International Journal of Behavioral Medicine最新文献

{"title":"Admission Health Literacy and Depressive Symptoms 3 Months After Discharge in Home-Discharged Acute Stroke Patients: A Prospective Cohort Study.","authors":"Keisuke Ikeda, Ryota Ashizawa","doi":"10.1007/s12529-026-10454-6","DOIUrl":"https://doi.org/10.1007/s12529-026-10454-6","url":null,"abstract":"<p><strong>Background: </strong>Post-stroke depression (PSD) is a frequent complication that adversely affects recovery and quality of life after stroke. Identifying modifiable risk factors is essential for its prevention. This study examined whether health literacy assessed during hospitalization is associated with depressive symptoms three months after discharge in　acute stroke patients who were discharged home.</p><p><strong>Methods: </strong>A prospective cohort study was conducted with 451 patients admitted to an acute care hospital, of whom 64 met the eligibility criteria and were included in the final analysis. Health literacy was evaluated prior to hospital discharge using the 16-item European Health Literacy Survey Questionnaire (HLS-EU-Q16). Depressive symptoms were assessed three months after discharge with the 15-item Geriatric Depression Scale (GDS-15) administered via mailed questionnaire. Univariate and multivariate linear regression analyses were performed to examine the association between health literacy and post-discharge depressive symptoms.</p><p><strong>Results: </strong>In the univariate regression analysis, higher health literacy was significantly associated with fewer depressive symptoms after discharge (B =  - 0.09, β =  - 0.27, 95% CI [- 0.18, - 0.01], p = .026). This inverse association remained significant in the multivariate model after adjustment for potential confounders (B =  - 0.11, β =  - 0.31, 95% CI [- 0.20, - 0.02], p = .021).</p><p><strong>Conclusions: </strong>Health literacy assessed during hospitalization was independently associated with depressive symptoms three months after discharge in acute stroke patients who were discharged home. Assessing health literacy prior to discharge and providing inpatient support tailored to patients' health literacy levels may help reduce the risk of post-stroke depressive symptoms and support psychological recovery after discharge.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Views on a Pre-treatment Blood Test to Predict Outcomes Following PD-1 Inhibitor Therapy: A Qualitative Study.","authors":"Amy Jarvis, Sarah Vincent, Amanda D Hutchinson, Lisa M Ebert, Michael P Brown, Julie Marker, Nadia Corsini","doi":"10.1007/s12529-026-10451-9","DOIUrl":"https://doi.org/10.1007/s12529-026-10451-9","url":null,"abstract":"<p><strong>Background: </strong>Anti-PD-1 immunotherapy is routinely used to treat advanced melanoma cancer despite producing therapeutic benefits in less than half of patients. Given that this treatment can be associated with severe adverse effects, researchers are working to develop biomarker-based tests to predict the likely response to treatment. This study aimed to qualitatively explore patients' views on the value of such tests and how they would affect their treatment decision-making.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with melanoma patients commencing PD-1 inhibitor therapy (n = 14), who were presented with a hypothetical scenario in which a blood-based biomarker prognostic test indicated the likely or unlikely success of anti-PD-1 immunotherapy.</p><p><strong>Results: </strong>Thematic analysis identified three major themes. (1) \"More knowledge is more power\": Perceived value and benefits of the test-all participants reported that such a test would be valuable, regardless of the outcome, as it would provide them with an expectation of treatment success and assist them with their treatment decision-making. (2) \"It depends\": Treatment decisions shaped by test outcome-participants described how the test outcome would affect their decision to undergo PD-1 inhibitor therapy. (3) \"Faith in my doctor\": Reliance on doctor's guidance for treatment decisions-participants stated that their treating doctor's opinion on their test outcome and subsequent advice would ultimately guide their treatment decision.</p><p><strong>Conclusion: </strong>Melanoma patients see value in a test to predict anti-PD-1 immunotherapy response. An important consideration when communicating the outcome of this test is ensuring patients can discuss alternative treatment options and their recommendations for the best treatment option with their treating doctor.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mixed Methods Evaluation of the \"Train the Trainer\" Model for Delivering Core \"Making Every Contact Count\" (MECC) Training.","authors":"Beth Nichol, Angela M Rodrigues, Mei Yee Tang, Anna Haste, Sarah Audsley, Craig Robson, Jill Harland, Catherine Haighton","doi":"10.1007/s12529-026-10444-8","DOIUrl":"https://doi.org/10.1007/s12529-026-10444-8","url":null,"abstract":"<p><strong>Introduction: </strong>The current study aimed to evaluate the regional implementation of the Train the Trainer (TtT) model to deliver Making Every Contact Count (MECC, an opportunistic and person-centred approach to the promotion of health and well-being) training across the North East and North Cumbria.</p><p><strong>Methods: </strong>A mixed methods evaluation included secondary data from pre- and post-MECC TtT training survey evaluations and cascade behaviour of MECC trainers, qualitative semi-structured interviews with individuals who were eligible for the MECC TtT programme (n = 21) analysed according to the Theoretical Domains Framework (TDF), content analysis of the existing MECC TtT programme to identify behaviour change techniques (BCTs) and intervention functions (IFs), and a strategic behavioural analysis to identify the extent to which the current programme addressed the behavioural problem.</p><p><strong>Results: </strong>Only 4.4% of MECC trainers who completed the post-survey evaluation reported a cascade of core MECC training following the TtT programme. MECC TtT training significantly improved knowledge but not confidence or motivation of trainees to deliver the MECC training. However, motivation and confidence post-training significantly predicted intention to cascade. Neither mode of delivery nor post-training knowledge significantly predicted intention to cascade. Six key TDF domains were identified as key barriers and facilitators to the cascade of core MECC training: Environmental Context and Resources, Knowledge, Social Influences, Beliefs about Consequences, Skills, and Intentions. MECC TtT training only sufficiently addressed the key TDF domain skills.</p><p><strong>Conclusions: </strong>A targeted approach to recruitment to the regional MECC TtT programme should be adopted to ensure trainees have top-down and peer support, previous MECC knowledge and delivery within their role, and experience of delivering training. Otherwise, additional support is needed for MECC trainers.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening Using the Edinburgh Postnatal Depression Scale at Delivery Discharge as a Predictor of Postpartum Depression.","authors":"Kelly B Zafman, Melissa L Riegel, Markolline Forkpa, Jessie Chittams, Sindhu K Srinivas","doi":"10.1007/s12529-026-10436-8","DOIUrl":"https://doi.org/10.1007/s12529-026-10436-8","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to determine if Edinburgh Postnatal Depression Scale (EPDS) scores at delivery discharge are predictive of EPDS scores at 2-6 weeks postpartum.</p><p><strong>Method: </strong>This was a retrospective cohort study of all patients who delivered at an urban academic medical center from 6/2021 to 6/2022. Universal EPDS screening was implemented for all patients prior to discharge; a score of ≥ 9 was considered at risk for postpartum depression. Patients were re-screened at 2-6 weeks postpartum. The primary outcome was mean EPDS score at 2-6 weeks postpartum.</p><p><strong>Results: </strong>One thousand six hundred three patients were included; 219 (13.7%) scored ≥ 9 at delivery discharge and 37 (2.3%) endorsed self-harm at delivery discharge. Mean EPDS score at the postpartum visit was significantly higher for patients who had an elevated EPDS at delivery discharge compared to those with a low-risk score (7.9 vs. 2.7, p < 0.001). Of patients who had an EPDS ≥ 9 at delivery discharge, 42.0% (92/219) continued to score ≥ 9 postpartum. Most patients who scored < 9 at delivery discharge continued to score low at 2-6 weeks postpartum (1270/1384, negative predictive value 91.8%). A small proportion of patients who had a low score at delivery discharge scored ≥ 9 at the postpartum visit (114/1384, 8.2%).</p><p><strong>Conclusion: </strong>EPDS screening at delivery discharge is feasible and identifies patients at risk of postpartum depression. Interventions should target patients with an elevated EPDS score at delivery discharge, as many patients will continue to score high at their postpartum visit. Rescreening at the postpartum visit remains important, as there are patients who will not be captured immediately postpartum.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence of Patient Mindsets in Inflammatory Bowel Disease and Relationship with Physical and Psychological Outcomes.","authors":"Kate MacKrill","doi":"10.1007/s12529-026-10449-3","DOIUrl":"https://doi.org/10.1007/s12529-026-10449-3","url":null,"abstract":"<p><strong>Background: </strong>Mindsets are a recent framework for understanding the ways patients interpret their chronic health conditions. Despite the influence of the related concept of illness perceptions on physical and psychological outcomes in inflammatory bowel diseases (IBD), mindsets have yet to be examined in this illness. This study investigated the prevalence of illness and body mindsets in IBD patients and the relationship with physical and psychological outcomes.</p><p><strong>Method: </strong>A total of 186 participants completed a cross-sectional survey assessing mindsets about illness and the body, along with the outcomes of physical symptoms, gastrointestinal symptom-specific anxiety, depression, anxiety, and stress. ANOVAs compared differences in outcomes between mindset categories.</p><p><strong>Results: </strong>While \"IBD is manageable\" was the predominant illness mindset for 50.5% of participants, 28.5% viewed their condition as a catastrophe. For body mindsets, 38.2% viewed their body as responsive, while a similar proportion (37.6%) considered their body to be an adversary. Participants holding catastrophic and adversarial mindsets had significantly higher levels of symptom reporting, symptom-specific anxiety, and depression compared to those endorsing more adaptive illness and body mindsets.</p><p><strong>Conclusion: </strong>Illness and body mindsets in IBD are characterized by different rates of symptom burden and mental health outcomes. The results highlight the varied prevalence of mindsets in and across health conditions and suggest there is a fine line between adversarial and responsive mindsets in IBD compared to other illnesses. As mindsets are malleable, these findings support the development of interventions to provide patients with tools to adapt their mindsets, to better manage their condition and improve quality of life.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Advocacy in cancer Survivors and Influencing Factors: a Systematic Review.","authors":"Yushuo Niu, Qianqian Zhang, Cuicui Li, Yingying Li, Runan Zhao, Xiaohong Hou","doi":"10.1007/s12529-026-10446-6","DOIUrl":"https://doi.org/10.1007/s12529-026-10446-6","url":null,"abstract":"<p><strong>Background: </strong>Cancer patients face substantial psychological stress and obstacles to survival. Self-advocacy is essential for their mental health and participation in disease management. This research evaluates the relevant factors that impact self-advocacy among cancer survivors.</p><p><strong>Methods: </strong>Eight electronic databases were searched for this systematic review, including PubMed, EMBASE, The Cochrane Library, Web of Science, CNKI, VIP Database, CBM, and WANFANG (China) from inception to August 20, 2024. All studies included in this review underwent quality assessment using the Joanna Briggs Institute (JBI) tool.</p><p><strong>Results: </strong>Seventeen articles were included as part of the study. Self-advocacy of cancer patients can be altered by a wide range of factors, which we divided into six separate categories: demographic and sociocultural characteristics, personal health status and behavioral factors, social and environmental factors, psychological and emotional factors, disease-related factors, and healthcare-related factors.</p><p><strong>Conclusion: </strong>This systematic review classifies the factors influencing self-advocacy. However, the influence of some influencing factors (e.g. duration of disease, perception of disease) is still controversial within the literature. Moreover, research on self-advocacy has focused mostly on female cancer survivors. Future research should be conducted using longitudinal studies involving distinct participants and large sample sizes to investigate contested aspects and dynamic changes in self-advocacy among both male and female cancer patients.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"mHealth Low-Carbohydrate Type 2 Diabetes Intervention Positively Impacts Sleep Quality and Psychosocial Outcomes.","authors":"Despina Kolivas, Liz Fraser, Ronald Schweitzer, Peter Brukner, George Moschonis","doi":"10.1007/s12529-026-10447-5","DOIUrl":"https://doi.org/10.1007/s12529-026-10447-5","url":null,"abstract":"<p><strong>Background: </strong>To examine the 3-month change of a mHealth low-carbohydrate dietary (LCD) application (app) on sleep quality and psychosocial outcomes in people living with type 2 diabetes (T2D). The aim is to understand the broader impact of the LCD app in the Australian primary care context as an adjunct to standard clinical management of T2D.</p><p><strong>Methods: </strong>The single arm pre-post study recruited community-based people living with T2D, with web access from around Australia, referred via registered supporting general practitioners (GPs). Following informed consent, participants obtained access to the Defeat Diabetes app, which provided education and resources on the LCD approach and support for ongoing management of T2D. Participants self-reported dietary data and validated questionnaires assessed sleep quality (B-PSQI), quality of life (QoL) (EQ-5D-5L), diabetes-related distress (PAID-5), and self-efficacy in diabetes self-management (PDSMS). Univariate regression models examined changes from baseline to 3 months.</p><p><strong>Results: </strong>The present study included 99 participants (mean age 59 ± 11 years, 55 females). Mean carbohydrate intake reduced from baseline to 3 months as a proportion of overall energy intake (-14%kJ/day, 95% CI -17 to -11). Self-reported perceived health status (6, 95% CI 1 to 11), self-efficacy (5, 95% CI 4 to 7), and diabetes-related distress scores (-2.0, 95% CI -3 to -1) improved over 3 months, and there were nonsignificant improvements in sleep quality.</p><p><strong>Conclusion: </strong>People with T2D who used a mHealth LCD app significantly improved their perceived health status, diabetes-related distress, and self-efficacy in diabetes self-management scores after 3 months.</p><p><strong>Practice implications: </strong>mHealth LCD apps should be considered useful adjuncts to current medical management of T2D.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differentiating the Determinants of Ever Having Used a Vape Versus Use Frequency: A Hurdle Modelling Approach.","authors":"Daniel J Phipps, Zoe Griffith, Martin S Hagger, Kyra Hamilton","doi":"10.1007/s12529-026-10448-4","DOIUrl":"https://doi.org/10.1007/s12529-026-10448-4","url":null,"abstract":"<p><strong>Background: </strong>The rising popularity of vaping among young people constitutes a significant public health concern, underscoring the need to identify factors that contribute to youth initiation and continued engagement in this potentially harmful behaviour. Investigation into the psychological mechanisms underlying vaping among young people remains relatively nascent and has, to date, seldom differentiated between the initial decision to try vaping (i.e., ever-use) and the regulation of sustained patterns of use (i.e., use frequency).</p><p><strong>Method: </strong>We surveyed 451 undergraduate students, collecting data on vaping use, attitudes toward vaping, subjective norms, perceived behavioural control, harm perceptions, and behavioural automaticity. A hurdle modelling approach was used to examine two distinct processes: (1) the correlates of ever-use versus no vaping use, and (2) the frequency of use among individuals with prior vaping experience.</p><p><strong>Results: </strong>Findings supported the application of hurdle modelling, revealing distinct correlates for ever-use and use frequency. Specifically, the former was associated with attitudes, subjective norms, and perceived behavioural control, whereas the latter was associated solely with attitudes and behavioural automaticity. Notably, harm perceptions were not associated with either ever-use or the frequency of use.</p><p><strong>Conclusion: </strong>Findings indicate that both ever-use of a vape and frequency of use are associated with beliefs of the outcomes and experiential experiences of the behaviour, rather than by cognitive evaluations of harm. Although conclusions are limited by the cross-sectional design, current results point to the possibility that the psychological determinants of initial experimentation with vaping may differ from those that sustain use frequency.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Medication Beliefs on Medication Adherence in Patients After TKA: A Moderated Mediation Model.","authors":"Hui Pang, Kaizheng Wang, Shunyao Cui, Wei Liu, Hui Wang, Jun Hu","doi":"10.1007/s12529-026-10441-x","DOIUrl":"https://doi.org/10.1007/s12529-026-10441-x","url":null,"abstract":"<p><strong>Background: </strong>Medication adherence among patients following total knee arthroplasty is generally suboptimal. Evidence confirms that medication beliefs constitute one of the key factors influencing patients' adherence to prescribed regimens. However, the mechanism by which medication beliefs affect adherence remains critically important to investigate. Poor medication adherence can significantly compromise postoperative rehabilitation and quality of life in these patients. This study aimed to investigate the mechanism by which medication beliefs influence medication adherence in patients following total knee arthroplasty (TKA).</p><p><strong>Method: </strong>This study utilized a moderated mediation analysis. Data were obtained from patients who underwent TKA at four grade-A tertiary hospitals in Shandong Province, China. Upon discharge, all patients were instructed to adhere to regular anticoagulation therapy. Follow-up data were collected during orthopedic outpatient visits 1 month after surgery. The Chinese versions of the Morisky Medication Adherence Questionnaire, Medication Literacy Scale, Medication Beliefs Scale, and the Social Support Scale were employed as measurement instruments. Through moderated mediation and mediation analyses, the relationships among medication beliefs, medication adherence, medication literacy, and social support were examined.</p><p><strong>Results: </strong>Medication adherence was significantly higher among patients with greater medication literacy (F = 3.951, p < 0.01). Positive correlations were observed between all measured scales (Medication Adherence Questionnaire, Medication Literacy Scale, Medication Beliefs Scale, and Social Support Scale; r = 0.407, 0.332, 0.206, 0.508, 0.216, 0.244; all p < 0.01). Medication beliefs directly influenced adherence (BootSE = 0.041, 95% CI = 0.077-0.240) and indirectly through medication literacy (BootSE = 0.030, 95% CI = 0.128-0.247), accounting for 45.18% and 54.82% of the total effect, respectively. Social support significantly moderated this mediation pathway (β = 0.124, t = 3.399, p < 0.01), particularly strengthening the relationship between medication literacy and adherence (β = 0.195, t = 5.456, p < 0.001).</p><p><strong>Conclusion: </strong>Medication adherence in post-TKA patients is associated with medication beliefs, with medication literacy serving as a partial mediator and social support as a significant moderator. The influence of both medication beliefs and literacy on adherence increases with higher levels of social support.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of the Health Coaching Quality Index: A Proposed Method for Evaluating Health Coaching Interventions.","authors":"Antonio F Pagán, Hannah Yoo, Marleigh Hefner, Yazmine P Huizar, Sharmin Akter, Chelsi Webster, Martin Binks","doi":"10.1007/s12529-025-10419-1","DOIUrl":"https://doi.org/10.1007/s12529-025-10419-1","url":null,"abstract":"<p><strong>Objective: </strong>Due to the rise in lifestyle-associated chronic diseases in the United States and worldwide, Health Coaching (HC) has risen in popularity as a treatment modality. However, little consensus exists on the exact nature and definition of the HC intervention. This has resulted in difficulty comparing interventions that purport to have conducted HC. The present study has three aims, 1) to determine the extent to which studies that identify HC as an intervention are in fact including the core elements of HC, 2) to develop a tool, the Health Coaching Quality Index (HCQI), for assessing HC quality, and 3) to determine if higher quality interventions (according to HCQI scores) appear to be related to better outcomes.</p><p><strong>Methods: </strong>This study utilized an integrative review methodology to extract and synthesize data. Manuscripts were gathered from various sources (i.e., Scopus and PubMed). They were then evaluated for inclusion based on a priori criteria (e.g., intervention study, control group used a coaching intervention). The HCQI was developed to evaluate the quality of the interventions across studies using theory-driven criteria for evaluating key coaching parameters (e.g., collaborative goal setting, use of strategic questioning).</p><p><strong>Results: </strong>Fifty-four manuscripts were included in the final review and analysis. Most included manuscripts evaluated health outcomes such as weight, BMI, physical activity, and chronic disease biomarkers. The results of this review found a large portion of studies fell into a \"medium\" (n = 22, 41%) or \"low\" (n = 19, 35%) quality HC intervention based on the parameters evaluated using the newly developed HCQI. Only a small portion (n = 13, 24%) were rated as \"high\" quality. There was heterogeneity in intervention characteristics including type (e.g., individual or group), delivery method (e.g., in-person or remote), and coaching strategies described.</p><p><strong>Conclusion: </strong>The HCQI is a new tool for evaluating quality of health coaching interventions that appears to differentiate reasonably well among high, medium and low-quality interventions. We note significant heterogeneity in the quality and consistency of coaching methods employed. Additionally, higher quality HC interventions appeared to be associated with a greater proportion of positive outcomes. Future research should focus on consistency and quality in developing comprehensive HC interventions that align with underlying, evidence-based theoretical concepts. The HCQI may help researchers develop and evaluate such HC interventions.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}