Translational Behavioral Medicine最新文献_第8页

Implementation science for cancer control: One center's experience addressing context, adaptation, equity, and sustainment. 癌症控制的实施科学：一个中心解决背景、适应、公平和可持续发展问题的经验。

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-03-21 DOI: 10.1093/tbm/ibad078

Russell E Glasgow, Bryan S Ford, Cathy J Bradley

{"title":"Implementation science for cancer control: One center's experience addressing context, adaptation, equity, and sustainment.","authors":"Russell E Glasgow, Bryan S Ford, Cathy J Bradley","doi":"10.1093/tbm/ibad078","DOIUrl":"10.1093/tbm/ibad078","url":null,"abstract":"Implementation science (IS) has great potential to enhance the frequency, speed, and quality of the translation of evidence-based programs, policies, products, and guidelines into practice. Progress has been made, but with some notable exceptions, this promise has not been achieved for cancer prevention and control. We discuss five interrelated but conceptually distinct, crosscutting issues important to accelerate IS for cancer prevention and control and how our Colorado Implementation Science Center in Cancer Control (COISC3) addressed these issues. These needs and opportunities include more fully addressing changing, multi-level context; guiding rapid, iterative adaptations; evaluating innovative approaches to engagement and health equity; greater attention to costs and economic issues; and sustainability. We summarize conceptual issues; evaluation needs and capacity building activities and then provide examples of how our IS center addressed these five needs for cancer prevention and control. We discuss changes made to address priorities of (i) guiding adaptations of implementation strategies to address changing context and (ii) working on issues identified and prioritized by our primary care partners rather than the research team. We conclude with discussion of lessons learned, limitations, and directions for future research and practice in IS to enhance cancer prevention and control as well as translational behavioral medicine more generally.","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"215-224"},"PeriodicalIF":3.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10956964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075621","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}

引用次数: 0

Food is Medicine and implementation science: A recipe for health equity. 食物即药物和实施科学：实现健康公平的秘诀。

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-03-21 DOI: 10.1093/tbm/ibae005

Roger Figueroa, Bailey Houghtaling

引用次数: 0

Implementation support for the data-driven components of care in a multisite network of coordinated specialty care programs. 在多地点协调专科护理计划网络中，为数据驱动的护理内容提供实施支持。

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-03-21 DOI: 10.1093/tbm/ibae011

Oladunni Oluwoye, Khairul A Siddiqi, Bryony Stokes, Sheldon Stokes

{"title":"Implementation support for the data-driven components of care in a multisite network of coordinated specialty care programs.","authors":"Oladunni Oluwoye, Khairul A Siddiqi, Bryony Stokes, Sheldon Stokes","doi":"10.1093/tbm/ibae011","DOIUrl":"10.1093/tbm/ibae011","url":null,"abstract":"Beyond training providers prior to the roll-out of coordinated specialty care (CSC) for first-episode psychosis in clinical settings, implementation support for data-informed care remains an area that has received very little attention. The current paper describes the development and refinement of implementation support for the data-driven components of care in the New Journeys network, Washington State's CSC model for psychosis, comprised of 14 CSC programs. Using the Evidence-Based System for Innovation Support Logic Model, this paper outlines the individual components for implementation support, tools, training, technical assistance, and quality improvement/evaluation that have been developed for the New Journeys network. We present examples of modifications that have occurred over nine years to address the needs of clients, providers, and state-level network administrators to facilitate the data-driven components of care. We conclude with recommendations based on lessons learned in Washington State aimed at improving implementation of data-driven care in CSC models throughout the USA.","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"225-233"},"PeriodicalIF":3.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10956960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102678","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}

引用次数: 0

Evaluation of a human papillomavirus vaccination training implementation in clinical and community settings across different clinical roles. 评估不同临床角色在临床和社区环境中开展人类乳头瘤病毒疫苗接种培训的情况。

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-03-21 DOI: 10.1093/tbm/ibae010

Grace Maynard, Idara N Akpan, Rachel J Meadows, Kimberly G Fulda, Divya A Patel, Virginia Leidner, Tanjila Taskin, Aaron W Gehr, Yan Lu, Sarah Matches, Erika L Thompson

{"title":"Evaluation of a human papillomavirus vaccination training implementation in clinical and community settings across different clinical roles.","authors":"Grace Maynard, Idara N Akpan, Rachel J Meadows, Kimberly G Fulda, Divya A Patel, Virginia Leidner, Tanjila Taskin, Aaron W Gehr, Yan Lu, Sarah Matches, Erika L Thompson","doi":"10.1093/tbm/ibae010","DOIUrl":"10.1093/tbm/ibae010","url":null,"abstract":"Improving human papillomavirus (HPV) vaccination is a national priority but uptake declined following the coronavirus pandemic. A strong predictor of HPV vaccination in the USA is a strong provider recommendation. Therefore, we developed a brief, asynchronous training on HPV vaccine recommendations in clinical and community settings as part of a multisite quality improvement initiative. This paper aims to describe the implementation and initial outcomes of the training provided. A 20-minute training on HPV vaccine bundled recommendations, motivational interviewing, and brief responses to patient concerns (Communicating about HPV vaccination to Adults and Teens; HPV CHAT) was implemented at seven safety-net clinics, two practice-based research network clinics, and nine county immunization clinics. We integrated training with clinical care teams; thus, we assessed immediate training outcomes across their different clinical roles compared to pre-training. In April-May 2022, HPV CHAT training was launched. One hundred eighty-seven people participated in the training and completed the pre-/postevaluation surveys. Knowledge about the HPV vaccine guidelines improved with notable changes in correctly reporting vaccine eligibility (P < .05). A significant change in participants' confidence when addressing safety concerns and answering questions about the HPV vaccine (clinicians, 26.8% and 17.1%; nurses, 29.0% and 23.2%, and clinical staff, 18.2% and 37.7%) was observed. At post-test, more than 85% of clinicians and nurses reported their plan to routinely recommend the HPV vaccine. This quality improvement initiative demonstrated implementation feasibility of a brief HPV vaccine training that improved provider and clinical staff knowledge, confidence, and intention to routinely recommend HPV vaccination.","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"249-256"},"PeriodicalIF":3.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068823","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}

引用次数: 0

A multilevel intervention in pediatric primary care for youth tobacco control: Outcomes of implementing an Ask, Advise, and Connect model. 儿科初级保健中针对青少年烟草控制的多层次干预：实施 "询问、建议和联系 "模式的结果。

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-03-21 DOI: 10.1093/tbm/ibae002

Darren Mays, Joseph M Macisco, Kirsten B Hawkins, Marcelo M Sleiman, Mary Rose Yockel, Shoulong Xie, Lilianna Phan, George Luta, Tania Lobo, Anisha Abraham, Alexander V Prokhorov, Kenneth P Tercyak

{"title":"A multilevel intervention in pediatric primary care for youth tobacco control: Outcomes of implementing an Ask, Advise, and Connect model.","authors":"Darren Mays, Joseph M Macisco, Kirsten B Hawkins, Marcelo M Sleiman, Mary Rose Yockel, Shoulong Xie, Lilianna Phan, George Luta, Tania Lobo, Anisha Abraham, Alexander V Prokhorov, Kenneth P Tercyak","doi":"10.1093/tbm/ibae002","DOIUrl":"10.1093/tbm/ibae002","url":null,"abstract":"Multilevel interventions in healthcare settings (e.g. Ask, Advise, and Connect; AAC) can reduce tobacco product use among adult patients: their effectiveness in pediatric practice is largely unknown. We implemented an AAC model in pediatric primary care to deter children's tobacco use, and evaluated its effectiveness in a single-arm trial. At wellness visits, young patients (ages 12-17) completed a tablet-based assessment (Ask) of lifetime and current tobacco use. These data were made available within the electronic health record to pediatric primary care providers for preventive counseling (Advise). Providers then referred patients to an e-health evidence-based tobacco control intervention (Connect). Tobacco control outcomes were examined in the clinic population (N = 2219) and in a sample of patients (N = 388, 62% female, 39% non-White, M age = 15) over time, along with intervention engagement. Population use of tobacco products decreased following introduction of AAC (more than 2-fold). At the patient level, most children (80.9%) engaged with the intervention: those who were Black or African American, who never used tobacco products/were not susceptible to use, and who used fewer non-cigarette tobacco products were more likely to engage, but only after multiple prompts versus a single prompt. Engagement was positively associated with lowering children's susceptibility to using tobacco at follow-up. A pediatric AAC model holds promise in deterring youth tobacco use, including among historically marginalized populations who may require additional support.","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"241-248"},"PeriodicalIF":3.6,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708279","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}

引用次数: 0

Improve accessibility to evidence-based treatment for insomnia disorder 提高失眠症循证治疗的可及性

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-02-25 DOI: 10.1093/tbm/ibae006

Jessica R Dietch, Amanda C Blok, Eric S Zhou

引用次数: 0

Mending the gap: Measurement needs to address policy implementation through a health equity lens 弥补差距：从健康公平的角度衡量政策实施的需要

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-02-25 DOI: 10.1093/tbm/ibae004

Gabriella M McLoughlin, Shiriki Kumanyika, Yanfang Su, Ross C Brownson, Jennifer O Fisher, Karen M Emmons

{"title":"Mending the gap: Measurement needs to address policy implementation through a health equity lens","authors":"Gabriella M McLoughlin, Shiriki Kumanyika, Yanfang Su, Ross C Brownson, Jennifer O Fisher, Karen M Emmons","doi":"10.1093/tbm/ibae004","DOIUrl":"https://doi.org/10.1093/tbm/ibae004","url":null,"abstract":"Policies represent a key opportunity to improve the health outcomes of populations, and if implemented well, can reduce disparities affecting marginalized populations. Many policies are only evaluated on whether they elicit their intended health outcome. However, a lack of understanding regarding if and how they are implemented may hinder the intended impact overall and on addressing health disparities. Implementation science offers an array of frameworks and methodological approaches for assessing policy delivery, yet few examples exist that meaningfully include health equity as a core focus. This commentary describes the importance of equity-informed implementation measurement by providing case examples and implications for assessment. In addition, we highlight examples of emerging work in policy implementation grounded in health equity with suggested steps for moving the field forward. The ultimate goal is to move toward open-access measurement approaches that can be adapted to study implementation of a variety of policies at different stages of implementation, driven by input from marginalized populations and implementation practitioners, to move the needle on addressing health disparities.","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"2014 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967548","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}

引用次数: 0

The urgency of restructuring the landscape of behavioral medicine: Commentary from early-career diversity institute scholars. 重构行为医学格局的紧迫性：来自早期职业多样性研究所学者的评论。

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-02-23 DOI: 10.1093/tbm/ibad068

Lauren A Fowler, Maria M Quiñones-Cordero, Jaime E Sidani, John A Bernhart, Andrea S Mendoza-Vasconez, Sarah M Bannon, Elizabeth J Unni

{"title":"The urgency of restructuring the landscape of behavioral medicine: Commentary from early-career diversity institute scholars.","authors":"Lauren A Fowler, Maria M Quiñones-Cordero, Jaime E Sidani, John A Bernhart, Andrea S Mendoza-Vasconez, Sarah M Bannon, Elizabeth J Unni","doi":"10.1093/tbm/ibad068","DOIUrl":"10.1093/tbm/ibad068","url":null,"abstract":"Structural and systemic barriers entrenched in academia have sustained for decades, and resulted in a lack of diversity in leadership positions, inequitable workloads for women and underrepresented racial/ethnic groups, and increasing issues with retention of faculty, particularly following the COVID-19 pandemic. Increasing opposition to diversity, equity, and inclusion (DEI) efforts in higher education via legislation, policies, and general anti-DEI sentiment contextualizes the importance of prioritizing DEI. The goal of this commentary is to open discussion among academic institutions regarding changes in DEI culture that will facilitate the growth of diverse early-career faculty (ECF). We use an adapted framework which incorporates DEI into a faculty competency model to (i) guide our discussion of the rationale for restructuring academic systems to promote DEI and (ii) recommend strategies for institutional progress for ECF that can translate across academic institutions. Implementing policies and practices that seek to recruit, retain, and support historically underrepresented ECF are needed, and may involve faculty mentorship programs, establishing equitable funding mechanisms, reforming faculty evaluation practices, and examining and correcting inequities in faculty workloads. The onus is on institutions to recognize and replace the exclusionary practices and biases that have existed within their walls, and continuously promote and monitor their DEI efforts and initiatives to ensure their efficacy. Inclusive academic cultures that demonstrate their value of diversity and commitment to equity promotion at all levels of the organization, including among ECF, are necessary for ensuring excellence in scholarship in academia.","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"149-155"},"PeriodicalIF":3.6,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10890817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66784454","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}

引用次数: 0

A systematic review of diversity, equity, and inclusion and antiracism training studies: Findings and future directions. 对多样性、公平性、包容性和反种族主义培训研究的系统回顾：研究结果和未来方向。

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-02-23 DOI: 10.1093/tbm/ibad061

Monica L Wang, Alexis Gomes, Marielis Rosa, Phillipe Copeland, Victor Jose Santana

{"title":"A systematic review of diversity, equity, and inclusion and antiracism training studies: Findings and future directions.","authors":"Monica L Wang, Alexis Gomes, Marielis Rosa, Phillipe Copeland, Victor Jose Santana","doi":"10.1093/tbm/ibad061","DOIUrl":"10.1093/tbm/ibad061","url":null,"abstract":"A growing number of organizations are prioritizing diversity, equity, and inclusion (DEI) and antiracism in the workplace, including investing resources in DEI or antiracism training. However, such trainings vary widely in curriculum, objectives, delivery, and evaluation, with little known about the efficacy of existing trainings. The aim of this systematic review is to evaluate training characteristics, measures, and results of peer-reviewed studies (published between 2000 and 2022) testing DEI or antiracism trainings. Studies were identified using Google Scholar, JSTOR, and a university library database. Key search terms included \"diversity, equity, and inclusion training\"; \"antiracism training\"; and \"effect,\" \"impact,\" \"outcome,\" or \"evaluation.\" The search yielded N = 15 DEI training studies and N = 8 antiracism training studies. The majority of studies (75% of antiracism training; 66.6% of DEI training) utilized a one-time training session. Content, objectives, measures, and impact varied widely across studies. Randomized designs were uncommon (13%), and over 70% of studies had majority female participants. Findings highlight several strategies to advance the field of DEI and antiracism training, such as shifting curriculum from targeting individual knowledge to supporting behavioral and organizational change, providing longitudinal training, standardizing outcomes of interest, and implementing rigorous evaluation methods.","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"156-171"},"PeriodicalIF":3.6,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10890819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683843","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}

引用次数: 0

Ethical, legal, and social implications of digital health: A needs assessment from the Society of Behavioral Medicine to inform capacity building for behavioral scientists. 数字健康的伦理、法律和社会影响:行为医学学会的需求评估，为行为科学家的能力建设提供信息。

IF 3.6 3区医学

Translational Behavioral Medicine Pub Date : 2024-02-23 DOI: 10.1093/tbm/ibad076

Stephanie P Goldstein, Camille Nebeker, Rebecca Bartlett Ellis, Megan Oser

{"title":"Ethical, legal, and social implications of digital health: A needs assessment from the Society of Behavioral Medicine to inform capacity building for behavioral scientists.","authors":"Stephanie P Goldstein, Camille Nebeker, Rebecca Bartlett Ellis, Megan Oser","doi":"10.1093/tbm/ibad076","DOIUrl":"10.1093/tbm/ibad076","url":null,"abstract":"The ethical, legal, and social implications (ELSIs) of digital health are important when researchers and practitioners are using technology to collect, process, or store personal health data. Evidence underscores a strong need for digital health ELSI training, yet little is known about the specific ELSI topic areas that researchers and practitioners would most benefit from learning. To identify ELSI educational needs, a needs assessment survey was administered to the members of the Society of Behavioral Medicine (SBM). We sought to identify areas of ELSI proficiency and training need, and also evaluate interest and expertise in ELSI topics by career level and prior ELSI training history. The 14-item survey distributed to SBM members utilized the Digital Health Checklist tool (see recode.health/tools) and included items drawn from the four-domain framework: data management, access and usability, privacy and risk to benefit assessment. Respondents (N = 66) were majority faculty (74.2%) from psychology or public health. Only 39.4% reported receiving \"formal\" ELSI training. ELSI topics of greatest interest included practices that supported participant engagement, and dissemination and implementation of digital tools beyond the research setting. Respondents were least experienced in managing \"bystander\" data, having discussions about ELSIs, and reviewing terms of service agreements and privacy policies with participants and patients. There is opportunity for formalized ELSI training across career levels. Findings serve as an evidence base for continuous and ongoing evaluation of ELSI training needs to support scientists in conducting ethical and impactful digital health research.","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"189-196"},"PeriodicalIF":3.6,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10890818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446627","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}

引用次数: 0