Translational Behavioral Medicine最新文献

{"title":"Using implementation mapping to design an implementation strategy for classroom-based physical activity approaches in elementary schools.","authors":"Timothy J Walker, Derek W Craig, Christopher D Pfledderer, Kempson Onadeko, Emma E Saving, Hildi M Nicksic, Krista Patlovich, Keisey Fumero, John B Bartholomew, Maria E Fernández","doi":"10.1093/tbm/ibaf021","DOIUrl":"10.1093/tbm/ibaf021","url":null,"abstract":"<p><strong>Background: </strong>Physically active breaks and lessons are evidence-based approaches to improving student's physical activity. Yet, schools and teachers face implementation challenges, requiring the need for effective implementation strategies.</p><p><strong>Purpose: </strong>Use Implementation Mapping to develop an implementation strategy for physically active breaks and lessons in elementary schools.</p><p><strong>Methods: </strong>With our partner school district, we assembled a planning group with expertise in education, public health, and implementation science. The group completed five Implementation Mapping tasks: (i) conduct needs and assets assessment and identify adopters and implementers, (ii) identify implementation outcomes, performance objectives, and determinants, and create matrices of change objectives, (iii) choose theoretical change methods and select and create implementation strategies, (iv) produce implementation protocols and materials, and (v) evaluate implementation outcomes. We also developed an Implementation Mapping (IMap) Logic Model illustrating proposed mechanisms of action.</p><p><strong>Results: </strong>The implementation strategy focused on the principal/assistant principal, instructional coaches, and teachers. The implementation outcome was teacher implementation fidelity (implementation ≥2 physically active breaks/lessons per day). The developed strategy consisted of leadership training, teacher training, a newsletter, resources for teachers, and a parent flyer. The strategy operationalized change methods (theoretical techniques influencing implementation determinants) and practical applications (operationalization of change methods) to address implementation determinants and outcomes.</p><p><strong>Conclusions: </strong>Implementation Mapping provided a systematic process for developing an implementation strategy for physically active breaks and lessons in elementary schools. The IMap Logic Model identifies the proposed mechanisms of action for further testing. The strategy has the potential to benefit schools, teachers/staff, and students by enhancing physical activity.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638474","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":"Pass the Expanding Access To (EAT) Local Foods Act to promote farm viability and nutrition security.","authors":"Roger Figueroa, Elizabeth Perry, Gwyneth Frederick, Mildred Alvarado, Elizabeth Adams, Melanie K Bean","doi":"10.1093/tbm/ibaf003","DOIUrl":"10.1093/tbm/ibaf003","url":null,"abstract":"<p><p>The Society of Behavioral Medicine (SBM) supports passing the Expanding Access To Local Foods Act-a bill to promote economic opportunities for farmers and ranchers to strengthen local food supply chains, and to increase access to nutritious foods among households experiencing food insecurity and chronic disease risk.</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":"143392195","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":"Supporting community translation of lung cancer screening: A web-based decision aid to support informed decision making.","authors":"Jamie L Studts, Richard S Thurer, Christina R Studts, Margaret M Byrne","doi":"10.1093/tbm/ibae073","DOIUrl":"10.1093/tbm/ibae073","url":null,"abstract":"<p><strong>Background: </strong>Results of the National Lung Screening Trial create the potential to reduce lung cancer mortality, but community translation of lung cancer screening (LCS) has been challenging. Subsequent policies have endorsed informed and shared decision-making and using decision support tools to support person-centered choices about screening to facilitate implementation. This study evaluated the feasibility and acceptability of LuCaS CHOICES, a web-based decision aid to support delivery of accurate information, facilitate communication skill development, and clarify personal preferences regarding LCS-a key component of high-quality LCS implementation.</p><p><strong>Methods: </strong>Using a parallel groups randomized trial, the study investigated the feasibility and acceptability of LuCaS CHOICES decision aid in comparison to the National Cancer Institute's Lung Cancer Screening website. Three waves of self-report data were collected: baseline (PRE), 2 weeks post-baseline (POST), and 4 months post-baseline (FOL). Participant accrual and intervention access data were also collected to evaluate methodological feasibility for conducting a larger subsequent trial.</p><p><strong>Results: </strong>Participants assigned to LuCaS CHOICES (n = 25) and the NCI website (n = 25) interventions reported similar, favorable levels of intervention feasibility and acceptability that exceeded a priori criteria. Methodological feasibility was partially supported for the proposed accrual and retention goals, but accrual was slower than hypothesized, and documented exposure to the digital interventions was suboptimal per a priori standards.</p><p><strong>Conclusions: </strong>Overall, both interventions demonstrated intervention feasibility and acceptability. In addition, the proposed methods achieved desired levels of retention and overall data collection. Modifications to enhance intervention engagement should be explored prior to further testing. Subsequent steps involve conducting a randomized clinical trial to evaluate the effect of LuCaS CHOICES on informed decision making and preference-concordant screening behavior, supporting LCS translation into community settings.</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/PMC11736779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014603","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":"Co-designing prediction data visualizations for a digital binge eating intervention.","authors":"Adrian Ortega, Isabel R Rooper, Thomas Massion, Chidibiere Azubuike, Lindsay D Lipman, Tanvi Lakhtakia, Macarena Kruger Camino, Leah M Parsons, Emily Tack, Nabil Alshurafa, Matthew Kay, Andrea K Graham","doi":"10.1093/tbm/ibaf009","DOIUrl":"10.1093/tbm/ibaf009","url":null,"abstract":"<p><strong>Background: </strong>Digital interventions can leverage user data to predict their health behavior, which can improve users' ability to make behavioral changes. Presenting predictions (e.g. how much a user might improve on an outcome) can be nuanced considering their uncertainty. Incorporating predictions raises design-related questions, such as how to present prediction data in a concise and actionable manner.</p><p><strong>Purpose: </strong>We conducted co-design sessions with end-users of a digital binge-eating intervention to learn how users would engage with prediction data and inform how to present these data visually. We additionally sought to understand how prediction intervals would help users understand uncertainty in these predictions and how users would perceive their actual progress relative to their prediction.</p><p><strong>Methods: </strong>We conducted interviews with 22 adults with recurrent binge eating and obesity. We showed prototypes of hypothetical prediction displays for 5 evidence-based behavior change strategies, with the predicted success of each strategy for reducing binge eating in the week ahead (e.g. selecting to work on self-image this week might lead to 4 fewer binges while mood might lead to 1 fewer). We used thematic analysis to analyze data and generate themes.</p><p><strong>Results: </strong>Users welcomed using prediction data, but wanted to maintain their autonomy and minimize negative feelings if they do not achieve their predictions. Although preferences varied, users generally preferred designs that were simple and helped them quickly compare prediction data across strategies.</p><p><strong>Conclusions: </strong>Predictions should be presented in efficient, organized layouts and with encouragement. Future studies should empirically validate findings in practice.</p><p><strong>Clinical trial information: </strong>The Clinical Trials Registration #: NCT06349460.</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/PMC11942788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of online ordering on food security in a food pantry system in New York City.","authors":"Pasquale Rummo, Stella Yi, Carla Seet, Leah Strahs, Justin Kong, Dickran Jebejian, Brian Elbel","doi":"10.1093/tbm/ibaf031","DOIUrl":"10.1093/tbm/ibaf031","url":null,"abstract":"<p><strong>Background: </strong>Online ordering in food pantries may support food security among adults with low socioeconomic status.</p><p><strong>Purpose: </strong>Determine the impact of a transition from in-person ordering to online ordering on the food security status of food pantry clients.</p><p><strong>Methods: </strong>For this quasi-experimental study, we recruited participants from Met Council's Kosher Food Network in New York City, including one pantry in Staten Island (intervention) and three pantries in the Bronx, Queens, and Brooklyn (comparison). The final sample included 114 and 90 adults in the intervention and comparison groups, respectively, at baseline (April-July 2023); and 77 and 58 adults in those groups during follow-up (October-December 2023). Using a six-item survey, we assessed food security status, where scores range from zero to six points and higher points indicate lower food security. Secondary outcomes included nutrition security status, fruit and vegetable intake, and pantry wait time. We used a difference-in-differences approach to assess differences in outcomes between conditions, including testing for differences by age (18-64 vs. ≥65 years).</p><p><strong>Results: </strong>Food security scores decreased in the intervention and comparison groups over time, with no difference in the decrease between groups (P = .87). Yet, among younger adults in the intervention group, wait time decreased during follow-up, and increased in the comparison group (difference-in-differences = -12.1 minutes (95% CI: -21.9, -2.4); P = .02). We did not observe similar differences among older adults (P = .83), nor significant changes in other outcomes.</p><p><strong>Conclusions: </strong>The transition to online ordering did not influence food security status among food pantry clients but may help to save time, especially among younger adults.</p><p><strong>Clinical trials registration: </strong>NCT05752721.</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/PMC12204695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334140","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":"Scale-up influences and definitions of scale-up 'success': evidence from globally scaled interventions.","authors":"Harriet Koorts, Jiani Ma, Samuel Cassar, Adrian Bauman, Mark Lawrence, Harry Rutter, Jo Salmon","doi":"10.1093/tbm/ibae063","DOIUrl":"10.1093/tbm/ibae063","url":null,"abstract":"<p><p>The World Health Organization ExpandNet framework for scaling up contains key recommendations to support the scaling of health interventions globally. Despite being widely used, it is not known how the framework informs intervention scale-up nor how 'successful' scale-up is defined. Using data from the Scaling Up InTErventions' study, this paper assessed adoption of framework components using an international sample of scaled-up physical activity and nutrition interventions, and explored individuals' definitions of scale-up 'success'. An online survey with academic, community, and government representatives involved in scaling physical activity and nutrition interventions globally. Survey questions (n = 27) corresponded to 32 components of the ExpandNet framework, reflecting four core areas: (i) intervention; (ii) user organization; (iii) resource team; and (iv) scale-up strategy. Data were analysed descriptively and qualitative free-text survey responses coded thematically. In total, 62 survey responses were obtained [academia (n = 32), community (n = 20), and government (n = 10)], corresponding to 35 scaled-up interventions. Only 8% of participants reported all 32 framework components during scale-up. Four core elements (containing eight themes) underpinned successful scale-up: (i) scaling inputs (e.g., sustained partner buy-in); (ii) scaling outputs (e.g., sustained, quality implementation); (iii) scaling outcomes (e.g., increased and equitable reach, improved organization and system capacity) and; (iv) scaling context (e.g., partner mental models, and a context-specific construct). There is no universal definition of successful scale-up. We propose core elements of 'successful scale-up' that could be used as criteria for scale-up planning and evaluation, and are applicable to other areas of public health.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392243","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":"Assessing multilevel barriers and facilitators to implementing strategies for cancer screening among Asian Americans in federally qualified health centers: a case study of a community-clinic partnership to improve care for safety-net patients.","authors":"Samantha Garcia, Sora Park Tanjasiri, Jacqueline H Tran, Ellen Ahn, Sherry Huang, Becky Nguyen, Jennifer Tsui","doi":"10.1093/tbm/ibaf047","DOIUrl":"10.1093/tbm/ibaf047","url":null,"abstract":"<p><strong>Background: </strong>Cancer screening disparities among medically underserved Asian Americans are well documented. Assessing determinants of success in implementing multilevel cancer screening strategies in safety-net settings is critical to improve screening and cancer equity.</p><p><strong>Methods: </strong>Academic, clinic, and community partners established the Advancing Care Together (ACCT) formal network to implement multilevel strategies that promote cancer screening among low-income Chinese, Korean, and Vietnamese adults in Orange County, California. ACCT focused on breast, cervical, and colorectal cancer. From August 2018 to January 2021, meetings, surveys, and interviews were conducted with community and clinic partners before implementing evidence-based strategies (EBS) such as educational workshops and community navigation, aligned with cultural and linguistic factors, to increase cancer screening. We evaluated formative data, collected during meetings and interviews and via patient navigator intake forms, to identify barriers and facilitators to implementing EBS in Asian-serving community clinics. We assembled a code book, aligned with the exploration, preparation, implementation, and sustainment framework to guide data analysis of implementation determinants of cancer screening.</p><p><strong>Results: </strong>During the implementation of cancer screening EBS, ACCT staff and community navigators identified barriers in the inner context (lack of language-concordant providers, staff turnover) and outer context (referral wait times, transportation, and cultural stigma). Academic and community partnerships can support multilevel EBS to increase cancer screening (bridging factors). Additional support for clinic and quality improvement staff may be needed to evaluate cancer screening outcomes, and routine training on evaluating electronic medical records is needed (innovation factors).</p><p><strong>Conclusion: </strong>Community-clinic-academic partnerships can increase cancer screening and awareness in Asian American communities, including addressing cultural screening barriers and identifying adaptation needs for educational materials. Additionally, longstanding clinic- and community-level barriers persist in federally qualified health centers serving underrepresented Asian American communities. These barriers in the cancer screening process include high turnover among clinic quality improvement teams and difficulty prioritizing cancer screening throughout the COVID-19 pandemic.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087677","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":"Pass legislation to expand access to nonopioid pain treatments among older adults.","authors":"Lisa R LaRowe, Amy Goetzinger, Kristen Fox, Rebecca Kilpatrick","doi":"10.1093/tbm/ibaf048","DOIUrl":"https://doi.org/10.1093/tbm/ibaf048","url":null,"abstract":"<p><p>The opioid epidemic is an ongoing public health emergency, and rates of prescription opioid use, misuse, and opioid use disorder continue to increase in older adults (age ≥ 65 years). One of the major challenges to reducing prescription opioid use/misuse among older adults is that alternative pain management approaches are often not accessible. In 2022, the Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act was passed by Congress and signed into law by President Biden. Beginning in 2025, the NOPAIN Act will expand access to nonopioid pain treatments by establishing separate reimbursement for nonopioid pain medication for outpatient surgical procedures covered by Medicare Part B. To build on the success of the NOPAIN Act, the Alternatives to Prevent Addiction in the Nation (Alternatives to PAIN) Act proposes to (i) establish patient cost-sharing no greater than generic tier for patients receiving nonopioid pain relief under Medicare Part D plans, and (ii) prohibit the utilization of step therapy and prior authorization for nonopioid pain management drugs for Medicare Part D beneficiaries. Passage of the Alternatives to PAIN Act will bring us closer to making nonopioid pain treatments accessible to all older adults.</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":"145087842","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":"Cultural adaptations of a group exercise intervention for diverse outpatients in an urban community to improve exercise engagement and mood outcomes.","authors":"Mary J Schadegg, Laurie Gallo, Ana Ozdoba, Kristin Szuhany","doi":"10.1093/tbm/ibaf053","DOIUrl":"10.1093/tbm/ibaf053","url":null,"abstract":"<p><strong>Background: </strong>Exercise is an accessible intervention that can improve mental and physical health. However, few people meet exercise recommendations, particularly those with anxiety or depressive symptoms. Individuals living in marginalized communities may have more barriers to exercise engagement. Affect-based interventions highlight the immediate mood benefits of exercise. They may perform better than standard health-based prescriptions at improving exercise engagement and mental health outcomes. Including important cultural adaptations may improve the efficacy of affect-based interventions for racially and economically marginalized communities.</p><p><strong>Purpose: </strong>This pilot study aimed to establish feasibility, acceptability, and preliminary effectiveness of a culturally adapted affect-based intervention with culturally diverse outpatients with mood or anxiety symptoms and primary diagnoses ranging in severity.</p><p><strong>Method: </strong>Twenty adult outpatients engaged in a 3-week Exercise for Mood group with culturally informed adaptations to reduce structural barriers, increase accessibility, and increase intervention engagement. Feasibility, acceptability, exercise, mood, and quality of life were examined.</p><p><strong>Results: </strong>The intervention was deemed feasible (80% attended all sessions) and highly acceptable (average credibility ratings from 7.39 to 8.17 of 9). Total and moderate/vigorous exercise minutes improved over time (P = 0.015, P = 0.007; d = 0.33-0.42). Some changes in stress and ability to tolerate distress occurred (d = 0.64-0.82), but there were no noticeable improvements in depression and quality of life.</p><p><strong>Conclusion: </strong>Cultural adaptations to an affect-based intervention were effective at retaining participants and increasing exercise in an at-risk, culturally diverse population. Preliminary results suggest potential for improvement in distress intolerance and stress, which may importantly target mental and physical health.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":"15 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179619","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":"Real-world challenges in conducting lifestyle intervention research in mental healthcare: reflections from the MULTI+ trial.","authors":"Myrthe M E van Schothorst, Natascha M den Bleijker, Ingrid J M Hendriksen, Wiepke Cahn, Peter N van Harten, Nanne K De Vries, Jeroen Deenik","doi":"10.1093/tbm/ibaf055","DOIUrl":"https://doi.org/10.1093/tbm/ibaf055","url":null,"abstract":"<p><strong>Background: </strong>Real-world effectiveness studies that account for contextual complexities and implementation are essential to bridge the research-to-practice gap. In mental healthcare, this is especially important for lifestyle interventions, which can reduce physical health disparities and support mental health in people with mental illness yet remain insufficiently embedded in routine care.</p><p><strong>Purpose: </strong>This commentary reflects on our experiences conducting research within routine clinical care. It aims to inform future real-world studies, support others doing similar work, and help the field move towards practical, transparent, and useful real-world research.</p><p><strong>Methods: </strong>We use the implementation of MUltidisciplinary Lifestyle-focused approach in the Treatment of Inpatients with mental illness (MULTI+) as a case example to explore broader challenges in conducting effectiveness-implementation research in real-world clinical settings. Lifestyle interventions are particularly illustrative of such challenges, as they are intertwined with the context in which they are delivered and rely on sustained behavior change across all key actors.</p><p><strong>Results: </strong>Through continuous dialogue, we identified ways to generate actionable data for clinical decision-making and navigated challenges such as data fragmentation and missing values. In addition, we refined data collection strategies to enhance inclusivity, for example, by incorporating a visual informed consent to improve participant understanding and engagement.</p><p><strong>Conclusions: </strong>Our findings highlight the need for research approaches that are responsive to clinical contexts, enhance real-world applicability, and maintain scientific integrity. We discuss how pragmatic adaptations can strengthen the integration of research within mental healthcare practice, ultimately improving the impact of lifestyle interventions.</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":"145201887","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}