Translational Behavioral Medicine最新文献

{"title":"Implementing a community-based physical activity program within a randomized controlled trial: A confessional tale of philosophical and methodological tensions.","authors":"Naomi Maldonado-Rodriguez, Erica Bennett, Shelly Tognazzini, Mark Beauchamp, Hélène C F Côté, Melanie C M Murray, Angela Kaida, Eli Puterman","doi":"10.1093/tbm/ibag006","DOIUrl":"10.1093/tbm/ibag006","url":null,"abstract":"<p><strong>Introduction: </strong>Randomized controlled trials (RCTs) are the gold standard design to evaluate physical activity interventions. Community-based participatory research (CBPR) approaches are increasingly embedded within RCTs to improve the application and impact of such interventions, particularly when they involve equity-owed communities. Longstanding critiques of this methodological fusion highlight key philosophical and methodological tensions between the underlying principles of CBPR and RCTs which may impact researchers' capacity to meaningfully conduct an RCT with a CBPR approach. Such critiques primarily revolve around differences in philosophical orientation (i.e. postpositivist vs. interpretivist/critical paradigms) and their impact on methods, procedures, and knowledge generation and outputs. Despite these critiques, little has been written about the realities of implementing an RCT using CBPR approaches and contending with these tensions in real time.</p><p><strong>Purpose: </strong>This study seeks to address this gap by describing our experiences designing and implementing a community-based dance program with, by, and for women living with HIV.</p><p><strong>Methods: </strong>Using a confessional tales approach, we reflect on the tensions between RCTs and CBPR and present our experiences delivering a dance program and our process in adapting and responding to the challenges we encountered.</p><p><strong>Results: </strong>Our reflections focus on three themes: (i) The importance of articulating values and axiological commitments; (ii) Navigating the complexities of building trust and emergent contextual factors; and (iii) Emphasizing capacity building to promote sustainability.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437013","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":"Organizational readiness for implementing comprehensive and tailored Veteran suicide prevention programming in community agencies.","authors":"Patricia D Russell, Joseph Mignogna, Lindsey L Monteith, Nathaniel Mohatt, Justin Benzer, Edgar Villarreal, Elisa Borah, Craig J Bryan, Kathryn Bongiovanni, Claire Hoffmire, Alan L Peterson, Jenna Heise, Sylvia Baack, Kimberly Weinberg, Marcy Polk, Bryann B DeBeer","doi":"10.1093/tbm/ibaf093","DOIUrl":"10.1093/tbm/ibaf093","url":null,"abstract":"<p><strong>Background: </strong>Suicide rates among Veterans were over 70% higher than non-Veterans in 2022, and nearly 60% had not recently used the Veterans Health Administration (VHA). Veterans have unique experiences and healthcare needs. VHA provides military culturally competent suicide prevention care to Veterans. There is a lack of research demonstrating that community agencies are adequately prepared to provide military culturally competent care, when appropriate.</p><p><strong>Purpose: </strong>The purpose of this analysis was to understand organizational readiness and gaps related to providing military culturally competent Veteran suicide prevention programming in community agencies.</p><p><strong>Methods: </strong>Semistructured qualitative interviews were conducted with 24 Veteran-serving community agencies to assess each organization's interactions with and navigation of VHA and care coordination, suicide prevention policies, procedures, and quality improvement, staff training on suicide prevention and military cultural competency, Veteran status screening procedures, crisis line dissemination, and suicide prevention metric tracking.</p><p><strong>Results: </strong>Organizations lack awareness of their role in Veteran suicide prevention, and lack of readiness to implement comprehensive and military culturally competent Veteran suicide prevention programming. Salient implementation needs included: screening for Veteran status, collection of metrics, military cultural competency and suicide prevention training, Veterans Crisis Line dissemination, suicide prevention policies and standardized operating procedures, and care coordination between community agencies and VHA.</p><p><strong>Conclusions: </strong>Findings suggest a need to bolster intraorganizational readiness to provide comprehensive and tailored suicide prevention programming to Veterans receiving care in the community with the aim of strengthening a community-wide safety net to reduce Veteran suicide deaths.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277337","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":"Adapting a small change behavioral weight management program for college students: formative evaluation and iterative design process.","authors":"Jacqueline F Hayes, Jessica Gokee LaRose, Annabelle Derrick, Nicole Dugas, Emily Fu, A Rani Elwy, Rena R Wing","doi":"10.1093/tbm/ibag044","DOIUrl":"10.1093/tbm/ibag044","url":null,"abstract":"<p><strong>Background: </strong>Offering behavioral weight management interventions in college health centers may improve cardiometabolic health for hard-to-reach emerging adult populations.</p><p><strong>Purpose: </strong>This paper outlines the iterative process undertaken, guided by the Adaptome framework, to adapt an evidence-based small changes approach to weight gain prevention to target weight loss and to improve the fit for delivery to college students via health centers.</p><p><strong>Methods: </strong>Initial intervention adaptations were completed following in-depth interviews with college students and health center staff. The program was iteratively tested in a series of single-arm pilot trials to reach pre-identified benchmarks for retention (≥70%), adherence (≥75%), and clinical effectiveness (≥3% weight loss). Focus groups were held following each iteration to inform intervention adaptations.</p><p><strong>Results: </strong>Interview themes (n = 23) that highlighted environmental and developmental barriers to student weight management and strategies to promote engagement informed initial adaptations. Four cohorts (∼7 participants each) were run, with adaptations following each cohort made based on participant feedback and benchmark achievement. Major changes included transitioning to hybrid delivery, providing personalized feedback with autonomy supportive coaching, refining the self-monitoring approach, providing frequent text messages, and refining small change goals and instructional content to enhance feasibility and improve weight loss. The result was a final treatment package that exceeded pre-specified benchmarks with cohort 4 called HealthyU.</p><p><strong>Conclusion: </strong>Emerging adult college students benefit from facilitator and group interaction, community building, additional touchpoints via text message, and autonomy-supportive structured guidance. Future directions include testing the HealthyU intervention against a control using a more generalizable sample to determine preliminary effectiveness.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473707","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: The Society of Behavioral Medicine supports federal action to break the cycle of gun violence.","authors":"Tetyana Krutsik, Elise Betkowski, Alexis Friesen, Jasrah Ali, Joanna Buscemi","doi":"10.1093/tbm/ibag043","DOIUrl":"10.1093/tbm/ibag043","url":null,"abstract":"<p><p>The United States continues to see significant issues with gun violence, resulting in significant public health concerns. Behavioral medicine is often involved in addressing the psychological aftermath of gun violence, as survivors experience higher rates of post-traumatic stress disorder, depression, and suicidal ideation. Black and Latino communities are disproportionately affected by gun violence due to structural inequities, with gun violence furthering the structural and health inequities experienced in these communities. While the Bipartisan Safer Communities Act of 2022 helped to improve gun control laws, federal policies are still needed to help close loopholes. The STOP School Violence Act of 2018 focuses on violence prevention education in schools but lacks information on behavioral health services and early psychological risk identification. To address future gun violence, we urge members of Congress to co-sponsor the Break the Cycle of Violence Act, which focuses on community building, including counseling services, financial, legal, and housing support for those at high risk for exposure to violence, and job training and digital literacy education for youth. Additionally, we ask them to support stronger measures to ensure safe transfer and responsible handling of firearms, including supporting legislation to close the \"Charleston loophole\" by requiring completion of background checks before transfers and the Protecting Extreme Risk Protection Orders, allowing courts to temporarily remove firearms from individuals showing warning signs of violence and connect them with crisis and behavioral health support.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425641","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":"Correction to: From trials to clinics: investigators' perspectives on translating psychedelic research into clinical care.","authors":"","doi":"10.1093/tbm/ibag034","DOIUrl":"10.1093/tbm/ibag034","url":null,"abstract":"","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240222","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":"Evaluating the impact of an implementation blueprint on a produce prescription program's implementation outcomes.","authors":"Emily S Fu, Alison Tovar, Nadia Tsado, Linda E Guzman, Ariana M Albanese, Brady Dunklee, Kelli Scott, Hannah E Frank","doi":"10.1093/tbm/ibag039","DOIUrl":"10.1093/tbm/ibag039","url":null,"abstract":"<p><strong>Background: </strong>\"Food is Medicine (FIM)\" programs can improve diet-related health outcomes. Produce prescription programs (PRxs), a type of FIM program, entail healthcare providers \"prescribing\" free or reduced-cost vegetables. Previous studies have identified multilevel barriers to implementing FIM programs. However, there is scant research examining how implementation strategies can influence FIM implementation outcomes.</p><p><strong>Purpose: </strong>Assess changes in implementation outcomes following the introduction of tailored implementation strategies to support the delivery and uptake of a PRx in four participating clinics.</p><p><strong>Methods: </strong>VeggieRx is a 6-month PRx in Rhode Island. This single-arm pilot study measured implementation outcomes according to the Consolidated Framework for Implementation Research Outcomes Addendum before and after tailored implementation strategies were applied for the 2023 VeggieRx season. Adoption was measured as the number of VeggieRx referrals. Implementation was measured by the number of individuals and households receiving produce. Patient acceptability was measured via text message after each delivery. Patient food security status and vegetable intake were assessed before and after VeggieRx participation.</p><p><strong>Results: </strong>From 2022 to 2023, following the introduction of the implementation strategies, VeggieRx referrals increased by 57.9% and the number of households receiving vegetables increased by 86.2%. Study participants (n = 44) used Most to all vegetables in each delivery (median = 88.6% of weekly responses, interquartile range = 78.4%, 95.5%). The proportion of participants classified as High or marginal food security increased from 18.2% at baseline to 36.6% at follow-up (Cohen's h = 0.42).</p><p><strong>Conclusion: </strong>This study demonstrates the value of tailored implementation strategies and their potential to expand the delivery of future PRx programs.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #NCT05941403.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333853","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 effect of removing point-of-purchase price discounts on college students' future tobacco use susceptibility depends on price sensitivity.","authors":"Steven C Martino, Claude M Setodji, Michael S Dunbar, Abigail Torbatian, Desmond Jenson, William G Shadel","doi":"10.1093/tbm/ibag055","DOIUrl":"10.1093/tbm/ibag055","url":null,"abstract":"<p><strong>Background: </strong>Tobacco companies use point-of-sale (POS) discounts and coupons to sustain demand and normalize tobacco use; removing price promotions could counteract these effects.</p><p><strong>Purpose: </strong>Investigate whether the impact of removing tobacco price discount information from retail POS on young people's susceptibility to using tobacco products depends on price sensitivity, an individual difference that determines consumer reactions to price levels.</p><p><strong>Methods: </strong>College students (N = 298) participated in an experiment in which they shopped in a replica convenience store that either retained or had removed price discount information from tobacco product advertisements. Before shopping, participants completed questionnaires assessing tobacco use history, susceptibility to cigarette smoking and smokeless tobacco use, and two facets of price sensitivity: price consciousness and sale proneness. Post-shopping susceptibility to smoking cigarettes and using smokeless tobacco were the outcomes.</p><p><strong>Results: </strong>Previous analyses of these data showed that removing price discount information was associated with lower odds of susceptibility to both cigarette smoking and smokeless tobacco use. In this analysis, we tested whether these effects were moderated by price consciousness and sale proneness. Post-hoc probing of two marginally significant interactions (P = .06 and P < .08) indicated that removing price discount information was associated with lower odds of cigarette smoking susceptibility only among participants high in sale proneness, and lower odds of smokeless tobacco use susceptibility only among those high in price consciousness.</p><p><strong>Conclusions: </strong>Removing tobacco price discount information from the POS may reduce the likelihood that young people are susceptible to tobacco use, although this effect may be less evident among those with low price sensitivity.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814593","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":"Centering communities in policy implementation research: considerations for the integration of community-based participatory research principles into policy-focused implementation science.","authors":"Rajinder Sonia Singh, Sara J Landes, Maji Hailemariam, Matthew Lee, Ana M Progovac","doi":"10.1093/tbm/ibag057","DOIUrl":"10.1093/tbm/ibag057","url":null,"abstract":"<p><strong>Background: </strong>Community-engaged dissemination and implementation research focuses on the implementation of evidence-based interventions within clinical or community-based settings. It uses community-engaged processes or partnerships. This includes (but is not limited to) community-based participatory research (CBPR). CBPR is an approach that centers actively engaging and collaboratively sharing power with community members, which can increase the value of studies for the communities being served and researchers. Community members include those who are most affected by the research (e.g. patients, citizens) and those most invested in the communities being researched (e.g. advocates, leaders).</p><p><strong>Main body: </strong>Policy implementation research is the subfield of implementation science that aims to understand how policies are implemented and improve their implementation. Previous literature discusses policy co-design, defined as actively partnering with community members in the policy making process. In this article, we suggest ways to integrate CBPR methods within policy implementation research as well. We specifically discuss ways that community-members can be actively and substantively engaged in policy implementation in addition to policy making.</p><p><strong>Conclusion: </strong>Policy implementation research researchers who wish to approach their work through a CBPR lens would benefit from our overarching recommendation to meaningfully engage community members throughout the policy implementation research process including (i) building or maintaining meaningful partnerships, (ii) engaging in transparent and equitable resource sharing, cost charging, compensation, and incentives. (iii) co-designing/co-conceptualizing projects, (iv) co-refining the project and co-selecting strategies for project completion, (v) bi-directional learning and open channels of communication during the project period, and (vi) taking action on harmful or inequitable policy implementation research and results of research. We argue that if policies are causing harm or not reaching marginalized communities, researchers should alert policymakers, frontline staff, and community members to this information and actively assist in providing solutions to this issue. Ideally, the steps outlined in this article will enable researchers to directly uncover the presence of harm and/or lack of reach of policies and form the communication channels that would enable researchers to inform policymakers and community members.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13557623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the RE-AIM framework to evaluate the implementation of a clinical workflow designed to identify, refer, and connect insufficiently active patients to health coaching.","authors":"Garrett M Steinbrink, Jenna L Springer, Korey A Kennelty, Heather Schacht Reisinger, Britt Marcussen, Katie Imborek, Dale S Bond, Yin Wu, Lucas J Carr","doi":"10.1093/tbm/ibag036","DOIUrl":"10.1093/tbm/ibag036","url":null,"abstract":"<p><strong>Background: </strong>Primary care is well-positioned to connect patients to physical activity (PA) interventions but is underutilized.</p><p><strong>Purpose: </strong>To describe the implementation of a clinical workflow designed to identify, refer, and connect insufficiently active patients to health coaching (HC).</p><p><strong>Methods: </strong>From June 2023 to March 2025, a physical inactivity screening and referral workflow was implemented in six primary care clinics within a large university healthcare system. Guided by the RE-AIM framework, descriptive analyses focused on the number and proportion of patients who (i) were screened for inactivity, (ii) were identified as insufficiently active, (iii) expressed interest in HC, (iv) were referred to HC, and (v) were connected to HC. We also assessed provider uptake, evaluated workflow modifications, and computed measures of central tendency and dispersion during the final year.</p><p><strong>Results: </strong>Monthly, a mean (SD) of 1771 (153) patients were screened. Of these, 1013 (102), or 57.1%, were insufficiently active. A median of 288 patients (29%) expressed interest in HC, of which 243 (89%) were referred. A median of 20 patients (10% of those referred) were connected to HC monthly. Among providers with patients requesting a referral, 86% referred. Workflow changes were followed by shifts in metrics, while variability remained low during the final year of evaluation.</p><p><strong>Conclusion: </strong>This workflow identifies and refers many insufficiently active patients to HC. However, there is a gap between patient HC referral and connection to support. Identifying and implementing strategies to overcome barriers and improve patient connection rates is a critical next step.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13344864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413439","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":"Multi-method, longitudinal documentation of adaptations and their impact in the Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science San Diego colorectal cancer screening implementation study.","authors":"Valesca Largaespada, Jesse N Nodora, Jennifer Covin, Yesenia Preciado-Hidalgo, Kristine Ortwine, Nicole Howard, Samir Gupta, Maria Elena Martinez, Scott C Roesch, Sheila Castaneda, Borsika A Rabin","doi":"10.1093/tbm/ibag072","DOIUrl":"10.1093/tbm/ibag072","url":null,"abstract":"<p><strong>Background: </strong>Adaptations are common in implementation studies, yet they are rarely documented systematically. Understanding when, why, and how adaptations occur can improve implementation processes, support interpretation of study outcomes, and inform scaling in diverse settings. Using comprehensive frameworks such as reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) and expanded framework for reporting adaptations and modifications-enhanced can guide systematic documentation, but practical, standardized approaches remain underdeveloped.</p><p><strong>Purpose: </strong>This study describes a multi-method, framework-guided approach to documenting adaptations across all phases of the accelerating colorectal cancer screening and follow-up through implementation science San Diego study, which implemented multilevel, evidence-based interventions to reduce colorectal cancer in community health center (CHC) systems.</p><p><strong>Results: </strong>We documented 44 adaptations over the pre-implementation (n = 22), implementation (n = 19), and sustainment (n = 3) phases. Most were verified through emails/meetings, with research staff/CHC staff as primary informants. Adaptations most frequently involved intervention materials, content, and format, and were primarily driven by pragmatic considerations to align with CHC workflows, patient needs, and contextual factors. While most adaptations had no major impact on RE-AIM outcomes, several improved implementations (e.g. centralizing FIT kit procurement to address COVID-19-related supply chain issues). Negative impacts were rare.</p><p><strong>Conclusions: </strong>A multi-method, framework-based approach to adaptation documentation is feasible and valuable in complex, real-world implementation studies. Early and ongoing tracking supports proactive problem-solving, enhances contextual fit, and informs sustainability planning. This methodology can serve as a model for systematic adaptation tracking in safety-net and community-based healthcare settings, strengthening the evidence base for how adaptations influence implementation and effectiveness outcomes.</p><p><strong>Clinical trials registration: </strong>The Clinical Trials Registration #NCT04941300.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116973","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}