Translational Behavioral Medicine最新文献

{"title":"Building research evidence for advancing prevention and translation: reflecting on a 20-year organizational approach of applied chronic disease preventive health research.","authors":"Blythe J O'Hara, Lesley King, Adrian E Bauman, Philayrath Phongsavan","doi":"10.1093/tbm/ibaf090","DOIUrl":"10.1093/tbm/ibaf090","url":null,"abstract":"<p><strong>Background: </strong>Translating public health research into practice remains challenging despite ongoing focus on evidence-based approaches. This study profiles the scope of research undertaken by the Prevention Research Collaboration (PRC), a university based applied public health research organization, with funding from both traditional academic sources and from policy agencies, and examines how it contributed to a translational, evidence-building approach in chronic disease prevention.</p><p><strong>Methods: </strong>We analyzed PRC's research output using two complementary approaches: (i) a review of journal articles published from 2018 to 2024 where PRC researchers were lead or senior authors; and (ii) an examination of annual reports and workplans from 2013 to 2023 to identify major research programs. Research was classified according to public health evidence-building typology and whether it was investigator-initiated or policy-initiated.</p><p><strong>Results: </strong>Overall, investigator-initiated research was dominant amongst journal publications, and particularly showcased problem definition studies. Intervention evaluation, as identified in journal publications and internal documents, was more likely to be policy-initiated. PRC demonstrated a high degree of collaboration with policy and practice professionals (42.5% of investigator-initiated and 50% of policy-initiated publications included policy co-authors). Key research areas across chronic disease prevention included physical activity (40.4% of publications), obesity prevention (14.2%), and tobacco control (12.8%).</p><p><strong>Conclusion: </strong>This case study demonstrates that a small public health research group can successfully navigate the research-policy interface over a sustained period. PRC's continuity of management, staffing and funding arrangements, plus shared agenda and strong partnership with government, are considered to be key enabling factors for this collaborative evidence-building public health approach.</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/PMC12798541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967332","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":"Evaluation of goal setting and behavior change training for transition care case managers using Kirkpatrick's Model.","authors":"Natasha Reid, Sakshi Chopra, Salih Salih","doi":"10.1093/tbm/ibag015","DOIUrl":"https://doi.org/10.1093/tbm/ibag015","url":null,"abstract":"<p><strong>Background: </strong>The transition care program (TCP) is a multidisciplinary, restorative care and rehabilitation program designed to support older adults in regaining functional independence. The integration of goal-setting and behavior change techniques in transition care can help support the uptake of health-related behaviors among older adults to optimize functional and cognitive health outcomes, although standardized education in TCP is not available.</p><p><strong>Purpose: </strong>We developed a goal-setting training module for case managers and therapists to address this need and evaluated its efficacy in improving learning outcomes, including knowledge and skills, of transition care staff.</p><p><strong>Methods: </strong>The study used an uncontrolled, paired samples, pre- and post-test design. The 2-h workshop was delivered by two researchers for case managers and therapists across three TCP sites to build on their existing behavior change and goal-setting knowledge and skills. The training was based on theoretical (e.g. presentation) and practical (e.g. hands-on case series) frameworks delivered using interactive instructional strategies. Data from pre-training and post-training surveys were collected to evaluate the efficacy of the training using Kirkpatrick's evaluation model at levels 1 (reaction) and 2 (learning outcomes).</p><p><strong>Results: </strong>Out of 69 case managers who completed the pre-survey, two-thirds had less than three years of transition care experience. Case managers and therapists rated satisfaction with training content, materials, and delivery above the 75th percentile. In paired analyses (n = 53), pre- to post-training means [mean difference(CI)] improved for SMART goals (1.15 [0.61, 1.79]), action & coping planning (3.00 [2.16, 3.83]), motivational interviewing (1.31 [1.30, 3.50]), behavior change techniques (2.16 [1.30, 3.00]), attitude (0.73 [0.11, 1.34]), and confidence (1.60 [0.80, 2.39]); Bonferroni-adjusted tests indicated significant improvements for all domains except attitude.</p><p><strong>Conclusions: </strong>Case managers' reported post-training improvement in overall knowledge, skills and confidence scores, which might suggest the effectiveness of the training in improving goal setting and behavior change techniques in transition care.</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":"147700243","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 the quality of lactation accommodation policies in California's higher education system.","authors":"Kacie C A Blackman, Skye Shodahl, Trevor A Pickering, Maya Habash, Lisa G Bandong","doi":"10.1093/tbm/ibag009","DOIUrl":"10.1093/tbm/ibag009","url":null,"abstract":"<p><strong>Background: </strong>Aligned with Title IX of the US Department of Education, the State of California requires public colleges and universities to provide lactating student parents access to a private, secure room that is not a restroom to express breastmilk or to breastfeed. Indirect reviews of current lactation policies within these colleges and universities do not assess the quality of the policies. High-quality policies are essential not just for compliance but also for providing meaningful support that addresses the unique needs of lactating student parents.</p><p><strong>Purpose: </strong>This study evaluated the quality of higher education lactation policies in California for comprehensiveness (i.e. breadth of areas covered) and strength (i.e. degree to which policies included specific and clear language) and to score these policies for comparative analyses.</p><p><strong>Methods: </strong>Through a policy coding tool (70 content items among 14 domains), all schools within the California State University (CSU) and University of California (UC) systems and a subset of private universities in California (n = 33) were evaluated.</p><p><strong>Results: </strong>Overall, lactation policies demonstrated greater comprehensiveness than strength. CSUs scored significantly higher across all domains for comprehensiveness and strength of lactation policies (vs. other universities). Additionally, there were almost no strength/comprehensive policies in the education or tools domains.</p><p><strong>Conclusion: </strong>While results indicate progress within the CSU system, lactation policies overall still lack the specific, enforceable language needed for greater effectiveness. Next steps include identifying the level of implementation of lactation policies and ways to increase communication of these policies to lactating students.</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/PMC13070607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677929","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":"Position statement: congress must put an end to unlawful NIH grant cancellations.","authors":"Joanna Buscemi, Elise Betkowski, Tetyana Krutsik, Jasrah Ali, Mary Takgbajouah, Alex O'Donnell","doi":"10.1093/tbm/ibaf070","DOIUrl":"https://doi.org/10.1093/tbm/ibaf070","url":null,"abstract":"<p><p>The National Institutes of Health (NIH) supports critical biomedical and behavioral health research conducted in the United States through grant funding every year. Recently, several NIH grants that had been awarded and passed full scientific peer review were suspended or canceled with little scientific or performance rationale. As a result of the NIH grant suspensions, important research related to Cancer, COVID-19, and mental health, among others, have been affected, with a loss of at least $643 million in funding. The grant suspensions have halted clinical trials in progress, and could be setting back important biomedical trials and research related to chronic disease, including cardiovascular disease and diabetes, which could benefit the public. While the grant cuts have been claimed to be due to a lack of scientific validity, rigor, or public benefit, these assertions are contrary to the findings of the NIH, researchers, and experts in the field who were initially involved in evaluating and awarding the grants. In order to prevent further unwarranted grant cancellations, we ask congress to consider holding oversight hearings regarding the NIH grant suspensions. Additionally, we ask that they introduce or support legislation that would help to prevent further unjustified grant suspensions and secure predictable funding for biomedical and behavioral health research. Congress must prevent the termination of NIH research grants that have already been awarded through lawful, competitive processes. Legislators must use their constitutional spending authority to ensure agencies execute appropriated funds, to ensure funding efficiency, life-saving medical innovation, and US scientific competitiveness globally. Lay summary Grants awarded by the National Institutes of Health (NIH) for health research, including research on vaccines and health disparities, have been suspended after going through the process of peer review and being awarded a grant. The reasons for the grant suspensions go against the findings of the NIH on the scientific validity, importance, and benefit to the public of the research being conducted, with a lack of justification being given to congress, the researchers, or the public. To address the NIH grant cancellations and try to prevent further suspensions, we ask congress to initiate hearings focused on the grant cancellations and introduce legislation to prevent unwarranted grant cancellations in the future.</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":"145423293","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":"\"We didn't turn away people\": Perspectives of key informants at stakeholder agencies in San Diego County, CA in meeting the food insecurity demands during the COVID-19 pandemic.","authors":"Courtney E Smith, Katia Enns, Trisha Molina, Edgar B Doolan, Amanda C McClain","doi":"10.1093/tbm/ibaf016","DOIUrl":"10.1093/tbm/ibaf016","url":null,"abstract":"<p><strong>Background: </strong>The increase in food insecurity (FI) during the COVID-19 pandemic resulted in greater demand for food- and nutrition-related services. Yet, little is known about the experiences of local food- and nutrition-related agencies and how they responded to address the increased need.</p><p><strong>Purpose: </strong>We aimed to elucidate the perspectives and experiences of key informants from diverse food- and nutrition-related stakeholder agencies in addressing FI in San Diego County, CA during the COVID-19 pandemic.</p><p><strong>Methods: </strong>The Socioecological Model and a capacity-oriented approach informed this qualitative study. Trained researchers conducted semi-structured interviews virtually on Zoom with 20 key informants from 14 food- and nutrition-related stakeholder agencies and analyzed data using thematic content analysis.</p><p><strong>Results: </strong>Three linked themes emerged relating to how agencies addressed FI during the COVID-19 pandemic: (i) the pandemic uniquely influenced the agencies and the services they provided by presenting both challenges (e.g. limited in-person contact created distinct barriers) and opportunities (e.g. charitable contributions and federal funding increased); (ii) agencies leveraged new and existing within-agency capacities (e.g. adaptability, volunteers) and across-agency partnerships to address the increased demand; and (iii) agencies became forward-thinking as a result of the pandemic (e.g. focused on intentional and innovative strategic goals).</p><p><strong>Conclusions: </strong>The COVID-19 pandemic influenced how food- and nutrition-related stakeholder agencies provided services, leading agencies to create new and leverage existing within-agency capacities and across-agency partnerships and to prioritize forward-thinking goals. Future research should consider the long-term implications of the pandemic on the effectiveness of agency services.</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/PMC12169343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192396","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 a sleep hygiene intervention for individuals with poor sleep and their companions: Results of a randomized controlled pilot trial.","authors":"Irina Mindlis, Brett M Millar, Ana Chkhaidze, Brandon Fernández Sedano, Jovanka Noel, Tracey A Revenson","doi":"10.1093/tbm/ibae055","DOIUrl":"10.1093/tbm/ibae055","url":null,"abstract":"<p><p>Sleep is a major health issue for young adults. While sleep hygiene interventions have small-to-moderate effects, better outcomes might be achieved by delivering interventions individually to those reporting sleep difficulties, or in the presence of a supportive other or companion. To examine the feasibility, acceptability, and initial effects of an adapted sleep hygiene intervention for young adults with poor sleep, we conducted an ORBIT Phase IIb pilot randomized controlled trial (n = 51). Young adults with poor sleep were randomized to receive a sleep hygiene intervention individually or with a companion. Sleep patterns were measured at baseline and 4 weeks. Participants completed daily dairies and wore wearable devices for the month following the intervention. Attrition at follow-up was minimal (3.9%), and missing rates were low for diary data (8%), and in line with prior studies for wearable devices (14%). Participants expressed high levels of satisfaction with the study, with no differences between study arms. Significant effects were found postintervention for all participants, indicating improved sleep quality (t = 6.14, P < .001), greater sleep duration (t = 3.8, P < .001), and reduced daytime sleepiness (t = 2.13, P = .039). There were no significant differences in sleep efficiency pre and postintervention, or between study arms for any sleep outcome based on self-reported and objective data. Results from this pilot provide evidence for the feasibility and acceptability of a sleep hygiene intervention for young adults and lay the groundwork for a larger, fully powered study.</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":"142478118","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":"Process evaluation of the Hockey Fans in Training lifestyle intervention (for men with overweight or obesity).","authors":"Wendy M Blunt, Marisa L Kfrerer, Dawn P Gill, Katie J Shillington, Brendan Riggin, Jennifer D Irwin, Brooke Bliss, Robert J Petrella","doi":"10.1093/tbm/ibaf002","DOIUrl":"10.1093/tbm/ibaf002","url":null,"abstract":"<p><strong>Background: </strong>Despite the proven relationship between lifestyle and morbidity and mortality, rates of chronic disease (e.g. obesity) continue to rise in paradox to the myriad of studies supporting lifestyle behaviour change. Men have been less likely to seek out preventative care or lifestyle programs, putting them at risk. In response, Hockey Fans In Training (Hockey FIT) was developed as a group-based, lifestyle intervention leveraging the draw of hockey fandom to engage middle-aged men with overweight or obesity in lifestyle change. Encouraging pilot study results informed the optimization and delivery of the intervention through a cluster randomized controlled trial in 42 sites in Canada and the USA.</p><p><strong>Methods: </strong>A process evaluation was conducted to evaluate intervention acceptability and fidelity and adaptations. Community-based sites were randomly allocated to Hockey FIT intervention (immediate program start) or wait-list control (12-month delay). Qualitative process evaluation data were collected from intervention sites and included seven virtual participant focus groups and one interview (n = 35 participants), open-ended participant feedback questionnaires (n = 316), interviews with program coaches (n = 22), post-session coach reflections (n = 233), and interviews with implementation partners (n = 16). A process of content analysis by question was performed and data saturation was reached.</p><p><strong>Results: </strong>Themes fell into the following categories: (i) motivations for joining Hockey FIT; (ii) effective program components; and (iii) adaptations and suggested improvements.</p><p><strong>Conclusions: </strong>The process evaluation detailed success engaging men in lifestyle change using sport fandom, and the importance of capitalizing further on competition within groups to drive behavioural change through user-friendly supports and greater engagement with hockey.</p><p><strong>Clinical trial information: </strong>ClinicalTrials.gov. ID: NCT03636282.</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/PMC11833241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the potential public health impact of Vida Sana using the RE-AIM framework: a longitudinal qualitative study.","authors":"Megan A Lewis, Laura K Wagner, Lisa G Rosas, Nan Lv, Elizabeth M Venditti, Patricia Zavella, Jun Ma","doi":"10.1093/tbm/ibaf067","DOIUrl":"10.1093/tbm/ibaf067","url":null,"abstract":"<p><strong>Background: </strong>Vida Sana is an evidence-based, culturally adapted weight management program based on Social Cognitive Theory for Latino adults classified as overweight with metabolic syndrome or prediabetes. Few studies have evaluated the implementation potential of these types of interventions conducted in clinical settings that seek to support weight management and reduce metabolic risk among Latino adults.</p><p><strong>Purpose: </strong>To use the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to understand implementation barriers and facilitators among multiple groups (patients, physicians, health coaches, recruiters) to guide future intervention refinement and delivery.</p><p><strong>Methods: </strong>A longitudinal qualitative implementation evaluation was conducted to contextualize the results of the Vida Sana Hybrid Type 1 trial. Semistructured interviews were conducted with a subsample of 15% (n = 28) randomly selected main trial participants (patients) at baseline, 12 months (end of intervention), and 24 months (end of follow-up). Two health coaches and two physician champions were also interviewed. Four recruiters completed brief feedback forms. A framework analysis was conducted to analyze themes (RE-AIM domains) and deductive codes and to develop subthemes for each RE-AIM domain across time and group type.</p><p><strong>Results: </strong>Analyses identified important implementation barriers and facilitators across RE-AIM domains potentially linked to Vida Sana's success. Patients indicated the intervention facilitated knowledge, skills, and self-monitoring for managing diet, physical activity, and weight. Barriers that may need to be addressed to increase effectiveness and sustainability include better health system supports. Although cultural adaptation was mentioned as supporting effectiveness, additional adaptations may be needed to maintain behavioral changes.</p><p><strong>Conclusions: </strong>Vida Sana is implementable in primary care settings. Patients, clinicians, and study staff identified factors across RE-AIM dimensions that could increase the public health impact of the intervention by addressing barriers and building on facilitators.</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/PMC12613243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507627","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":"How to integrate and leverage digital health modalities for health promotion in early childhood education: Opportunities to improve intervention access and engagement.","authors":"Chelsea L Kracht, Alison Tovar, Kim M Gans, Rebecca E Lee, Pooja S Tandon, Tayla von Ash, Lucine Francis","doi":"10.1093/tbm/ibaf006","DOIUrl":"10.1093/tbm/ibaf006","url":null,"abstract":"<p><p>Early childhood education (ECE) settings are important for the development of children's healthy eating and physical activity behaviors. Efforts to disseminate and implement health behavior promotion strategies in ECE settings have seldom optimized digital health, a missed opportunity highlighted by the COVID-19 pandemic. In this commentary, we discuss previous efforts to shift ECE-based health behavior programs to digital health modalities, notable opportunities for digital health in these settings, and a multilevel perspective to support future efforts. We propose future directions in digital health literacy, reaching various ECE settings, implementation science, and community partnerships to expand the use of digital interventions.</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/PMC11967918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574525","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":"Testing a Push-Pull model: community-based dissemination of oral HIV self-testing.","authors":"Joseph A Catania, M Margaret Dolcini, Ashley C Schuyler, Jonathan Garcia, E Roberto Orellana, Christina Sun, Edgar Mendez, Tony Diep, Tara Casey, Jesse Canchola, Lance Pollack, Christopher Hamel, Mia Tognoli, Nell Carpenter, Jeffrey D Klausner","doi":"10.1093/tbm/ibaf011","DOIUrl":"10.1093/tbm/ibaf011","url":null,"abstract":"<p><strong>Background: </strong>The Push-Pull-Infrastructure (PPI) model is proposed as a strategy for disseminating health innovations. Using a PPI model, we developed and examined the feasibility of a community-based intervention to disseminate oral human immunodeficiency virus (HIV) self-testing (OHST) to men who have sex with men in Portland, OR.</p><p><strong>Methods: </strong>We disseminated OHST kits through a network of commercial businesses (n = 6) serving the Lesbian, Gay, Bisexual, Transgender, and Queer plus community. Data were collected weekly on the number of kits distributed. Street intercepts were conducted with customers to assess the impact of promotional efforts on intervention awareness. Using a quasi-experimental design, we examined variation in the intensity of the promotional component on OHST dissemination.</p><p><strong>Results: </strong>Over a 24-week period, we disseminated 2698 OHSTs. Dissemination rates were found to vary significantly with the intensity of the promotional campaign in a dose-response manner (e.g. high intensity = more dissemination). Customer awareness of the campaign increased significantly in the first 9 weeks (from 22% to 60%, P < .001). Within the geographic area studied, we found our dissemination rate to be comparable to or in excess of rates obtained by other county-level HIV-testing programs (i.e. 2698 OHSTs vs. 2561 in-person clinic-based tests; vs. 78 OHSTs disseminated online).</p><p><strong>Conclusions: </strong>A PPI model based on a community commercial network approach was highly successful. The promotional component successfully increased customers' awareness of the intervention. Formative work, using a single-case changing-intensity design, provided evidence that warrants more extensive research on strategies for mounting a promotional component that builds on the principle of \"more for less.\"</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/PMC12010876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026588","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}