achieve scale are rarely reported.</p><p><strong>Purpose: </strong>This study aimed to describe the strategy type, frequency, intensity, temporality, and pathways used in disseminating the TransformUs Secondary initiative across Australia over the first 16 months of national scale-up.</p><p><strong>Methods: </strong>TransformUs Secondary is a whole-of-school initiative that targets behavioral, environmental, and pedagogical strategies inside and outside the classroom to reduce sedentary behavior and increase physical activity among adolescents aged 12-18 years. Since October 2023, the TransformUs team and 16 partner organizations collaboratively disseminated the initiative nationally. A dissemination activity log was used to record dissemination strategies, which were subsequently mapped post hoc to existing frameworks to categorize type, frequency, intensity, temporality, and pathways. Data are reported descriptively and graphically.</p><p><strong>Results: </strong>Between October 2023 and February 2025, 10 discrete strategies were identified, with the most frequent and intensive strategies being \"Promotion via mass media\" (33.2%, 110 person-hours), \"Develop educational materials\" (20.8%, 48 person-hours), and \"Maintain partner engagement\" (12.4%, 20 person-hours). Strategy frequency and intensity fluctuated and increased after the initiative launch, shifting the focus from targeting partner organizations to targeting school staff. Notably, 54.3% of dissemination strategies occurred via direct pathways to school staff.</p><p><strong>Conclusion: </strong>Reporting dissemination strategies and pathways clarifies how school-based interventions are scaled in practice, providing evidence to inform research, guide policy, and support effective implementation in schools.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #ACTRN12622000600741.</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/PMC12803782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mixed-methods first-year evaluation of implementation outcomes for a bottom-up osteoarthritis management program across healthcare settings in Ireland.","authors":"Clodagh M Toomey, Avantika Bhardwaj, Norelee Kennedy, Anne MacFarlane","doi":"10.1093/tbm/ibag017","DOIUrl":"10.1093/tbm/ibag017","url":null,"abstract":"<p><strong>Background: </strong>The Good Life with osteoArthritis Denmark (GLA:D®) non-profit initiative is a bottom-up approach to deliver evidence-based care, including exercise and education, to people with hip or knee osteoarthritis. GLA:D® was adapted for public and private healthcare in Ireland, using a participatory approach to co-design implementation strategies that would ensure optimal and equitable access.</p><p><strong>Purpose: </strong>To evaluate implementation outcomes of acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration and sustainability of GLA:D® Ireland across healthcare settings, in the first year.</p><p><strong>Methods: </strong>Mixed methods explanatory sequential design. GLA:D® training was advertised to physiotherapists in different healthcare settings around Ireland. Quantitative implementation outcomes were collected from the GLA:D® Ireland Registry. Semi-structured interviews were conducted with trained physiotherapists and participants and analyzed to identify themes.</p><p><strong>Results: </strong>In the first year, 32% of the 71 physiotherapists trained implemented GLA:D® in practice (n = 10 primary care, n = 2 public hospital, n = 3 private). Of 146 participants, 41% were from three sites with ≥1 physiotherapist trained. In interviews (10 physiotherapists, 9 participants), satisfaction with the structured nature that allowed individualization and self-management was reported. Physiotherapists used the program to tackle long waitlists and participants regained confidence to exercise. While equipment costs were low, more staffing and space were mediators for feasibility and sustainability across settings.</p><p><strong>Conclusions: </strong>While a high proportion of GLA:D® adopters were in primary care settings, penetration was more successful in public hospitals, with more resources and physiotherapists trained per site. Results suggest that implementation strategies could be adapted to incentivize training of multiple staff at one site and training of support staff. Top-down funding would help to ensure timely and equitable access to the program across healthcare 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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692911","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":"Improving the emotional wellbeing of university students through culturally adapted cognitive and dialectical behavioral group interventions: protocol for two parallel feasibility and effectiveness studies.","authors":"Ayse Akan, Nazli Hilal Korkut","doi":"10.1093/tbm/ibag010","DOIUrl":"10.1093/tbm/ibag010","url":null,"abstract":"<p><strong>Background: </strong>University is a period of increased vulnerability to mental health challenges, with anxiety and difficulties in emotion regulation among the most prevalent. Culturally adapted Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) group interventions can support student well-being, yet scalable options remain limited. To address this gap, group CBT for anxiety management and group DBT for emotion regulation were culturally adapted for university students in Türkiye. Adaptations involved revising content and language, removing culturally mismatched elements, and incorporating culturally relevant and age-appropriate material.</p><p><strong>Purpose: </strong>This project aims to assess the feasibility and effectiveness of delivering culturally adapted group CBT for anxiety management and group DBT for emotion regulation.</p><p><strong>Methods: </strong>The project includes three steps: (i) a comprehensive systematic review of group CBT and DBT interventions worldwide; (ii) translation, adaptation, localization, and development of 8-session group interventions; and (iii) implementation, data collection, and analysis. Participants are allocated to either the CBT group for anxiety management or the DBT group for emotion regulation.</p><p><strong>Results: </strong>Standardized measures of anxiety or emotion regulation are administered at baseline, post-intervention, and six-week follow-up for both experimental and waitlist arms. Qualitative data are collected through semi-structured interviews conducted after intervention completion.</p><p><strong>Conclusions: </strong>In this project, the feasibility and effectiveness of culturally adapted CBT and DBT group interventions for university students in Türkiye will be evaluated. Findings will inform wider-scale application of evidence-based therapies in university counseling centres in Global South and guide the design of a future randomized controlled trial.</p><p><strong>Clinical trials information: </strong>NCT07096154 and NCT07096141 on clinicaltrials.gov.</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/PMC13010273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505384","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}