Translational Behavioral Medicine最新文献

{"title":"Barriers and facilitators to uptake lung cancer screening using low-dose computed tomography scan in high-risk people in Vietnam.","authors":"Dung Van Tran, Quang Van Le, Lam Le Ngo, Dong Van Hoang, Vu Anh Trong Dam, Kiem Khac Nguyen, Huong Thanh Thi Tran, Hung Manh Do, Huy Hong Luu, Xuan Thanh Thi Nguyen, Kui Son Choi","doi":"10.1093/tbm/ibag045","DOIUrl":"https://doi.org/10.1093/tbm/ibag045","url":null,"abstract":"<p><strong>Background: </strong>Lung cancer screening (LCS) using low-dose computed tomography (LDCT) can reduce lung cancer mortality; however, screening uptake remains low.</p><p><strong>Purpose: </strong>This study aimed to identify factors influencing LDCT-LCS participation among high-risk individuals in Vietnam.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 3288 high-risk individuals (aged 50-74) in Hanoi, Vietnam, in 2024. Potential participants were informed about the LCS project through mass media and local commune health stations. Eligible individuals were subsequently invited for fully subsidized LDCT. Demographic data, health status, behaviors, and LCS-related factors were collected through structured interviews. Logistic regression and classification tree models were used to assess the factors associated with LCS participation.</p><p><strong>Results: </strong>Overall, the LCS participation rate was 63.87%. Women who did not drink alcohol had the highest participation (88.7%), while men with irregular health checkups, good health, and past smoking had the lowest (11.4%). Key predictors for higher LCS participation included higher education (adjusted odds ratio = 1.48; 95% CI: 1.25-1.74), high-risk occupations (1.51; 1.22-1.86), current smoking (4.37; 3.06-6.23), ≥30 pack-years of smoking (1.66; 1.41-1.95), family cancer history (3.11; 2.46-3.94), regular exercise (1.44; 1.19-1.75), and regular health checkups (2.42; 2.05-2.85). Lower participation was linked to high income (0.50; 0.42-0.59), drinking alcohol (0.43; 0.35-0.51), and normal/good self-perceived health (0.21; 0.15-0.29).</p><p><strong>Conclusions: </strong>This study highlights the complexity of participation in LCS, revealing the interplay of multiple interrelated factors influencing individuals' engagement in the screening process. These findings underscore the urgent need for community awareness campaigns and contextually tailored interventions to enhance LCS uptake in Vietnam.</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":"148580830","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":"Defining multilevel interventions to improve type 2 diabetes management for Black patients in North Florida: a community-based systems dynamics approach.","authors":"Sylvie Naar, Meardith Pooler-Burgess, Melanie Houston, Penny Ralston, Heather Flynn, Vanessa Crowther, Sara Green, Carrie Pettus","doi":"10.1093/tbm/ibag031","DOIUrl":"10.1093/tbm/ibag031","url":null,"abstract":"<p><strong>Background: </strong>Racism is a driver of community health disparities, and there is a dearth of evidence-based multilevel antiracism interventions developed in partnership with community constituents. Community-engaged systems science defines intervention points within complex systems and was utilized for early-phase multilevel intervention development within the ORBIT translational model to improve type 2 diabetes (T2DM) management among Black patients in the South.</p><p><strong>Methods: </strong>Group model-building sessions were conducted with five primary care physicians, thirteen nurses, six support staff, and nine Black patients with T2DM in North Florida and analyzed with qualitative systems science methods. Facilitation scripts were developed with a core modeling team consisting of investigators and community partners.</p><p><strong>Results: </strong>Resulting systems maps suggested leverage points for interventions, including strategies to increase trust and support, such as increasing appointment length and quality and deepening the health care system's understanding of race and culture as strengths instead of barriers.</p><p><strong>Conclusion: </strong>Formal care coordination pathways to reduce structural racism and address social determinants of health without stigma are needed, with multilevel interventions to address provider support and improve trust. This study demonstrates how to use community-engaged systems science within a translational behavioral medicine framework to define multilevel interventions to reduce health disparities in other systems.</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":"147976299","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":"Piloting a community-academic partnership to deploy acceptance and commitment therapy via telehealth for caregivers of children with Angelman syndrome.","authors":"Meredith A Bucher, Kelly LeMaire, Riley J Felicicchia, Molly Maloney, Veronika Vozka, Dan Foti, Anne Wheeler, Bridgette L Kelleher","doi":"10.1093/tbm/ibag058","DOIUrl":"https://doi.org/10.1093/tbm/ibag058","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of children with Angelman syndrome (AS) experience substantial stressors and often experience challenges accessing mental health providers with expertise in their unique family needs.</p><p><strong>Purpose: </strong>Community-academic partnerships have potential for ensuring such treatments are deployed in ways that maximally benefit the patient community.</p><p><strong>Methods: </strong>This study examined the effectiveness of using a community-centered approach to training student clinicians to deploy telehealth acceptance and commitment therapy (ACT) with a pilot sample of caregivers (n = 17) with young children diagnosed with AS. Prior to deploying the treatment, clinicians received community-led training on the unique needs of AS families.</p><p><strong>Results: </strong>Upon completing the abbreviated 9-week protocol, caregivers reported decreases in depression and parenting stress and increases in parenting confidence across treatment, supporting future testing of ACT for AS in the context of randomized control trials.</p><p><strong>Conclusions: </strong>Our findings support the feasibility of leveraging community-academic partnerships to co-train graduate-level clinicians to deliver ACT to specialized populations. This is also the first study to document preliminary effectiveness of telehealth ACT in supporting caregivers of children with AS.</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":"148913814","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":"A mixed-methods first-year evaluation of implementation outcomes for a bottom-up osteoarthritis management program across healthcare settings in Ireland.","authors":"Clodagh M Toomey, Avantika Bhardwaj, Norelee Kennedy, Anne MacFarlane","doi":"10.1093/tbm/ibag017","DOIUrl":"10.1093/tbm/ibag017","url":null,"abstract":"<p><strong>Background: </strong>The Good Life with osteoArthritis Denmark (GLA:D®) non-profit initiative is a bottom-up approach to deliver evidence-based care, including exercise and education, to people with hip or knee osteoarthritis. GLA:D® was adapted for public and private healthcare in Ireland, using a participatory approach to co-design implementation strategies that would ensure optimal and equitable access.</p><p><strong>Purpose: </strong>To evaluate implementation outcomes of acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration and sustainability of GLA:D® Ireland across healthcare settings, in the first year.</p><p><strong>Methods: </strong>Mixed methods explanatory sequential design. GLA:D® training was advertised to physiotherapists in different healthcare settings around Ireland. Quantitative implementation outcomes were collected from the GLA:D® Ireland Registry. Semi-structured interviews were conducted with trained physiotherapists and participants and analyzed to identify themes.</p><p><strong>Results: </strong>In the first year, 32% of the 71 physiotherapists trained implemented GLA:D® in practice (n = 10 primary care, n = 2 public hospital, n = 3 private). Of 146 participants, 41% were from three sites with ≥1 physiotherapist trained. In interviews (10 physiotherapists, 9 participants), satisfaction with the structured nature that allowed individualization and self-management was reported. Physiotherapists used the program to tackle long waitlists and participants regained confidence to exercise. While equipment costs were low, more staffing and space were mediators for feasibility and sustainability across settings.</p><p><strong>Conclusions: </strong>While a high proportion of GLA:D® adopters were in primary care settings, penetration was more successful in public hospitals, with more resources and physiotherapists trained per site. Results suggest that implementation strategies could be adapted to incentivize training of multiple staff at one site and training of support staff. Top-down funding would help to ensure timely and equitable access to the program across healthcare settings.</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/PMC13082370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692911","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":"Mapping the type, frequency, intensity, temporality, and pathways of dissemination strategies during the national scale-up of TransformUs Secondary.","authors":"Anna Fitriani, Harriet Koorts, Ana María Contardo Ayala, Natalie Lander, Jess Orr, Nicole Martin-Alcaide, Jo Salmon","doi":"10.1093/tbm/ibaf089","DOIUrl":"10.1093/tbm/ibaf089","url":null,"abstract":"<p><strong>Background: </strong>Schools are ideal settings for implementing evidence-based physical activity interventions at scale due to their wide reach. However, dissemination strategies used to achieve scale are rarely reported.</p><p><strong>Purpose: </strong>This study aimed to describe the strategy type, frequency, intensity, temporality, and pathways used in disseminating the TransformUs Secondary initiative across Australia over the first 16 months of national scale-up.</p><p><strong>Methods: </strong>TransformUs Secondary is a whole-of-school initiative that targets behavioral, environmental, and pedagogical strategies inside and outside the classroom to reduce sedentary behavior and increase physical activity among adolescents aged 12-18 years. Since October 2023, the TransformUs team and 16 partner organizations collaboratively disseminated the initiative nationally. A dissemination activity log was used to record dissemination strategies, which were subsequently mapped post hoc to existing frameworks to categorize type, frequency, intensity, temporality, and pathways. Data are reported descriptively and graphically.</p><p><strong>Results: </strong>Between October 2023 and February 2025, 10 discrete strategies were identified, with the most frequent and intensive strategies being \"Promotion via mass media\" (33.2%, 110 person-hours), \"Develop educational materials\" (20.8%, 48 person-hours), and \"Maintain partner engagement\" (12.4%, 20 person-hours). Strategy frequency and intensity fluctuated and increased after the initiative launch, shifting the focus from targeting partner organizations to targeting school staff. Notably, 54.3% of dissemination strategies occurred via direct pathways to school staff.</p><p><strong>Conclusion: </strong>Reporting dissemination strategies and pathways clarifies how school-based interventions are scaled in practice, providing evidence to inform research, guide policy, and support effective implementation in schools.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #ACTRN12622000600741.</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/PMC12803782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985819","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":"Improving the emotional wellbeing of university students through culturally adapted cognitive and dialectical behavioral group interventions: protocol for two parallel feasibility and effectiveness studies.","authors":"Ayse Akan, Nazli Hilal Korkut","doi":"10.1093/tbm/ibag010","DOIUrl":"10.1093/tbm/ibag010","url":null,"abstract":"<p><strong>Background: </strong>University is a period of increased vulnerability to mental health challenges, with anxiety and difficulties in emotion regulation among the most prevalent. Culturally adapted Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) group interventions can support student well-being, yet scalable options remain limited. To address this gap, group CBT for anxiety management and group DBT for emotion regulation were culturally adapted for university students in Türkiye. Adaptations involved revising content and language, removing culturally mismatched elements, and incorporating culturally relevant and age-appropriate material.</p><p><strong>Purpose: </strong>This project aims to assess the feasibility and effectiveness of delivering culturally adapted group CBT for anxiety management and group DBT for emotion regulation.</p><p><strong>Methods: </strong>The project includes three steps: (i) a comprehensive systematic review of group CBT and DBT interventions worldwide; (ii) translation, adaptation, localization, and development of 8-session group interventions; and (iii) implementation, data collection, and analysis. Participants are allocated to either the CBT group for anxiety management or the DBT group for emotion regulation.</p><p><strong>Results: </strong>Standardized measures of anxiety or emotion regulation are administered at baseline, post-intervention, and six-week follow-up for both experimental and waitlist arms. Qualitative data are collected through semi-structured interviews conducted after intervention completion.</p><p><strong>Conclusions: </strong>In this project, the feasibility and effectiveness of culturally adapted CBT and DBT group interventions for university students in Türkiye will be evaluated. Findings will inform wider-scale application of evidence-based therapies in university counseling centres in Global South and guide the design of a future randomized controlled trial.</p><p><strong>Clinical trials information: </strong>NCT07096154 and NCT07096141 on clinicaltrials.gov.</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/PMC13010273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505384","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":"Ojo 2-barriers and recommendations for the recruitment, retention, and implementation of remote physical activity interventions for older Latinos.","authors":"Jocelyn Ocampo-Mota, Dayane Padilla, Brynne Karlinsey Skidmore, Eduardo Cardiel, Sonam Khanna, Mariana Pinto, David X Marquez","doi":"10.1093/tbm/ibag066","DOIUrl":"10.1093/tbm/ibag066","url":null,"abstract":"<p><strong>Background: </strong>Older Latinos participate in low levels of physical activity (PA), despite it being a protective factor against chronic diseases, like Alzheimer's disease and related dementias . PA interventions, like the BAILAMOS™ dance program and ¡En Forma y Fuerte! (Fit & Strong!®) exercise program, were created to address a lack of culturally relevant PA programs for older Latinos. The COVID-19 pandemic allowed for these in-person PA interventions to be adapted for remote delivery. The Cognitive Enhancement and Risk-Reduction through Exercise for Brain-Related Outcomes study examined the feasibility and impact of BAILAMOS™ and ¡En Forma y Fuerte! delivered remotely to inactive older Latinos with memory concerns.</p><p><strong>Purpose: </strong>The purpose of the present paper is to describe challenges in the implementation and delivery of remote PA-interventions for older Latino adults; and potential strategies to overcome those challenges.</p><p><strong>Methods: </strong>Barriers to implementation and delivery of BAILAMOS™ and ¡En Forma y Fuerte!, and strategies developed by the research team to overcome them, were documented by the research team as they arose. Challenges/strategies were grouped using the Theoretical Domains Framework.</p><p><strong>Results: </strong>A total of 38 participants were enrolled and randomized into either BAILAMOS™ or ¡En Forma y Fuerte!. Barriers were grouped into the following themes: (i) Environmental Context and Resources, (ii) Skill & Knowledge, and (iii) Social Influences.</p><p><strong>Conclusions: </strong>The delivery of a remote PA-intervention to older Latino adults is possible, but researchers should consider barriers that they are likely to encounter. Our findings highlight the importance of technology orientation sessions, ongoing device assistance, flexible program schedules, and participant safety protocols. Additional recommendations include considering the cost of purchasing devices as participants might not already own one, and the time-investment needed for technology support and developing new safety protocols for remote delivery.</p><p><strong>Clinical trial information: </strong>C.E.R.E.B.R.O.: NCT05588778 and Fit & Strong!: NCT03180008.</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":"149065562","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":"Building evidence for prevention: case studies on research impacts and influences on health policy, practice, and research capacity.","authors":"Lesley King, Blythe J O'Hara, Adrian E Bauman, Philayrath Phongsavan","doi":"10.1093/tbm/ibag064","DOIUrl":"10.1093/tbm/ibag064","url":null,"abstract":"<p><strong>Background: </strong>Public health research must influence both the research field and health sector. This study explored the impacts of four multi-study prevention research programs conducted by an Australian public health research group.</p><p><strong>Methods: </strong>Using a case study methodology and multiple data sources-document review, interviews, survey, and expert assessments-we studied the trajectories linking research to impact. Analyses included types of evidence generated, context, translational efforts, and impacts across four domains: knowledge development; use of research in the research system; health policy and practice; and health and social impacts. Expert reviewers assessed case studies against indicators covering each impact domain. A framework analysis was used to compare trajectories across cases.</p><p><strong>Results: </strong>Each research program was assessed as having moderate to high impact across all domains. These highly applied, policy relevant research programs achieved significant peer review publications and citations. Both policy-initiated and research-initiated programs included policy collaborators as co-authors. All case studies were policy-aligned and addressed translation factors; and the capacity of individual researchers, the research organization's culture and the degree of collaboration were facilitators of impact.</p><p><strong>Conclusions: </strong>We found clear evidence of demonstrable policy, practice and academic impacts, with variations in impact degree and types. The differing trajectories signal the importance of assessing impacts in relation to the purpose and focus of the research. These case studies illustrate ways that research can be impactful and how classic translational enabling factors can be enhanced. Sophisticated research translation skills and a collaborative organizational culture appear key attributes for achieving impact.</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/PMC13653602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065560","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":"Artificial intelligence in implementation research: a scoping review of applications and recommendations.","authors":"Jiani Ma, Hanlu Shi, Yuxin Zhang, Anna Chapman, Harriet Koorts","doi":"10.1093/tbm/ibag070","DOIUrl":"10.1093/tbm/ibag070","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) holds considerable potential for addressing challenges in knowledge translation and implementation research, including increasing the speed of knowledge synthesis, tailoring of implementation strategies, and collection of implementation data. To date, no prior review has systematically examined how AI has been applied within implementation research.</p><p><strong>Aims: </strong>This scoping review aimed to synthesize the current evidence on applying AI in implementation research, identify reported outcomes and challenges, including ethical, regulatory, and practical considerations.</p><p><strong>Methods: </strong>This review is reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review checklist. A systematic search was conducted across MEDLINE Complete, Scopus, IEEE Xplore, and ACM Digital Library on 31 July 2025. Seven peer-reviewed empirical studies and methodology papers were included and narratively synthesized.</p><p><strong>Results: </strong>Included studies applied machine learning, natural language processing, and generative AI to support implementation monitoring, strategy selection, literature synthesis, and knowledge dissemination. These applications may help challenges related to speed, analytic burden, sustainability, and contextual tailoring in implementation research. Ethical considerations included privacy, transparency, and equity.</p><p><strong>Conclusions: </strong>The current evidence base reflects an early stage of AI application in implementation research. While offering important insights, it highlights opportunities for deeper theoretical integration and more robust empirical evaluation to advance translation of research into practice.</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/PMC13623534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of goal setting and behavior change training for transition care case managers using Kirkpatrick's Model.","authors":"Natasha Reid, Sakshi Chopra, Salih Salih","doi":"10.1093/tbm/ibag015","DOIUrl":"10.1093/tbm/ibag015","url":null,"abstract":"<p><strong>Background: </strong>The transition care program (TCP) is a multidisciplinary, restorative care and rehabilitation program designed to support older adults in regaining functional independence. The integration of goal-setting and behavior change techniques in transition care can help support the uptake of health-related behaviors among older adults to optimize functional and cognitive health outcomes, although standardized education in TCP is not available.</p><p><strong>Purpose: </strong>We developed a goal-setting training module for case managers and therapists to address this need and evaluated its efficacy in improving learning outcomes, including knowledge and skills, of transition care staff.</p><p><strong>Methods: </strong>The study used an uncontrolled, paired samples, pre- and post-test design. The 2-h workshop was delivered by two researchers for case managers and therapists across three TCP sites to build on their existing behavior change and goal-setting knowledge and skills. The training was based on theoretical (e.g. presentation) and practical (e.g. hands-on case series) frameworks delivered using interactive instructional strategies. Data from pre-training and post-training surveys were collected to evaluate the efficacy of the training using Kirkpatrick's evaluation model at levels 1 (reaction) and 2 (learning outcomes).</p><p><strong>Results: </strong>Out of 69 case managers who completed the pre-survey, two-thirds had less than three years of transition care experience. Case managers and therapists rated satisfaction with training content, materials, and delivery above the 75th percentile. In paired analyses (n = 53), pre- to post-training means [mean difference(CI)] improved for SMART goals (1.15 [0.61, 1.79]), action & coping planning (3.00 [2.16, 3.83]), motivational interviewing (1.31 [1.30, 3.50]), behavior change techniques (2.16 [1.30, 3.00]), attitude (0.73 [0.11, 1.34]), and confidence (1.60 [0.80, 2.39]); Bonferroni-adjusted tests indicated significant improvements for all domains except attitude.</p><p><strong>Conclusions: </strong>Case managers' reported post-training improvement in overall knowledge, skills and confidence scores, which might suggest the effectiveness of the training in improving goal setting and behavior change techniques in transition care.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"16 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13448723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}