Risk and resistance perspectives in translation-oriented etiology research
This article shows how this distinction translates into goals and methods of research and practice, from the choice of potential mechanisms tested to the results sought in intervention. The resistance concept also differs from those of “resilience” and “protective factors,” subsuming but not limited to them. The implications of the concept are discussed using substance use disorder as an example and substantiate the need for biomedical research and its translation to shift to the resistance perspective. (Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - November 9, 2015 Category: Global & Universal Source Type: research
Research design issues for evaluating complex multicomponent interventions in neighborhoods and communities
Abstract
Major advances in population health will not occur unless we translate existing knowledge into effective multicomponent interventions, implement and maintain these in communities, and develop rigorous translational research and evaluation methods to ensure continual improvement and sustainability. We discuss challenges and offer approaches to evaluation that are key for translational research stages 3 to 5 to advance optimized adoption, implementation, and maintenance of effective and replicable multicomponent strategies. The major challenges we discuss concern (a) multiple contexts of evaluation...
Source: Translational Behavioral Medicine - November 6, 2015 Category: Global & Universal Source Type: research
The effect of a locally adapted, secondary stroke risk factor self-management program on medication adherence among veterans with stroke/TIA
Abstract
We targeted stroke/transient ischemic attack (TIA) survivors to engage in self-management practices to manage secondary stroke risk factors. We conducted a randomized, regional pilot trial of a locally adapted, secondary stroke prevention program. We implemented the program at two Veterans Administration Medical Centers. Program sessions targeted stroke risk factor self-management. Specifically, we evaluated the effect of the program on the reach, implementation, and effectiveness on patient self-efficacy; stroke-specific, health-related quality of life; and medication adherence for the prevalent...
Source: Translational Behavioral Medicine - October 26, 2015 Category: Global & Universal Source Type: research
Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial
Abstract
The implementation of evidence-based strategies to promote colorectal cancer (CRC) screening remains challenging. The aim of this study is to evaluate two strategies to implement an evidence-based intervention to promote CRC screening in Filipino American community organizations. Twenty-two community organizations were randomized to either a basic or enhanced implementation strategy. In both arms, community health advisors recruited participants non-adherent to CRC screening guidelines, conducted educational sessions, distributed print materials and free fecal occult blood test kits, reminded par...
Source: Translational Behavioral Medicine - October 13, 2015 Category: Global & Universal Source Type: research
Do Arabic weight-loss apps adhere to evidence-informed practices?
This study aimed to identify whether current Arabic weight-loss apps had features that adhered to evidence-informed practices. The six most relevant app stores were systematically searched using the Arabic words for weight and diet (n = 298). All apps that met the inclusion criteria (n = 65) were downloaded and examined for adherence to 13 evidence-informed practices. Latent class analysis identified two subgroups of apps: self-monitoring (15 % of apps) and advice-giving apps (85 %). The median number of evidence-informed practices was 1 (1, 2), with no apps having more than six and only nine apps including four ...
Source: Translational Behavioral Medicine - October 13, 2015 Category: Global & Universal Source Type: research
Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial
Abstract
The implementation of evidence-based strategies to promote colorectal cancer (CRC) screening remains challenging. The aim of this study is to evaluate two strategies to implement an evidence-based intervention to promote CRC screening in Filipino American community organizations. Twenty-two community organizations were randomized to either a basic or enhanced implementation strategy. In both arms, community health advisors recruited participants non-adherent to CRC screening guidelines, conducted educational sessions, distributed print materials and free fecal occult blood test kits, reminded par...
Source: Translational Behavioral Medicine - October 13, 2015 Category: Global & Universal Source Type: research
Do Arabic weight-loss apps adhere to evidence-informed practices?
This study aimed to identify whether current Arabic weight-loss apps had features that adhered to evidence-informed practices. The six most relevant app stores were systematically searched using the Arabic words for weight and diet (n = 298). All apps that met the inclusion criteria (n = 65) were downloaded and examined for adherence to 13 evidence-informed practices. Latent class analysis identified two subgroups of apps: self-monitoring (15 % of apps) and advice-giving apps (85 %). The median number of evidence-informed practices was 1 (1, 2), with no apps having more than six and only nine apps including four ...
Source: Translational Behavioral Medicine - October 13, 2015 Category: Global & Universal Source Type: research
Factors associated with the implementation of the Familias Unidas intervention in a type 3 translational trial
This study highlights how Familias Unidas, a Hispanic-specific, evidence-based, family centered preventive intervention, progressed from intervention development (type 1 translation; T1) through rigorous evaluation (T2) and examines the role of intervention fidelity—adherence and competence—in a T3 trial. Effects of participant, provider, and organizational variables on direct (observational) and indirect (self-reported) fidelity were examined as were effects of fidelity. Two structural equation models were estimated using data from 367 Hispanic parent-adolescent dyads randomized to Familias Unidas. Facilitator percept...
Source: Translational Behavioral Medicine - October 7, 2015 Category: Global & Universal Source Type: research
Empiric validation of a process for behavior change
In this report, the process of change is compared for three evidence-based programs’ that shared theories, intervention elements and potential mediating variables. Each investigation was a randomized trial that assessed pre- and post- intervention variables using survey constructs with established reliability. Each also used mediation analyses to define relationships. The findings were combined using a pattern matching approach. Surprisingly, knowledge was a significant mediator in each program (a and b path effects [p<0.01]). Norms, perceived control abilities, and self-monitoring were confirmed in at least two studi...
Source: Translational Behavioral Medicine - October 5, 2015 Category: Global & Universal Source Type: research
News from the NIH: Person-centered outcomes measurement: NIH-supported measurement systems to evaluate self-assessed health, functional performance, and symptomatic toxicity
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - October 1, 2015 Category: Global & Universal Source Type: research
A review of diabetes prevention program translations: use of cultural adaptation and implementation research
Abstract
The Diabetes Prevention Program (DPP) has been shown to prevent type 2 diabetes through lifestyle modification. The purpose of this study was to describe the literature on DPP translation, synthesizing studies using cultural adaptation and implementation research. A systematic search was conducted. Original studies evaluating DPP implementation and/or cultural adaptation were included. Data about cultural adaptation, implementation outcomes, and translation strategies was abstracted. A total of 44 were included, of which 15 reported cultural adaptations and 38 explored implementation. Many studie...
Source: Translational Behavioral Medicine - September 16, 2015 Category: Global & Universal Source Type: research
