Translational Behavioral Medicine最新文献

{"title":"Scale-up influences and definitions of scale-up 'success': evidence from globally scaled interventions.","authors":"Harriet Koorts, Jiani Ma, Samuel Cassar, Adrian Bauman, Mark Lawrence, Harry Rutter, Jo Salmon","doi":"10.1093/tbm/ibae063","DOIUrl":"10.1093/tbm/ibae063","url":null,"abstract":"<p><p>The World Health Organization ExpandNet framework for scaling up contains key recommendations to support the scaling of health interventions globally. Despite being widely used, it is not known how the framework informs intervention scale-up nor how 'successful' scale-up is defined. Using data from the Scaling Up InTErventions' study, this paper assessed adoption of framework components using an international sample of scaled-up physical activity and nutrition interventions, and explored individuals' definitions of scale-up 'success'. An online survey with academic, community, and government representatives involved in scaling physical activity and nutrition interventions globally. Survey questions (n = 27) corresponded to 32 components of the ExpandNet framework, reflecting four core areas: (i) intervention; (ii) user organization; (iii) resource team; and (iv) scale-up strategy. Data were analysed descriptively and qualitative free-text survey responses coded thematically. In total, 62 survey responses were obtained [academia (n = 32), community (n = 20), and government (n = 10)], corresponding to 35 scaled-up interventions. Only 8% of participants reported all 32 framework components during scale-up. Four core elements (containing eight themes) underpinned successful scale-up: (i) scaling inputs (e.g., sustained partner buy-in); (ii) scaling outputs (e.g., sustained, quality implementation); (iii) scaling outcomes (e.g., increased and equitable reach, improved organization and system capacity) and; (iv) scaling context (e.g., partner mental models, and a context-specific construct). There is no universal definition of successful scale-up. We propose core elements of 'successful scale-up' that could be used as criteria for scale-up planning and evaluation, and are applicable to other areas of public 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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392243","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":"Pass the Expanding Access To (EAT) Local Foods Act to promote farm viability and nutrition security.","authors":"Roger Figueroa, Elizabeth Perry, Gwyneth Frederick, Mildred Alvarado, Elizabeth Adams, Melanie K Bean","doi":"10.1093/tbm/ibaf003","DOIUrl":"10.1093/tbm/ibaf003","url":null,"abstract":"<p><p>The Society of Behavioral Medicine (SBM) supports passing the Expanding Access To Local Foods Act-a bill to promote economic opportunities for farmers and ranchers to strengthen local food supply chains, and to increase access to nutritious foods among households experiencing food insecurity and chronic disease risk.</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":"143392195","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":"Co-designing prediction data visualizations for a digital binge eating intervention.","authors":"Adrian Ortega, Isabel R Rooper, Thomas Massion, Chidibiere Azubuike, Lindsay D Lipman, Tanvi Lakhtakia, Macarena Kruger Camino, Leah M Parsons, Emily Tack, Nabil Alshurafa, Matthew Kay, Andrea K Graham","doi":"10.1093/tbm/ibaf009","DOIUrl":"10.1093/tbm/ibaf009","url":null,"abstract":"<p><strong>Background: </strong>Digital interventions can leverage user data to predict their health behavior, which can improve users' ability to make behavioral changes. Presenting predictions (e.g. how much a user might improve on an outcome) can be nuanced considering their uncertainty. Incorporating predictions raises design-related questions, such as how to present prediction data in a concise and actionable manner.</p><p><strong>Purpose: </strong>We conducted co-design sessions with end-users of a digital binge-eating intervention to learn how users would engage with prediction data and inform how to present these data visually. We additionally sought to understand how prediction intervals would help users understand uncertainty in these predictions and how users would perceive their actual progress relative to their prediction.</p><p><strong>Methods: </strong>We conducted interviews with 22 adults with recurrent binge eating and obesity. We showed prototypes of hypothetical prediction displays for 5 evidence-based behavior change strategies, with the predicted success of each strategy for reducing binge eating in the week ahead (e.g. selecting to work on self-image this week might lead to 4 fewer binges while mood might lead to 1 fewer). We used thematic analysis to analyze data and generate themes.</p><p><strong>Results: </strong>Users welcomed using prediction data, but wanted to maintain their autonomy and minimize negative feelings if they do not achieve their predictions. Although preferences varied, users generally preferred designs that were simple and helped them quickly compare prediction data across strategies.</p><p><strong>Conclusions: </strong>Predictions should be presented in efficient, organized layouts and with encouragement. Future studies should empirically validate findings in practice.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #: NCT06349460.</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/PMC11942788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting community translation of lung cancer screening: A web-based decision aid to support informed decision making.","authors":"Jamie L Studts, Richard S Thurer, Christina R Studts, Margaret M Byrne","doi":"10.1093/tbm/ibae073","DOIUrl":"10.1093/tbm/ibae073","url":null,"abstract":"<p><strong>Background: </strong>Results of the National Lung Screening Trial create the potential to reduce lung cancer mortality, but community translation of lung cancer screening (LCS) has been challenging. Subsequent policies have endorsed informed and shared decision-making and using decision support tools to support person-centered choices about screening to facilitate implementation. This study evaluated the feasibility and acceptability of LuCaS CHOICES, a web-based decision aid to support delivery of accurate information, facilitate communication skill development, and clarify personal preferences regarding LCS-a key component of high-quality LCS implementation.</p><p><strong>Methods: </strong>Using a parallel groups randomized trial, the study investigated the feasibility and acceptability of LuCaS CHOICES decision aid in comparison to the National Cancer Institute's Lung Cancer Screening website. Three waves of self-report data were collected: baseline (PRE), 2 weeks post-baseline (POST), and 4 months post-baseline (FOL). Participant accrual and intervention access data were also collected to evaluate methodological feasibility for conducting a larger subsequent trial.</p><p><strong>Results: </strong>Participants assigned to LuCaS CHOICES (n = 25) and the NCI website (n = 25) interventions reported similar, favorable levels of intervention feasibility and acceptability that exceeded a priori criteria. Methodological feasibility was partially supported for the proposed accrual and retention goals, but accrual was slower than hypothesized, and documented exposure to the digital interventions was suboptimal per a priori standards.</p><p><strong>Conclusions: </strong>Overall, both interventions demonstrated intervention feasibility and acceptability. In addition, the proposed methods achieved desired levels of retention and overall data collection. Modifications to enhance intervention engagement should be explored prior to further testing. Subsequent steps involve conducting a randomized clinical trial to evaluate the effect of LuCaS CHOICES on informed decision making and preference-concordant screening behavior, supporting LCS translation into community settings.</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/PMC11736779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014603","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":"The impact of online ordering on food security in a food pantry system in New York City.","authors":"Pasquale Rummo, Stella Yi, Carla Seet, Leah Strahs, Justin Kong, Dickran Jebejian, Brian Elbel","doi":"10.1093/tbm/ibaf031","DOIUrl":"10.1093/tbm/ibaf031","url":null,"abstract":"<p><strong>Background: </strong>Online ordering in food pantries may support food security among adults with low socioeconomic status.</p><p><strong>Purpose: </strong>Determine the impact of a transition from in-person ordering to online ordering on the food security status of food pantry clients.</p><p><strong>Methods: </strong>For this quasi-experimental study, we recruited participants from Met Council's Kosher Food Network in New York City, including one pantry in Staten Island (intervention) and three pantries in the Bronx, Queens, and Brooklyn (comparison). The final sample included 114 and 90 adults in the intervention and comparison groups, respectively, at baseline (April-July 2023); and 77 and 58 adults in those groups during follow-up (October-December 2023). Using a six-item survey, we assessed food security status, where scores range from zero to six points and higher points indicate lower food security. Secondary outcomes included nutrition security status, fruit and vegetable intake, and pantry wait time. We used a difference-in-differences approach to assess differences in outcomes between conditions, including testing for differences by age (18-64 vs. ≥65 years).</p><p><strong>Results: </strong>Food security scores decreased in the intervention and comparison groups over time, with no difference in the decrease between groups (P = .87). Yet, among younger adults in the intervention group, wait time decreased during follow-up, and increased in the comparison group (difference-in-differences = -12.1 minutes (95% CI: -21.9, -2.4); P = .02). We did not observe similar differences among older adults (P = .83), nor significant changes in other outcomes.</p><p><strong>Conclusions: </strong>The transition to online ordering did not influence food security status among food pantry clients but may help to save time, especially among younger adults.</p><p><strong>Clinical trials registration: </strong>NCT05752721.</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/PMC12204695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334140","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":"Food retailer actions toward the National Strategy on Hunger, Nutrition, and Health to promote nutrition security: Applicability of the Business Impact Assessment-Obesity as a monitoring tool.","authors":"Maria DeNunzio, Bailey Houghtaling, Vivica Kraak, Maaz Gardezi, Elena Serrano, Sarah Misyak","doi":"10.1093/tbm/ibae057","DOIUrl":"10.1093/tbm/ibae057","url":null,"abstract":"<p><p>The White House National Strategy on Hunger, Nutrition, and Health (National Strategy) encourages actions across government and society to promote nutrition security. Nutrition security includes adequate food, diet quality, and equity, and food retail settings can promote these major concepts. Of all National Strategy whole-of-society calls to action, food retailers can contribute to 15 calls as key actors. However, there is currently no standardized monitoring tool to track food retailers' commitments and actions toward the National Strategy to promote nutrition security. The Business Impact Assessment-Obesity and population-level nutrition (BIA-Obesity), a tool originally developed for corporate accountability monitoring, can be tailored for the National Strategy and nutrition security, given its standardized indicators and process to assess food company policies and commitments across six domains. We discuss the fit of the BIA-Obesity indicators for tracking food retailers' commitments and actions across four pillars of the National Strategy. Existing indicators are appropriate to monitor components of Pillar 1: Improve Food Access and Affordability; Pillar 2: Integrate Nutrition and Health; Pillar 3: Empower All Consumers to Make and Have Access to Healthy Choices; and Pillar 5: Enhance Nutrition and Food Security Research. We suggest expanding current indicators to include equity, local foods, the digital food environment, and food waste reduction to improve alignment of the BIA-Obesity with the National Strategy. Application of the BIA-Obesity as an existing tool can facilitate data cohesion and more rapid assessment of the food retailer landscape to mutually meet nutrition security goals by 2030.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"703-712"},"PeriodicalIF":3.6,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478119","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":"Factors associated with successful FLOW implementation to improve mental health access: a mixed-methods study.","authors":"Natalie E Hundt, Bo Kim, Maribel Plasencia, Amber B Amspoker, Annette Walder, Zenab Yusuf, Herbert Nagamoto, Christie Ga-Jing Tsao, Tracey L Smith","doi":"10.1093/tbm/ibae050","DOIUrl":"10.1093/tbm/ibae050","url":null,"abstract":"<p><p>The FLOW program assists mental health providers in transitioning recovered and stabilized specialty mental health (SMH) patients to primary care to increase access to SMH care. In a recent cluster-randomized stepped-wedge trial, nine VA sites implemented the FLOW program with wide variation in implementation success. The goal of this study is to identify site-level factors associated with successful implementation of the FLOW program, guided by the Consolidated Framework for Implementation Research (CFIR). We used the Matrixed Multiple Case Study method, a mixed-methods approach, to compare key metrics hypothesized to impact implementation that were aligned with CFIR. Based upon the number of veterans transitioned at each site, we categorized two sites as higher implementation success, three as medium, and four as lower implementation success. Themes associated with more successful implementation included perceptions of the intervention itself (CFIR domain Innovation), having a culture of recovery-oriented care and prioritizing implementation over competing demands (CFIR domain Inner Setting), had lower mental health provider turnover, and had an internal facilitator who was well-positioned for FLOW implementation, such as having a leadership role or connections across several clinics (CFIR domain Characteristics of Individuals). Other variables, including staffing levels, leadership support, and organizational readiness to change did not have a consistent relationship to implementation success. These data may assist in identifying sites that are likely to need additional implementation support to succeed at implementing FLOW.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"693-702"},"PeriodicalIF":3.6,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356420","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":"Young Black and White adults prefer in-person to telehealth for primary care visits and group health promotion programs.","authors":"Lyubov Gavrilova, Mellisa C Watson, Yasmine M Eshera, Angela L Ridgel, Joel W Hughes","doi":"10.1093/tbm/ibae064","DOIUrl":"10.1093/tbm/ibae064","url":null,"abstract":"<p><p>Telehealth utilization has increased since the coronavirus disease 2019 pandemic, reducing barriers to healthcare and, potentially, reducing participation in group health-promotion interventions. However, preferences for telehealth versus in-person formats have not been established. To examine preferences for telehealth and in-person format for primary care and group health-promotion interventions among Black and White women and men aged 20-39. We hypothesized that respondents would report a higher preference for telehealth than in-person appointments. This cross-sectional survey study recruited participants to answer questions about access to technology and preferences for telehealth and in-person formats of primary care and group health promotion. Respondents (n = 404) included similar proportions of White women (24.3%, 26.4 ± 4.3 years), Black women (25.0%, 29.0 ± 6.1 years), White men (25.9%, 32.8 ± 4.5 years), and Black men (24.8%, 30.6 ± 5.2 years). About 98.5% reported having a smartphone, and 80.4% had access to a computer with a camera. Preference ratings were higher for in-person visits, compared to telehealth visits, for both primary care (M = 3.86 ± 1.13 vs. M = 2.87 ± 1.18) and group health promotion (M = 3.72 ± 1.12 vs. M = 3.04 ± 1.20) F's(1,400) > 59.0, P's < .001. Most young adults have access to technology, supporting the feasibility of telehealth interventions. However, telehealth preference ratings were lower than in-person appointments. Preferences for delivery formats should be considered when designing behavioral interventions to promote health and prevent disease.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"738-743"},"PeriodicalIF":3.6,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630768","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":"Looking back at Covid-19 government restrictions: were local lockdown regions with tighter restrictions less adherent before the restrictions and more adherent after?","authors":"Chantal den Daas, Marie Johnston, Gill Hubbard, Diane Dixon","doi":"10.1093/tbm/ibae061","DOIUrl":"10.1093/tbm/ibae061","url":null,"abstract":"<p><p>It is assumed that increases in Covid-19 cases are caused by people not adhering to advised individual transmission-reducing behaviours. Upon the implementation of restrictions, the hypothesis is that those individuals will change their behaviour. We aimed to retrospectively explore adherence to physical distancing before and after restrictions (e.g., lockdowns) were implemented in a region of Scotland. We assessed adherence, intention, and self-efficacy to physical distancing in a series of cross-sectional telephone surveys of a representative sample of adults in Scotland. We included data from before regional restrictions and after restrictions and examined whether regions with and without restrictions differed in adherence. A total of 1724 Scottish adults (675 men, M age = 52.79 years, SD = 17.92) participated (879 (51.0%) pre-restriction, 466 (27.0%) from a restricted region). ANOVA showed that none of the main effects (for region or time) nor the interaction effect were significant. There was a main effect of time on self-efficacy, such that self-efficacy was lower post-restriction measures (M = 4.13, SD = 0.81) compared to pre-restriction time (M = 4.22, SD = 0.79). There was no evidence that adherence was weaker before restrictions were implemented in regions with higher case rates. Nor was there evidence that imposing restrictions increased adherence. In a future pandemic, it is advisable to assess behaviour and beliefs about Covid-19, risk, and behaviours on an ongoing basis and to use that as indicators of the need for intervention even before cases rates start to go up.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"732-737"},"PeriodicalIF":3.6,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630766","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 an evidence-based, preventive intervention to promote mental health in Hispanic adolescents: eHealth Familias Unidas Mental Health.","authors":"Tatiana Perrino, Alyssa Lozano, Yannine Estrada, Maria I Tapia, C Hendricks Brown, Viviana E Horigian, William R Beardslee, Guillermo Prado","doi":"10.1093/tbm/ibae056","DOIUrl":"10.1093/tbm/ibae056","url":null,"abstract":"<p><p>Youth internalizing symptoms (i.e., depression and anxiety), suicide ideation and attempts have been rising in recent years, including among Hispanics. Disparities in mental healthcare are concerning and require intervention, ideally prevention or early intervention. Familias Unidas is a culturally-syntonic, family-centered intervention effective in reducing youth drug use and sexual risk, with evidence of unanticipated effects on internalizing symptoms. This paper describes the systematic process used to adapt the eHealth version of the Familias Unidas intervention to more directly address internalizing symptoms and suicide risk in preparation for an effectiveness-implementation hybrid trial for youth with elevated internalizing symptoms, a history of suicide ideation/attempts, or poor parent-youth communication. The resulting eHealth Familias Unidas Mental Health intervention is described. Guided by a 4-phase framework, the steps in the adaptation process involved: assessment of the community and intervention delivery setting (pediatric primary care clinics); integration of previous intervention research, including intervention mechanisms of action; and expert and community consultation via focus groups. Focus group analyses showed that youth and parents perceived that the intervention was helpful. Their feedback was categorized into themes that were used to directly target mental health by addressing technology use, parent mental health, and social support. Effective and scalable preventive interventions are needed to address mental health disparities. The systematic adaptation process described in this paper is an efficient approach to expanding interventions while maintaining known, empirical and theoretical mechanisms of action. Findings from the ongoing effectiveness-implementation trial will be critical.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"713-721"},"PeriodicalIF":3.6,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511003","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}