Annals of Behavioral Medicine最新文献

{"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}

{"title":"Daily reciprocal relationships between affect, physical activity, and sleep in middle and later life.","authors":"Sun Ah Lee, Zachary Fisher, David M Almeida","doi":"10.1093/abm/kaae072","DOIUrl":"10.1093/abm/kaae072","url":null,"abstract":"<p><strong>Background: </strong>The daily dynamics among affect, physical activity, and sleep are often explored by taking a unidirectional approach. Yet, obtaining a comprehensive understanding of the reciprocal dynamics among affect and health behaviors is crucial for promoting daily well-being.</p><p><strong>Purpose: </strong>This study examined the reciprocal associations among affect, physical activity, and sleep in daily life in a U.S. national sample of mid- and later-life adults.</p><p><strong>Methods: </strong>The study sample included 1,171 participants (mean age = 62.61 years, SD = 10.26 years, 57% female, 82% White) with 9,033 daily interview days from the daily diary project of the third wave of the Midlife in the United States study (MIDUS III). Participants reported their daily experiences across eight consecutive days. Using a dynamic structural equation modeling, we examined day-to-day autoregressive and cross-lagged associations among positive and negative affect, physical activity, and sleep.</p><p><strong>Results: </strong>Results revealed that higher positive affect predicted a greater likelihood of engaging in moderate-to-vigorous physical activity (MVPA) and better sleep quality the following day. Higher sleep quality predicted increased positive affect, reduced negative affect, and a greater likelihood of MVPA engagement the next day. Longer sleep duration predicted lower negative affect the following day. However, MVPA engagement predicted subsequent higher negative affect.</p><p><strong>Conclusions: </strong>Findings underscore the importance of simultaneously considering affect, physical activity, and sleep in studying their day-to-day dynamics, and the protective role of positive affect and sleep quality in daily life. Maintaining high positive affect and managing sleep quality may be important intervention targets for enhancing daily well-being.</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/PMC11783308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811969","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":"Yes I can! Exploring the impact of self-efficacy in a digital weight loss intervention.","authors":"Angel E Cleare, Christopher D Gardner, Abby C King, Michele L Patel","doi":"10.1093/abm/kaae085","DOIUrl":"10.1093/abm/kaae085","url":null,"abstract":"<p><strong>Background: </strong>Self-efficacy is a modifiable intervention target in behavioral weight loss interventions. However, its role in the context of digital interventions is less clear.</p><p><strong>Purpose: </strong>To determine change in self-efficacy in a digital weight loss intervention, and whether self-efficacy is associated with engagement in self-monitoring diet or weight loss.</p><p><strong>Methods: </strong>This is a secondary analysis of the GoalTracker study among 100 adults with overweight or obesity enrolled in a 12-week standalone digital weight loss intervention emphasizing daily self-monitoring. At baseline, 1 month, and 3 months, we assessed self-efficacy for controlling eating (via the Weight Efficacy Lifestyle Questionnaire; WELQ) and self-efficacy for tracking diet. Dietary self-monitoring engagement data were collected from the MyFitnessPal app. Weight was collected in person on a calibrated scale. Analyses included participants with complete data (N range: 72-99).</p><p><strong>Results: </strong>Positive change from baseline to 1 month in self-efficacy for controlling eating was associated with higher dietary self-monitoring engagement (r = 0.21, P = .008) but not with 3-month weight change (r = -0.20, P = .052). Meanwhile, positive change from baseline to 1 month in self-efficacy for tracking diet was associated in a beneficial direction with both outcomes (r = 0.57, P < .001; r = -0.35, P < .001, respectively). However, on average, self-efficacy for controlling eating did not change over time while self-efficacy for tracking diet decreased (P < .001).</p><p><strong>Conclusion: </strong>Improvements in self-efficacy-particularly for tracking diet-early on in a digital weight loss intervention served as a mechanism of greater engagement and weight loss, highlighting the need for strengthening intervention strategies that promote early self-efficacy within a digital context.</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/PMC11761452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823794","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":"Dulce Digital-Me: results of a randomized comparative trial of static versus adaptive digital interventions for Latine adults with diabetes.","authors":"Athena Philis-Tsimikas, Addie L Fortmann, Taylor Clark, Samantha R Spierling Bagsic, Emilia Farcas, Scott C Roesch, James Schultz, Todd P Gilmer, Job G Godino, Kimberly L Savin, Mariya Chichmarenko, Jennifer A Jones, Haley Sandoval, Linda C Gallo","doi":"10.1093/abm/kaae077","DOIUrl":"10.1093/abm/kaae077","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes.</p><p><strong>Design and methods: </strong>Comparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-Me-Auto (algorithm-driven text-based personalized feedback), or DD-Me-Tel (coach delivered personalized feedback). Changes in HbA1c (primary outcome), low-density lipoprotein-cholesterol, systolic blood pressure, and patient-reported outcomes were examined across 6 and 12 months, with the primary comparison being DD versus DD-Me (combined automated and telephonic).</p><p><strong>Results: </strong>Participants were 52.1 (±10.2) years old, 69.7% female, with HbA1c 9.3% (±1.6) at baseline. Across groups, there was a statistically significant improvement in HbA1c at 6 months (mean∆ per month = -0.17, 95% CI -0.20, -0.14; P < .001) and 12 months (mean∆ per month = -0.07, 95% CI -0.09, -0.05; P < .001). However, there were no time-by-group interaction effects indicating group differences in clinical outcomes across 6 or 12 months. The DD-Me groups showed greater improvements across time than the DD group for diabetes self-management behaviors.</p><p><strong>Conclusions: </strong>Static and adaptive digital interventions for Latine adults with type 2 diabetes had similar and clinically significant effects on HbA1c across 12 months. Simple digital approaches can be integrated within primary care-based chronic care models to reduce diabetes disparities.</p><p><strong>Clinicaltrials.gov registration: </strong>NCT03130699, Initial Release 04/24/2017, https://clinicaltrials.gov/ct2/show/NCT03130699?term=NCT03130699&draw=2&rank=1.</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/PMC11761693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871162","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":"Changes in daily stress reactivity and changes in physical health across 18 years of adulthood.","authors":"Jonathan Rush, Susan T Charles, Emily C Willroth, Eric S Cerino, Jennifer R Piazza, David M Almeida","doi":"10.1093/abm/kaae086","DOIUrl":"10.1093/abm/kaae086","url":null,"abstract":"<p><strong>Background: </strong>Stress plays a pivotal role in physical health. Although many studies have linked stress reactivity (daily within-person associations between stress exposure and negative affect) to physical health outcomes, we know surprisingly little about how changes in stress reactivity are related to changes in physical health.</p><p><strong>Purpose: </strong>The current study examines how change in stress reactivity over 18 years is related to changes in functional health and chronic health conditions.</p><p><strong>Methods: </strong>Three measurement bursts from the National Study of Daily Experiences (N = 2880; 55% female) each included daily measures of stressor exposure and negative affect across 8 consecutive days, yielding 33 944 days of data across 18 years of adulthood. At each wave, participants reported their functional health limitations (ie, basic activities of daily living [ADL] and instrumental activities of daily living [IADL]) and chronic health conditions. Multilevel structural equation models simultaneously modeled stress reactivity at Level 1, longitudinal changes in stress reactivity at Level 2, and the association between changes in stress reactivity and changes in functional limitations and chronic conditions at Level 3.</p><p><strong>Results: </strong>Higher levels of stress reactivity at baseline were associated with more functional health limitations 18 years later (ADLs: Est. = 0.90, P = .001; IADLs: Est. = 1.78, P < .001). Furthermore, individuals who increased more in their stress reactivity across the 18-year period also showed greater increases in their functional health limitations (ADLs: Est. = 4.02, P = .017; IADLs: Est. = 5.74, P < .001) and chronic conditions (Est. = 11.17, P = .008).</p><p><strong>Conclusions: </strong>These findings highlight the strong connection between health and stress in daily life, and how they travel together across adulthood.</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/PMC11761442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891437","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":"Changing mindsets about methotrexate in the rheumatology clinic to reduce side effects and improve adherence: a randomized controlled trial.","authors":"Rachael Yielder, Kari Leibowitz, Alia J Crum, Paul Manley, Nicola Dalbeth, Keith J Petrie","doi":"10.1093/abm/kaae089","DOIUrl":"10.1093/abm/kaae089","url":null,"abstract":"<p><strong>Background: </strong>Patients' negative expectations about medication can exacerbate side effect burden leading to low adherence and persistence. A novel intervention involves targeting mindsets about non-severe symptoms; reframing them as encouraging signs of medication working.</p><p><strong>Purpose: </strong>This study aimed to assess whether a brief symptom-mindset intervention can improve symptom experience and adherence in patients starting methotrexate to treat an inflammatory rheumatic disease.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with patients starting methotrexate. Participants were randomly assigned (1:1) to a mindset intervention or standard information control condition. Symptom mindset was assessed after 4 weeks to check intervention efficacy. The primary outcome was symptom experience after 4 weeks. Secondary outcomes were adherence and motivation to take methotrexate (4 weeks), as well as continuation and C-reactive protein (12 weeks).</p><p><strong>Results: </strong>Forty-seven participants were randomly assigned to the intervention (n = 24) or control group (n = 23). All participants completed the study. After 4 weeks, compared to the control group, intervention participants endorsed more positive symptom mindsets, experienced less symptom burden (mean difference -2.70 [95% CI, -4.50, -0.90] P = .005), fewer general symptoms (3.53 [-6.99, .79] P = .045) and a similar number of methotrexate-specific symptoms (-0.79 [-2.29, 0.71] P = .295). The intervention group had better motivation and adherence to methotrexate at 4 weeks and better continuation, and C-reactive protein at 12 weeks than the control group. There was no difference in side effect attribution.</p><p><strong>Conclusions: </strong>In patients starting methotrexate, a mindset intervention reframing the role of non-severe side effects is a promising approach for improving symptom experience and early stage medication persistence.</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/PMC11761654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880940","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":"Daily hassle effects on daily cigarette and/or e-cigarette use: the moderating effect of daily uplifts.","authors":"Yitong Lin, Daryl B O'Connor, Mark Conner","doi":"10.1093/abm/kaaf016","DOIUrl":"10.1093/abm/kaaf016","url":null,"abstract":"<p><strong>Background: </strong>Daily hassles, as minor stressful events, are common in life. However, they have received less attention in previous studies on relationships between stressful events and nicotine product use. Meanwhile, daily uplifts have also been investigated less in research on nicotine use.</p><p><strong>Purpose: </strong>The current study was conducted to explore the relationships between daily measures of hassles, uplifts, and the use of nicotine products (ie, cigarettes, e-cigarettes).</p><p><strong>Methods: </strong>This was a daily diary study. Participants completed 1 diary each day for up to 7 days. One hundred and eighty-one adults who currently use cigarettes or e-cigarettes solely or co-use both completed a total of 886 daily diary entries. Multilevel modeling was used to predict the daily use of the above nicotine products from daily hassles, daily uplifts, and their interactions.</p><p><strong>Results: </strong>Daily hassles were positively associated with any daily nicotine use. There were no significant associations between daily hassles and daily cigarette use or between daily hassles and daily e-cigarette use. Daily uplifts were not directly associated with any behaviors, but daily hassles and daily uplifts showed a significant interaction in affecting any daily nicotine use, daily cigarette use, and daily e-cigarette use. In each use pattern, increasing levels of uplifts were associated with an attenuation of the relationship between hassles and the use of nicotine products.</p><p><strong>Conclusions: </strong>It may be worthwhile to explore further the effects of daily hassles and daily uplifts on nicotine product use through ecological momentary assessments.</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/PMC11837854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456704","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":"Open science? Responsiveness to requests for data in a review of smoking cessation interventions.","authors":"Yifei Pei, Mayla Gilliam, Olivia Listrom, Andrea Bermudez, Alexander Kenny, Marijn de Bruin, Seth M Noar, Adam O Goldstein, Paschal Sheeran","doi":"10.1093/abm/kaaf029","DOIUrl":"https://doi.org/10.1093/abm/kaaf029","url":null,"abstract":"<p><strong>Objective: </strong>Little research has examined rates or correlates of adherence to Open Science practices such as data sharing. We investigated how often researchers share data for inclusion in a meta-analysis and their reasons for not sharing data, and tested factors that could be associated with data sharing.</p><p><strong>Methods: </strong>We requested data for 189 studies (167 authors) as part of a National Cancer Institute-funded meta-analysis of quit intentions and smoking cessation. Authors were contacted via email up to 4 times. We tracked responses, reasons for not sharing data, and coded 23 features of the author team (eg, number of authors and h-index), the request (eg, amount of information requested), and the study (eg, year of publication and preregistration).</p><p><strong>Results: </strong>Thirty-five percent of authors provided the requested data, 21% responded but did not provide data, and 44% never responded to our request. Of the 37 reasons offered for not sharing data, the most common were loss of access to data (76%) and lack of time (11%). More recent trials, fewer citations, publication in medical (vs. behavioral) journals, and study preregistration were each associated with providing the requested data (Ps < .05).</p><p><strong>Conclusions: </strong>Contacting authors for unpublished data resulted in a moderate response rate (56%) and modest provision of data (35%). Barriers to data sharing such as access and time constraints highlight challenges faced by behavioral health researchers in promoting transparency. The factors associated with responsiveness underscore the importance of journal policies and Open Science practices in enhancing data sharing.</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/PMC12038392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969798","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":"Transforming Health Psychology and Behavioral Medicine to Address the Climate Crisis: A Call for Strategic Research and Advocacy.","authors":"Elissa S Epel, Kristi E White, Kelly D Brownell, Judith Rodin, Adrienne L Hollis, Michael A Diefenbach, Katie E Alegria, Elena Fromer, Susan M Czajkowski, Simon L Bacon, Tracey A Revenson, John Ruiz, Edward Maibach","doi":"10.1093/abm/kaae088","DOIUrl":"https://doi.org/10.1093/abm/kaae088","url":null,"abstract":"<p><strong>Objective: </strong>The climate crisis poses the largest threat to human health and survival and has been a public health emergency for many years. It is causing harmful consequences for physical and mental health and is amplifying existing health inequities. In this call to action, we highlight the relevance of the health psychology and behavioral medicine communities in addressing the health impacts of climate change.</p><p><strong>Method: </strong>We identify mitigation and adaptation climate health behaviors and social changes needed that underlie the three essential objectives to address climate change and its associated health consequences: (a) rapid decarbonization, (b) drawdown of atmospheric heat-trapping gases (sequestration), and (c) adap- tation.</p><p><strong>Results: </strong>To advance the behavioral and systemic changes necessary to protect health, we propose a 1-2-3 Transformational Model in which the larger field of health psychology and behavioral medicine promotes (1) One Health, human and planetary health by (2) targeting climate health behaviors, and (3) social change across major professional areas, including research, interventions, and education/advo- cacy. We urge the adoption of the social quantum change paradigm, a systems approach to understanding the process of social change, where systemic change is viewed as local to global, and the individual has an influential role.</p><p><strong>Discussion: </strong>These shifts in views, priorities, and methods will bolster hope, collective efficacy, and action to support the next generation of health psychology and behavioral medicine profession- als. With these changes, the health psychology and behavioral medicine communities can have a more immediate and meaningful impact on the climate crisis and its associated health consequences.</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":"143971546","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}