Translational Behavioral Medicine最新文献

{"title":"Supporting disability-inclusive knowledge translation and patient access to knowledge: A synthesis of select special education theories.","authors":"John C Hayvon, Mary Roduta Roberts","doi":"10.1093/tbm/ibaf027","DOIUrl":"10.1093/tbm/ibaf027","url":null,"abstract":"<p><p>Equitable access to knowledge and knowledge translation that is inclusive to marginalized patients-including those whose health conditions have resulted in lifelong disability-may be supportive of health equity. In enhancing the evidence base of what constitutes disability-inclusive knowledge translation, patients may be better supported in their health literacy, self-management, or autonomy in making health-related decisions. To identify potential guiding principles from the discipline of special education that has been invested in providing equitable access to knowledge for patients living with disabilities across all age groups. Qualitative synthesis of existing theories, models, and frameworks (TMFs) in special education is performed to identify constructs which may guide disability-inclusive knowledge translation. A search methodology adapted from PRISMA-ScR was conducted in Web of Science and Scopus to identify review-type studies in special education scholarship. A total of 69 unique review-type studies were retrieved in the English language, resulting in 21 meeting the inclusion criteria of presenting a special education TMF with potential to inform knowledge translation. Ten themes emerged through data charting of theoretical constructs, as well as open coding of five studies. Findings that may promote disability-inclusive knowledge translation are presented in a synthesized framework with 25 considerations. Special education TMFs are diverse in focus; this first-steps study illustrates significant potential of special education TMFs in informing disability-inclusive knowledge translation. Future studies that engage with a more expansive set of special education TMFs will bring value to implementation science.</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/PMC12205364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530533","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":"Implementation outcomes and associated constructs from the Consolidated Framework for Implementation Research among churches trained online to implement Faith, Activity, and Nutrition in a national implementation study.","authors":"Sara Wilcox, Ruth P Saunders, Andrew T Kaczynski, Caroline Rudisill, Ye Sil Kim, Jasmin Parker-Brown, Kelsey R Day","doi":"10.1093/tbm/ibaf015","DOIUrl":"10.1093/tbm/ibaf015","url":null,"abstract":"<p><p>Churches hold promise for reaching populations with high rates of chronic disease, yet few faith-based large-scale implementation studies exist. The study purpose was to examine 12-month implementation outcomes and associated Consolidated Framework for Implementation Research (CFIR) constructs after converting in-person training to online for an evidence-based intervention designed to improve church organizational practices related to physical activity (PA) and healthy eating (HE). US churches recruited from 2020 to 2022 participated in eight online lessons prior to implementation. Each church's coordinator completed an online baseline and 12-month survey assessing church practices for PA/HE components targeted in the Faith, Activity, and Nutrition (FAN) intervention (opportunities, messages, policies, and pastor support) and constructs from four CFIR domains. Mixed-effects regression models examined changes in practices over time and the impact of in-person versus online church operation at baseline. Linear regression tested associations between CFIR constructs and PA/HE implementation, adjusting for baseline practices. Churches (N = 107, 75% predominantly African American) from 23 states enrolled. At 12 months, 84% completed the survey. Implementation of all PA/HE practices increased, with larger effects for churches operating in-person for PA composite, messages, and policies and HE messages and policies. Constructs from all four CFIR domains were associated with implementation outcomes. In conclusion, online training was associated with significantly improved PA/HE church practices at 12 months. For churches operating in-person at baseline, effect sizes and CFIR associations with implementation outcomes were comparable to results of three prior studies using in-person training. Training for FAN is scalable with the potential to advance racial health equity.</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/PMC12169341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182682","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":"Mixed-methods organizational evaluation of a physical activity programme for cancer survivors in primary care.","authors":"Famke Huizinga, Nico-Derk Lodewijk Westerink, Annemiek M E Walenkamp, Annette J Berendsen, Marjolein Y Berger, Daan Brandenbarg","doi":"10.1093/tbm/ibaf029","DOIUrl":"10.1093/tbm/ibaf029","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) has proven health benefits for cancer survivors, yet PA programmes are not routinely available in general practice.</p><p><strong>Purpose: </strong>This mixed-methods study used the RE-AIM framework to evaluate the Adoption, Implementation, and Maintenance of a PA programme at an organisational level for cancer survivors in Dutch general practice.</p><p><strong>Methods: </strong>Primary care practitioners (practice nurses, dieticians, and doctor's assistants) delivering a PA programme aimed at increasing PA in daily activities, and general practitioners (GPs) in whose practices it was performed, completed questionnaires and interviews. Quantitative and qualitative data were analysed descriptively or by thematic analysis, respectively.</p><p><strong>Results: </strong>Concerning Adoption, 9% of general practices (n = 14) took part and showed high representativeness. Primary care practitioners coached a median of seven patients over 18.5 months, with barriers and facilitators emerging mainly related to organizational support, programme alignment, and patient health benefits. Concerning Implementation, adherence to the protocol was 77%, and the training was evaluated as 8 out of 10. Concerning Maintenance, 11 primary care practitioners (69%) used programme elements outside the study context.</p><p><strong>Conclusions: </strong>We conclude that our PA programme seems feasible in general practice provided there is sufficient organizational capacity. Designating a lead-motivated practitioner, providing sufficient training, and aligning and integrating PA counselling in routine care are key to providing appropriate and targeted support for cancer survivors in general practice.</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/PMC12230946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576641","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":"Education strategies to facilitate lifestyle medicine practice within health systems: a multiple case study of US health systems.","authors":"Meghan L Ames, Samantha M Sundermeir, Kara L Staffier, Bruce Weeks, Melissa M Reznar, Tyler Hemmingson, Shannon Frattaroli, Joel Gittelsohn, Micaela C Karlsen","doi":"10.1093/tbm/ibaf042","DOIUrl":"10.1093/tbm/ibaf042","url":null,"abstract":"<p><strong>Background: </strong>Lifestyle medicine (LM) is an evidence-based field of medicine that is effective in treating and preventing leading causes of morbidity and mortality. Despite demonstrated impact, few physicians and other healthcare professionals regularly implement LM. Continuing education may be an effective avenue for improving practitioner knowledge, confidence, and practice of LM, but there is a gap in the understanding of how educational content and strategies can be utilized to effectively increase LM adoption. The purpose of this study is to identify educational strategies that facilitate the implementation of LM in health systems (HS).</p><p><strong>Methods: </strong>Eight US HSs participated in this multiple case study. We conducted in-depth, semi-structured interviews (n = 68 total; 6-8 within each HS) with HS employees leading and delivering LM programs. Interviews included questions about LM implementation and educational strategies. Transcripts were analyzed following the framework analysis approach. Strength of endorsement was assessed through quantitative and qualitative analysis.</p><p><strong>Results: </strong>Four topic areas were identified as critical content for effective continuing education in LM. The need for further education in behavior change counseling received the strongest endorsement. Other topics included LM definition and evidence, referral opportunities, and business development skills. Ten types of continuing educational strategies were identified that facilitate LM. There was the strongest endorsement for pilot programs, employee wellness, and interpersonal educational activities, including peer-learning, communities-of-practice, and supervisor-learning/mentorship.</p><p><strong>Conclusion: </strong>Continuing education can facilitate LM implementation in HSs. Educational strategies should emphasize training that builds skills in behavior change counseling, leverages employee wellness pilot programs, and nurtures interpersonal learning.</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/PMC12448416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087813","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":"Systematically analyzing behavior change techniques used in 44 interventions to reduce unprofessional behavior between healthcare staff.","authors":"Justin Aunger, Bianca Ungureanu, Jill Maben, Ruth Abrams, Alice M Turner, Johanna I Westbrook","doi":"10.1093/tbm/ibaf058","DOIUrl":"10.1093/tbm/ibaf058","url":null,"abstract":"<p><strong>Background: </strong>Behavioral and implementation science frameworks should be employed in the design of interventions to change behavior, including those delivered in organizational settings, to enhance their effectiveness, replicability, and transparency. However, this is often not done well in health services research. This deficiency also impacts interventions to address unprofessional behaviors (UBs) among healthcare staff. UBs include rudeness and bullying, which harm patient safety and staff wellbeing. This study builds on an earlier realist review of these UB interventions to retroactively identify their active components.</p><p><strong>Methods: </strong>A systematic search was updated to July 2024 using MEDLINE, Embase, CINAHL, and Google Scholar. Intervention descriptions were extracted from study reports and independently coded using directed content analysis against the May 2024 version of the behavior change technique (BCT) Ontology, which contained 284 BCTs.</p><p><strong>Results: </strong>The search identified 262 titles and abstracts, yielding five new reports. Combined with 42 papers from the prior review, 47 reports of 44 interventions were included. Interventions were categorized as single-session (n = 15), multisession (n = 12), combined session (n = 6), professional accountability (n = 7), and structured culture change (n = 4). Complex interventions used more BCTs: session-based interventions focused on awareness-raising and roleplay, professional accountability on consequences, and structured culture change on goal-oriented techniques. Few interventions reported negative outcomes, limiting the understanding of which BCTs drive effectiveness.</p><p><strong>Conclusions: </strong>The BCT ontology is broadly applicable to organizational behavior change in healthcare. Complex interventions employ consequence-based and goal-oriented BCTs, but the effectiveness of specific BCTs remains unclear due to poor evaluations. Future interventions should use the BCT Ontology to improve intervention reporting and effectiveness.</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/PMC12527449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303972","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 perceptions on the acceptability and appropriateness of mental health screening and follow-up in national dental practice-based research network practices.","authors":"M Blake Berryhill, Nathan Culmer, Todd B Smith, Mary Ann McBurnie, Danyelle Barton, Celeste Machen, Dorota Kopycka-Kedzierawski, Gregg H Gilbert","doi":"10.1093/tbm/ibaf022","DOIUrl":"10.1093/tbm/ibaf022","url":null,"abstract":"<p><strong>Background: </strong>Mental health disorders pose a significant public health challenge in the USA. Early detection through screening can improve quality of life by facilitating timely access to mental health resources. Dental practices, which often have continuity of care with their patients and routinely conduct medical screenings, represent an underutilized setting for mental health screening.</p><p><strong>Purpose: </strong>This study aimed to evaluate the implementation of mental health screening and follow-up procedures within dental practice workflows by assessing patient experiences and perceptions using the RE-AIM and Implementation Outcomes Framework (IOF) approaches.</p><p><strong>Methods: </strong>The study included five private dental practices from the South Central region of the National Dental Practice-Based Research Network. Dental office personnel were trained to administer mental health screenings to eligible adult patients during routine visits. Participants completed validated screening instruments for depression (PHQ-2), anxiety (GAD-2), substance use (CAGE-AID), and suicide risk (C-SSRS). Dental Personnel adhered to the screening and follow-up procedures. Positive screenings prompted a follow-up conversation and an information sheet that included local mental health resources. We calculated the RE-AIM components of Reach and Adoption and evaluated the IOF components of patient acceptability and appropriateness using postvisit survey items and open-ended questions.</p><p><strong>Results: </strong>The study achieved a 75% reach rate, with 36 of 48 approached subjects participating. There was also a high adoption rate, with all 5 dental practices and 94% of dental office personnel participating in the intervention. Overall, participants generally found the zacceptable and appropriate. Participants who screened positive reported slightly lower comfort and appropriateness levels.</p><p><strong>Conclusions: </strong>Patients consider implementing mental health screening and follow-up in dental practices appropriate and acceptable. Dental practice settings offer a promising venue for early detection of mental health concerns, potentially enhancing access to care and improving overall 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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286896","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":"1000 cups of coffee: a call for intentional relationship-building in behavioral science through community-based participatory research.","authors":"Matthew Y W Kwan, Diana Sherifali, Sujane Kandasamy","doi":"10.1093/tbm/ibaf041","DOIUrl":"https://doi.org/10.1093/tbm/ibaf041","url":null,"abstract":"<p><p>Behavioral scientists increasingly recognize the importance of community engagement in the process toward designing impactful, equitable, and sustainable interventions. Yet, the academic structures that govern research timelines and outputs often undervalue the slow, relational labor required to form meaningful Community-Academic Partnerships (CAPs). This commentary uses the metaphor of \"1000 cups of coffee\" to capture the time-intensive, trust-building processes foundational to Community-Based Participatory Research (CBPR). We argue that without deep-rooted relationships, the process of co-design and intervention development may become nominal, irrelevant, or ineffective. Drawing on our own examples of creating a pan-Canadian community of practice advancing newcomer sport and physical activity behaviors, we highlight how we have embedded CBPR into our own research practice. By committing to authentic partnerships, behavioral scientists can ensure that their work is contextually grounded, culturally relevant, and eventually more impactful.</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":"144975102","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 context and readiness of emergency medicine physicians to promote evidence-based imaging referral guidelines: a mixed-methods study.","authors":"Yi Xiang Tay, Jeremy C P Wee, Marcus E H Ong, Shane J Foley, Robert Chun Chen, Lai Peng Chan, Ronan Killeen, Eu Jin Tan, May San Mak, Glenn Y H Ng, Yang Yann Foo, Jonathan P McNulty","doi":"10.1093/tbm/ibaf035","DOIUrl":"10.1093/tbm/ibaf035","url":null,"abstract":"<p><strong>Background: </strong>Assessment of context and readiness to change are key components in the implementation of imaging referral guidelines.</p><p><strong>Purpose: </strong>In line with JBI's (formerly known as the Joanna Briggs Institute) approach to evidence implementation, the aim of this study was to apply a mixed-methods study design to assess the context and readiness of physicians to use evidence-based imaging and referral guidelines, in tandem with associated opportunities and barriers.</p><p><strong>Methods: </strong>A survey was administered to physicians in an emergency department (ED) in Singapore, followed by virtual focus group sessions with physicians who volunteered. Mann-Whitney U test was used to evaluate differences in specialist and non-specialist responses. Braun and Clarke's reflexive thematic analysis was followed for data engagement, coding, and theme development.</p><p><strong>Results: </strong>Fourteen physicians responded to the survey, and 16 physicians participated in the focus groups. All physicians agreed that imaging utilization will increase in the coming decade, and most agree that overuse is a problem in the ED, especially conventional radiography (CR). Physicians gave a median score of 4 out of 5 to most questions evaluating their knowledge, skills, and attitude. There was no statistical difference in the scores between non-specialists and specialists, except for their preference for imaging guidelines that provide evidence to enhance clinical judgement (P = .03), where specialists had a higher mean rank. Key themes generated were workplace culture and factors influencing imaging referrals.</p><p><strong>Conclusion: </strong>Imaging overutilization in the ED, especially CR, is a problem. While physicians have the readiness, awareness, knowledge, skills, and attitude to change practice, factors such as workplace culture, medico-legal landscape, and interdisciplinary relationships impede such changes. The development of institutional guidelines coupled with targeted strategies and efforts involving key stakeholders is necessary to bridge the evidence-to-practice gap.</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/PMC12342136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838312","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 community-based HIV self-testing dissemination on the HIV testing system at the county level.","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, Tim Menza","doi":"10.1093/tbm/ibaf050","DOIUrl":"10.1093/tbm/ibaf050","url":null,"abstract":"<p><strong>Background: </strong>Ending the HIV epidemic requires increasing HIV testing among at-risk persons, including addressing the limitations of venue-based testing. Using a community-based intervention (My Test/My Choice; MT/MC), we delivered free oral HIV self-tests (OHSTs) through LGBTQ+ businesses in Multnomah County, OR. We examined if disseminating OHST negatively impacted other segments of the HIV testing system.</p><p><strong>Methods: </strong>We compared dissemination rates for Multnomah County's clinic-based and online HIV testing programs across three periods: (i) preintervention (July-September 2022), (ii) MT/MC intervention period (October 2022-March 2023), and (iii) postintervention (April-July 2023). We used analysis of variance to examine for changes in county programs during/after MT/MC. Data from all other Oregon counties were analyzed to distinguish county-specific and statewide changes in testing.</p><p><strong>Results: </strong>MT/MC disseminated slightly more HIV tests (n = 2698; 50%/6 months) to the county system than clinic-based dissemination (n = 2561; 48%) and substantially more than online dissemination (n = 78; 2%). There were no significant changes in clinic-based dissemination over time in the county [F (2,10) = 1.83; P = 0.21]. Significant declines in online dissemination occurred in Multnomah County [F (2,10) = 5.95; P = 0.02] and other Oregon counties [F (2,10) = 4.5; P = 0.04], suggesting that statewide, an unknown factor negatively influenced online dissemination.</p><p><strong>Conclusions: </strong>MT/MC positively impacted the local HIV testing system by adding new clients, rather than reducing the number of clients attending other testing programs. Our study provides unique data on the effects of disseminating a new health program on ongoing programs of a similar nature.</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/PMC12481696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201896","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 is medicine programs for pregnant women in the United States: a systematic review.","authors":"Shelly Palmer, Carmen Byker Shanks, Laura Balis, Emily Shaw, Paloma Lima Dos Santos, Amy L Yaroch","doi":"10.1093/tbm/ibaf060","DOIUrl":"https://doi.org/10.1093/tbm/ibaf060","url":null,"abstract":"<p><strong>Background: </strong>Approximately 12.5% of households with children in the United States are food insecure. As national priorities evolve to address food insecurity, food is medicine (FIM) programs may be a part of the solution. However, there is a gap in evidence on the maternal and birth outcomes of FIM programs.</p><p><strong>Purpose: </strong>The goal of this systematic review was to understand the overall public health impacts of FIM programs for pregnant populations.</p><p><strong>Methods: </strong>This systematic review was conducted in accordance with PRISMA guidelines. A search strategy was used to locate peer-reviewed literature through EBSCOhost and PubMed, and grey literature (e.g. websites, reports, booklets, and presentations) through a custom Google search in October 2022 and again in October 2024. Sources were independently screened by two researchers. Data were extracted independently by two researchers according to the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.</p><p><strong>Results: </strong>Nine peer-reviewed and 20 grey literature programs met inclusion criteria. Limited data made it difficult to determine FIM program reach (demographics) or maintenance. Effectiveness outcomes included fruit and vegetable intake, food security, and birth outcomes. Programs were adopted by healthcare providers across all regions of the United States. The core provisions and components implemented included fruits and vegetables or ready-to-eat meals, which were provided through vouchers, coupons, or prepackaged boxes.</p><p><strong>Conclusions: </strong>This review offers a timely summary of FIM programs for pregnant women. Future research should focus on consistent reporting of measures and metrics. Additionally, longer-term studies are needed to build evidence for program sustainability.</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":"145303991","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}