Behavioral Medicine最新文献_第10页

Evaluating a Pilot Culturally Sensitive Psychosocial Intervention on Posttraumatic Growth for Chinese American Breast Cancer Survivors. 评估美籍华人乳腺癌幸存者创伤后成长的文化敏感心理社会干预试点。

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 Epub Date: 2020-11-23 DOI: 10.1080/08964289.2020.1845600

Qiao Chu, Moni Tang, Lingjun Chen, Lucy Young, Alice Loh, Carol Wang, Qian Lu

{"title":"Evaluating a Pilot Culturally Sensitive Psychosocial Intervention on Posttraumatic Growth for Chinese American Breast Cancer Survivors.","authors":"Qiao Chu, Moni Tang, Lingjun Chen, Lucy Young, Alice Loh, Carol Wang, Qian Lu","doi":"10.1080/08964289.2020.1845600","DOIUrl":"https://doi.org/10.1080/08964289.2020.1845600","url":null,"abstract":"This study investigated the potential benefit of a pilot culturally sensitive group support intervention, named Joy Luck Academy (JLA), in fostering posttraumatic growth among Chinese American breast cancer survivors. Eighty-six Chinese American breast cancer survivors participated in an eight-week single-arm pre-/post-test trial of an intervention program, which included educational lectures and peer mentor support. The JLA participants were compared with an independent sample of 109 Chinese American breast cancer survivors who went through routine care. Both groups completed baseline and eight-week follow-up assessments of the five facets of posttraumatic growth (meaningful interpersonal relationships, finding new possibilities in life, personal strength, appreciation of life, and spirituality). From baseline to follow-up, the JLA participants displayed significant improvements in the total score of posttraumatic growth, meaningful interpersonal relationships, appreciation of life, finding new possibilities in life, and personal strength. In contrast, the routine care participants showed no significant change in any of these outcome variables. The findings suggest the potential benefit of a culturally sensitive group support intervention in facilitating posttraumatic growth for Chinese American breast cancer survivors, indicating the need for a randomized controlled trial. The educational lectures and peer mentor support may be adapted to tailor the needs of other ethnic minority cancer patients.","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"251-260"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08964289.2020.1845600","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38634968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Relevance of Competences for a Healthy, Physically Active Lifestyle in Persons with Multiple Sclerosis: a Path Analytical Approach. 能力与多发性硬化症患者健康、积极生活方式的相关性:路径分析方法

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 Epub Date: 2021-10-26 DOI: 10.1080/08964289.2021.1935437

Johannes Carl, Verena Hartung, Alexander Tallner, Klaus Pfeifer

{"title":"The Relevance of Competences for a Healthy, Physically Active Lifestyle in Persons with Multiple Sclerosis: a Path Analytical Approach.","authors":"Johannes Carl, Verena Hartung, Alexander Tallner, Klaus Pfeifer","doi":"10.1080/08964289.2021.1935437","DOIUrl":"https://doi.org/10.1080/08964289.2021.1935437","url":null,"abstract":"To promote health and counteract the decline associated with the disease, persons with multiple sclerosis (pwMS) are advised to lead healthy, physically active lifestyles. The physical activity-related health competence (PAHCO) model posits that individuals must meet three integrated, person-related requirements for the adoption of such a lifestyle: movement competence, control competence, and self-regulation competence. To gain insights into the needs and challenges of pwMS, the goal of the present study was to empirically examine the roles of these competences within this target group. A total of 475 pwMS underwent a multidimensional, online-based assessment of PAHCO. These participants self-reported their amount of physical activity (PA), health status, disease-related, and sociodemographic information. We used a series of path analyses to investigate the relevance of the three competence areas for each individual's PA level and subjective health. Stepwise multivariate analyses revealed that self-regulation competence was significantly associated with overall PA volume. In contrast, movement competence did not contribute to this prediction. Control competence was also not related to PA level. However, in accordance with the PAHCO model, this factor exerted an independent, qualitative effect on participant health. In summary, self-regulation competence appears to play a crucial role with regard to PA volume. Specifically, control competence appears to be key for the qualitative aspect of PA promotion, characterizing the individual's application of an appropriate stimulus for the achievement of health. Integrating the promotion of self-regulation and control competences into rehabilitation practices can help to foster healthy, physically active lifestyles in pwMS.Supplemental data for this article is available online at https://doi.org/10.1080/08964289.2021.1935437 .","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"331-341"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39560239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Pain Experiences in Individuals with Reported and Suspected Sleep Disorders. 报告和怀疑有睡眠障碍者的疼痛体验。

IF 2 4区医学

Behavioral Medicine Pub Date : 2022-07-01 Epub Date: 2021-03-22 DOI: 10.1080/08964289.2021.1895051

Scott G Ravyts, Joseph M Dzierzewski

{"title":"Pain Experiences in Individuals with Reported and Suspected Sleep Disorders.","authors":"Scott G Ravyts, Joseph M Dzierzewski","doi":"10.1080/08964289.2021.1895051","DOIUrl":"10.1080/08964289.2021.1895051","url":null,"abstract":"The purpose of the present study was to examine whether individuals with varying reported and/or suspected insomnia and sleep apnea presentations differed with respect to pain.Data included 3,161 adults who participated in an online study investigating sleep and health. Participants reported a lifetime history of prior sleep disorder diagnoses while the presence of suspected sleep disorders was determined using the Insomnia Severity Index and the STOP-Bang. Average pain intensity was assessed using a visual analogue scale and pain interference was determined using two items from the PHQ-15. Participants who reported diagnoses of insomnia and/or sleep apnea reported greater pain intensity and interference compared to those with no sleep disorder; however, no differences in pain were observed between the various reported sleep disorders. Of participants who did not report either insomnia or sleep apnea diagnoses, 24% were suspected of having either insomnia, sleep apnea, or both disorders based on responses to questionnaires. Participants with one or more suspected sleep disorders reported higher pain intensity and interference than those without a suspected disorder. Additionally, having either suspected insomnia or suspected comorbid insomnia and sleep apnea was associated with greater pain intensity compared to only having suspected sleep apnea. Sleep disorders go commonly undiagnosed and are associated with adverse pain experiences. While results do not support a synergistic effect of suspected insomnia and sleep apnea on pain, findings indicate that screening for sleep disorders is warranted and may have important implications for pain treatment.","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"48 4","pages":"305-312"},"PeriodicalIF":2.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8859867/pdf/nihms-1777629.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10089012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 DOI: 10.1080/08964289.2020.1809337

Andrew H Rogers, Brooke Y Kauffman, Lorra Garey, Gordon J G Asmundson, Michael J Zvolensky

{"title":"Pain-Related Anxiety among Adults with Obesity and Chronic Pain: Relations with Pain, Opioid Misuse, and Mental Health.","authors":"Andrew H Rogers, Brooke Y Kauffman, Lorra Garey, Gordon J G Asmundson, Michael J Zvolensky","doi":"10.1080/08964289.2020.1809337","DOIUrl":"https://doi.org/10.1080/08964289.2020.1809337","url":null,"abstract":"Obesity affect a significant proportion of the population in the United States, and is associated with numerous health consequences including anxiety, depression, and chronic pain. Additionally, pain among adults with obesity has been associated with greater mental health problems and substance use problems. Yet little work has examined psychological vulnerability factors associated with these relations, and pain-related anxiety may be one candidate psychological correlate of these relations. Therefore, the current study examined the association of pain-related anxiety with pain intensity, disability, opioid misuse, anxiety, and depression among 164 adults (81.7% female, Mage = 40.13 years, SD = 10.85) with obesity (MBMI= 37.21, SD = 6.70) and chronic pain. Results suggested that pain-related anxiety was significantly associated with all outcomes, and these results suggest that pain-related anxiety may play an important role in physical health, mental health, and substance use outcomes among adults with obesity and chronic pain.","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"48 3","pages":"198-206"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08964289.2020.1809337","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10105667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Living with a Smoker and Physical Inactivity across Eight Years in High-Risk Medical Patients. 高风险医疗患者与吸烟者和缺乏身体活动的人一起生活八年。

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 DOI: 10.1080/08964289.2021.1889458

Charles J Holahan, Carole K Holahan, Sangdon Lim, Daniel A Powers, Rebecca J North

{"title":"Living with a Smoker and Physical Inactivity across Eight Years in High-Risk Medical Patients.","authors":"Charles J Holahan, Carole K Holahan, Sangdon Lim, Daniel A Powers, Rebecca J North","doi":"10.1080/08964289.2021.1889458","DOIUrl":"https://doi.org/10.1080/08964289.2021.1889458","url":null,"abstract":"Recent research has demonstrated a link between living with a smoker and physical inactivity. However, no research has examined this issue in the context of recovery in medical patients. The present study broadens research on living with a smoker by applying it to physical inactivity in a group of high-risk medical patients with histories of cancer or cardiovascular disease compared to a control group without histories of these conditions. In addition, this study extends the time frame of research on living with a smoker in predicting physical inactivity to eight years. Participants were 76,758 women between 49 and 81 years of age from the Women's Health Initiative Observational Study. Data on living with a smoker were collected at baseline; data on physical activity were collected at baseline and annually from 3 to 8 years. Analyses utilized latent growth modeling. Patient status, compared to control status, was associated with more physical inactivity at baseline. Independent of patient status, living with a smoker predicted a significant increase in the odds of no moderate or strenuous exercise and a significant increase in the odds of no walking at baseline. The effect of living with a smoker on physical inactivity was stronger than that of patient status. Moreover, the living with a smoker effect on physical inactivity remained stable across eight years. These findings highlight an overlooked impediment to compliance with recommendations for lifestyle change among high-risk medical patients.","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"48 4","pages":"284-293"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08964289.2021.1889458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10106156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual orientation, social support, and mental health resilience in a U.S. national sample of adults. 性取向、社会支持和心理健康弹性在美国成年人样本中的作用。

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 Epub Date: 2020-10-14 DOI: 10.1080/08964289.2020.1825922

Evan A Krueger, Dawn M Upchurch

{"title":"Sexual orientation, social support, and mental health resilience in a U.S. national sample of adults.","authors":"Evan A Krueger, Dawn M Upchurch","doi":"10.1080/08964289.2020.1825922","DOIUrl":"https://doi.org/10.1080/08964289.2020.1825922","url":null,"abstract":"Sexual minority mental health disparities can be attributed, in large part, to chronic exposure to stress. There is growing interest in understanding the factors associated with psychological resilience, or the ability to positively cope with life's stressors. Using nationally representative data (2012-2013; N = 14,470), this study compared differences in resilience status (operationalized empirically using SF-12 mental health score among respondents reporting 2+ past-year stressful life events; respondents were categorized as \"flourishing,\" \"average,\" or \"languishing\") by sexual orientation and assessed whether social support mediated sexual minority disparities in resilience. Comparisons were made across four sexual orientation groups: heterosexuals and three sexual minority subgroups (lesbians/gay men, bisexual, heterosexual-identified sexual minorities [HSM]). Generally, heterosexual respondents were more likely to be flourishing, less likely to be languishing, and reported more social support, compared to sexual minority respondents. In multivariable analysis, bisexual women, HSM women, and gay men had lower odds of resilience than heterosexual women and men, respectively. In mediation models, lower social support was associated with reduced resilience for all sexual minority subgroups except lesbian/gay women. This study demonstrated that sexual orientation is an important determinant of resilience, and further, that social support contributes to sexual minority peoples' abilities to flourish when faced with stress.","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"207-215"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08964289.2020.1825922","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38486415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Habit Facilitates Actioning Sun Protective Behavior Intentions. 习惯促进行动防晒行为意图。

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 Epub Date: 2021-05-12 DOI: 10.1080/08964289.2021.1903380

Amanda L Rebar, Kyra Hamilton, Ryan E Rhodes, Benjamin Gardner

{"title":"Habit Facilitates Actioning Sun Protective Behavior Intentions.","authors":"Amanda L Rebar, Kyra Hamilton, Ryan E Rhodes, Benjamin Gardner","doi":"10.1080/08964289.2021.1903380","DOIUrl":"https://doi.org/10.1080/08964289.2021.1903380","url":null,"abstract":"Skin cancer is highly burdensome, but preventable with regular engagement in sun protective behaviors. Despite modest effectiveness of sun-protective behavior promotional efforts thus far, rates of engagement in sun-protective behaviors remain low. More is needed to understand motivation for using sunscreen, wearing sun-protective clothing, and seeking shade. This study tested whether the links of intention and habit strength with behavior differed between sun-protective behaviors. It was hypothesized that sun protective behaviors would be predicted by both habit and intention and that intention-behavior associations would be weaker for people with stronger habits. Participants residing in Queensland, Australia (N = 203; 75.96% female; M age = 37.16 years, SD = 14.67) self-reported their intentions and habit strength about sun-protective behavior for the next 7 days. Participants were followed-up 7 days later to self-report their sun-protective behavior. Multilevel modeling, accounting for nesting of multiple behaviors within-person, revealed that habit moderated the intention strength - behavior association and this moderation effect did not differ as a function of which behavior was being predicted. People with strong or moderate habit strength tended to act in line with their intentions; however, for people with very weak habits (2 SD < M), there was less alignment between their intention and behavior. These findings suggest that habit plays a facilitative role in the implementation of strong sun protective behavior intentions. Interventions should consider how to encourage intention and habit to enhance sun-protective behaviors and reduce the burden of skin cancer from sun exposure.Supplemental data for this article is available online at https://doi.org/10.1080/08964289.2021.1903380 .","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"313-319"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08964289.2021.1903380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38973646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City. 纽约市华盛顿高地海洛因使用者的住房不稳定性、结构脆弱性和非致命性阿片类药物过量。

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 Epub Date: 2021-06-04 DOI: 10.1080/08964289.2021.1922347

R E Pérez-Figueroa, D J Obonyo, S Santoscoy, H L Surratt, H M Lekas, C F Lewis, J S Lyons, S C Amesty

{"title":"Housing Instability, Structural Vulnerability, and Non-Fatal Opioid Overdoses Among People Who Use Heroin in Washington Heights, New York City.","authors":"R E Pérez-Figueroa, D J Obonyo, S Santoscoy, H L Surratt, H M Lekas, C F Lewis, J S Lyons, S C Amesty","doi":"10.1080/08964289.2021.1922347","DOIUrl":"https://doi.org/10.1080/08964289.2021.1922347","url":null,"abstract":"Nationally, opioid overdose remains strikingly persistent among people experiencing homelessness and housing instability. Limited information is available about the characteristics of this phenomenon in economically disadvantaged communities of color. This study sought to evaluate the association between key contextual factors and experiencing a non-fatal opioid overdose among people who use heroin in Washington Heights, New York City. We conducted a cross-sectional survey (N = 101) among participants seeking harm reduction services who reported heroin use in the last three months. Binary logistic regression models examined the association between key social and structural factors and the likelihood of ever experiencing a non-fatal opioid overdose and recently experiencing a non-fatal opioid overdose. The majority of the sample reported housing instability and lived in poverty; almost 42% were homeless. After adjustment, participants who injected heroin were more likely to have ever experienced a non-fatal opioid overdose. Also, younger participants who reported hunger in the last six months were more likely to have experienced a non-fatal opioid overdose in the last three months. Findings suggest the role of structural vulnerability in shaping overdose risk among the participants. Overdose prevention strategies should consider factors of the social and economic environment to mitigate barriers to accessing health and social services within the context of the current opioid crisis.","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"320-330"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08964289.2021.1922347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39061109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Fatigue severity and fatigue sensitivity: relations to anxiety, depression, pain catastrophizing, and pain severity among adults with severe fatigue and chronic low back pain. 疲劳严重程度和疲劳敏感性:严重疲劳和慢性腰痛的成年人与焦虑、抑郁、疼痛灾难和疼痛严重程度的关系

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 DOI: 10.1080/08964289.2020.1796572

Kara Manning, Brooke Y Kauffman, Andrew H Rogers, Lorra Garey, Michael J Zvolensky

{"title":"Fatigue severity and fatigue sensitivity: relations to anxiety, depression, pain catastrophizing, and pain severity among adults with severe fatigue and chronic low back pain.","authors":"Kara Manning, Brooke Y Kauffman, Andrew H Rogers, Lorra Garey, Michael J Zvolensky","doi":"10.1080/08964289.2020.1796572","DOIUrl":"https://doi.org/10.1080/08964289.2020.1796572","url":null,"abstract":"Chronic low back pain is the second leading cause of disability in the United States, and it is often associated with severe fatigue. However, little is known about individual differences that may be related to poorer mental health and pain among individuals with severe fatigue and chronic low back pain. The aim of the current investigation was to explore the role of fatigue severity and fatigue sensitivity in terms of anxiety and depressive symptoms, pain catastrophizing, pain interference, and pain severity among 783 adults with severe fatigue and chronic low back pain. Results suggest that fatigue severity and fatigue sensitivity were statistically significant predictors for anxiety, depression, pain interference, and pain catastrophizing. However, only fatigue sensitivity significantly predicted pain severity. Overall, the current study provides initial support for the role of fatigue severity and fatigue sensitivity in the presence of mental and physical health complaints among individuals with severe fatigue and chronic low back pain.","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"48 3","pages":"181-189"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08964289.2020.1796572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10088466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Testing Enhanced Active Choice to Optimize Acceptance and Participation in a Population-Based Colorectal Cancer Screening Program in Malta. 测试增强主动选择优化接受和参与以人群为基础的结直肠癌筛查计划在马耳他。

IF 2.3 4区医学

Behavioral Medicine Pub Date : 2022-07-01 Epub Date: 2021-03-12 DOI: 10.1080/08964289.2020.1828254

Sandro T Stoffel, Mariella Bombagi, Robert S Kerrison, Christian von Wagner, Benedikt Herrmann

{"title":"Testing Enhanced Active Choice to Optimize Acceptance and Participation in a Population-Based Colorectal Cancer Screening Program in Malta.","authors":"Sandro T Stoffel, Mariella Bombagi, Robert S Kerrison, Christian von Wagner, Benedikt Herrmann","doi":"10.1080/08964289.2020.1828254","DOIUrl":"https://doi.org/10.1080/08964289.2020.1828254","url":null,"abstract":"Opt-out strategies have been shown to improve participation in cancer screening; however, there are ethical concerns regarding the presumed consent. In this study, we tested an alternative opt-in strategy, called: \"enhanced active choice,\" in which the response options summarize the consequences of the decision. The study was conducted as part of the Maltese colorectal cancer screening program, which offers men and women, aged 60-64, a \"one-off\" fecal immunochemical test (FIT). A total of 8349 individuals were randomly assigned to receive either an invitation letter that featured a standard opt-in strategy (control condition), or an alternative letter with a modified opt-in strategy (enhanced active choice condition). Our primary outcome was participation three months after the invitation was delivered. Additionally, we also compared the proportion who said they wanted to take part in screening. We used multivariable logistic regression for the analysis. Overall, 48.4% (N = 4042) accepted the invitation and 42.4% (N = 3542) did the screening test. While there were no statistically significant differences between the two conditions in terms of acceptance and participation, enhanced active choice did increase acceptance among men by 4.6 percentage points, which translated to a significant increase in participation of 3.4 percentage points. We conclude that enhanced active choice can improve male screening participation. Given the higher risk of CRC in men, as well as their lower participation screening, we believe this to be an important finding.","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"141-146"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08964289.2020.1828254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25480830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2