Translational Behavioral Medicine最新文献

{"title":"A Prescription Produce Program integrating lifestyle behavior counseling and health education: A program description and evaluation.","authors":"Kimberly Battle, Katherine Falls, Rachel Regal, Natalie Mansion, Jonathan Williams, Erin Lingo, Jered M Wendte, Leland Waters, Elizabeth Prom-Wormley, Suzanne Judd, Ana F Diallo","doi":"10.1093/tbm/ibae067","DOIUrl":"10.1093/tbm/ibae067","url":null,"abstract":"<p><p>Prescription Produce Programs (PPPs) are increasingly being used to address food insecurity and healthy diets. Yet, limited evidence exists on the effectiveness of integrating lifestyle counseling within a PPP to promote dietary and health behaviors. To describe the implementation of a 6- or 12-week PPP integrating lifestyle counseling to low-income adults. The PPP was implemented as part of a wellness and care coordination program and included: (i) a screening for social needs, (ii) PPP health education and lifestyle counseling visits, and (iii) distribution of produce. We conducted a pre- and post-descriptive analysis. We also reported a case study illustrating the PPP implementation and a Strengths/Weaknesses/Opportunities/Threats analysis. Fifty-three participants (85% Black American, 64% female, mean age: 66 years) completed the PPP. Food insecurity scores significantly decreased between pre- and post-enrollment in the PPP (P = .002). Compared with pre-enrollment, participants who completed the PPP reported an increase in the frequency of fruits and vegetables intake (χ2 = 12.6, P = .006). A majority of the participants (77%) reported setting and achieving at least one health-related goal by the end of the program. A strength of the PPP included the long-standing relationship with community partners. Weaknesses included the survey burden, the need for additional personnel, and the need for a sustained funding source. Integrating lifestyle counseling within a PPP can promote food security and a healthy diet. Future research is warranted using rigorous research methods, including randomization and a comparison group.</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":"142808301","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":"Impact of a community-based lifestyle intervention with initial sedentary reduction or physical activity increasing goals on self-reported health-related quality of life.","authors":"Chantele E Mitchell-Miland, Rachel G Miller, Andrea M Kriska, Ada O Youk, Tiffany L Gary-Webb, Susan M Devaraj, Thomas J Songer, Vincent C Arena, Wendy C King, Bonny Rockette-Wagner","doi":"10.1093/tbm/ibae076","DOIUrl":"10.1093/tbm/ibae076","url":null,"abstract":"<p><strong>Background: </strong>In previous efforts, health-related quality of life (HRQoL) improved for individuals at high risk of type 2 diabetes and cardiovascular disease after participation in community-based lifestyle interventions (LI) with a moderate-to-vigorous physical activity (MVPA) movement goal.</p><p><strong>Purpose: </strong>It is unknown whether HRQoL improves with LI when the primary movement goal is to reduce sedentary behavior. HRQoL changes were examined among adults with overweight and prediabetes and/or metabolic syndrome randomized to a 12-month Diabetes Prevention Program-based Group Lifestyle Balance (DPP-GLB) community LI work with goals of weight-loss and either increasing MVPA (DPP-GLB) or reducing sedentary time (GLB-SED).</p><p><strong>Methods: </strong>Study participants (N = 269) completed the Euroqol 5 dimension 3 long (EQ5D-3L index and EuroQol Visual Analog Scale (EQVAS)-visual analog scale) at baseline, and 6 and 12 months. Paired t-tests were used to evaluate pre-to-post-intervention changes by arm.</p><p><strong>Results: </strong>Mean EQVAS improvements for the GLB-SED arm at 6 and 12 months were +5.6 (SE = 1.3; P < .0001) and +4.6 (SE = 1.4; P = .0006), respectively. Similar mean EQVAS improvements were reported for the DPP-GLB arm; +5.9 (SE = 1.2; P < .0001) and +4.9 (SE = 1.2; P = .0001) at 6 and 12 months, respectively. Mean EQ5D index improvements were significant in the GLB-SED arm [6 months: +0.03 (SE = 0.01; P = .004); and 12 months: +0.04 (SE = 0.01; P = .006)], but not in the DPP-GLB arm.</p><p><strong>Conclusions: </strong>Participation in community LI with a primary movement goal to reduce sedentary behavior improved HRQoL at least as well as traditional LI focused more on MVPA improvement, supporting an alternate intervention strategy for those who can't or won't engage in MVPA as the primary movement goal.</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":"143025396","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":"Preparing to implement Floreciendo with Latina teens and their female caregivers: Integrating implementation science and the multiphase optimization strategy framework.","authors":"Katherine G Merrill, Jacqueline Silva, Angela Sedeño, Susana Salgado, Sara Vargas, Jennifer K Cano, Veronica Nabor, Jamison C Merrill, Jeff DeCelles, Kate Guastaferro, Ana A Baumann, Jacqueline Fuentes, Laura Rodriguez, Vanessa Melgoza, Geri R Donenberg","doi":"10.1093/tbm/ibaf005","DOIUrl":"10.1093/tbm/ibaf005","url":null,"abstract":"<p><strong>Background: </strong>Practical examples of studies integrating implementation science and the multiphase optimization strategy (MOST) framework are lacking. Floreciendo is a sexual and reproductive health program for Latina teens and their female caregivers, adapted from the IMARA evidence-based program.</p><p><strong>Purpose: </strong>We prepared for delivering Floreciendo by developing an implementation plan to support the program's adoption and sustainment.</p><p><strong>Methods: </strong>Drawing on a community-based participatory research approach, we used qualitative methods to explore program logistics, implementation determinants and strategies, adoption, and sustainability. We positioned our study activities within the preparation phases of both the MOST and the EPIS frameworks. We conducted and rapidly analyzed seven focus group discussions-one with Latina teens (n = 9), one with female caregivers (n = 6), four with organizational staff (n = 32), and one with IMARA staff (n = 6)-and seven key informant interviews.</p><p><strong>Results: </strong>Participants described community organizations as the preferred location for workshops in offering a \"safe space.\" They recommended workshop delivery on two days over separate weekends. Teens and caregivers requested relatable, bilingual Latina facilitators. Implementation barriers were raised (e.g. work conflicts) with strategies to address them (e.g. provide stipends). Organizational adoption was perceived as likely since the workshop addresses clients' needs and fits with organizational values. Recommendations for sustainment included identifying funding opportunities specific to each organization.</p><p><strong>Conclusions: </strong>Findings directly informed our immediate plans to optimize Floreciendo using the MOST framework and principles and our long-term goals for adoption and sustainability. Implementation science can strengthen studies using the MOST framework.</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/PMC11886812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574526","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":"Adopting and implementing an efficacious peer-delivered physical activity program for web platform delivery in survivors of breast cancer: organizational readiness and perspectives.","authors":"Danielle M Ostendorf, Amy G Huebschmann, Karen E Wickersham, Madison Kindred, Bernardine M Pinto","doi":"10.1093/tbm/ibaf051","DOIUrl":"10.1093/tbm/ibaf051","url":null,"abstract":"<p><strong>Background: </strong>The Moving forward together (MFT) program is a 3-month, peer-led, physical activity (PA) program for survivors of breast cancer and has shown effectiveness in increasing survivors' moderate-to-vigorous PA. We adapted an existing web-based platform to the MFT program, created webMFT, and partnered with four cancer care organizations to implement webMFT.</p><p><strong>Purpose: </strong>To understand factors that influence adoption, implementation, and potential for maintenance of webMFT at the organizational level.</p><p><strong>Methods: </strong>We used mixed methods to assess organizational readiness and facilitators/barriers for the organizational adoption and implementation of webMFT. In the preimplementation phase, eight representatives completed the organizational readiness for implementing change (ORIC) measure [2 subscales: commitment to change (CC) and efficacy for change (EC), score range = 1-5]. After implementation, four representatives also participated in a semistructured interview. Interviews were coded by two researchers using content analysis. Quantitative and qualitative results were integrated.</p><p><strong>Results: </strong>ORIC scores showed high readiness: CC (mean ± SD; 4.42 ± 0.65) and EC (3.98 ± 0.64). Qualitative categories aligned with quantitative results and included: (i) Strong alignment of mission between webMFT and organizations; (ii) Motivation to adopt webMFT to support their communities; (iii) Lower organizational capacity to recruit participants to receive webMFT than capacity to recruit peer mentors to deliver webMFT; (iv) Resource needs-to scale out and sustain webMFT requires dedicated organizational staff time; and (v) Organizational members found webMFT staff helpful, professional, and communicative, which made partnering a positive experience.</p><p><strong>Conclusions: </strong>Organizational perspectives provided insights into challenges and opportunities for the scalability of evidence-based programs for cancer survivors.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #: NCT05409664.</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":"145179658","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":"RE-AIM evaluation of the first 5 years of a citywide produce prescription program.","authors":"Grace Hildebrand, Ronli Levi, Sanjana Marpadga, Ximena Perez-Velazco, Hilary Seligman","doi":"10.1093/tbm/ibaf057","DOIUrl":"https://doi.org/10.1093/tbm/ibaf057","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity and poor diet quality increase risk for diet-related chronic disease and contribute to health disparities. Produce prescription programs (PPPs) are designed to promote chronic disease prevention and treatment by lowering barriers to fruit and vegetable (FV) purchases. In collaboration with a network of distribution partners, Vouchers 4 Veggies (V4V) provides eligible participants with vouchers (\"prescriptions\") to purchase fresh or frozen FV at participating vendors.</p><p><strong>Purpose: </strong>To evaluate the implementation and public health impact of the first 5 years of V4V implementation.</p><p><strong>Methods: </strong>Using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, we analyzed quality improvement data collected from program participants, distribution partners, and vendors between 2015 and 2020. Participant outcomes included program engagement, FV intake, food security, and program satisfaction; other outcomes included ease of participation and implementation. Data were analyzed using descriptive statistics and t-tests.</p><p><strong>Results: </strong>Between 2015 and 2020, V4V partnered with 135 distribution partners and 29 food vendors to serve 9720 unique participants across San Francisco, representing 10% of the population at high risk for food insecurity. Participants were racially and ethnically diverse. At baseline, 79% reported household food insecurity and 66% reported fair or poor health. At follow-up, food insecurity had decreased by 0.79 points (P = .001) on a six-point scale, and FV intake had increased by 0.77 servings/day (P = .001). Satisfaction was high among participants, distribution partners, and vendors.</p><p><strong>Conclusions: </strong>V4V demonstrates the potential for PPPs to improve food security and diet quality across diverse populations for primary and secondary prevention. Sustainable funding and infrastructure are critical for scaling.</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":"145369002","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":"Multilevel factors influence the use of a cardiovascular disease assessment tool embedded in the electronic health record in oncology care.","authors":"Maura M Kepper, Raúl D Gierbolini-Rivera, Kathryn E Weaver, Randi E Foraker, Emily V Dressler, Chandylen L Nightingale, Aylin A Aguilar, Kimberly D Wiseman, Jenny Hanna, Alyssa D Throckmorton, Simon Craddock Lee","doi":"10.1093/tbm/ibae058","DOIUrl":"10.1093/tbm/ibae058","url":null,"abstract":"<p><p>Digital health tools are positive for delivering evidence-based care. However, few studies have applied rigorous frameworks to understand their use in community settings. This study aimed to identify implementation determinants of the Automated Heart-Health Assessment (AH-HA) tool within outpatient oncology settings as part of a hybrid effectiveness-implementation trial. A mixed-methods approach informed by the Consolidated Framework for Implementation Research (CFIR) examined barriers and facilitators to AH-HA implementation in four NCI Community Oncology Research Program (NCORP) practices participating in the WF-1804CD AH-HA trial. Provider surveys were analyzed using descriptive statistics. Interviews with providers (n = 15) were coded using deductive (CFIR) and inductive codes by trained analysts. The CFIR rating tool was used to rate each quote for (i) valence, defined as a positive (+) or negative (-) influence, and (ii) strength, defined as a neutral (0), weak (1), or strong (2) influence on implementation. All providers considered discussing cardiovascular health with patients as important (61.5%, n = 8/13) or somewhat important (38.5%, n = 5/13). The tool was well-received by providers and was feasible to use in routine care among cancer survivors. Providers felt the tool was acceptable and usable, had a relative advantage over routine care, and had the potential to generate benefits for patients. Common reasons clinicians reported not using AH-HA were (i) insufficient time and (ii) the tool interfering with workflow. Systematically identifying implementation determinants from this study will guide the broader dissemination of the AH-HA tool across clinical settings and inform implementation strategies for future scale-up hybrid trials.</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/PMC11756333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822721","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":"Implementing capacity-building initiatives addressing health equity through community-academic partnerships: A qualitative study.","authors":"Katherine G Merrill, Alyn Dougherty, Samuel L Battalio, Madison L Hartstein, Abigail Silva, David A Moskowitz, Marina G De Pablo, Helen Margellos-Anast, Ana A Baumann, Preethi Navalpakkam, Anna Sandoval, Laura Bailey, Martinez Chapman, Josephine DiCesare, Elida Ortiz, Bina Habibi, Bianca A Bautista, Itzel Martinez, Nicole Wilson, Molly A Martin","doi":"10.1093/tbm/ibaf017","DOIUrl":"10.1093/tbm/ibaf017","url":null,"abstract":"<p><strong>Background: </strong>Capacity-building is a common goal of community-academic partnerships, but there are literature gaps in the components of capacity-building efforts that support success and how implementation science can contribute to these efforts. We studied the core components and implementation determinants of capacity-building initiatives carried out through Chicagoland CEAL community-academic partnerships.</p><p><strong>Methods: </strong>We conducted seven focus group discussions with 26 community organization representatives and researchers exploring six capacity-building initiatives. We used Juckett et al.'s typology to summarize the initiatives' core components and grouped emerging themes on implementation determinants according to the domains and constructs of the Exploration, Preparation, Implementation, Sustainment (EPIS) implementation science framework.</p><p><strong>Results: </strong>The core components of the capacity-building initiatives varied widely in their use of didactic, practical application, knowledge-sharing, and technical assistance activities, but the implementation barriers and facilitators showed greater consistency. Bridging factors: Findings demonstrated the importance of developing mutually beneficial, trusting relationships among community-academic partners with clear goals. Innovation factors: Tailoring capacity-building activities to populations' needs and adapting over time were notable facilitators. Outer context: Flexible funding supported implementation, while social climate and local infrastructure limitations were barriers. Inner context: Barriers included competing priorities, space limitations, and staff availability.</p><p><strong>Conclusions: </strong>Our findings on core components, barriers, and facilitators can promote the equitable implementation of capacity-building initiatives carried out by community-academic partnerships. Our study addresses calls to place greater emphasis on health equity and attention to context in the field of implementation science. Our findings further strengthen the literature on the EPIS framework through practical application.</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/PMC12188293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486733","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":"Public acceptability of tax, nudge, and health education policies targeting health behavior change in China.","authors":"Qiumian Hong, Ruiting Wang, Yichen Wu, Ning Zhang","doi":"10.1093/tbm/ibaf034","DOIUrl":"10.1093/tbm/ibaf034","url":null,"abstract":"<p><strong>Background: </strong>Public health policies are crucial for shaping public health practices and promoting healthier lifestyles; however, successful implementation and widespread adoption of these policies largely depend on their public acceptability.</p><p><strong>Purpose: </strong>This study aims to understand the public acceptability of tax, nudge (design, size, and availability), and health education policies targeting health behavior change including reducing tobacco use, alcohol consumption, snack consumption, beverage consumption, and increasing physical activity among Chinese citizens, along with the factors that influence public acceptability of different public health policies.</p><p><strong>Methods: </strong>The cross-sectional study was conducted in the WJX online platform between January and March 2024, involving 2409 participants who were randomly assigned to 23 groups. Besides the demographics, the policy acceptability, perceived policy effectiveness, engagement in health behaviors, and social value orientation were also assessed. One-way Analysis of Variance (ANOVA) and post hoc tests were used to examine differences in policy acceptability across various policies and behaviors. The t-tests and ANOVA analyses were conducted to compare policy acceptability among participants with different characteristics. Multiple linear regression was performed to reveal the impact of strategies used, perceived effectiveness, social value orientation, and socioeconomic status on policy acceptability.</p><p><strong>Results: </strong>The overall policy acceptability rate was 79.1%. \"Design\" strategies achieved the highest acceptability (86.8%), followed by health education (82.0%). Tax policies had the lowest acceptability (71.0%). Policies targeting smoking (83.7%) and physical activity (85.8%) were highly accepted. Smokers showed lower acceptability for policies to control smoking compared to non-smokers (75.9% vs. 85.7%, P = .015). Individuals who rarely exercise had lower acceptability for policies to promote physical activity compared to those who were physically active (77.1% vs. 88.3%, P = .019). Those with a stronger \"proself\" orientation or higher socioeconomic status tended to report lower acceptability of public health policies to promote healthy eating.</p><p><strong>Conclusions: </strong>Integrating traditional education with tailored nudges could be an effective public health promotion strategy in China. Future pilot programs leveraging these findings could enhance the public acceptability of such policies.</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":"144849369","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":"Identifying and disseminating both specific and generalizable HIV and behavioral health services integration approaches through cross-study comparisons.","authors":"Karen McKinnon, Daria Boccher-Lattimore, Mari Millery, Daniella Dorancy, Paul D'Avanzo, Francine Cournos","doi":"10.1093/tbm/ibaf049","DOIUrl":"https://doi.org/10.1093/tbm/ibaf049","url":null,"abstract":"","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":"145087776","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":"Translation of the connect through PLAY physical activity intervention for underserved youth from in-person to virtual delivery: a feasibility study.","authors":"Nicole Zarrett, Anqi Deng, Chih-Hsiang Yang, Jihong Zhang","doi":"10.1093/tbm/ibaf045","DOIUrl":"https://doi.org/10.1093/tbm/ibaf045","url":null,"abstract":"<p><strong>Background: </strong>Afterschool \"aftercare\" programs (ASPs) have been recognized as critical settings to promote youth adequate daily physical activity (PA). However, several social and contextual challenges, especially faced by ASPs serving under-resourced schools/communities, inhibit youth from meeting PA goals, with the COVID-19 pandemic only exacerbating these challenges. Connect through PLAY (CTPI) is a 16-week social-motivational PA intervention designed to increase PA in underserved youth (ages 9-16) by providing staff training and resources to overcome social-contextual challenges and integrate youth social-motivational needs into the PA programming of existing ASPs.</p><p><strong>Purpose: </strong>This study aimed to evaluate the feasibility of translating the CTPI intervention into a virtual format during the onset of the COVID-19 pandemic. To date, we know little about whether establishing a positive social-motivational climate is possible through a virtual format.</p><p><strong>Methods: </strong>The intervention included three components: (i) a novel PA curriculum, (ii) small group sessions, and (iii) staff health initiative. Youth and staff surveys were collected at baseline and endpoint to assess integration, acceptability, and potential effectiveness (longitudinal subsample n = 27 youth; 37% female; 36.1% Black/African American; Mage = 9.96 years).</p><p><strong>Results: </strong>Paired sample t-tests indicated significant improvements in youth PA interest, cognitive engagement, regulatory motives, and PA participation, with medium to large effect sizes. Staff reported high acceptability and enthusiasm for continuing the intervention's virtual activities.</p><p><strong>Conclusion: </strong>Findings demonstrate that PA interventions focused on cultivating a positive social-motivational climate can be successfully adapted to virtual formats, providing valuable health promotion opportunities with greater reach to youth within under-resourced communities.</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":"145087778","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}