Annals of Behavioral Medicine最新文献

{"title":"Supporting endocrine therapy adherence in women with breast cancer: findings from the ROSETA pilot fractional factorial randomized trial.","authors":"Samuel G Smith, Sophie M C Green, Emma McNaught, Christopher D Graham, Robbie Foy, Pei Loo Ow, David P French, Louise H Hall, Hollie Wilkes, Christopher Taylor Ba, Rachel Ellison, Erin Raine, Rebecca Walwyn, Daniel Howdon, Jane Clark, Nikki Rousseau, Jacqueline Buxton Ba, Sally J L Moore, Jo Waller, Catherine Parbutt, Galina Velikova, Amanda Farrin, Michelle Collinson","doi":"10.1093/abm/kaaf003","DOIUrl":"10.1093/abm/kaaf003","url":null,"abstract":"<p><strong>Background: </strong>Adherence to adjuvant endocrine therapy (AET) in women with breast cancer is poor. Multicomponent intervention packages are needed to address adherence barriers. Optimizing these packages prior to definitive evaluation can increase their effectiveness, affordability, scalability, and efficiency.</p><p><strong>Purpose: </strong>To pilot procedures for an optimization-randomized controlled trial (O-RCT) of the 'Refining and Optimizing Strategies to support Endocrine Therapy Adherence' (ROSETA) intervention.</p><p><strong>Methods: </strong>This was a multisite individually randomized external pilot trial using a 24-1 fractional factorial design (ISRCTN10487576). Breast cancer survivors prescribed AET were recruited from 5 hospitals and randomized to one of 8 conditions, each comprising a combination of 4 intervention components set to \"on\" or \"off\" (SMS messages, information leaflet, guided self-help, and self-management website). We set criteria to inform the decision to progress to an O-RCT for consent rate, component adherence, and availability of outcome measures, with predefined cutoffs for \"green\" (proceed), \"amber\" (minor changes), and \"red\" (major changes).</p><p><strong>Results: </strong>Among 141 eligible patients, 54 (38.3%) consented (green range). At least 50.0% of participants adhered to the minimum threshold set for each intervention component (green range). Data for one of the 3 medication adherence measures were available (amber range). Most (86.8%) participants were satisfied with their trial experience. Exploratory analysis indicated some evidence of a negative main effect of the information leaflet on medication adherence (adjusted mean difference = 0.088, 95% CI, 0.018, 0.158).</p><p><strong>Conclusions: </strong>Progression to a fully powered O-RCT of the ROSETA intervention package is feasible, but review of medication adherence measures is required.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143062868","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":"Couple-based lifestyle intervention for minority prostate cancer survivors: a randomized feasibility trial.","authors":"Dalnim Cho, Yisheng Li, Karen Basen-Engquist, Chiara Acquati, Nga T T Nguyen, Hilary Ma, Curtis A Pettaway, Lorna H McNeill","doi":"10.1093/abm/kaaf010","DOIUrl":"10.1093/abm/kaaf010","url":null,"abstract":"<p><strong>Background: </strong>Black and Hispanic prostate cancer (PCa) survivors, who face a high burden of comorbid conditions and often engage in low levels of physical activity and healthy eating, remain significantly underrepresented in lifestyle intervention studies.</p><p><strong>Purpose: </strong>Given the significance of spousal influence, we developed a culturally tailored lifestyle intervention for these survivors and their spouses and assessed its feasibility, acceptability, and impact on behavioral change.</p><p><strong>Methods: </strong>Survivor-spouse couples were randomly assigned to an intervention group (n = 22), which received 12 health-coaching calls over 6 months, or a usual-care control group (n = 9). Assessments were conducted at baseline (T1), mid-intervention (T2, month 3), and post-intervention (T3, month 6).</p><p><strong>Results: </strong>The mean attendance was 10.58 sessions, and the intervention received high acceptability scores. Assessment completion rates were 84% at T2 and 81% at T3 for survivors, and 77% at T2 and 81% at T3 for spouses. Intervention group survivors showed meaningful improvements in diet quality from T1 to T2 (+ 6.56) and a clinically important increase in moderate-to-vigorous physical activity (MVPA) from T1 to T3 (+ 17.5 min/day on average). Intervention group spouses also showed meaningful improvements in diet quality from T1 to T2 (+ 8.19) and from T1 to T3 (+ 6.34) and MVPA from T1 to T3 (+ 17.3 min/day on average). Control group participants showed improvements in MVPA.</p><p><strong>Conclusions: </strong>This couple-based lifestyle intervention is feasible, highly accepted, and promising for improving healthy lifestyle behaviors among Black and Hispanic PCa survivors and their spouses. The results should be carefully interpreted and replicated in an adequately powered trial.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405137","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":"Insights into effective fatigue reducing interventions in kidney transplant candidates: a scoping review.","authors":"Avril J Haanstra, Heleen Maring, Yvonne van der Veen, Evelien E Quint, Maya J Schroevers, Adelita V Ranchor, Stefan P Berger, Evelyn J Finnema, Coby Annema","doi":"10.1093/abm/kaaf017","DOIUrl":"10.1093/abm/kaaf017","url":null,"abstract":"<p><strong>Background: </strong>Fatigue is a prevalent and debilitating symptom among kidney transplant candidates (KTCs), significantly affecting their quality of life and overall well-being. Its complexity necessitates a comprehensive approach to manage fatigue in this population.</p><p><strong>Purpose: </strong>To explore the effectiveness of nonpharmacological interventions in reducing fatigue in KTCs.</p><p><strong>Methods: </strong>Nonpharmacological interventions targeting fatigue in participants aged ≥18 years, who were either on the kidney transplantation waitlist or eligible candidates, were considered. A database search was conducted in PubMed, Embase, PsycINFO, CINAHL, and Web of Science. Results were reported in accordance with the guidelines provided by the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols extension for Scoping Reviews Checklist.</p><p><strong>Results: </strong>In total, 67 studies were included. Interventions were divided into manipulative and body-based practices, exercise, mind-body therapies, energy healing, and combined interventions. Thirty-eight studies (76%) demonstrated a significant effect on fatigue, with effect sizes ranging from 0.43 to 4.85. Reflexology, massage therapy, progressive muscle relaxation, and acupressure combined with massage therapy showed the strongest significant intervention effects on fatigue and had the strongest study quality. However, the overall study quality was weak, particularly concerning confounding control, blinding procedures, and withdrawals and dropouts.</p><p><strong>Conclusions: </strong>Manipulative and body-based interventions showed the strongest significant effects on fatigue with the highest study quality. These interventions underscore the multifactorial nature of fatigue by targeting both its physical and psychological dimensions. Future high-quality research is needed to determine the optimal strategy for managing fatigue in KTCs.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623252","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":"Effects of Government Mistrust and Group-Based Medical Mistrust on COVID-19 Vaccine Hesitancy Among a Sample of African Americans.","authors":"Mark Manning, Rhonda Dailey, Phil Levy, Elizabeth Towner, Sheena Cresswell, Hayley S Thompson","doi":"10.1093/abm/kaae067","DOIUrl":"10.1093/abm/kaae067","url":null,"abstract":"<p><strong>Background: </strong>Despite the demonstrated efficacy of coronavirus disease (COVID-19) vaccines, higher rates of vaccine hesitancy among African Americans remain concerning. As determinants of vaccine hesitancy, the simultaneous roles of government mistrust and group-based medical mistrust have not been examined via from a cognitive information perspective among African Americans.</p><p><strong>Purpose: </strong>We examined the direct and indirect effects of government mistrust and group-based medical mistrust on COVID-19 vaccine hesitancy in a sample of African Americans.</p><p><strong>Methods: </strong>We obtained data from 382 African Americans in South-East Michigan via an online survey. We assessed demographic variables, government mistrust, group-based medical mistrust, COVID risk and COVID worry, and positive and negative beliefs regarding the COVID-19 vaccine (i.e., vaccine pros and cons), and vaccine hesitancy. We examined our hypotheses with path analyses.</p><p><strong>Results: </strong>Results indicated significant direct effects of government mistrust on vaccine hesitancy; however, despite a significant correlation, there was no direct effect of group-based medical mistrust on vaccine hesitancy. The effect of group-based medical mistrust was fully mediated by both vaccine pros and cons, whereas the effect of government mistrust was partially mediated by vaccine pros. COVID risk and COVID worry did not mediate the effects of mistrust to vaccine hesitancy.</p><p><strong>Conclusion: </strong>Negative effects of group-based medical mistrust on COVID-19 vaccine hesitancy among African Americans may be amenable to interventions that focus on beliefs about the vaccine rather than beliefs about vulnerability to the virus. However, given its direct effect, it may be necessary to focus directly on government mistrust to diminish its effects on COVID-19 vaccine hesitancy.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811974","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 to: Implementation of a Telehealth Smoking Cessation Program in Primarily Socioeconomically Disadvantaged Black Patients: Courage to Quit Rolling-Virtual (CTQ-RV).","authors":"","doi":"10.1093/abm/kaae095","DOIUrl":"10.1093/abm/kaae095","url":null,"abstract":"","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942984","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":"Provided and received positive and negative social control, relationship satisfaction, and sedentary behavior in parent-child dyads.","authors":"Maria Siwa, Anna Banik, Zofia Szczuka, Ewa Kulis, Monika Boberska, Dominika Wietrzykowska, Nina Knoll, Anita DeLongis, Bärbel Knäuper, Aleksandra Luszczynska","doi":"10.1093/abm/kaae092","DOIUrl":"https://doi.org/10.1093/abm/kaae092","url":null,"abstract":"<p><strong>Background: </strong>The close relationship processes and health model and the dyadic health influence model posit that relationship beliefs (eg, relationship satisfaction) and influence strategies (eg, provision and receipt of positive and negative social control) mediate health behavior change. However, evidence for such mediation in parent-child dyads is limited.</p><p><strong>Purpose: </strong>Two complementary mediation hypotheses were tested: (1) social control forms indirect relationships with sedentary behavior (SB), via relationship satisfaction acting as a mediator; and (2) relationship satisfaction forms indirect relationships with SB, with social control operating as a mediator.</p><p><strong>Methods: </strong>Data from 247 parent-child dyads (9- to 15-year-old children) were analyzed using manifest mediation models. SB was measured with GT3X-BT accelerometers at Time 1 (T1; baseline) and Time 3 (T3; 8-month follow-up). Relationship satisfaction and social control were assessed at T1 and Time 2 (T2; 2-month follow-up). Path analysis models, controlling for baseline SB, were fit.</p><p><strong>Results: </strong>Received positive control (children, T1) was associated with higher relationship satisfaction in both children and parents (T2), which in turn were related to lower and higher parental SB at T3, respectively. Provided positive control (parents; T1) was related to higher SB (T3) in children. Relationship satisfaction among children (T1) predicted higher levels of received positive and negative control (children, T2).</p><p><strong>Conclusions: </strong>Provided and received positive social control may form direct and indirect associations with SB in parent-child dyads. Future research may need to consider further subtypes of positive control, which may explain the divergent effects of this form of control on SB.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943029","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":"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":"2025-01-04","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":"Predicting the side effects of influenza vaccination.","authors":"Connor Silvester, Chiara Gasteiger, Greg D Gamble, Marc S Wilson, Kate Faasse, Keith J Petrie, Kate MacKrill","doi":"10.1093/abm/kaaf024","DOIUrl":"10.1093/abm/kaaf024","url":null,"abstract":"<p><strong>Background: </strong>Side effects following vaccination intensify vaccine hesitancy, which remains a significant challenge to public health. Research suggests that a proportion of side effects are not caused by the vaccine but are instead associated with psychological factors that influence nocebo responding.</p><p><strong>Purpose: </strong>This study investigates the psychological and demographic factors associated with symptom reporting postvaccination, the attribution of these symptoms as side effects, and their influence on future intentions to vaccinate.</p><p><strong>Methods: </strong>A prospective, longitudinal design was employed with 225 influenza vaccination recipients. Demographic and psychological measures (including anxiety, vaccination attitudes, and side effect expectations) were completed at baseline. Side effects were measured immediately and 1-week following the vaccination. Future intentions to vaccinate were measured 1-week postvaccination.</p><p><strong>Results: </strong>Anxiety (P < .001) and perceived sensitivity to vaccines (P = .044) predicted the number of symptoms reported immediately following vaccination. Anxiety (P < .001) and perceived sensitivity (P = .035) along with baseline symptoms (P < .001) predicted symptoms 1 week following the vaccination. Female gender (P = .003), younger age (P = .018), anxiety (P < .001), and baseline symptoms (P = .009) predicted whether participants attributed symptoms as vaccination side effects. Anti-vaccination attitudes were associated with less intention to vaccinate in the future (P = .033).</p><p><strong>Conclusions: </strong>Nocebo-associated psychological factors contributed to symptoms experienced after an influenza vaccination. Findings demonstrate that the way symptoms are noticed, and then interpreted as side effects, appear to be separate mechanisms promoted by different factors. This study improves identification of side effect reporters prior to vaccination.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":"59 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727340","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":"Diabetes-specific family functioning typology associated with intervention engagement and effects: secondary analyses from a randomized controlled trial.","authors":"McKenzie K Roddy, Andrew J Spieker, Robert A Greevy, Lyndsay A Nelson, Cynthia Berg, Lindsay S Mayberry","doi":"10.1093/abm/kaae070","DOIUrl":"10.1093/abm/kaae070","url":null,"abstract":"<p><strong>Background: </strong>Observationally, family and social support are important for optimal diabetes self-management; however, interventions targeting family/social support have not consistently been effective. A novel, diabetes-specific family functioning typology offers the opportunity to classify types of baseline family functioning to determine for whom family interventions may be effective.</p><p><strong>Purpose: </strong>We examined the effects of an intervention by baseline type of family functioning post hoc, to inform differential benefit from interventions.</p><p><strong>Methods: </strong>Participants were randomized to enhanced treatment as usual or a 9-month, mobile phone-delivered, family-focused, self-care support intervention. Adults with type 2 diabetes (N = 318) who participated in the randomized clinical trial (RCT) and provided baseline data were included. We determined participants' diabetes-specific family functioning types at baseline using a validated, survey-administered, typology assessment tool. We investigated the associations between type and engagement (eg, attending coaching sessions and responding to text messages) and psychosocial (eg, well-being and diabetes distress) and glycemic outcomes at mid- and post-treatment.</p><p><strong>Results: </strong>Despite overall high engagement, there was variability across types in engagement and effects. WantMoreInvolvement benefited the most; Satisfied withLowInvolvement showed early improvements that waned; Collaborative &Helpful were highly engaged but derived minimal benefits from the intervention; and CriticallyInvolved benefitted the least and may have experienced some harm.</p><p><strong>Conclusions: </strong>We demonstrated the utility of a novel diabetes-specific family functioning typology to explain variability in response to a family-focused intervention. Findings from this work answer the calls for systems-level consideration in precision behavioral medicine and drive hypothesis generation for future, tailored interventions.</p><p><strong>Registration: </strong>The larger RCT is registered with ClinicalTrials.gov (NCT04347291).</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811972","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":"Longitudinal timing of physical activity and associated cardiometabolic and behavioral health outcomes in young adults.","authors":"Caitlin P Bailey, Angelo Elmi, Jingyi Qian, Loretta DiPietro, Mia S Tackney, Melissa A Napolitano","doi":"10.1093/abm/kaae084","DOIUrl":"10.1093/abm/kaae084","url":null,"abstract":"<p><strong>Background: </strong>This is the first study to examine longitudinal associations between self-selected timing of moderate-to-vigorous physical activity (MVPA) and health outcomes in young adults over 18 months.</p><p><strong>Methods: </strong>Young adults (N = 434, Mage = 23.9, SDage = 4.6 years) enrolled in a weight management trial recorded 4-7 days of ActiGraph wear time at ≥1 time point (baseline, months 6, 12, and 18). Time-of-day categories were based on quartiles of the temporal distribution of MVPA min/h at baseline: morning (06:00-11:59), afternoon (12:00-15:59), evening (16:00-18:59), and night (19:00-00:59). The proportion of weekly MVPA accumulated during each time category was the predictor in longitudinal linear mixed-effects models predicting body mass index (BMI) and total weekly MVPA. Longitudinal quasibinomial generalized estimating equations models predicted cardiometabolic risk. Interactions were tested, and marginal trend estimates were generated for sex and age subgroups.</p><p><strong>Results: </strong>The analytic sample was 79% female and 49% non-Hispanic White, with a mean (±SD) weekly MVPA of 311 ± 167 min at baseline. In adjusted models, there were no associations with BMI. Morning MVPA was inversely associated with cardiometabolic risk (OR [95% CI]: 0.99 [0.98-0.99]) for both sex and age groups. Evening MVPA was inversely associated with cardiometabolic risk for 26-35 year olds (0.98 [0.97-0.99]). Morning MVPA was associated with greater total MVPA across subgroups, and afternoon MVPA was associated with less total MVPA in women.</p><p><strong>Conclusions: </strong>Over 18 months, incremental health benefits may accrue with optimal activity timing in young adults. Activity-based interventions designed to improve cardiometabolic and behavioral health outcomes in young adults may be optimized by tailoring timing recommendations to demographic factors.</p>","PeriodicalId":7939,"journal":{"name":"Annals of Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806066","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}