International Journal of Behavioral Medicine最新文献

{"title":"A Meta-Analytic Review of the Associations of the Big Five Personality Traits with Subjective Poor Sleep Quality and Insomnia, and Meta-Regression of Some Potential Moderators.","authors":"Habibollah Khazaie, Saeid Komasi, Ali Zakiei, Amirhossein Khazaie, Amir Sharafkhaneh","doi":"10.1007/s12529-025-10384-9","DOIUrl":"https://doi.org/10.1007/s12529-025-10384-9","url":null,"abstract":"<p><strong>Background: </strong>Research on the relationship between personality traits and sleep problems is crucial, as it informs interventions designed to improve mental health and overall well-being. This meta-analytic review aimed to examine the associations between the Big Five personality traits and both subjective sleep quality and insomnia severity. Another objective was to compare the mean scores of personality traits in individuals with insomnia and healthy controls.</p><p><strong>Method: </strong>Three international databases were systematically searched for articles published in English between January 1990 and November 2022 (PROSPERO-CRD42022378352). Due to the observed heterogeneity, pooled estimates of correlations and standardized mean differences were calculated using the random-effects method. Meta-regression and subgroup analyses were performed to identify potential moderators.</p><p><strong>Results: </strong>The estimates derived from 51 studies (involving nearly 31,000 participants from 20 countries) indicated that higher scores of neuroticism and lower scores of extraversion, openness, agreeableness, and conscientiousness were significantly associated with poor sleep quality (r =  - 0.05 to 0.31). With the exception of openness, all other personality traits were significant correlates of insomnia. The meta-regressions revealed that population type, geographic region, age, sample size, sample ratio, quality of study, and year of study served as significant moderators.</p><p><strong>Conclusion: </strong>Despite the significant associations between most personality traits and sleep problems, the heterogeneous estimates were influenced by several moderators. Addressing these moderators can provide researchers with deeper insights into personalized interventions aimed at improving sleep quality across diverse populations. These significant associations also underscore the importance of incorporating personality assessments in clinical settings for individuals experiencing sleep disturbances.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546149","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":"\"My Body Is a Ticking Time Bomb\": Associations of Body Mindsets with Psychological Distress in People with Chronic Kidney Disease.","authors":"Emily J Dowling, Tripti Singh, Joseph Chilcot, Alia J Crum, Lauren C Heathcote","doi":"10.1007/s12529-025-10379-6","DOIUrl":"https://doi.org/10.1007/s12529-025-10379-6","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the association between body mindsets-established, but mutable beliefs a person holds about their body-with psychological distress in people with chronic kidney disease (CKD).</p><p><strong>Methods: </strong>A cross-sectional, mixed methods survey was conducted in people with CKD at various stages of treatment. Participants completed the Patient Health Questionnaire-4 (PHQ-4) to capture distress, the Body Mindset Inventory (BMI), and qualitative free-text responses elaborating on their mindsets. Hierarchical regression models explored associations of body mindsets with psychological distress, controlling for demographic variables, treatment modalities, and comorbidities.</p><p><strong>Results: </strong>Two hundred and thirty-two adults with CKD (62% female) completed the survey; 27.6% were receiving dialysis and 34.7% had received a kidney transplant. Those who more strongly endorsed the mindset that their Body is an Adversary reported greater psychological distress, while those who more strongly endorsed the mindsets that their Body is Capable or their Body is Responsive reported less psychological distress. Together, all three mindsets explained 12% unique variance in psychological distress, even after accounting for demographic factors, treatment modalities, and comorbidities. Mixed methods analyses illustrated the range of body mindsets in people with CKD, with some describing their body as \"A ticking time bomb\" and others stating \"My body is a fighter just like me. My body is amazing.\"</p><p><strong>Conclusion: </strong>Mindsets about the body are significantly associated with psychological distress in people with CKD. These cross-sectional data provide a foundation for future longitudinal and interventional studies on the relationship between mindsets and distress outcomes in people living with CKD.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512803","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":"Modelling the Associations Between the Physician-Patient Relationship and Patient Outcomes via Self-Determination Theory Variables in Chronic Disease Management.","authors":"Jessica A Eigeland, Robyn L Moffitt, Nicola Sheeran, Natalie Loxton, Liz Jones","doi":"10.1007/s12529-025-10371-0","DOIUrl":"https://doi.org/10.1007/s12529-025-10371-0","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to model the associations between the physician-patient relationship and patient outcomes, considering the mediating role of Self-Determination Theory variables.</p><p><strong>Method: </strong>The current study comprised a sample (N = 226) of Australians with a diagnosed chronic health condition. Path analysis via structural equation modelling was used to model the relationships between patients' self-reported perception of the physician-patient relationship, motivation (autonomous and controlled), basic psychological needs (satisfaction and frustration), and patient outcomes (treatment adherence, mental health, and physical health).</p><p><strong>Results: </strong>Stronger physician-patient relationships indirectly predicted better physical and mental health, as well as greater adherence to treatment. This occurred through serial mediation, whereby stronger physician-patient relationships directly predicted need satisfaction, which in turn predicted autonomous motivation. Conversely, weaker physician-patient relationships indirectly predicted poorer mental health and lower adherence to treatment. This occurred through serial mediation where weaker physician-patient relationships predicted need frustration, which in turn predicted controlled motivation. Weaker physician-patient relationships also directly predicted controlled motivation.</p><p><strong>Conclusion: </strong>Satisfaction of basic psychological needs plays an important role in predicting patient motivation and outcomes. The current findings provide evidence that the physician-patient relationship plays a direct role in facilitating satisfaction and frustration of psychological needs, as well as patient motivation. Attention should be placed on interventions aimed at improving the physician-patient relationship as a means through which to increase need satisfaction, autonomous motivation, and, consequently, patient adherence and outcomes.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512804","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":"Leveraging Behavioral Sciences to Augment Voluntary Blood Donation in China: A Randomized Control Trial and Latent Class Analysis.","authors":"Bo Li, Caixia Wu, Zhong Liu, Stephen W Pan","doi":"10.1007/s12529-025-10375-w","DOIUrl":"https://doi.org/10.1007/s12529-025-10375-w","url":null,"abstract":"<p><strong>Background: </strong>China is facing a blood shortage crisis and needs to increase its voluntary blood donation rates. Since current programs to promote blood donation may not be sufficient to meet the rising demand, innovative approaches are needed. Behavioral sciences can provide useful insights for developing behavioral interventions to enhance blood donation. However, there have been few empirical studies to evaluate the efficacy of such interventions across different potential and existing donor subgroups.</p><p><strong>Method: </strong>This randomized controlled trial and latent class analysis (LCA) empirically evaluated the effect of online behavioral interventions on blood donation willingness, intention, and behavior on different donor subgroups in China. In 2022, 3280 participants of diverse sociodemographic characteristics in mainland China were recruited through an online survey platform and completed a baseline survey. Participants were randomized to one of five online interventions (stimulating individual standards of fairness, using eye cues to prime individuals, self-imposed penalties for goal failure, presenting blood shortage statistics in China, and a World Health Organization blood donation poster) in the middle of the survey and were provided information on where to donate blood at the end of the survey. To measure post-intervention blood donation, participants were invited to complete a follow-up survey 3 to 4 weeks after the baseline survey. Six donor subgroups were identified using LCA, and differential treatment effects on actual blood donation were assessed using regression analysis based on a classify-analyze approach.</p><p><strong>Results: </strong>Our results showed that presenting blood shortage statistics was the most effective intervention for increasing blood donation among a subgroup of respondents characterized by high educational attainment, while three out of six classes had low donation rates regardless of the intervention.</p><p><strong>Conclusion: </strong>Targeted, online intervention campaigns show promise in efficiently augmenting voluntary blood donation rates in China.</p><p><strong>Trial registration: </strong>ChiCTR2200060481 (Chinese Clinical Trials Registry).</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487061","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":"Healthy Smiles: An Investigation of Brief Online Interventions to Improve Oral Health among Young People Experiencing Psychological Distress.","authors":"Bonnie A Clough, Emma Walton, Caroline V Robertson, Santosh Tadakamadla, Tanaya Prior, Matt Stainer, Dale Rowland, Amanda J Wheeler","doi":"10.1007/s12529-025-10380-z","DOIUrl":"https://doi.org/10.1007/s12529-025-10380-z","url":null,"abstract":"<p><strong>Background: </strong>Young adults experiencing psychological distress are susceptible to poor oral health through a range of social, cognitive, and biological processes. However, only limited attention has been given to developing interventions to improve oral health behaviours and related factors in this population. This study aimed to compare the efficacy of two brief, online interventions (education and education with motivational interviewing components) to an active control condition.</p><p><strong>Method: </strong>The interventions were informed by co-design and the Theory of Planned Behaviour (TPB), with TPB and related constructs measured pre, post, and one-week following the intervention. Participants were 152 young adults (aged 18-25 years) experiencing moderate or greater psychological distress.</p><p><strong>Results: </strong>Data were analysed using linear mixed-effect modelling, focussing on within groups effects over time and between groups effects at post and follow-up timepoints. Participants in the education intervention reported significantly greater oral health knowledge at post-intervention than pre-intervention (p = .007), with gains maintained at follow-up. Some benefits were also observed for attitudes and oral health values post-intervention, across conditions. The addition of motivational interviewing components did not result in improved intervention effects.</p><p><strong>Conclusion: </strong>Brief online interventions may be appropriate for delivery of educational interventions within this population, but increased support may be needed to improve perceptions of control and behavioural enactment.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487052","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":"A Thematic Analysis of Resilient Experiences of People Who Inject Drugs Living with HIV Remaining in HIV Care.","authors":"Julia Lechuga, Gilberto Perez, Valeria Dueñas, Maria Elena Ramos, Luisa Ramos","doi":"10.1007/s12529-025-10377-8","DOIUrl":"https://doi.org/10.1007/s12529-025-10377-8","url":null,"abstract":"<p><strong>Background: </strong>HIV disproportionately affects US Latinos as they account for 30% of all new HIV infections. A subpopulation also disproportionately affected are people who inject drugs (PWID) which account for 1 in 10 HIV diagnoses in the USA. PWID progression through the HIV treatment cascade is inhibited by various barriers. The barriers that PWID experience entering and remaining in HIV care have been documented extensively at the expense of research conducted to understand facilitators. The purpose of this study was to understand the experiences of PWID living with HIV (PWIDLH) in seeking medical treatment and the factors that facilitated remaining in HIV medical care.</p><p><strong>Method: </strong>We employed a resilience framework to analyze the data and interpret findings. The study site was the USA-Mexico border, a region characterized by a confluence of factors that promote forward HIV transmission such as population mixing, violence, sex work, and injection drug use. Participants were 20 PWIDLH (74% male) with a mean age of 43.5 years residing on the USA-Mexico border in the sister cities of Ciudad Juarez, Mexico, and El Paso, TX.</p><p><strong>Results: </strong>Results revealed three themes: resilience as a system of support, resilience as individual-level psychological resources and behavioral skills, and resilience as a transformative process that enables reciprocal determinism.</p><p><strong>Conclusion: </strong>The study findings contribute to the understanding of the role of resilience among Latino PWIDLH residing in a medically underserved setting. Findings have implications for the development of interventions to promote resilience and motivate Latino PWIDLH to enter the HIV treatment cascade sooner and make successful progression.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477845","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":"Framing the Future: How Vaccination Messages Shape Childhood Immunization Beliefs and Intentions Among Urban Low-Income Communities - a Randomized Field Experiment.","authors":"Judy Gichuki, Ben Ngoye, Vicenta Sierra, Francis Wafula","doi":"10.1007/s12529-025-10376-9","DOIUrl":"https://doi.org/10.1007/s12529-025-10376-9","url":null,"abstract":"<p><strong>Background: </strong>Unvaccinated and partially vaccinated children are often found in complex environments, including urban poor settlements. Beyond typical factors affecting vaccination among low-income urban populations, such as affordability, trust remains a critical determinant of caregiver immunization decisions for their children. Drawing on the Theory of Planned Behavior, this study examined the impact of messaging approaches on the interplay across four factors: attitudes, subjective norms, perceived behavioral control, and vaccination intentions.</p><p><strong>Method: </strong>This was an experimental study that employed a between-participants, 2×2×2 design, taking into consideration message content (benefit or cost), message appeal (factual or emotional), and messenger type (layperson or expert). Data were collected from 366 caregivers of children under five residing in randomly selected urban informal settlements. The proposed model was assessed using a partial least squares structural equation model.</p><p><strong>Results: </strong>The study found that caregivers' attitudes toward vaccination (b=0.215, p<0.001, f²=0.087), subjective norms (b=0.086, p=0.03, f²= 0.026), and perceived behavioral control (b=0.199, p<0.001, f²= 0.087) were positively associated with their intentions to vaccinate their children. Structural equation modelling identified varying moderating effects of the messaging, with the inclusion of the moderators leading to an 8% increase in the R². Exposure to benefit-based (b=0.097, p=0.016, f²=0.016) and fact-based messages (b = 0.162, p<0.001, f²=0.031) intensified the influence of attitudes on vaccination intentions. In contrast, emotionally appealing messages strengthened the impact of perceived behavioral control on intentions (b= -0.149, p<0.001, f²=0.033). The use of expert images did not have significant advantages over layperson images.</p><p><strong>Conclusion: </strong>Findings underscore the potential impact of messaging on the efficacy of vaccination promotion efforts. In developing communication strategies, policymakers should consider the interplay between messaging and its moderating influence on relationships between attitudes, subjective norms, and perceived behavioral control with vaccination intentions.</p><p><strong>Trial registration: </strong>Pan African Clinical Trials Registry.</p><p><strong>Trial no: </strong>PACTR202303735426128. Registered on 22/03/2023.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327740","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":"Impact of Social Isolation on Inflammatory Bowel Disease Risk and the Mitigating Effect of a Healthy Lifestyle.","authors":"Liang Chang, Jie Zhang, Mengmeng Xu, Miaomiao Zhang, Wenhui Xu, Shuangye Yu, Dongqing Ye, Xinyu Fang","doi":"10.1007/s12529-025-10373-y","DOIUrl":"https://doi.org/10.1007/s12529-025-10373-y","url":null,"abstract":"<p><strong>Background: </strong>We aimed to evaluate the association of social isolation with incident inflammatory bowel disease (IBD) risk, as well as to investigate whether and to what degree a healthy lifestyle attenuates IBD risk linked to social isolation.</p><p><strong>Methods: </strong>This UK Biobank cohort study included 429,843 participants without a prior diagnosis of IBD. Social isolation was assessed by three dimensions: the frequency of contact with family or friends, the frequency of engagement in leisure or social activities, and the number of family members. A healthy lifestyle considered included five factors: never smoking, a healthy diet, regular physical activity, an adequate body mass index, and sleep duration. We used multivariable Cox proportional hazards regression models to test the association. Stratified and joint analyses were used to further examine the role of a healthy lifestyle.</p><p><strong>Results: </strong>During a median follow-up period of 13.3 years, 2762 IBD cases were identified, including 956 Crohn's disease (CD) and 1806 ulcerative colitis (UC) cases. Social isolation (most isolated vs least isolated) was associated with an increased risk of IBD (hazard ratio (HR) = 1.28, 95%CI 1.13-1.45), UC (HR = 1.23, 95%CI 1.05-1.43), and CD (HR = 1.34, 95%CI 1.08-1.66). Among the most isolated participants, adhering to a favorable lifestyle decreased the risk of IBD (HR = 0.53, 95%CI 0.36-0.78) and CD (HR = 0.31, 95%CI 0.14-0.69), but not UC.</p><p><strong>Conclusions: </strong>Social isolation is associated with a higher risk of IBD and its subtypes. However, adhering to a healthy lifestyle substantially attenuates IBD and CD risks linked to social isolation.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327741","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":"Unpacking COVID-19 Vaccine Hesitancy: A Network Analysis Perspective on Related Beliefs and Responses.","authors":"Evangelos Karademas, Antonia Paschali","doi":"10.1007/s12529-025-10378-7","DOIUrl":"https://doi.org/10.1007/s12529-025-10378-7","url":null,"abstract":"<p><strong>Background: </strong>Although SARS-CoV-2 vaccination effectively prevents severe infection, many people hesitate to get vaccinated. Psychological factors contributing to vaccination hesitancy include beliefs about vaccine safety and effectiveness, perceived severity of infection, mistrust in authorities, misinformation and conspiracy beliefs, and pandemic-related distress and coping. This cross-sectional study, conducted in Greece, explored the relationships between vaccination and pandemic-related beliefs and responses and examined whether these relationships differed between vaccinated individuals and those hesitating or unwilling to vaccinate.</p><p><strong>Method: </strong>The study was conducted one year after the coronavirus vaccine was available for the entire population and the Omicron variant started to spread. The sample included 520 participants (358 females; mean age = 38.33 years). Network analysis was used to map the connections between the variables.</p><p><strong>Results: </strong>Findings revealed that people less concerned about infection severity and less confident in vaccine effectiveness were more likely to avoid vaccination. Notably, the network structure differed significantly between the two groups. Vaccinated participants exhibited a dense network of interconnected beliefs and responses, with vaccine safety, trust in authorities, worry regarding the pandemic or infection, and a positive outlook playing central roles. In contrast, the hesitant group displayed fewer connections, with vaccine safety and effectiveness beliefs linked primarily to trust in authorities and misinformation.</p><p><strong>Conclusions: </strong>These differences suggest that vaccinated individuals process pandemic and vaccine-related information more comprehensively, while hesitancy may stem from limited integration of related beliefs.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310816","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":"A Breast cAncer Survivorship Inter-Professional Community (BASIC) Shared Care Model to Promote Healthy Behaviors in Singapore: A Pilot Randomized Controlled Trial.","authors":"Yu Ke, Rose Wai Yee Fok, Ngiap Chuan Tan, Lita Chew, Wei Teen Wong, Charmaine Shuyi Kwan, Wing Lam Chung, Kiley Wei-Jen Loh, Gretchen Ser Hua Tan, Ivy Cheng, Joyce Yu-Chia Lee, Alexandre Chan","doi":"10.1007/s12529-025-10372-z","DOIUrl":"https://doi.org/10.1007/s12529-025-10372-z","url":null,"abstract":"<p><strong>Background: </strong>This pilot study assessed the feasibility and acceptability of a randomized controlled trial (RCT) to evaluate a shared care model combining oncologists' and primary care providers' expertise to help cancer survivors manage their health and adopt healthier behaviors.</p><p><strong>Method: </strong>This open-label RCT recruited 70 breast cancer survivors from the National Cancer Centre Singapore between 03/2021-07/2022. Eligible participants (≥ 21 years, ≥ 3 years post-treatment, ECOG status 0-2, deemed low risk by oncologists), were randomized (1:1) to receive shared care or usual care with 1-year follow-up. Shared care recipients completed the Distress Thermometer and Problem List before consulting a family physician and received 3-monthly teleconsultations with community pharmacists. Care was coordinated through survivorship care plans. Outcomes included process measures, preliminary effectiveness (quality of life, functioning, distress, activity, comorbidity control), and acceptability.</p><p><strong>Results: </strong>Average enrolment rate was four participants/week, with disinterest and scheduling conflicts cited as common reasons for rejection. The mean(SD) age of participants was 61.1 (6.6) years. Shared care recipients (n = 33) attended a median of 2 (range 0-6) family physician visits, with 87.9% completing three pharmacist telehealth consults. Retention rate was 96% and questionnaire completion rate was ≥ 90%. Compared to usual care recipients (n = 35), shared care recipients reported higher social functioning (Cohen's d(95%CI) = 0.47(- 0.04,0.98)), lower physical symptom distress (Cohen's d(95%CI) = 0.54(0.02,1.05)), and higher activity levels (Cohen's d(95%CI) = 0.38(- 0.13,0.88)) after 1 year.</p><p><strong>Conclusion: </strong>The moderate positive effects of shared care observed on social functioning, physical symptoms, and activity levels in this pilot warrant validation in a full-scale RCT targeting survivors with greater comorbidity burden and optimized care coordination.</p>","PeriodicalId":54208,"journal":{"name":"International Journal of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217582","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}