Integrating knowledge across domains to advance the science of health behavior: overcoming challenges and facilitating success
AbstractHealth behaviors often co-occur and have common determinants at multiple levels (e.g., individual, relational, environmental). Nevertheless, research programs often examine single health behaviors without a systematic attempt to integrate knowledge across behaviors. This paper highlights the significant potential of cross-cutting behavioral research to advance our understanding of the mechanisms and causal factors that shape health behaviors. It also offers suggestions for how researchers could develop more effective interventions. We highlight barriers to such an integrative science along with potential steps that...
Source: Translational Behavioral Medicine - August 11, 2016 Category: Global & Universal Source Type: research
Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting
AbstractLow enrollment in behavioral weight loss treatments limits their impact. We aimed to identify factors associated with treatment initiation. The participants were outpatients (n = 198) at Veterans Affairs (VA) healthcare facilities who were referred to a free VA-based behavioral weight loss treatment. Participants were assessed on psychosocial factors potentially relevant to treatment initiation. Subsequent treatment initiation was determined via medical record review. S tudy participants were 77 % male, 60 % African American, and 54 % initiated treatment. In multivariable analyses, treatment initiation was ass...
Source: Translational Behavioral Medicine - August 7, 2016 Category: Global & Universal Source Type: research
Support for indoor tanning policies among young adult women who indoor tan
AbstractThe purpose of this study to examine support for indoor tanning policies and correlates of policy support among young adult women who indoor tan. Non-Hispanic white women ages 18 –30 who indoor tanned in the past year (n = 356,M 23.3 age, SD 3.1) recruited in the Washington, DC area from 2013 to 2016 completed measures of indoor tanning behaviors, attitudes, perceptions, beliefs, and policy support. Most women in the sample supported policies to prevent children under the age of 18 from indoor tanning (74.0 %) and stronger warnings about the risks of indoor tanning on tanning devices (77.6 %); only 10.1 % s...
Source: Translational Behavioral Medicine - August 4, 2016 Category: Global & Universal Source Type: research
Linking patients with community resources: use of a free YMCA membership among low-income black women
AbstractGiven the increasing interest in expanding obesity prevention efforts to cover community-based programs, we examined whether individuals would access a YMCA for physical activity promotion. We provided a no-cost 12-month YMCA membership to socioeconomically disadvantaged black women who were randomized to the intervention arm of a weight gain prevention trial (n = 91). Analyses examined associations of membership activation and use with baseline psychosocial, contextual, health-related, and sociodemographic factors. Many participants (70.3 %) activated their memberships; however, use was low (42.2 % had no su...
Source: Translational Behavioral Medicine - August 1, 2016 Category: Global & Universal Source Type: research
Physical activity interventions to promote positive youth development among indigenous youth: a RE-AIM review
< h3 class= " a-plus-plus " > Abstract < /h3 > < p class= " a-plus-plus " > Physical activity (PA) programs are a promising strategy to promote positive youth development (PYD). It is not known if published reports provide sufficient information to promote the implementation of effective PYD in indigenous youth. The purpose of this study was to assess the extent to which published literature on PA programs that promote PYD in indigenous youth report on RE-AIM (reach, effectiveness, adoption, implementation, maintenance) indicators. A systematic literature search was conducted to identify articles reporting on PA programs t...
Source: Translational Behavioral Medicine - July 20, 2016 Category: Global & Universal Source Type: research
Weight loss support seeking on twitter: the impact of weight on follow back rates and interactions
We examined follow back rates, interactions, and organic follows from professionals and peers by weight status. Follow back rates did not differ by weight status when following professionals (6.8 % normal weight/overweight vs 11.0 % for obese; < em class= " a-plus-plus " > p < /em > = 0.4167) or peers (6.7 % for normal weight/overweight vs 10.8 % for obese; < em class= " a-plus-plus " > p < /em > = 0.1548). Number of interactions and organic followers also did not differ by weight status. Peers interacted with study accounts significantly more than professionals ( < em class= " a-plus-plus " > p < /em > = 0.01...
Source: Translational Behavioral Medicine - July 20, 2016 Category: Global & Universal Source Type: research
County-level outcomes of a rural breast cancer screening outreach strategy: a decentralized hub-and-spoke model (BSPAN2)
Abstract
Rural mammography screening remains suboptimal despite reimbursement programs for uninsured women. Networks linking non-clinical community organizations and clinical providers may overcome limited delivery infrastructure in rural areas. Little is known about how networks expand their service area. To evaluate a hub-and-spoke model to expand mammography services to 17 rural counties by assessing county-level delivery and local stakeholder conduct of outreach activities. We conducted a mixed-method evaluation using EMR data, systematic site visits (73 interviews, 51 organizations), 92 patient surve...
Source: Translational Behavioral Medicine - July 10, 2016 Category: Global & Universal Source Type: research
Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration
This study provides an example of how healthcare system-wide progress in implementation of opioid-therapy guideline recommendations can be longitudinally assessed and then related to subsequent opioid-prescribed patient health and safety outcomes. Using longitudinal linear mixed effects analyses, we determined that in the Department of Veterans Affairs (VA) healthcare system (n = 141 facilities), over the 4-year interval from 2010 to 2013, a key opioid therapy guideline recommendation, urine drug screening (UDS), increased from 29 to 42 %, with an average within-facility increase rate of 4.5 % per year. Higher levels...
Source: Translational Behavioral Medicine - July 5, 2016 Category: Global & Universal Source Type: research
The E-Coach technology-assisted care transition system: a pragmatic randomized trial
Abstract
Care transitions from the hospital to home remain a vulnerable time for many patients, especially for those with heart failure (CHF) and chronic obstructive pulmonary disease (COPD). Despite regular use in chronic disease management, it remains unclear how technology can best support patients during their transition from the hospital. We sought to evaluate the impact of a technology-supported care transition support program on hospitalizations, days out of the community and mortality. Using a pragmatic randomized trial, we enrolled patients (511 enrolled, 478 analyzed) hospitalized with CHF/COPD ...
Source: Translational Behavioral Medicine - June 22, 2016 Category: Global & Universal Source Type: research
Creating the future of translational behavioral medicine
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - June 12, 2016 Category: Global & Universal Source Type: research
UWALK: the development of a multi-strategy, community-wide physical activity program
Abstract
UWALK is a multi-strategy, multi-sector, theory-informed, community-wide approach using e and mHealth to promote physical activity in Alberta, Canada. The aim of UWALK is to promote physical activity, primarily via the accumulation of steps and flights of stairs, through a single over-arching brand. This paper describes the development of the UWALK program. A social ecological model and the social cognitive theory guided the development of key strategies, including the marketing and communication activities, establishing partnerships with key stakeholders, and e and mHealth programs. The program ...
Source: Translational Behavioral Medicine - June 8, 2016 Category: Global & Universal Source Type: research
Erratum to: Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - June 7, 2016 Category: Global & Universal Source Type: research
Use of self-monitoring tools in a clinic sample of adults with type 2 diabetes
ABSTRACT
Self-monitoring is an effective strategy for chronic disease management; many readily available mobile applications allow tracking of diabetes-related health behaviors but their use has not yet been integrated into routine clinical care. How patients engage with these applications in the real world is not well understood. The specific aim of this study is to survey adults with type 2 diabetes (T2D) regarding self-monitoring behaviors, including mobile application use. In 2015, we surveyed an adult diabetes clinic population (n = 96) regarding self-monitoring behaviors: diet, physical activity, ...
Source: Translational Behavioral Medicine - June 7, 2016 Category: Global & Universal Source Type: research
Erratum to: Reach and representativeness of ethnic minority women in the Health Is Power Study: a longitudinal analysis
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - June 5, 2016 Category: Global & Universal Source Type: research
Physical activity: a synopsis and comment on “community-wide interventions for increasing physical activity”
Abstract
In this synopsis, we summarize and comment on Baker and colleagues’ Cochrane review of studies on the population-level impact of community-wide physical activity (PA) interventions. Insufficient PA remains a major public health problem. Community-wide interventions offer an opportunity to extend reach by increasing the proportion of the population experiencing the intervention. A previous Cochrane review of community-wide PA interventions concluded that evidence for effectiveness was mixed. Hence, Baker and colleagues incorporated new data about community-based PA interventions. This Cochrane r...
Source: Translational Behavioral Medicine - June 1, 2016 Category: Global & Universal Source Type: research
