Behavioral Medicine最新文献

{"title":"Latent Growth Modeling Trajectories of Cultural Values and Parental Monitoring as Predictors of Alcohol, Cigarette, and Drug Use Initiation Among Mexican-Origin Youth.","authors":"Cindy M Hernandez, Adrian J Bravo, Oscar Bermejo-McGee, Isabela Riofrio, James D Clark, Caroline Cobb, Richard W Robins, Oswaldo Moreno","doi":"10.1080/08964289.2026.2646503","DOIUrl":"https://doi.org/10.1080/08964289.2026.2646503","url":null,"abstract":"<p><p>Substance use initiation during adolescence is a critical predictor of long-term dependency and adverse health outcomes, with Latino youth demonstrating disproportionately high rates of early use. This study examined how developmental trajectories of cultural values (CVs) and parental monitoring predict substance use initiation in a cohort of Mexican-origin youth followed from 5th to 11th grade. Data from the California Families Project (<i>n</i> = 674) were analyzed using latent growth modeling to assess the independent and combined influence of these trajectories on the odds of initiating alcohol, cigarette, and drug use by 11th grade, controlling for parental substance use and child gender. Analyses revealed significant linear declines in both CVs and parental monitoring over time. A steeper rate of decline in either construct was a robust predictor of increased odds of substance use initiation. Countering expectations, parental substance use did not strengthen these associations, but girls were at significant risk. Fostering the maintenance of cultural values and parental involvement <i>via</i> targeted interventions to sustain these protective factors and address risks for adolescent girls is needed to reduce substance use initiation among Latino youth.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"388-400"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240425","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}

{"title":"Integrating Behavioral Interventions into the Routine Immunization System in Chad: Implementation Lessons from a Fragile Setting.","authors":"Fauzia A Malik, Rachel Lang-Baldé, Hannah Melchinger, Esias Bedingar, Abdoulaye Annour Idriss, Anastasie Bananeh, Hadje Ache Abakar, Tiandjé Béré Didier, Youssouf Foki, Eric John Cummings, Fatima Rahim, Abdoulaye Youssouf Addoum, Mbailamen Demian Antoinette, Mahamat Allamin Tadjadine, Margaret Anderson, Sten Vermund, Choua Ouchemi, Ali Mahamat Moussa","doi":"10.1080/08964289.2026.2716218","DOIUrl":"https://doi.org/10.1080/08964289.2026.2716218","url":null,"abstract":"<p><p>Despite global progress, COVID-19 pandemic disruptions increased immunization inequities, particularly in fragile contexts like Chad. In 2022-2023, Chad reported 124,544 zero-dose children, in addition to 122,935 children who were classified as under-vaccinated. Low immunization uptake reflects persistent barriers related to access, knowledge, misinformation, and hesitancy. Behavioral interventions, adapted to low-resource settings, can help address these challenges. Anchored in the WHO Behavioral and Social Drivers (BeSD) framework and aligned with the Immunization Agenda 2030 (IA2030), we designed a multi-partner initiative to build government capacity, strengthen the national immunization system, and integrate a package of culturally grounded behavioral interventions into routine immunization delivery. Partners at the Institut National de la Santé Publique du Tchad (INSAPT), the Ministère de la Santé Publique du Tchad (MSP), Yale University, UT Southwestern, and the Université de N'Djaména co-developed a package of vaccine messages, champions, and reminder-and-recall activities implemented across four field sites. This paper presents a qualitative implementation-focused process evaluation, assessing the feasibility, acceptability, and integration into routine immunization practices. We conducted four site visits at each health center, field observations, and 48 qualitative interviews with community members, health center staff, and MSP staff. Team-based thematic analysis provided key insights into community ownership, integration into daily life, perceived trust, and reported shifts in engagement around vaccination. Participants consistently described the co-creation process and inclusion of active vaccine champions as central to acceptance and participation. Despite early interruption, the initiative highlighted mechanisms through which embedding community-led behavioral interventions within routine immunization systems can support trust, facilitate vaccine engagement, and support IA2030 priorities of locally owned, context-responsive delivery.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"362-372"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240489","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}

{"title":"Heterogeneity of Intersectional Discrimination Experiences Among Young Black Cisgender Gay, Bisexual, and Other Men Who Have Sex with Men in the United States.","authors":"Sarah E Janek, Wei Pan, Rahim Z Miller, Miles C Perry, Adrian Williams, Rosa Gonzalez-Guarda, Nwora Lance Okeke, Tonia Poteat, José Bauermeister, Lisa Hightow-Weidman, Kathryn E Muessig, Marta I Mulawa","doi":"10.1080/08964289.2026.2696909","DOIUrl":"https://doi.org/10.1080/08964289.2026.2696909","url":null,"abstract":"<p><p>To understand the sexual health inequities experienced by young Black cisgender gay, bisexual, and other men who have sex with men (YBMSM) in the United States, it is essential to investigate structural causes, including the intersecting forms of oppression experienced by YBMSM. In this study, we aim to understand the heterogeneity of YBMSM's intersectional discrimination experiences through a latent profile analysis (LPA). We analyzed self-report data from a national sample of YBMSM, ages 18-29 and living without HIV (<i>n</i> = 266), focusing on the Everyday Discrimination Scale (EDS). Participants reported their frequency of experiencing discrimination (range: 1-4), and selected reasons they associated with this discrimination (e.g., race/ethnicity, physical appearance, sexual orientation, and education or income level) to capture manifestations of oppression as identified by participants. The LPA used indicators comprised of participants' mean (M) EDS scores in addition to selected discrimination reasons. A four-profile model emerged as the best fit. The largest profile (<i>n</i> = 155) was characterized by a low EDS score with race/ethnicity and sexual orientation being the most selected discrimination reasons. A low-to-moderate discrimination profile emerged (<i>n</i> = 34), characterized by endorsement of race/ethnicity, physical appearance, and education/income. A moderate discrimination profile included all four indicators selected (<i>n</i> = 31), while the highest discrimination profile (<i>n</i> = 46) selected race/ethnicity, physical appearance, and sexual orientation. This analysis provides a foundation for examining the impact of heterogeneous intersectional discrimination on sexual health outcomes in future research.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"209-220"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240431","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}

{"title":"Structural Racism and Chronic Kidney Disease Among African Americans: A Research Process Guided by Public Health Critical Race Praxis.","authors":"Collins O Airhihenbuwa, Khadijah Ameen, Alexis J Smith, Nicole M Franks, Megan Urbanski, Rhonda Harris, Bobby Howard, Janice Lea, Kimberly Jacob Arriola","doi":"10.1080/08964289.2026.2646506","DOIUrl":"10.1080/08964289.2026.2646506","url":null,"abstract":"<p><p>Structural racism has a profound impact on the ability of Black patients to access needed chronic kidney disease (CKD) treatment and care. Studies that have documented various forms of inequities in CKD diagnosis and treatment of CKD among Black patients are mostly focused on kidney disease outcomes with little attention to the processes of intervention implementation. Focusing on outcomes alone tends to assume the process of research, including study design and implementation, is neutral to the outcome. In actuality, the process, including methods employed by the researcher, all influence and shape the outcomes of research. Thus, closing gaps in differences in health outcomes requires a different approach; one that attends to the critical role of 'the process' of investigating these outcomes in research. In this paper, we focus on the processes employed to develop an intervention to address the role of structural racism in CKD treatment and care while acknowledging the importance of documenting disparities in outcomes. We emphasize the need to prioritize engagement with community leaders in the process of research interventions to be implemented in the community.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"311-320"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13693470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240430","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}

{"title":"Cardiometabolic Risk, Minority Stress, and Resilience in the Study of Stress, Gender, and Minority Status (SGM SOL): An Ancillary Study of the Hispanic Community Health Study/Study of Latinos.","authors":"Krista M Perreira, Erin L C Wright, Linda C Gallo, Audrey Harkness, Carmen R Isasi, Amber Pirzada, Stefani N Thomas, Frank J Penedo, Martha L Daviglus, Bharat Thyagarajan, Christina Cordero, Robert A Mesa, Daniela Sotres-Alvarez, Tonia C Poteat","doi":"10.1080/08964289.2026.2619691","DOIUrl":"10.1080/08964289.2026.2619691","url":null,"abstract":"<p><p>The minority stress model posits that sexual and gender minority (SGM) adults experience excess stress that worsens health, and resilience factors mitigate these effects of excess stress on health. This study evaluated the associations of minority stress and resilience factors with cardiovascular disease (CVD) risk among Hispanic/Latino SGM and non-SGM adults. Between 2020 and 2024, 1108 adults in the Hispanic Community Health Study/Study of Latinos responded to sexual orientation and gender identity questions, provided CVD risk biomarker data, and completed self-reported measures of stress and resilience factors as part of the ancillary study, Stress, Gender, and Minority Status in the Study of Latinos. Accounting for survey design, we estimated Poisson regression models of cross-sectional associations between SGM statuses, stress factors, and resilience factors with both cardiometabolic risk (CMR) and Metabolic Syndrome (MetS) scores. Compared with non-SGM participants, SGM participants were more likely to experience chronic stress, minority stress, stigma, and everyday discrimination. SGM adults also experienced lower levels of social support but greater lesbian, gay, bisexual, and transgender (LGBT) community connectedness. Adjusted for socio-demographic covariates, we found a significant association at levels of high cumulative stress with low resilience (vs. low cumulative stress with low resilience) with CMR but not with MetS. We found no differences in CMR or MetS by SGM status. These results support aspects of the minority stress model, highlighting the cumulative effects of stress and the mitigating effects of resilience for both SGM and non-SGM Hispanic/Latino adults.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"182-194"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13693416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240438","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}

{"title":"Community Feedback on Adapting a Training to Improve Social Reactions to Sexual Violence for LGBTQ+ Young Adults.","authors":"Jessamyn Moxie, Jasmine Temple, Yasmine Paige, Rhoen Hoff, Parth Vyas, Sage Rowe, Itati Ramirez, Annabelle Harvey, Danny Valdes, Katie M Edwards, Rachel Jackson-Gordon, Annelise Mennicke","doi":"10.1080/08964289.2026.2683384","DOIUrl":"https://doi.org/10.1080/08964289.2026.2683384","url":null,"abstract":"<p><p>Sexual violence disproportionately impacts LGBTQ+ young adults, yet few interventions have been tailored to equip their communities with the skills to respond supportively to disclosures of sexual violence. Social reactions, or how a person responds to a disclosure, play a critical role in shaping survivors' health outcomes, such as psychological wellbeing. The purpose of this project was to identify what adaptations needed to be made to an existing social reactions intervention (Supporting Survivors and Self; SSS) so that SSS is relevant and impactful for LGBTQ+ communities. Using a theater testing approach, we conducted 7 virtual theater testing groups (<i>N</i> = 29 participants) with LGBTQ+ individuals 18-25 years old, to gather feedback on tailoring SSS content. We analyzed theater test data with content then thematic analyses. Participants emphasized the need for content to be representative of LGBTQ+ definitions of sexual violence. They also highlighted the importance of addressing stigma and discrimination- both internalized and external-with the desire to create safe spaces that reduce stigma and isolation while fostering greater community building. LGBTQ+-inclusive programs addressing social reactions to sexual violence may benefit not only LGBTQ+ individuals but expand representations of supportive behaviors (e.g. avoiding stigmatizing questions or language) and forms of sexual violence (e.g. \"outing\"). Federal funding terminations add challenges for testing an adaptation of this program and other LGBTQ+-inclusive interventions.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"260-271"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240441","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}

{"title":"\"Sisters Influencing Sisters:\" Findings from a Community-Engaged Process to Develop a Social Media-Based, Influencer-Delivered Intervention to Increase PrEP Awareness, Knowledge, and Uptake Among Transgender Women.","authors":"Sophia Zamudio-Haas, Jack Johnson, Katie Singley, Emily A Freedman, Catherine Lane, Elizabeth Knight, Stephen Scott, Viraj V Patel, Jae M Sevelius, Sarah Bauerle Bass","doi":"10.1080/08964289.2026.2683389","DOIUrl":"10.1080/08964289.2026.2683389","url":null,"abstract":"<p><p>Transgender women (TW) shoulder a disproportionate burden of HIV diagnoses, yet are less likely to use PrEP, due to intersectional social and structural barriers to accessing services. TW utilize social media to share health information and foster community, yet to date, most studies leveraging the power of these platforms for PrEP interventions have focused on gay men. To address this gap, we partnered with TW social media influencers and engaged a Community Advisory Board (CAB) to develop an Instagram-based intervention to increase PrEP awareness, knowledge, and use among TW. Over quarterly meetings, surveys, and interviews, CAB members provided systematic input on intervention design. CAB guidance centered on three themes- leveraging platform functionality; maximizing representation and resonance, and fostering trust and credibility. In collaboration with the CAB, we shortlisted potential influencers and reviewed their accounts for reach, follower demographics, and content. We established paid partnerships with TW influencers (8) and held a 10-h virtual workshop to prepare them to be PrEP educators and navigators for their online followers. Before the funding for this research was interrupted by a NIMH termination letter, we developed the \"<i>Sisters</i>\" intervention to increase access to PrEP information delivered by TW influencers, foster dialogue around PrEP within online spaces, and provide Instagram-based linkage to vetted, gender affirming, HIV services. Partnering with community was essential to designing a social-media intervention tailored to considerations TW have around PrEP. This community-engaged, influencer-delivered model contributes new insights into digital public health design for marginalized populations.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"272-285"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13693431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240424","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}

{"title":"Terminated Clinical Trial of TruVox: A Web-Based Intervention to Train Vocal Pitch and Resonance in Transfeminine People.","authors":"Victoria S McKenna, Kelly C David, Mary E Wilkens, Collin Eagen, Om Jadhav, Gowtham Reddy Uppunuri, Renee L Gustin, Tae Hong Park, Daphna Harel, Tara McAllister, Vesna D Novak","doi":"10.1080/08964289.2026.2653518","DOIUrl":"https://doi.org/10.1080/08964289.2026.2653518","url":null,"abstract":"<p><p>Transgender people often want to modify their voice to better match their gender identity and expression. Gender-affirming voice training can significantly improve their voice satisfaction, mental health, and quality of life, but is often inaccessible. In an NIDCD-funded grant, we therefore developed a novel website (TruVox) that is currently intended for transfeminine people and combines visual-acoustic biofeedback about vocal pitch and resonance with structured exercises. A clinical trial of TruVox was initiated but terminated by NIDCD before completion, and the current paper describes the methods and results with six transfeminine people. Participants attended four weekly sessions of voice training with a speech-language pathologist <i>via</i> Zoom, with TruVox used in the sessions. Between sessions, they also used TruVox for unsupervised training at home. Results showed positive experiences and improvements on multiple scales of voice-gender incongruence (e.g., Gender Voice Index, Utah Gender Presentation Scale) and voice satisfaction. Additionally, participants exhibited increases in vocal pitch and resonance, reported high motivation, and rated TruVox as having acceptable usability. While pitch and resonance improvements were lower than those seen in other clinical trials, this was likely due to the much shorter duration compared to the 8-15 sessions seen in literature. Though the study had no control group due to the premature project termination, it suggests that TruVox and similar software could eventually become well-established platforms that could enhance gender-affirming voice training. More broadly, such software could potentially benefit anybody who wishes to change the sound of their voice.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"247-259"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240451","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}

{"title":"From Collection to Collaboration: Building Ethical Frameworks for Genetic Research.","authors":"Devin A Madden, Emerson Dusic, Isabella E Rios, Kimberly Zayhowski, L Jude Tantay, Nasa Sinnott-Armstrong, Rodrigo Aguayo-Romero, Sima Rabinowitz, Michelle A Ramos, Kellan Baker, Sari L Reisner, Carol R Horowitz","doi":"10.1080/08964289.2026.2633346","DOIUrl":"10.1080/08964289.2026.2633346","url":null,"abstract":"<p><p>Transgender, nonbinary, and gender diverse (TNGD) communities are not routinely included as partners in the research that will impact them. The expansion of genomic and gender identity data collection has allowed researchers to explore transgender identity genomics research (TIGR), or associations between genomics and gender identity. We used a community-based participatory research (CBPR) approach to explore TNGD perspectives on TIGR in order to advance ethical practices, minimize harms, and maximize potential benefits. An Executive Stakeholder Board of TNGD community members, advocates, clinicians, and ethics, legal, genomics, and health equity scholars co-developed recruitment strategies, data collection tools, analytic strategies, and a dissemination plan which informed qualitative interviews with 31 U.S.-based TNGD adults. The mean age was 34 years (range = 19-73). Twelve participants were nonbinary, 12 were trans women, and 7 were trans men. The majority (61%) were people of color. Using reflexive thematic analysis, we conceptualized four themes related to ethical TIGR research practices: 1) Are we represented? 2) Are we protected? 3) Are we benefiting? 4) Are we understood? Findings underscore the importance of conducting any TIGR or genomics research with and not on TNGD communities. Ethical research benefits from sustained partnership, transparency, and reflexivity, particularly amidst ideologically motivated threats to inclusive science. Centering TNGD voices in, and recommendations for, genomics strengthens both scientific rigor and community trust. The incongruity of attempting to interrupt a CBPR study focused on ethical research practices in TIGR underscores the contradiction between stated federal commitments to research integrity and the actions taken. (4,064 words).</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"286-297"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13693425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240491","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}

{"title":"The Anchored Testimony Calendar: A Black Feminist Method for Retrospective Behavioral Health Inquiry with Justice-Impacted Young Adults and Caregivers.","authors":"Erin Michelle Turner Kerrison, Megan S Irgens, Cynthia Valencia-Ayala, Johanna B Folk, Salam Ayana, Akilah Dulin, Sophia Garcia-Meza, Brandon David Lewis Marshall, Elizabeth McBride, Jeanne McPhee, Larry Brown, Marina Tolou-Shams","doi":"10.1080/08964289.2026.2683391","DOIUrl":"10.1080/08964289.2026.2683391","url":null,"abstract":"<p><p>Retrospective behavioral health instruments calibrated for chronological precision and discrete-symptom reconstruction can fail people whose lives have been organized by structural racism, sexism, and economic inequality. We describe the Anchored Testimony Calendar (ATC), a Black feminist adaptation of the event history calendar developed within the Epidemiological Project Involving Children in the Court (EPICC), a longitudinal study of justice-impacted young adults and caregivers launched in 2014. ATC pre-populates an interviewer-facing four-domain grid-behavioral and psychiatric health, education, family context, and juvenile legal system involvement-with the participants' own survey responses from seven adolescent assessment waves, anchoring recall to participant-identified transitions rather than calendar dates. Grounded in Black feminist epistemological commitments-lived experience, dialogue, and an ethic of care that refuses extraction-ATC privileges contextual fidelity and cross-domain coherence over chronological precision. From a target of 50 dyads at the young adult follow-up, 38 young adults and 19 caregivers completed an ATC-guided interview before federal funding was terminated. Four vignettes (two caregiver, two young adult) illustrate the instrument at work, and surface structural conditions as participants name them. This paper documents science that federal funding cuts interrupted. ATC is offered as a usable tool, an open methodology, and a record of what behavioral medicine stands to lose.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 3-4","pages":"321-330"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13693432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240440","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}