Annals of behavioral medicine : a publication of the Society of Behavioral Medicine最新文献

{"title":"Social network intervention for cardiovascular risk reduction among Hispanic and Somali adults: a cluster randomized trial.","authors":"Mark L Wieland, Luz Molina, Miriam Goodson, Graciela Porraz Capetillo, Ahmed Osman, Yahye Ahmed, Omar Nur, Sheila O Iteghete, Hana Dirie, Matthew M Clark, Abby M Lohr, Jane W Njeru, Christi A Patten, Laura Suarez Pardo, Katherine Zeratsky, Thomas Rieck, Jeph Herrin, Thomas W Valente, Irene G Sia","doi":"10.1093/abm/kaag020","DOIUrl":"10.1093/abm/kaag020","url":null,"abstract":"<p><strong>Background: </strong>Immigrants to the United States often face challenges from limited healthcare access and less healthy environments which contribute to rising obesity and cardiovascular risk.</p><p><strong>Purpose: </strong>To assess the feasibility and effectiveness of a community-based social network intervention for cardiovascular risk reduction among Hispanic and Somali adults.</p><p><strong>Methods: </strong>A social network-informed, community-based participatory research-derived health promotion intervention was delivered by Hispanic and Somali lay health promoters (HPs) to members of their social networks over 1 year (12 biweekly sessions in months 0-6; 12 biweekly check-ins in months 7-12). Using a closed-cohort stepped wedge cluster randomized design, social networks were randomly assigned to receive the intervention immediately or after a delay of 1 year. Measurements at baseline, 6 months, and 12 months were derived from 6 of the American Heart Association's \"Life's Simple 7\": BMI, blood pressure, fasting glucose, cholesterol, physical activity and dietary quality (range 0-12, with higher values indicating lower cardiovascular risk). Waist circumference and proportion of participants who achieved >5% body weight loss were also assessed.</p><p><strong>Results: </strong>Four hundred seventy-five participants were enrolled among 51 HPs (29 Hispanic; 22 Somali). There was a statistically significant improvement in cardiovascular risk in the intervention group (n = 246) compared with controls (n = 229) at 6 months (0.4 [1.8] vs. -0.1 [1.7]; P = .03) that was not sustained at 12 months (0.5 [1.9] vs. 0.3 [1.8]; P = .38). There was a statistically significant higher proportion of participants who lost >5% of body weight in the intervention group compared with controls at 12 months (37% [15] vs. 18% [7.9]; P = .02). Reductions in weight and waist circumference in the intervention group compared with controls did not achieve statistical significance.</p><p><strong>Conclusion: </strong>A social network intervention, delivered by lay HPs was feasible and resulted in a modest improvement of cardiovascular risk and clinically significant weight loss.</p><p><strong>Clinical trial identification number: </strong>NCT05136339.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What makes an intervention dyadic? Introducing the DYADIC meta-framework to Describe Your focAl Dyadic Intervention Components.","authors":"Corina Berli, Urte Scholz, James M Allen, Sally Di Maio, Patrick S Höhener, Nina Knoll, Aleksandra Luszczynska, Monique S Nakamura, Jeffry A Simpson, Gertraud Stadler, Karoline Villinger, Lea O Wilhelm, Alexander J Rothman","doi":"10.1093/abm/kaaf102","DOIUrl":"10.1093/abm/kaaf102","url":null,"abstract":"<p><strong>Background: </strong>Engaging in health behaviors often occurs within a social context. This recognition has led to a notable growth in intervention approaches designed explicitly to involve a \"close other,\" often referred to as dyadic interventions. Yet, there has been surprisingly little discussion of what makes an intervention dyadic.</p><p><strong>Methods: </strong>To address this gap, we developed the DYADIC meta-framework (Describe Your focAl Dyadic Intervention Components) based on iterative discussions.</p><p><strong>Results: </strong>The DYADIC meta-framework delineates 4 dimensions that capture distinct ways an intervention can be dyadic: Who is there? What is done? How does it work? What is the outcome? These features can combine in distinct configurations, such that an intervention may be dyadic in only 1 dimension or across all 4. For each dimension, we propose criteria to distinguish between individual and dyadic operationalizations. The DYADIC meta-framework for dyadic interventions broadens how researchers conceptualize an intervention as dyadic, identifies meaningful ways in which dyadic interventions can differ, and facilitates testing whether different dyadic features uniquely promote behavior change.</p><p><strong>Conclusions: </strong>Together, these contributions lay the foundation for generating the evidence-based guidance to optimize dyadic intervention design. The framework is designed to be applicable across diverse dyad types (eg, romantic partners, family members, adolescent friends).</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial mediators for the impact of personal genomic risk information on melanoma prevention and early detection behaviors.","authors":"Sabrina E Wang, David Espinoza, Serigne N Lo, Amelia K Smit, Anne E Cust","doi":"10.1093/abm/kaag046","DOIUrl":"10.1093/abm/kaag046","url":null,"abstract":"<p><strong>Importance: </strong>In the Melanoma Genomics Managing Your Risk Study, receiving personal genomic risk testing led to improvements in some melanoma prevention and early detection behaviors.</p><p><strong>Objective: </strong>We aimed to examine the hypothesized psychosocial mediators of the effects observed in the trial.</p><p><strong>Design: </strong>Australians of European ancestry without melanoma and aged 18-69 years were recruited via the national Medicare database and randomized to receive personal genomic risk information or usual care (N = 1025). Questionnaires were administered at baseline, 1-month post-intervention, and 12-months post-baseline to assess self-reported prevention and early detection behaviors and psychosocial measures. We first evaluated the intervention's effect on psychosocial measures and the associations between psychosocial measures and behavioral outcomes. We then estimated the natural indirect effects (NIEs) and their 95% confidence intervals (CIs) to quantify the effects mediated by potential mediators identified.</p><p><strong>Results: </strong>Among participants with high traditional melanoma risk, the intervention's effect on increased sun protection at 1 month was partially mediated by changes in the perceived importance (NIE mean difference 0.02; 95% CI: 0.00-0.04) and perceived effectiveness (0.01; 0.00-0.03]) of sun protection strategies. Among women, the intervention's effect on increased whole-body skin examinations at 1 month was partially mediated by perceived capability to engage in skin examinations (NIE odds ratio 1.08; 95% CI: 1.00-1.29) and perceived control over detecting a future melanoma (1.13; 1.03-1.32).</p><p><strong>Conclusions and relevance: </strong>The effectiveness of precision prevention and early detection interventions may be enhanced by targeting key psychosocial mediators through tailored communication of personal melanoma risk.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of context type and stability to insulin habit automaticity and adherence in type 1 diabetes.","authors":"Jenine Y Stone, Mary S Dietrich, Lindsay S Mayberry, Kate Clouse, Shelagh A Mulvaney","doi":"10.1093/abm/kaag015","DOIUrl":"10.1093/abm/kaag015","url":null,"abstract":"<p><strong>Background: </strong>Habit theory incorporates context stability as important for the development of habit automaticity, but its role in insulin habit automaticity and adherence is unknown.</p><p><strong>Purpose: </strong>To examine the roles of context and context stability in insulin habit automaticity and adherence in adults with T1D.</p><p><strong>Methods: </strong>Using an intensive observational design, 63 adults with T1D completed a 7-day ecological momentary assessment protocol using a time-contingent prompt schedule corresponding to approximate mealtimes (morning, afternoon, and evening). Physical, social, and emotional contexts were assessed at each timepoint. Generalized linear mixed-effects models tested associations between specific contexts with momentary insulin habit automaticity and insulin adherence. Spearman correlations were used to assess the strength of associations of context stability with baseline reports of insulin habit automaticity and insulin adherence.</p><p><strong>Results: </strong>Feeling tired, stressed, and sad were associated with lower likelihood of insulin adherence but were not associated with automaticity. Those who reported feeling stressed were 56% less likely to appropriately administer insulin compared to those who reported no stress. As the extent of feeling tired increased, the likelihood of adherence decreased. More stable emotional contexts were associated with higher insulin habit automaticity scores and with greater insulin adherence. Greater stability in emotional context was also associated with less variability in both insulin habit automaticity and insulin adherence. Social context demonstrated a similar pattern of associations to that of emotional context for adherence but not for automaticity.</p><p><strong>Conclusions: </strong>This study supports the role of emotional and social contexts as important in insulin adherence and insulin habit automaticity in adults living with T1D.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of yoga and its probable mechanism of action on lifestyle-related chronic kidney disease: a randomized clinical trial.","authors":"Rajesh G Nair, Ramesh Mavathur, N K Manjunath, J Manjunath","doi":"10.1093/abm/kaaf101","DOIUrl":"10.1093/abm/kaaf101","url":null,"abstract":"<p><strong>Background: </strong>The rising incidence and debilitating impact of lifestyle-related chronic kidney disease (CKD) are alarming. Although yoga has shown favorable results in end-stage CKD, its efficacy in earlier stages remains unexamined.</p><p><strong>Purpose: </strong>This study assesses the efficacy and evaluates the mechanism of action of yoga on early stages of CKD.</p><p><strong>Methods: </strong>The study followed a 2-armed randomized controlled trial design. The study was conducted at Father Muller Medical College & Hospital, Mangalore, India from January 2022 to September 2022. CKD patients (stages 3 and 4) with diabetic or hypertensive etiology, aged 35-60, were randomly allocated to the intervention (41) and control group (40). The intervention group received yoga practices for 12 weeks (5 hours/week) in addition to usual care; the control group received only usual care. Primary outcome measures included kidney function parameters, blood pressure, oxidative stress markers, antioxidant markers, and transforming growth factor-β1 (TGF-β1).</p><p><strong>Results: </strong>Among the CKD participants (mean [SD], age, 54 [5.3] years; 61 [85%] males), yoga group showed significant improvement compared to the Control in serum creatinine (mean difference -0.42 (95% CI, -0.74 to -0.09); P = .013), estimated glomerular filtration rate (6.94 (95% CI, 1.76 to 12.11); P = .030), urine albumin-to-creatinine ratio (-464.2 (95% CI, -880.3 to -48.01); P = .029), and TGF-β1 (-218.2 (95% CI, -401.9 to -34.3); P = .021), along with blood pressure, oxidative-stress, and antioxidant markers. Mediation analysis demonstrates that reduced TGF-β1 levels, acting as a mediator, significantly convey the beneficial effects of yoga.</p><p><strong>Conclusion: </strong>The study shows the beneficial effects of 12-week yoga practice on anthropometric, biochemical, and molecular markers in patients with stages 3 and 4 CKD. These findings may encourage the integration of yoga as a potent adjunct therapy alongside usual care in the management of earlier stages of CKD.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective observational study applying reinforcement learning and behavioral science to mammography: insights for equitable preventive care.","authors":"Emily Frith, Sarah Deedat","doi":"10.1093/abm/kaag024","DOIUrl":"10.1093/abm/kaag024","url":null,"abstract":"<p><strong>Background: </strong>In the United States, underserved women face persistent healthcare disparities, making mammography screening and equity public health priorities.</p><p><strong>Purpose: </strong>This retrospective observational study assessed how tailored messaging influenced mammogram scheduling and attendance, determined which message types were most effective, and explored differences across key demographic subgroups.</p><p><strong>Methods: </strong>We employed Precision Nudging using reinforcement learning and behavioral science to tailor email messages informed by the Capability, Opportunity-Behavior (COM-B) model. Messages were sent to 156 954 women overdue for screening. Mammogram scheduling and attendance were documented via electronic health records. Analyses focused on the engaged patient population who opened at least one email (N = 106 616; 67.9%). Logistic regressions examined whether COM-B content in the first and last message predicted scheduling and attendance, testing interactions for age, race, income, insurance, and education.</p><p><strong>Results: </strong>Among engaged patients, 23.7% scheduled and 20.3% attended a mammogram. Capability-focused messaging was generally associated with higher overall uptake, while opportunity messaging consistently predicted lower scheduling and attendance rates. Equity analyses revealed nuanced engagement patterns among underserved groups. Underrepresented racial/ethnic minority women had higher odds of completing screening than White women. Older age predicted lower attendance, with early messages addressing motivation predicting lower attendance than capability messages. Final intervention messages addressing motivation were more effective for low- and high-income women than middle-income women and more effective for women without private insurance.</p><p><strong>Conclusions: </strong>These findings suggest that tailoring messages to patients' needs and context encourages mammogram uptake and may help reduce disparities in women's health.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the impact of total sleep duration on daily affect among short-sleeping adolescents: an experimental study.","authors":"Avah Mousavi-Raad, Ariel Neikrug, Dean Beebe, Uma Rao, Jessica Borelli, Kate R Kuhlman","doi":"10.1093/abm/kaag008","DOIUrl":"10.1093/abm/kaag008","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined whether increasing sleep duration was associated with changes in daily affect, specifically, increases in positive affect (PA) and decreases in negative affect (NA), among short-sleeping adolescents.</p><p><strong>Methods: </strong>Healthy, short-sleeping adolescents (reporting <8 h sleep on school nights based on parent and adolescent screening questionnaires, n = 41, 14-17 years) participated in 1 week of baseline monitoring, then were randomized to either sleep extension (EXT; +90 min in bed; n = 21) or habitual sleep (HAB; n = 20) for 2 weeks. Both conditions established fixed bedtime and rise-time to reduce sleep variability. Sleep duration was assessed via wrist actigraphy. Participants completed the 22-item Profile of Mood States twice daily: soon after waking and at bedtime during the 3-week protocol.</p><p><strong>Results: </strong>During the initial preintervention week, average nightly sleep duration was 6.42 h (SD = 1.16). In the experimental weeks, HAB averaged 6.22 h (SD = 0.95), while EXT increased to 7.00 h (SD = 0.68; P = .002). This between-group difference represented a large effect (Hedges' g ≈ 0.87), confirming that the manipulation increased sleep duration. Morning PA increased significantly in both conditions (P < .001). There were no significant differences in morning or evening affect between the EXT and HAB conditions. Adolescents experienced lower morning NA after nights when they slept longer, based on a secondary analysis conducted in the full sample, regardless of the experimental condition (P = .005). Further, adolescents with higher average sleep duration had lower evening PA regardless of the experimental condition (P = .03). Morning PA increased from baseline to the experimental weeks in both conditions. Unexpectedly, higher between-person total sleep duration was associated with diminished evening PA, emphasizing the nuanced role of sleep patterns in shaping affective states.</p><p><strong>Conclusions: </strong>Increasing nightly sleep is feasible for short-sleeping adolescents and resulted in longer sleep duration. Although affect did not differ between groups over the short intervention period, daily associations suggest that sleep may play a role in adolescents' emotional experiences. Longer or more intensive sleep interventions may be needed to detect group-level changes in affect.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood obesity interventions among Latinos residing in the US-Mexico border: a systematic review and meta-analysis of obesity outcomes.","authors":"Patricia Dionicio, Zahid Garcia Lopez, Kimberly D Sánchez, Bianca Vargas Tequida, Alva Nidia Laprada Villegas, Juan Pablo Paullada, Daniela Guadalupe Gonzalez-Valencia, María Isabel Ortega, Siddarth Singh, Noe C Crespo","doi":"10.1093/abm/kaag056","DOIUrl":"10.1093/abm/kaag056","url":null,"abstract":"<p><strong>Objective: </strong>The United States and Mexico have similarly high childhood obesity trends, especially among underserved populations and communities living in the US-Mexico border region. To date, limited research has compared childhood obesity prevention interventions in both US and Mexico border states. This systematic literature review and meta-analysis aimed to evaluate the efficacy of childhood obesity interventions on obesity outcomes among Hispanic/Latino children residing in US-Mexico border states.</p><p><strong>Methods: </strong>A systematic literature review was conducted using multiple US and Mexico-based databases through February 2026. The search focused on prospective randomized controlled trials or quasi-experimental studies examining the effect of behavioral interventions on preventing childhood obesity in children aged 3-12 years residing in the US or Mexico border states. Random-effects models were applied using the inverse-variance weight method to assess intervention effects on body mass index (BMI), BMI z-scores, BMI percentile, waist circumference, and body fat percentage. Subgroup and meta-regression analyses were conducted to assess moderators of intervention efficacy based on parental involvement, country, border region, intervention target level, and intervention duration.</p><p><strong>Results: </strong>A total of 7,759 studies were initially identified, and 90 studies met the inclusion criteria for full extraction and analysis. Of the 90 included studies, 79% were conducted in US border states and 60% were quasi experimental studies. Meta-analyses demonstrated no significant improvements in obesity outcomes across the studies. In quasi-experimental studies with a control group, interventions that included parental involvement demonstrated no significant changes in BMI z-scores (d = -0.01; 95% CI, -0.12 to 1.26), whereas interventions without parental involvement demonstrated moderate increases in BMI z-scores (d = 0.67; 95% CI, 0.03 to 1.31).</p><p><strong>Conclusions: </strong>Childhood obesity prevention interventions conducted in US-Mexico border states or within the border region were not associated with improvements in obesity outcomes, regardless of measure or study design. However, parental involvement may play a role in preventing substantial increases in BMI. Future research should examine intervention effects on obesity-related biomarkers, physical fitness, and dietary outcomes, which may provide more sensitive indicators of efficacy.</p><p><strong>Clinical trial registration number: </strong>International Platform of Registered Systematic Review and Meta-analysis Protocols (INPLASY202440046, doi: 10.37766/inplasy2024.4.0046).</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13581397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dyadic associations between sleep quality, diet-related self-regulation, and diet quality in couples.","authors":"Maegan Dymarski, Tamara R Cohen, Noémie Carbonneau, Kaberi Dasgupta, Jean-Philippe Gouin","doi":"10.1093/abm/kaag041","DOIUrl":"10.1093/abm/kaag041","url":null,"abstract":"<p><strong>Background: </strong>Although poor sleep is known to impair diet quality and self-regulation, research has primarily examined these effects within individuals. For cohabiting couples, one partner's poor sleep may affect both partners' diet quality.</p><p><strong>Purpose: </strong>This study examined whether sleep quality is associated with both one's own and one's partner's diet quality, and whether impaired self-regulation processes linked partners' poor sleep and poor diet quality.</p><p><strong>Methods: </strong>We conducted a 3-month dyadic longitudinal study with 204 cohabiting couples (N = 408; M age = 42.4 years). Participants completed assessments of sleep quality (Pittsburgh Sleep Quality Index) and diet quality (Starting the Conversation on Diet) at baseline, 1-month, and 3-month follow-ups. Following baseline, participants completed a 14-day daily diary assessing diet-related self-regulation based on the Health Action Process Approach.</p><p><strong>Results: </strong>Using Actor-Partner Interdependence Models, we found both actor (b = 0.07; 95% CI, 0.01-0.13; P = .026) and partner effects (b = 0.10; 95% CI, 0.04-0.16; P = .001) of sleep quality on diet quality at baseline, indicating that an individual's sleep quality was independently associated with both their own and their partner's diet quality. Similarly, there were actor and partner effects of sleep quality on self-regulatory effort and self-efficacy. There were significant indirect effects of partners' sleep quality on the actor's diet quality through the actor's self-regulatory effort and self-efficacy.</p><p><strong>Conclusions: </strong>Poor sleep quality has both individual and dyadic associations with diet quality in couples. Poor sleep in one partner is also associated with impaired diet-related self-regulation in both partners.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral change techniques and patient co-design in programs for hand osteoarthritis: a scoping review with directed content analysis.","authors":"Dimitra V Pouliopoulou, Victoria D'Alessandro, Nicole Billias, Joy C MacDermid, Emily Lalone, Ruby Grewal, Pavlos Bobos","doi":"10.1093/abm/kaag011","DOIUrl":"10.1093/abm/kaag011","url":null,"abstract":"<p><strong>Background: </strong>Hand osteoarthritis (HOA) is a common and disabling condition that impairs hand function. Traditional joint protection programs (JPPs) are recommended for reducing pain and deformity and potentially slowing disease progression. While JPPs are supported by trials, programs are outdated, not co-designed and poorly implemented. Behavioral science frameworks and patient co-design methodologies may enhance relevance, adherence, effectiveness, and sustainability.</p><p><strong>Purpose: </strong>This study aimed to map and characterize the behavioral components of JPPs for adults with HOA and to examine the extent of patient co‑design.</p><p><strong>Methods: </strong>We conducted a scoping review with directed content analysis following Arksey and O'Malley's framework. We used the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) reporting guidelines. Six databases and 1 clinical-trial registry were searched from inception to April 3, 2025. Eligible studies included any empirical design that included interventions described as \"joint protection\" or clearly aligned with its core components for adults with HOA. Two reviewers independently coded intervention content using the Behavior Change Technique Taxonomy version 1 and assessed the presence of patient co-design with criteria derived from Experience-Based Co-Design frameworks. Discrepancies were resolved by consensus.</p><p><strong>Results: </strong>A total of 32 studies met the inclusion criteria. We identified 22 unique behavioral change techniques across 11 clusters. \"Instruction on how to perform the behavior\" was the most common item (32 studies, 100%), followed by \"Behavior substitution\" (23 studies, 72%) and \"Restructuring the Physical Environment\" (17 studies, 53%). Patient co-design was explicitly integrated in 8 studies, with varying methods and levels of engagement. In most cases, patient input was included during the intervention design stage, while only a few studies involved patients in iterative feedback and refinement. Only 1 study combined theoretically informed behavioral content with active patient co-design, highlighting a substantial gap in the development of JPPs for HOA.</p><p><strong>Conclusions: </strong>Most JPPs for HOA incorporate behavioral change techniques but rarely systematically apply behavior change theory, clearly articulate behavioral change mechanisms or engage patients meaningfully in co-design. Integrating established behavioral frameworks with authentic patient co‑design could yield interventions that are both relevant and sustainable. Future programs development should embed systematic behavioral theory and genuine patient partnership from conception through refinement to support durable behavior change in people with HOA.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}