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Translational Behavioral Medicine

Ildiko Tombor, Emma Beard, Jamie Brown, Lion Shahab, Susan Michie, Robert West
Smartphone applications (apps) might be able to reach pregnant smokers who do not engage with face-to-face support. However, we do not know how far pregnant smokers will engage with smoking cessation apps or what components are likely to be effective. This study aimed to assess pregnant smokers' engagement with the SmokeFree Baby app (v1) and to assess the short-term efficacy of selected components ("modules") for smoking abstinence. Positive outcomes would provide a basis for further development and evaluation...
July 16, 2018: Translational Behavioral Medicine
Marita Hennessy, Molly Byrne, Rachel Laws, Jenny Mc Sharry, Grace O'Malley, Caroline Heary
Childhood obesity is a significant public health challenge, yet research priorities for childhood obesity prevention are not established. Coproduction of priorities leads to research which may be more translatable to the domains of policy and practice. The aim of the present study was to identify knowledge gaps and research priorities in addition to facilitators and barriers to knowledge translation in childhood obesity prevention. The nominal group technique involving consensus building with researchers, policymakers, and practitioners was employed during workshops at a national obesity conference held over 2 days in May 2017...
July 13, 2018: Translational Behavioral Medicine
Deborah L Jones, Violeta J Rodriguez, Stefani A Butts, Kris Arheart, Robert Zulu, Ndashi Chitalu, Stephen M Weiss
Voluntary medical male circumcision (VMMC) uptake in Africa could prevent 3.4 million HIV infections across a 10 year span. In Zambia, however, ~80 per cent of uncircumcised men report no interest in undergoing VMMC. The Spear & Shield (S&S) intervention has been shown to be more effective than control or observation of only conditions at increasing the number of VMMCs. This study identified predictors of S&S implementation success or failure to create an "early warning" system to enable remedial action during implementation...
July 13, 2018: Translational Behavioral Medicine
Caryn E Peterson, Sara C Gordon, Charles W Le Hew, J A Dykens, Gina D Jefferson, Malavika P Tampi, Olivia Urquhart, Mark Lingen, Karriem S Watson, Joanna Buscemi, Marian L Fitzgibbon
In response to the increasing incidence of certain oral and oropharyngeal cancers, the Society of Behavioral Medicine (SBM) calls on healthcare providers and legislators to expand awareness of oral and oropharyngeal cancer risk factors, increase early detection, and support policies that increase utilization of dental services. SBM supports the American Dental Association's 2017 guideline for evaluating potentially malignant oral cavity disorders and makes the following recommendations to healthcare providers and legislators...
July 11, 2018: Translational Behavioral Medicine
Joanna Buscemi, Diana Buitrago, Francisco Iacobelli, Frank Penedo, Crystal Maciel, Judy Guitleman, Aparna Balakrishnan, Marya Corden, Rachel F Adler, Laura C Bouchard, Alejandra Perez-Tamayo, Betina R Yanez
Hispanic breast cancer survivors (BCS) are at high risk for experiencing poor health-related quality of life (HRQoL) after completion of active breast cancer treatment. Therefore, there is a need to develop culturally tailored interventions for Hispanic BCS. To date, there have been limited interventions that have demonstrated that increasing cancer-related knowledge, self-efficacy in communication, and self-management skills can improve HRQoL among Hispanic BCS. These interventions have been delivered in person or by phone, which may be burdensome for Hispanic BCS...
July 7, 2018: Translational Behavioral Medicine
Waleed M Sweileh
Stigma and discrimination are major barriers in the global fight against human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). The aim of this study was to create an analytical inventory of worldwide research output in AIDS-related stigma and discrimination. SciVerse Scopus was used for the study period from 1980 to 2017 to retrieve literature in AIDS-related stigma and discrimination. Results were presented as bibliometric tables and maps. In total, 2,509 documents were retrieved...
July 4, 2018: Translational Behavioral Medicine
Amber Werbrouck, Eva Swinnen, Eric Kerckhofs, Ronald Buyl, David Beckwée, Liesbet De Wit
Patient empowerment, a concept focused on patient-centeredness and patients autonomy, is a well-discussed topic in health literature. However, translating theory into practice is a challenge. The purpose of this study was to assess the effectiveness of interventions on patient empowerment and to identify and compare the modalities of these interventions. For this systematic review including meta-analysis, eligibility criteria were as follows: (i) adult participants with one or more chronic somatic diseases, (ii) "patient empowerment" was explicitly measured (i...
July 4, 2018: Translational Behavioral Medicine
Katherine A Pratte, Janette Beals, Ann Johnson, Ann Bullock, Spero M Manson, Luohua Jiang
In real-world settings, eligible populations and intervention effectiveness for a translational intervention likely vary across time. To determine the optimal strategies for effective large-scale implementation of evidence-based interventions, it is critical to investigate these potential variabilities. The purpose of this study is to evaluate whether patient characteristics and intervention effectiveness differed by year of enrollment in a multiyear evidence-based translational intervention. The Special Diabetes Program for Indians Healthy Heart (SDPI-HH) Demonstration Project is an intensive case management intervention designed to reduce cardiovascular disease risk among American Indians and Alaska Natives with diabetes...
July 3, 2018: Translational Behavioral Medicine
Michael A Diefenbach, Catherine Benedict, Suzanne M Miller, Annette L Stanton, Mary E Ropka, Kuang-Yi Wen, Nihal E Mohamed, Simon J Hall
Men diagnosed with early stage prostate cancer face multiple treatment options, each with distinctive side effects that have significant implications for post-treatment quality of life. Healing Choices for Men with Prostate Cancer is a multimedia educational and decision aid program. This nation-wide randomized controlled trial evaluated the impact of Healing Choices on reducing decisional conflict and distress. Eligible prostate cancer patients who called the National Cancer Institute's Cancer Information Service (CIS) were invited to participate...
July 2, 2018: Translational Behavioral Medicine
Agnes Y K Lai, Sunita M Stewart, Alice N T Wan, Chen Shen, Charles K K Ng, Lit-Tung Kwok, Sophia S Chan, Daniel S Y Ho, Tai-Hing Lam
To ease the shortage of professionals, lay volunteers were trained to become health promoters and role models for a large community program to enhance physical activity, well-being, and neighborhood cohesion in socioeconomically disadvantaged groups in Hong Kong. This study aimed to examine the effects on health promoters (trainees) and the feasibility and acceptability of capability-building train-the-trainer workshops (TTTs) using Zero-time Exercise (ZTEx) to implement a community program for about 1,000 participants...
June 28, 2018: Translational Behavioral Medicine
Cheryl L Holt, Erin K Tagai, Sherie Lou Zara Santos, Mary Ann Scheirer, Janice Bowie, Muhiuddin Haider, Jimmie Slade
Project HEAL (Health through Early Awareness and Learning) is an implementation trial that compared two methods of training lay peer community health advisors (CHAs)-in-person ("Traditional") versus web-based ("Technology")-to conduct a series of three evidence-based cancer educational workshops in African American churches. This analysis reports on participant outcomes from Project HEAL. Fifteen churches were randomized to the two CHA training methods and the intervention impact was examined over 24 months...
June 28, 2018: Translational Behavioral Medicine
Virmarie Correa-Fernández, William T Wilson, Bryce Kyburz, Daniel P O'Connor, Timothy Stacey, Teresa Williams, Cho Y Lam, Lorraine R Reitzel
Despite the health benefits of tobacco control and cessation initiatives, tobacco users with behavioral health disorders (BHDs) have less access to evidence-based tobacco dependence treatment. Academic-community partnerships can help guide the translation of tobacco-related research findings and evidence-based guidelines into real-world applications. Through a comprehensive, evidence-based, multilevel, and multicomponent program, Taking Texas Tobacco Free (TTTF) facilitated the implementation of tobacco-free workplaces at 18 local mental health authorities in Texas, comprising over 250 individual community behavioral health centers...
June 28, 2018: Translational Behavioral Medicine
Randi Streisand, Damian Waters, Naja Fousheé, Deborah Q Shelef, Nicole Herrera, Stephen J Teach
Asthma is the most common chronic illness among children, and parental psychosocial stress is a well-documented mediator of poor pediatric asthma outcomes. However, few interventions have targeted parental stress as a means for improving child asthma outcomes. The purpose of the study is to describe the feasibility and acceptability of the use of wellness coaches in a parent-focused stress management intervention in pediatric asthma. Data on the feasibility of wellness coach recruitment and training, intervention delivery and fidelity, and acceptability are provided from a randomized controlled trial intervention group sample of 107 African American parents of children aged 4-12 years (M = 6...
June 28, 2018: Translational Behavioral Medicine
Kate M Fennell, Luke Bamford, Ian Olver, Carlene J Wilson
Rates of referral of patients to psychosocial services are low in most cancer treatment centers, while rates of distress are high. The purpose of this study is to identify clinicians' barriers to referring cancer patients to psychosocial services and strategies that could increase rates of referral. A purposive sampling method ensured data were gathered in two large public teaching hospitals from seven oncologists and five hematologists with varying levels of experience, of whom five were female. Data were collected using semistructured interviews guided by the Capability, Opportunity, Motivation and Behavior model (Michie S, Atkins L, West R...
June 28, 2018: Translational Behavioral Medicine
Sarah Ellen Braun, Patricia Anne Kinser, Bruce Rybarczyk
Mindfulness in health care professionals (HCPs) is often discussed as a tool for improving patient care outcomes, yet there has not been a critical evaluation of the evidence, despite a growing body of research on mindfulness-based interventions (MBIs). Numerous mechanisms exist by which mindfulness in HCPs may have an effect on patient care, and the field lacks an integrated model to guide future investigations into how MBIs may exert effects. The primary goals of this integrative review are to evaluate the evidence for the impact of MBIs in HCPs on patient care outcomes and to propose a causal model to guide future research...
June 26, 2018: Translational Behavioral Medicine
Shinduk Lee, Luohua Jiang, Diane Dowdy, Y Alicia Hong, Marcia G Ory
Despite many interventions to promote medication adherence in older adults, we know little about how medication adherence has improved as a result of such interventions. The purpose of this study was to examine the long-term program impacts on medication adherence from participating in the Chronic Disease Self-Management Program (CDSMP). Secondary data used for this study included the CDSMP participants' sociodemographic characteristics and their baseline and 6- and 12-month follow-up assessments on health-related indicators, including medication adherence, self-rated health, depression, and patient communication skills...
June 6, 2018: Translational Behavioral Medicine
Paul Branscum, Valerie Senkowski
The theory of planned behavior (TPB) is a popular value-expectancy model in social and behavioral health. Motivation to comply, one of the theory's constructs, has not been well operationalized and measured in the past, and to date, there has been no assessment of whether level of specificity affects the measurement of the construct. The purpose of this study was to measure the motivation to comply construct across four domains (from general to TACT-behavior specific) and evaluate the potential impact the differences have when identifying determinants of generalized injunctive norms...
May 30, 2018: Translational Behavioral Medicine
Katie A Weatherson, Sean R Locke, Mary E Jung
The Daily Physical Activity (DPA) policy in British Columbia requires elementary schools to help students achieve 30 min of physical activity during instructional and noninstructional time on school days. The purpose of this study was to determine how elementary teachers implement the DPA policy, and examine differences in children's light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) at school, based on how the teacher implemented the DPA policy during the school day (provision of DPA during instructional time or only noninstructional time)...
May 24, 2018: Translational Behavioral Medicine
Roger Luckmann, Mary E Costanza, Mary Jo White, Christine F Frisard, Milagros Rosal, Susan Sama, Michelle R Landry, Robert Yood
As population health has become a focus of health care payers and providers, interest has grown in mail, phone, and other forms of outreach for improving population rates of cancer screening. Translational research is needed to compare the effectiveness and cost of low- and high-intensity behavioral outreach interventions for promoting cancer screening. The purpose of the article is to compare the effectiveness in promoting biannual mammograms of three interventions delivered over 4 years to a primary care population with a high baseline mammography adherence of 83...
May 23, 2018: Translational Behavioral Medicine
Rosalba Hernandez, Elaine Cheung, Mercedes Carnethon, Frank J Penedo, Judith T Moskowitz, Lizet Martinez, Stephen M Schueller
Although increasing emotional well-being has been proposed as a potential pathway to drive cardiac health, emotional well-being interventions for people with cardiac risk are underdeveloped, particularly among Hispanic/Latino adults. Our objective was to pilot a well-being intervention drawing on positive psychology concepts to determine feasibility and acceptability in Hispanics/Latinos at risk for cardiovascular disease (CVD). We developed a Spanish-language positive psychological intervention, with cultural tailoring informed by formative qualitative work, to promote emotional well-being and its antecedents in Hispanics/Latinos...
May 23, 2018: Translational Behavioral Medicine
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