Annals of Behavioral Medicine最新文献

{"title":"A blended mindfulness-based stress reduction program to improve diabetes self-management among people with type 2 diabetes mellitus: a mediation effect analysis.","authors":"Hongjuan Wang, Lin Ge, Jojo Yan Yan Kwok, Zhuo Zhang, James Wiley, Jia Guo","doi":"10.1093/abm/kaae075","DOIUrl":"https://doi.org/10.1093/abm/kaae075","url":null,"abstract":"<p><strong>Background: </strong>The mechanisms through which the blended mindfulness-based stress reduction (MBSR) program improves diabetes self-management among individuals with Type 2 diabetes mellitus (T2DM) remain unclear.</p><p><strong>Purpose: </strong>This study aims to evaluate the effectiveness of blended MBSR on perceived stress, anxiety, and depressive symptoms, while also exploring the potential mechanisms underlying its effects on improving diabetes self-management.</p><p><strong>Methods: </strong>One hundred individuals with T2DM were recruited and randomly assigned to two groups (50 participants each) from March 2020 to July 2020. A randomized clinical trial, combined with generalized estimating equations for repeated measures, was employed to assess the intervention effects of the blended MBSR on perceived stress, anxiety, and depressive symptoms compared to standard care. Mediation analyses using Model 4 in SPSS PROCESS were conducted to evaluate the contributions of the blended MBSR to diabetes self-management.</p><p><strong>Results: </strong>Participants in the blended MBSR group showed a significant reduction in perceived stress, anxiety, and depressive symptoms compared to the control group over 12 weeks. Bootstrap mediation analyses indicated that changes in perceived stress and anxiety fully mediated the effect of the blended MBSR on diabetes self-efficacy. In contrast, depressive symptoms were not associated with diabetes self-efficacy and therefore did not qualify as mediators. Additionally, diabetes distress was found to be an insignificant mediator. Furthermore, changes in diabetes self-efficacy served as a partial mediator of the positive effects of the blended MBSR on diabetes self-management.</p><p><strong>Conclusions: </strong>The blended MBSR program effectively reduced perceived stress, anxiety, and depressive symptoms in individuals with T2DM. The intervention's impact on perceived stress and anxiety contributed to an increase in diabetes self-efficacy, subsequently enhancing diabetes self-management. Interventions that aim to reduce perceived stress and anxiety, while also increasing diabetes self-efficacy, are recommended to develop diabetes self-management strategies with clearly defined mechanistic pathways.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of recreational sport and physical activity participation on well-being during early parenthood: a randomized controlled trial.","authors":"Ryan E Rhodes, Mark R Beauchamp, Valerie Carson, Sandy Courtnall, Colin M Wierts, Chris M Blanchard","doi":"10.1093/abm/kaae081","DOIUrl":"https://doi.org/10.1093/abm/kaae081","url":null,"abstract":"<p><strong>Background: </strong>Parents with children in the home may benefit considerably from sport participation, given the high levels of physical inactivity and psychosocial distress among this group. The purpose of this study was to evaluate the effectiveness of team sport participation on mental health (primary outcome) as well as other secondary psychosocial outcomes compared to an individual physical activity condition and a \"date night\" control condition among parents with young children (under the age of 13).</p><p><strong>Methods: </strong>A three-arm parallel design single blinded randomized controlled trial compared the team sport (n = 58), individual physical activity (n = 60), and control condition (n = 66) over three months. Well-being variables (short-form-12, satisfaction with life scale, parental stress scale, relationship assessment scale, family inventory version II) were assessed at baseline and post-randomization at 6 weeks and 3 months. Rolling recruitment began in winter 2016 until spring 2023. Analyses were conducted using generalized linear mixed models.</p><p><strong>Results: </strong>Team sport participation resulted in improvements in mental health and increased relationship satisfaction compared to the other conditions. Team sport participation also showed improvements in lowering parental stress and increasing family emotional expressiveness compared to the control condition. All conditions improved satisfaction with life, lowered stress, increased relationship satisfaction, benefited family health/competence and lowered family conflict over time.</p><p><strong>Discussion: </strong>The findings extend prior observational research by demonstrating team sport participation may be a viable activity to recommend for parents of young children, who are typically challenged by lower well-being, stress, and social isolation from other adults.</p><p><strong>Registered trial: </strong>The clinical trial is registered with the National Library of Medicine at the National Institutes of Health registration ID is NCT02898285.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Twenty years of intervention optimization.","authors":"Linda M Collins","doi":"10.1093/abm/kaae076","DOIUrl":"https://doi.org/10.1093/abm/kaae076","url":null,"abstract":"<p><p>In the classical paradigm for intervention research, the components that are to make up an intervention are identified, pilot tested, and then immediately assembled into a treatment package and subjected to an evaluation randomized controlled trial (RCT) to assess the performance of the entire package. Intervention optimization, which adapts ideas from technological fields to intervention science in order to hasten scientific progress, is an alternative to the classical paradigm. The first article introducing intervention optimization via the multiphase optimization strategy (MOST) was published in Annals of Behavioral Medicine in 2005. In this commentary, I reflect on the evolution of intervention optimization from that first publication to today, and on what the future could hold if the intervention science field continues to adopt the optimization paradigm. I propose that if intervention optimization became standard operating procedure, the field would accumulate a coherent base of knowledge about what specific intervention strategies work, for whom, under which circumstances, and why; every intervention produced would contain only components that contribute enough to justify their resource requirements; interventions would be readily implementable; and as the knowledge base grew, interventions would be improved continually.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral medicine in the GLP-1 era.","authors":"A Janet Tomiyama","doi":"10.1093/abm/kaae069","DOIUrl":"https://doi.org/10.1093/abm/kaae069","url":null,"abstract":"<p><p>Glucagon-like peptide-1 (GLP-1) agonist medications are receiving high levels of attention because of their dramatic efficacy in causing weight loss. This commentary discusses several ways that those in behavioral medicine and health psychology might think about these medications-whether they should be fully in support of them or whether they pose a risk. The positive aspects of GLP-1s include their great promise in improving health independent of weight loss and the perspective that their efficacy frees individuals from the difficulties of behavioral weight maintenance and the associated stigma of \"failing\" to lose weight. However, GLP-1 agonist medications also risk medicalizing weight and increasing weight stigma (in addition to those on GLP-1 medications being stigmatized for taking the \"easy way out\"). From a social identity perspective, GLP-1 medications could even be perceived as a tool to eradicate an entire social group-those that identify as higher weight. In terms of clinical care, a patient-centered, weight-inclusive approach will allow for individuals to receive the treatment that fits with their own social and health context. In terms of research, behavioral medicine should shift away from weight loss interventions simply to lower body mass index, and instead intervene on actual health markers, disease endpoints, or healthy behaviors. Doing so will improve health regardless of a person's weight or whether they are on GLP-1 agonist medications.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Control and Blood Pressure: A Systematic Review.","authors":"Zachary E Magin, Mariel Emrich, Crystal L Park, Isabella Peña, Lynda Lyn","doi":"10.1093/abm/kaae068","DOIUrl":"https://doi.org/10.1093/abm/kaae068","url":null,"abstract":"<p><strong>Background: </strong>Perceived control, defined as an individual's belief in their ability to influence life events and circumstances, has been implicated in reducing the risk of cardiovascular disease (CVD). Some research has demonstrated a link between perceived control and blood pressure, a major CVD risk factor. However, methodological differences across studies, including variability in definitions and measures of perceived control, preclude a clear understanding of this relationship.</p><p><strong>Purpose: </strong>This systematic review describes the evidence regarding the association between perceived control and blood pressure, with a specific focus on integrating the literatures across multiple control-related constructs to provide a comprehensive understanding of their relationship with blood pressure.</p><p><strong>Methods: </strong>A systematic search was conducted across five databases. Data were extracted from 24 studies that quantitatively examined the relationship between perceived control and blood pressure and met inclusion criteria. Results across studies were narratively synthesized.</p><p><strong>Results: </strong>Limited evidence emerged across studies showing a negative relationship between perceived control and both resting blood pressure and ambulatory blood pressure, but no studies reviewed found that perceived control was associated with lower blood pressure reactivity to a lab stressor.</p><p><strong>Conclusions: </strong>The findings here provide preliminary evidence that perceived control may serve as an important protective factor against high blood pressure. The findings highlight the need for additional quality research to examine this link more thoroughly. Recommendations for future research are provided.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: POSTER SESSION C: EXPLORING THE MODERATING ROLE OF SOCIAL MEDIA USAGE ON MOTIVATION AND PHYSICAL ACTIVITY.","authors":"","doi":"10.1093/abm/kaae060","DOIUrl":"10.1093/abm/kaae060","url":null,"abstract":"","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"869"},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142370795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to GLP-1 Receptor Agonist and Bariatric Surgery Use on Obesity Policy Support.","authors":"Stacy M Post, Rebecca K Hoffman, Junhan Chen, Michelle L Stock, Susan Persky","doi":"10.1093/abm/kaae063","DOIUrl":"10.1093/abm/kaae063","url":null,"abstract":"<p><strong>Background: </strong>Glucagon-like-peptide-1 receptor agonists (GLP-1s) are a newer class of obesity medications that have garnered significant attention by the public and media. Media reports suggest that medical interventions such as GLP-1s are often perceived as weight loss \"shortcuts.\"</p><p><strong>Purpose: </strong>The present experimental research tested the effect of exposure to medical weight loss interventions on GLP-1 policy support, dependent on body mass index.</p><p><strong>Methods: </strong>A sample of 440 participants (Mage= 37, SD = 12.6) were randomly assigned to read about a woman who lost 15% of her body weight either with a GLP-1, bariatric surgery, or diet/exercise. Participants reported on beliefs that the woman took a weight loss \"shortcut\" and support for three policies expanding GLP-1 coverage.</p><p><strong>Results: </strong>Exposure to a woman who lost weight with GLP-1 or bariatric surgery (vs. diet/exercise) led to higher GLP-1 policy support. However, such exposure was also indirectly associated with lower policy support, partially mediated by weight loss \"shortcut\" beliefs.</p><p><strong>Conclusions: </strong>This study provides evidence that exposure to medical weight loss interventions leads to higher GLP-1 policy support. Exposure may also, indirectly, lead to lower policy support due to beliefs that such interventions are shortcuts. Findings have implications for policymakers who are interested in how perceptions of medical weight loss interventions influence support for obesity treatments and related health policies.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"857-862"},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Health Media Literacy Intervention Increases Skepticism of Both Inaccurate and Accurate Cancer News Among U.S. Adults.","authors":"Benjamin Lyons, Andy J King, Kimberly A Kaphingst","doi":"10.1093/abm/kaae054","DOIUrl":"10.1093/abm/kaae054","url":null,"abstract":"<p><strong>Background: </strong>Inaccurate cancer news can have adverse effects on patients and families. One potential way to minimize this is through media literacy training-ideally, training tailored specifically to the evaluation of health-related media coverage.</p><p><strong>Purpose: </strong>We test whether an abbreviated health-focused media literacy intervention improves accuracy discernment or sharing discernment for cancer news headlines and also examine how these outcomes compare to the effects of a generic media literacy intervention.</p><p><strong>Methods: </strong>We employ a survey experiment conducted using a nationally representative sample of Americans (N = 1,200). Respondents were assigned to either a health-focused media literacy intervention, a previously tested generic media literacy intervention, or the control. They were also randomly assigned to rate either perceived accuracy of headlines or sharing intentions. Intervention effects on accurate and inaccurate headline ratings were tested using OLS regressions at the item-response level, with standard errors clustered on the respondent and with headline fixed effects.</p><p><strong>Results: </strong>We find that the health-focused media literacy intervention increased skepticism of both inaccurate (a 5.6% decrease in endorsement, 95% CI [0.1%, 10.7%]) and accurate (a 7.6% decrease, 95% CI [2.4%, 12.8%]) news headlines, and accordingly did not improve discernment between the two. The health-focused media literacy intervention also did not significantly improve sharing discernment. Meanwhile, the generic media literacy intervention had little effect on perceived accuracy outcomes, but did significantly improve sharing discernment.</p><p><strong>Conclusions: </strong>These results suggest further intervention development and refinement are needed before scaling up similarly targeted health information literacy tools, particularly focusing on building trust in legitimate sources and accurate content.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"820-831"},"PeriodicalIF":4.3,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Daily Self-Efficacy, Minority Stressors, and Alcohol and Other Drug Use Among Trauma-Exposed Sexual Minority Women and Transgender and Gender-Diverse People.","authors":"Jillian R Scheer, Ethan H Mereish, Amanda K Gilmore, Cory J Cascalheira, Emily C Helminen, Fatima Dobani, Kriti Behari, Sophia Pirog, Skyler D Jackson, Tami P Sullivan, Abigail W Batchelder","doi":"10.1093/abm/kaae065","DOIUrl":"10.1093/abm/kaae065","url":null,"abstract":"<p><strong>Background and purpose: </strong>This study aimed to develop and test a novel model integrating social-learning and self-medication frameworks by examining the association between self-efficacy to resist alcohol and other drug (AOD) use and daily AOD use and unhealthy drinking risk among trauma-exposed sexual minority women (SMW) and transgender and gender-diverse (TGD) people. We examined whether minority stressors moderated these associations.</p><p><strong>Methods: </strong>Data were from 57 trauma-exposed SMW and TGD people who participated in a 14-day daily diary study. Multilevel binary logistic models and ordinal logistic models were employed to examine associations between self-efficacy to resist AOD use and daily AOD use and unhealthy drinking risk at within- and between-person levels. We assessed same- and cross-level interactions between daily self-efficacy to resist AOD use and minority stressors in predicting AOD use and unhealthy drinking risk within the same 24-hour period (i.e., standardized as 6 pm to 6 pm; hereafter referred to as \"same-day\").</p><p><strong>Results: </strong>Self-efficacy to resist AOD use was associated with lower AOD use and unhealthy drinking risk. Minority stressors were associated with daily AOD use. Among those who experienced higher (vs. lower) average sexual minority stressors over the 2-week daily diary period, higher-than-usual self-efficacy to resist AOD use was less protective in decreasing risk of same-day unhealthy drinking.</p><p><strong>Conclusions: </strong>Interventions aiming to mitigate AOD use and unhealthy drinking risk by bolstering self-efficacy to resist AOD use should consider the impact of recent cumulative exposure to sexual minority stressors in this population. Further, policy efforts are needed to reduce perpetuation of stigma.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"832-844"},"PeriodicalIF":4.3,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital, Social Micro-Interventions to Promote Physical Activity Among Midlife Adults With Elevated Cardiovascular Risk: An Ambulatory Feasibility Study With Momentary Randomization.","authors":"Danielle Arigo, Leah M Schumacher, Kiri Baga, Jacqueline A Mogle","doi":"10.1093/abm/kaae058","DOIUrl":"10.1093/abm/kaae058","url":null,"abstract":"<p><strong>Background: </strong>Although regular physical activity (PA) mitigates the risk for cardiovascular disease (CVD) during midlife, existing PA interventions are minimally effective. Harnessing social influences in daily life shows promise: digital micro-interventions could effectively engage these influences on PA and require testing.</p><p><strong>Purpose: </strong>This feasibility study employed ecological momentary assessment with embedded micro-randomization to activate two types of social influences (i.e., comparison, support; NCT04711512).</p><p><strong>Methods: </strong>Midlife adults (N = 30, MAge = 51, MBMI = 31.5 kg/m2, 43% racial/ethnic minority) with ≥1 CVD risk conditions completed four mobile surveys per day for 7 days while wearing PA monitors. After 3 days of observation, participants were randomized at each survey to receive 1 of 3 comparison micro-interventions (days 4-5) or 1 of 3 support micro-interventions (days 6-7). Outcomes were indicators of feasibility (e.g., completion rate), acceptability (e.g., narrative feedback), and potential micro-intervention effects (on motivation and steps within-person).</p><p><strong>Results: </strong>Feasibility and acceptability targets were met (e.g., 93% completion); ratings of micro-intervention helpfulness varied by intervention type and predicted PA motivation and behavior within-person (srs=0.16, 0.27). Participants liked the approach and were open to ongoing micro-intervention exposure. Within-person, PA motivation and behavior increased from baseline in response to specific micro-interventions (srs=0.23, 0.13), though responses were variable.</p><p><strong>Conclusions: </strong>Experimental manipulation of social influences in daily life is feasible and acceptable to midlife adults and shows potential effects on PA motivation and behavior. Findings support larger-scale testing of this approach to inform a digital, socially focused PA intervention for midlife adults.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":"845-856"},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}