Health education & behavior : the official publication of the Society for Public Health Education最新文献

{"title":"Association Between Movement Behaviors, Sleep Quality, and Anxiety Symptoms in Adolescents: A School-Based Cross-Sectional Study.","authors":"João Paulo Rodrigues Dos Santos, Vagner Deuel de O Tavares, Yuri Alberto Freire, José Damião Saraiva Gomes-Júnior, Lucas Vital Dantas, Aritana Pereira Ramos, David Ohara, Ludmila Lucena Pereira Cabral, Rodrigo Alberto Vieira Browne","doi":"10.1177/10901981261425267","DOIUrl":"10.1177/10901981261425267","url":null,"abstract":"<p><p>The objective of this study was to investigate the association between movement behaviors, sleep quality, and anxiety symptoms in adolescents. This cross-sectional study included 250 Brazilian school adolescents (aged 16.6 ± 1.2 years) from a federal public school. Moderate-to-vigorous physical activity (MVPA; classified as physically active [≥60 min/day] and physically inactive [<60 min/day] according to the World Health Organization recommendations), sedentary behavior (SB; classified as low <8 h/day and high ≥8 h/day), and sleep quality (poor vs. good) were measured using the adapted version of the Global School-based Student Health Survey. Anxiety symptoms (≥30 points) were evaluated using the Screen for Child Anxiety Related Disorders. Poisson regression with robust variance was used to determine the prevalence ratio (PR) and 95% confidence interval to compare anxiety symptoms between categories of MVPA, SB, and sleep quality, while adjusting for confounding variables. The prevalence of anxiety symptoms was 48.8% (95% CI: 42.4, 54.8). MVPA and sleep quality were associated with anxiety(<i>p</i> < .05). Physically inactive participants had a higher prevalence of anxiety compared with their physically active peers (PR = 1.31, 95% CI: 1.04, 1.64; <i>p</i> = .021). Participants with poor sleep quality had a higher prevalence of anxiety compared with those with good sleep quality (PR = 1.47, 95% CI: 1.16, 1.88; <i>p</i> = .002). SB was not associated with anxiety (<i>p</i> > .05). In conclusion, the results suggest that physically inactive adolescents and those with poor sleep quality have a higher prevalence of anxiety symptoms. Moreover, specific combinations of physical inactivity, high SB, and poor sleep quality, as well as the concomitant presence of all three, are associated with an even greater prevalence of anxiety symptoms.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"515-525"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438845","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":"The Preconception Health and Health Behaviors of Australian First-Time Fathers: A Cross-Sectional Study.","authors":"Tristan Carter, Danielle Schoenaker, Jon Adams, Amie Steel","doi":"10.1177/10901981251414635","DOIUrl":"10.1177/10901981251414635","url":null,"abstract":"<p><p>Preconception health can be optimized through preconception care, which is considered an effective catalyst for behavior change prior to parenthood and is of paramount importance due to the influence that health behaviors can have on pregnancy and offspring outcomes. The preconception health and preconception health behaviors of males before they become fathers for the first time remain underexplored and are an emerging area of interest for public health and reproductive health research. This article is the first report and quantitative cross-sectional analysis of the national dataset pertaining to male health, Ten to Men, reporting data relevant to male health across the life course, during preconception. This report offers research foresight into the health behaviors (e.g., smoking or alcohol), health conditions, health consultations, medications, health information, and health literacy of Australian males prior to becoming a father (<i>n</i> = 572). The findings of this research support an undervalued albeit indispensable research area by providing up-to-date evidence-based information regarding paternal preconception health and health behaviors. This public health research with a focus on paternal preconception health behaviors and health behavior change can only strengthen the call for preventive health and offer preconception health and preventive knowledge about males for the research community and practitioners.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"472-486"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044523","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":"Animation-Based Nutrition Education Improves Nutrition Behavior, Symptoms, and Quality of Life in Heart Failure.","authors":"Yasemin Boy, Mukadder Mollaoğlu","doi":"10.1177/10901981261486880","DOIUrl":"https://doi.org/10.1177/10901981261486880","url":null,"abstract":"<p><p>This study evaluated the effect of animation video-based nutrition education on nutritional behaviors, symptom burden, and quality of life in patients with heart failure. A repeated-measures randomized controlled trial was conducted with an intervention group (<i>n</i> = 33) and a control group (<i>n</i> = 30). The intervention group received animation video-based nutrition education, while the control group received standard procedure. Data were collected at baseline and at 1-, 3-, and 6-month follow-ups. Statistical analyses included descriptive statistics, repeated-measures analysis of variance, and Minimal Clinically Important Difference (MCID) calculations. In addition, mediation analysis using Hayes' PROCESS macro was conducted to examine the mechanistic pathways among nutritional behaviors, symptom burden, and quality of life. The significance of indirect effects was tested using bootstrap resampling with 5,000 iterations. The intervention group demonstrated significant improvements in nutritional behavior, reductions in symptom burden, and enhanced quality of life. Time-by-group interactions favored the intervention group significantly. Notably, the magnitude of changes exceeded established MCID thresholds, confirming clinical significance. Serial mediation analysis showed that the effect of the intervention on quality of life was fully indirect and was transmitted through improvements in nutritional behavior; the hypothesized sequential pathway involving symptom burden was not supported. Animation video-based nutrition education represents an effective intervention for heart failure patients, demonstrating both statistical and clinical significance. Digital-based educational modalities yield superior outcomes compared with traditional approaches.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261486880"},"PeriodicalIF":2.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077439","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":"Measuring the Treatment Effect of a Sexual Violence Prevention Curricular Intervention for College Students.","authors":"Julie Ford, Alyssa Lederer, Katherine M Johnson","doi":"10.1177/10901981261484548","DOIUrl":"https://doi.org/10.1177/10901981261484548","url":null,"abstract":"<p><p>After campus climate survey results at a private Southern U.S. university showed unexpectedly high levels of sexual violence experienced by students, a multidisciplinary group of faculty designed a semester-long course for academic credit. The course addressed upstream factors influencing the prevalence of sexual violence in undergraduate populations, with a focus on first-year students. A quasi-experimental, nonequivalent group, pre-post survey design evaluated the impact of the curricular intervention, surveying both students enrolled in the intervention course and those in a comparison course. This analysis used a pooled sample (<i>n</i> = 177) from two cohorts of students in the intervention (<i>n</i> = 118) and comparison courses (<i>n</i> = 59). Focal measures analyzed included the Revised Sociosexual Orientation Inventory, Sexual Conservatism, Heteronormative Attitudes and Beliefs, Illinois Rape Myth Acceptance, Bystander Efficacy, Consent Myth Awareness, Sexual Misconduct Apathy, and Campus Resource Awareness. A series of weighted <i>g</i>-computations estimated the average treatment effect on the treated (ATT) on students enrolled in the intervention course. Three of the eight measures showed significant changes pre-post in the desired direction. Results indicated significant reductions for intervention students in Heteronormative Attitudes and Beliefs and increases in both Bystander Efficacy and Campus Resource Awareness. Findings indicate that, for those enrolled in the curricular intervention, the course fostered positive improvements in heteronormative attitudes and behavioral intentions regarding bystander intervention while increasing campus resource knowledge. Findings confirm and extend prior work on the utility of a curricular intervention for improving campus climate.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261484548"},"PeriodicalIF":2.1,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066332","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":"Using Intervention Mapping to Develop a Trauma-Informed Sexual Health Program for Native American Youth.","authors":"Gabrielle S Evans-Mitchell, Melissa F Peskin, Katie Schultz, Sheryl McCurdy, Lauren Tingey, Christine Markham","doi":"10.1177/10901981261479330","DOIUrl":"https://doi.org/10.1177/10901981261479330","url":null,"abstract":"<p><p>Native American adolescents and young adults experience persistent sexual and reproductive health inequities shaped by collective trauma, historical oppression, and ongoing structural violence. Although culturally responsive sexual health programs have increased in recent years, few interventions focus specifically on older adolescent and young adult women or intentionally integrate trauma-informed approaches. This article describes using Intervention Mapping to design a culturally relevant, trauma-informed sexual and reproductive health education intervention for Native American older adolescent and young adult women aged 15 to 25 years. Steps 1 to 4 of the Intervention Mapping framework were applied to guide intervention development. Activities included identifying sexual and reproductive health problems and quality-of-life outcomes, specifying behavioral and environmental determinants, developing behavioral and environmental change outcomes and performance objectives, constructing matrices of change objectives, and selecting theory- and evidence-based methods and practical applications. These processes were informed by prior qualitative research with sexual and reproductive health professionals and a systematic review of trauma-informed sexual health education interventions. The Intervention Mapping process resulted in a comprehensive logic model of the problem, detailed matrices linking determinants to change objectives, and draft program components, materials, and facilitator protocols. The resulting intervention plan centers community voice, participatory learning, cultural teachings, and trauma-informed practices. This work contributes to a theory-driven approach to developing culturally grounded sexual health education for Native American young women. The intervention plan provides a foundation for future pilot testing, evaluation, and adaptation in Tribal and Native-serving communities with implications for advancing equity-focused sexual health promotion.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479330"},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148908537","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":"Perception Versus Reality: Parent-Reported and Objectively Measured Physical Activity and Sedentary Time During Early Childhood.","authors":"Samantha Moss, Larissa True, Katherine E Spring, Jerraco L Johnson, E Kipling Webster, Amanda E Staiano","doi":"10.1177/10901981261480345","DOIUrl":"https://doi.org/10.1177/10901981261480345","url":null,"abstract":"<p><p>Objectively measuring physical activity (PA) in early childhood is challenging. Less is known about how parent-reported PA aligns with objectively measured PA in this age group. The study aimed to (a) compare parent-reported with objectively measured child PA and sedentary behavior and (b) investigate sex differences in both measurements. Children wore an ActiGraph wGT3X-BT accelerometer for at least 3 days. Parents completed a 24-hr recall questionnaire regarding the time their child spent sitting and in various PA intensities. Descriptive statistics and <i>t-</i>tests were conducted to determine differences between PA measurement methods and sex. Seventy-one parent-child dyads (<i>M</i>_age = 4.05 years, 50% girls) participated. Parents significantly overestimated their child's time spent in daily moderate-to-vigorous PA (MVPA; <i>M</i>_diff = 38.0 min; <i>p</i> < .01) and vigorous PA (VPA; <i>M</i>_diff = 42.9 min; <i>p</i> < .002). Parents significantly underestimated their child's time spent sedentary (143.7 min via parent-report vs. 476.8 min via accelerometry, <i>M</i>_diff = 333.1 min; <i>p</i> < .001). Accelerometer data indicated boys spent significantly more time in MVPA and VPA compared with girls (114.99 min vs. 90.6 min and 34.99 min vs. 25.7 min, respectively), but parents reported boys and girls spent relatively the same time per day in MVPA (147.3 min vs. 134.3 min, respectively) and VPA (80.4 min vs. 66.1 min). The contrast between parent perception and children's objectively measured PA and sedentary behavior is stark. Strategies encouraging parents and childcare administrators to monitor children's sitting time while equipping them with physically active tasks to break up periods of sedentary time should be emphasized in early childhood.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261480345"},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148908552","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":"Twenty-Four-Hour Movement Guidelines Adherence and Academic Performance From Childhood to Adolescence.","authors":"Mosharop Hossian, Gregore Iven Mielke, Mehwish Nisar, Asaduzzaman Khan","doi":"10.1177/10901981261480353","DOIUrl":"https://doi.org/10.1177/10901981261480353","url":null,"abstract":"<p><p>The 24-hr movement behaviour (24-hr MB) guidelines recommend engaging in sufficient daily moderate-to-vigorous physical activity, obtaining adequate sleep, and limiting recreational screen time, behaviours that may influence learning and school performance; yet, evidence linking adherence with academic performance is largely cross-sectional. Using data from the nationally representative Longitudinal Study of Australian Children (Kindergarten cohort; eligible baseline sample <i>n</i> = 4,463; analytic baseline sample <i>n</i> = 3,973), the study examined whether meeting all three 24-hr MB guideline components concurrently (hereafter, \"adherence\") from the ages of 6-7 to 12-13 years was associated with performance on the National Assessment Program - Literacy and Numeracy (NAPLAN) across Years 3, 5, 7, and 9. Adherence was derived from time-use diaries at Waves 2 to 5 and linked to NAPLAN scale scores (0-1,000 scale) in reading, writing, spelling, grammar/punctuation, and numeracy. Structural nested mean models estimated via g-estimation were used to address measured time-varying confounding and to estimate cumulative and lead-lag associations. Each additional wave of adherence was associated with higher Year 9 scores in numeracy and reading (numeracy: 6.04 points; Bonferroni-adjusted 95% confidence interval [CI] [1.57, 10.37]; reading: 4.93 points; Bonferroni-adjusted 95% CI [0.53, 9.23]). Adherence measured at the exposure wave aligned with the next NAPLAN test occasion was associated with higher scores at the subsequent NAPLAN test in reading (5.44 points; Bonferroni-adjusted 95% CI [0.85, 10.22]). Health education efforts in schools and communities that promote adequate sleep, limit recreational screen time, and support daily moderate-to-vigorous physical activity may help align child health promotion with literacy and numeracy goals.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261480353"},"PeriodicalIF":2.1,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901819","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":"The Health Education Specialist Practice Analysis III 2025 (HESPA III 2025): Process and Outcomes.","authors":"Antonio J Gardner, Beth H Chaney, Ian F Hembry, James Henderson, Misozi Houston, William Datema, Cherylee Sherry, Shontelle Dixon, Melissa Opp","doi":"10.1177/10901981261479329","DOIUrl":"https://doi.org/10.1177/10901981261479329","url":null,"abstract":"<p><p>The Health Education Specialist Practice Analysis III 2025 was conducted to update and validate the hierarchical model associated with the contemporary framework for the practice of health education specialists across work settings at entry and advanced levels. The purpose of this manuscript was to report the processes and findings associated with the HESPA III 2025 study to assess the validity of the Areas of Responsibility, Competencies, Sub-competencies, and Knowledge Areas for entry- and advanced-level health education specialists. Quantitative and qualitative methods were employed. Three data collection instruments were developed by the Health Education Specialist Practice Analysis III 2025 Steering Committee and a 14-member Practice Analysis Panel to survey practicing health education specialists on the knowledge and skills needed to perform duties in their ongoing roles. The instruments assessed the importance, frequency, and performance expectations of the elements of the model. Composite scores for Sub-Competencies were calculated, and subgroup comparisons were conducted to distinguish between levels of practice. A total of 2,337 health education specialists completed the surveys. The final validated hierarchical model included nine Areas of Responsibility, 35 Entry-level Competencies, 4 Advanced-level Competencies, 243 Sub-Competencies, nine Knowledge Topics, and 141 Knowledge Statements. Of the Sub-Competencies, 145 were classified as entry-level, and 98 were classified as advanced level. Health Education Specialist Practice Analysis III 2025 produced a validated hierarchical model descriptive of the current practice of health education specialists across work settings. The findings have professional preparation, professional development, and certification implications for the health education profession.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479329"},"PeriodicalIF":2.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842649","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":"A Therapeutic Exercise Programme for Trans and Gender Diverse Youth: An Effectiveness-Implementation Trial.","authors":"Felicity Austin, Kemi Wright, Ashleigh Lin, Ben Jackson, Julia K Moore, Liz Saunders, Bridget Laming, Claire Munsie, Ben Kramer, Ben Quick, Ashley Almarjawi, Aaron Simpson, Bonnie Furzer","doi":"10.1177/10901981261479283","DOIUrl":"https://doi.org/10.1177/10901981261479283","url":null,"abstract":"<p><p>Trans young people face systemic barriers to physical activity participation and experience disproportionately higher rates of physical and mental health challenges compared with their cisgender peers, yet evidence-based exercise interventions tailored to this population remain limited. This study evaluated a 12-week structured, group-based, gender-affirming exercise programme for trans youth aged 12 to 24 years in Western Australia, recruited through a specialist paediatric gender diversity service and community-based health and well-being services. Using a nonrandomised effectiveness-implementation hybrid design, the study assessed both the real-world implementation outcomes and health-related effectiveness of the programme, which was collaboratively designed with trans young people, families, and health professionals and grounded in international physical activity guidelines. Twenty participants enrolled, with 18 completing postprogramme assessments. Quantitative analysis revealed modest improvements in muscular strength, endurance, power, aerobic recovery, and well-being from baseline to 12 weeks, alongside high acceptability, appropriateness, feasibility, fidelity, and retention rates. Qualitative analysis identified themes relating to pathways to participation, connection through shared experience, supportive facilitation, and perceived physical and psychological benefits. This study adds to the limited evidence base by demonstrating that gender-affirming exercise programmes are both feasible and acceptable across clinical and community settings. Findings support the broader integration of exercise into gender-affirming health care, with implications for the design of inclusive health services and physical activity policies that address the specific needs of trans youth.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479283"},"PeriodicalIF":2.1,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148852346","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":"Impact of Physician Physical Activity on Well-Being, Counseling Practices, and Performance: A Systematic Review.","authors":"Stephen J Perle, Charles A Baumann, William B Dyke, John R Baumann, Alexander D Jeffs, Elizabeth O Moreton, Jackson Perry, Nicholas C Bank, Douglas S Weinberg, R Alexander Creighton","doi":"10.1177/10901981261479365","DOIUrl":"https://doi.org/10.1177/10901981261479365","url":null,"abstract":"<p><p>Physicians are routinely exposed to high levels of occupational stress and demanding cognitive load. Although physicians often report higher levels of physical activity than the general population, physical activity behaviors are variable, and some physicians still do not meet recommended activity guidelines. This systematic review examined whether physician physical activity impacts several professional domains: well-being and burnout, patient counseling and role-modeling behaviors, and cognitive function or clinical performance. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, PubMed, Scopus, and SportDiscus were searched in October 2025. Twenty-three studies met the inclusion criteria. Across 10 studies evaluating physician well-being, higher physical activity was consistently associated with lower burnout, reduced stress, fewer symptoms of depression and anxiety, greater professional fulfillment and personal accomplishment, and higher quality of life. Twelve studies demonstrated associations between physicians' physical activity and greater frequency, confidence, and perceived effectiveness of physical activity counseling, with estimates ranging from odds ratio (OR) 2.43 to 5.72 among studies reporting ORs. Patients also reported greater trust in physically active physicians. Evidence directly linking physician physical activity to objective clinical performance outcomes was limited. One multimodal wellness intervention study incorporating physical activity reported improvements in self-reported cognitive adaptability. However, the independent effect of physical activity could not be isolated. Overall, physician physical activity appears associated with improved well-being and increased patient counseling, suggesting a promising target for clinician wellness initiatives.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"10901981261479365"},"PeriodicalIF":2.1,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805170","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}