Translational Behavioral Medicine最新文献

{"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":"Stakeholder-informed refinement of a behavioral sleep/circadian intervention for gynecologic cancer survivors: an application of the MOST preparation phase.","authors":"Rina S Fox, Krista Brandon, Terry A Badger, Julia S Gaumond, Ana Acuña Morales, Jason C Ong, Sairam Parthasarathy, Christine Rini, Phyllis C Zee, Edward J Tanner, Sonia Ancoli-Israel, Frank J Penedo, Juned Siddique, Lisa M Wu, Kathryn J Reid, Karen Kaiser","doi":"10.1093/tbm/ibaf001","DOIUrl":"10.1093/tbm/ibaf001","url":null,"abstract":"<p><strong>Background: </strong>Sleep disturbance is among the most frequent and distressing symptoms reported by gynecologic cancer survivors. Existing evidence-based behavioral sleep interventions are limited by implementation burden, which can decrease adherence.</p><p><strong>Purpose: </strong>As part of the preparation phase of the multiphase optimization strategy (MOST), this study solicited stakeholder feedback to maximize adherence in a planned behavioral sleep/circadian intervention optimization trial.</p><p><strong>Methods: </strong>Thirteen post-treatment survivors of early-stage gynecologic cancer completed the protocol for the planned optimization trial, including simultaneous receipt of all candidate intervention components. This included six weeks of combined sleep restriction, stimulus control, and systematic exposure to morning bright light. Participants then completed a semi-structured interview to provide feedback on their experience. We used a rapid analytic approach to quickly identify actionable feedback from de-identified transcripts.</p><p><strong>Results: </strong>Participants generally reacted positively to the intervention components. Actionable feedback identified recommended protocol modifications and was categorized into four overarching themes: (i) remove barriers to engagement; (ii) revise for clarity; (iii) augment content; and (iv) consider individual circumstances.</p><p><strong>Conclusions: </strong>Rapid qualitative analysis enabled us to effectively modify our planned study protocol on an expedited timeline. This approach is consistent with the core principles of MOST and can be incorporated into the Preparation phase to enhance optimization efforts.</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/PMC11795304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190998","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":"Using document analysis methods and implementation science frameworks to conduct a process evaluation of the community asthma program on the Navajo Nation.","authors":"Ashley A Lowe, Priyanka Ravi, Bryan Hudson, Elvira Begay, Buffy Tso, Andrew H Liu, Bruce G Bender, Lynn B Gerald, Diane K King","doi":"10.1093/tbm/ibaf056","DOIUrl":"10.1093/tbm/ibaf056","url":null,"abstract":"<p><strong>Background: </strong>Asthma affects approximately 8.2% of United States school-aged children, with a significantly higher prevalence among socioeconomically disadvantaged minority children. Among Diné (Navajo) children living on the Navajo Nation, asthma rates exceed 20%. The community asthma program (CAP) was developed in partnership with the Navajo Nation following a year-long community engagement process. CAP is a 7-year, multicomponent, evidence-based intervention designed to improve asthma management within Indian Health Service facilities and Diné K-12 schools.</p><p><strong>Purpose: </strong>This study evaluates CAP's implementation processes and outcomes using document analysis, guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and Consolidated Framework for Implementation Research (CFIR) frameworks. We describe our data sources, coding methods, and their contributions to understanding implementation, as well as discuss strengths, limitations, and implications for process evaluation.</p><p><strong>Methods: </strong>CAP research documents were collected from the 2017 community engagement period through the intervention's conclusion in 2023. When COVID-19 limited access to implementation settings, additional data sources, including email correspondence and meeting minutes, were analyzed using document analysis to examine activities, experiences, and attitudes related to CAP implementation.</p><p><strong>Results: </strong>Multiple data sources, including RE-AIM forms, staff interviews, and research team documents, identified key process indicators and explanatory factors. While these sources provided valuable context, system- and provider-level fidelity indicators are needed to fully assess intervention reach and quality.</p><p><strong>Conclusions: </strong>Findings underscore the importance of collecting process data throughout implementation and leveraging diverse data sources to capture the local implementation context comprehensively.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration # NCT03377647.</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/PMC12483548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201924","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":"Using the behavior change technique ontology to characterize the content of implementation strategies: a secondary analysis of 151 trials targeting evidence-based nursing practice.","authors":"Charlene Weight, Rachael Laritz, Simonne E Collins, Meagan Mooney, Billy Vinette, Sonia A Castiglione, Nicola Straiton, Gabrielle Chicoine, Shuang Liang, Kristin Konnyu, Marie-Pierre Gagnon, Sonia Semenic, Sandy Middleton, Natalie Taylor, Vasiliki Bessy Bitzas, Nathalie Folch, Brigitte Vachon, Geneviève Rouleau, Andrea Patey, Nicola McCleary, Joshua Porat-Dahlerbruch, Guillaume Fontaine","doi":"10.1093/tbm/ibaf046","DOIUrl":"10.1093/tbm/ibaf046","url":null,"abstract":"<p><strong>Background: </strong>Implementation strategies are essential for translating evidence into routine clinical practice. Their effectiveness depends on specifying and deploying behavior change techniques (BCTs): observable, irreducible components that target determinants of clinician behavior. The Behavior Change Technique Ontology (BCTO) standardizes the identification and labeling of BCTs, yet it has been applied only sparingly in implementation research to date.</p><p><strong>Purpose: </strong>To characterize the nature and extent of BCTs explicitly reported or retrospectively identified in implementation trials that targeted evidence-based nursing practice.</p><p><strong>Methods: </strong>In this secondary analysis of a prior systematic review, we coded BCTs across 151 implementation trials with a manual derived from the 281-item BCTO. One to two coders per study applied coding rules in NVivo; disagreements were resolved by consensus. Feasibility indicators included coder certainty (\"Definitely\" vs \"Probably\" present) and the need for extra coding rules.</p><p><strong>Results: </strong>Trials contained 907 BCT instances: 857 in intervention arms, 50 in controls. We identified 100 of the BCTO's 281 techniques (35.6%), spanning 17 of its 20 parent groups. Intervention arms featured a median of four BCT instances (IQR 3-7) and four unique BCTs (IQR 3-5). The five most common BCTs were Instruct how to perform behavior (n = 273), Arrange informational support (n = 127), Deliver informational support (n = 83), Demonstrate behavior (n = 62), and Practice behavior (n = 43). Only 37% of BCT instances were coded with high certainty, and 17 supplementary decision rules were required for consistent coding.</p><p><strong>Conclusions: </strong>Implementation strategies targeting nursing practice rely on instructional and informational BCTs, with limited use of goal-directed, feedback-intensive or context-altering techniques that could enhance impact.</p><p><strong>Clinical trial information: </strong>The Clinical Trials 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/PMC12456733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132251","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":"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":"Barriers and facilitators to providing sexual health programming at community colleges across the United States: a qualitative study with administrators, faculty, and staff.","authors":"Reina Evans-Paulson, Christina V Dodson, Tracy M Scull, Allison M Schmidt, Jada Green, Janis B Kupersmidt","doi":"10.1093/tbm/ibaf038","DOIUrl":"10.1093/tbm/ibaf038","url":null,"abstract":"<p><strong>Background: </strong>Community college students are in need of sexual health programming. Unfortunately, community colleges are less likely than 4-year colleges to provide such programming, and very little research has focused on understanding the factors influencing sexual health program implementation at community colleges.</p><p><strong>Purpose: </strong>To examine the barriers and facilitators to adoption, implementation, and sustainability of student-facing sexual health programming at community colleges.</p><p><strong>Methods: </strong>Using data from interviews with a convenience sample of 32 community college administrators, faculty, and staff from 23 campuses in the United States, we conducted thematic analysis. Six major themes were identified.</p><p><strong>Results: </strong>College budgets are limited and resources specifically dedicated to sexual health promotion are needed. Buy-in from upper-level administrators is often required to approve programming, and personnel that champion student health are critical to successfully implementing programs. Unfortunately, many champions are overworked and unable to sustainably manage additional responsibilities. Colleges are interested in implementing programming that students want and that addresses their students' needs. However, participants perceived that students will not participate in optional programming and many colleges are hesitant to implement mandatory student programming as this is perceived as a barrier to student graduation. Finally, colleges' decision to implement sexual health programming is often tied to the presence of on-campus housing; thus, commuter students are especially in need of resources.</p><p><strong>Conclusions: </strong>These findings highlight the importance of internal factors that facilitate or hinder the implementation of sexual health programming at community colleges and suggest the need for college-level efforts to effectively implement programming.</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":"144849367","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":"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":3.0,"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":"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":3.0,"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":"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":3.0,"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}