Computer-based HIV adherence promotion interventions: a systematic review
This article reviews studies published through January 2014 utilizing computer-based delivery of such interventions to persons living with HIV. A systematic review of five databases identified ten studies (three RCTs, three pilot studies, three feasibility studies, and one single-group trial) that met the inclusion criteria. Descriptions of the interventions’ content and characteristics are included. Interventions varied widely in terms of program structure, theoretical framework, and content. Only six studies reported medication adherence outcomes. Of these, four (five RCTS and one single group pre-post test) reported s...
Source: Translational Behavioral Medicine - June 3, 2015 Category: Global & Universal Source Type: research

Using the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to identify practice patterns
Abstract Primary care-mental health integration (PC-MHI) is growing in popularity. To determine program success, it is essential to know if PC-MHI services are being delivered as intended. The investigation examines responses to the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to explore PC-MHI provider practice patterns. Latent class analysis was used to identify clusters of PC-MHI providers based on their self-report of adherence on the PPAQ. Analysis revealed five provider clusters with varying levels of adherence to PC-MHI model components. Across clusters, adherence was typi...
Source: Translational Behavioral Medicine - June 2, 2015 Category: Global & Universal Source Type: research

Survivorship care planning after participation in communication skills training intervention for a consultation about lymphoma survivorship
Abstract A survivorship care plan refers to a written summary of the treatment received and recommendations regarding surveillance and management of late effects. To provide evaluation of a communication skills training (CST) intervention to enhance the transition of lymphoma survivors to cancer survivorship. Nineteen oncologists specializing in lymphoma treatment were recruited and completed a survivorship CST workshop, and two standardized patient assessments (SPAs), one pretraining and one posttraining. Significant improvements in SPA scores were observed in six of the seven SPA assessment categories: ...
Source: Translational Behavioral Medicine - June 2, 2015 Category: Global & Universal Source Type: research

Governors’ priorities for public health and chronic disease prevention: a qualitative analysis of State of the State addresses
Abstract Governors use State of the State speeches to publicly outline state status, progress, and policy priorities. The purpose of this study was to qualitatively analyze the public health content of State of the State addresses from 2009 to 2013. Speech transcripts were collected and uploaded into NVivo10. Speeches were coded using a priori, general thematic codes followed by detailed sub-coding of public health text. Data was organized by emergent thematic patterns. From 2009 to 2013, 48 governors presented 72 speeches with public health messages. Framing current public health problems and outlining s...
Source: Translational Behavioral Medicine - June 2, 2015 Category: Global & Universal Source Type: research

Costs of implementing a behavioral weight-loss and lifestyle-change program for individuals with serious mental illnesses in community settings
Abstract Little research has examined costs of adopting a successful lifestyle intervention for people with serious mental illnesses in community clinics. The study aims to calculate the real-world costs of implementing a group-based weight-loss and lifestyle intervention in community settings. We used empirically derived costs to estimate implementation costs and conducted sensitivity analyses to estimate costs: (1) when implementing the intervention in high/low resource-intensive environments and (2) assuming variability in participant enrollment. To implement the STRIDE program for 15 individuals with ...
Source: Translational Behavioral Medicine - May 30, 2015 Category: Global & Universal Source Type: research

Background and rationale for the Society of Behavioral Medicine’s position statement: expand United States health plan coverage for diabetes self-management education and support
Abstract The Society of Behavioral Medicine (SBM) recognizes that diabetes self-management (DSM) education and support are fundamental to teaching people how to manage their diabetes and decrease disease-related complications. Implementation of the Patient Protection and Affordable Care Act provides an opportunity to expand DSM education and support to many people who are currently excluded from such services due to lack of insurance coverage, current policy barriers, or simple failure of healthcare systems to provide them. Extending the range and provision of such services could translate into reduced di...
Source: Translational Behavioral Medicine - May 29, 2015 Category: Global & Universal Source Type: research

Building new computational models to support health behavior change and maintenance: new opportunities in behavioral research
Abstract Adverse and suboptimal health behaviors and habits are responsible for approximately 40 % of preventable deaths, in addition to their unfavorable effects on quality of life and economics. Our current understanding of human behavior is largely based on static “snapshots” of human behavior, rather than ongoing, dynamic feedback loops of behavior in response to ever-changing biological, social, personal, and environmental states. This paper first discusses how new technologies (i.e., mobile sensors, smartphones, ubiquitous computing, and cloud-enabled processing/computing) and emerging systems ...
Source: Translational Behavioral Medicine - May 28, 2015 Category: Global & Universal Source Type: research

Influence networks among substance abuse treatment clinics: implications for the dissemination of innovations
Abstract Understanding influence networks among substance abuse treatment clinics may speed the diffusion of innovations. The purpose of this study was to describe influence networks in Massachusetts, Michigan, New York, Oregon, and Washington and test two expectations, using social network analysis: (1) Social network measures can identify influential clinics; and (2) Within a network, some weakly connected clinics access out-of-network sources of innovative evidence-based practices and can spread these innovations through the network. A survey of 201 clinics in a parent study on quality improvement prov...
Source: Translational Behavioral Medicine - May 27, 2015 Category: Global & Universal Source Type: research

News from the NIH: potential contributions of the behavioral and social sciences to the precision medicine initiative
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - May 19, 2015 Category: Global & Universal Source Type: research

Society of Behavioral Medicine (SBM) position statement: SBM supports retaining healthy school lunch policies
Abstract Schools are recognized as venues for population-based health promotion and chronic disease prevention initiatives targeting children, and the school food environment is a central component. The Healthy, Hunger-Free Kids Act of 2010 utilized research-based findings and expert recommendations to significantly improve school lunch standards in the kindergarten to twelfth grade (K-12) setting to enhance the nutritional intake and ultimately the health of children. The new guidelines include increasing the availability of whole grains, fruits, and vegetables; requiring children to select a fruit or ve...
Source: Translational Behavioral Medicine - May 16, 2015 Category: Global & Universal Source Type: research

Factors associated with early childhood education and care service implementation of healthy eating and physical activity policies and practices in Australia: a cross-sectional study
Abstract Many early childhood education and care (ECEC) services fail to implement recommended policies and practices supportive of healthy eating and physical activity. The purpose of this study was to assess whether certain theoretically-based factors are associated with implementation of healthy eating and physical activity policies and practices in a sample of ECEC services. A cross-sectional survey was conducted with Service Managers of ECEC services. The survey assessed the operational characteristics, policy, and practice implementation, and 13 factors were suggested by Damschroder’s Consolidated...
Source: Translational Behavioral Medicine - May 13, 2015 Category: Global & Universal Source Type: research

Desirability and feasibility of wireless electronic monitoring of medications in clinical trials
This article reports on the desirability and feasibility study of using a wireless EMD in clinical research to promote adherence to clinical regimens and research protocols. Nonadherence in transplant patients has been linked to late acute rejection and graft loss. High levels of adherence (97.7 %) were documented for six renal transplant recipients for a mean of 6 months (M = 196.1 ± 71.2 days) who indicated acceptance of the technology. MEMS data confirmed the feasibility of using wireless EMDs to monitor medication use. Monitoring provides greater assurance that research studies reflect the biological impact...
Source: Translational Behavioral Medicine - April 7, 2015 Category: Global & Universal Source Type: research

Recruitment of adolescents for a smoking study: use of traditional strategies and social media
This study examined and compared traditional and Facebook-based recruitment strategies on reach, enrollment, cost, and retention. Substance users aged 13–17 years were recruited through several methods, including social media, a study website, fliers, talks in schools, bus ads, and referrals. Study involvement included a one-time visit and semiannual follow-up surveys. 1265 individuals contacted study personnel; 629 were ineligible; 129 declined; and 200 participants enrolled. Facebook drew the greatest volume but had a high rate of ineligibles. Referrals were the most successful and cost-effective ($7 per enrolled part...
Source: Translational Behavioral Medicine - March 17, 2015 Category: Global & Universal Source Type: research

Acceptability of smartphone technology to interrupt sedentary time in adults with diabetes
Abstract Breaking up sitting time with light- or moderate-intensity physical activity may help to alleviate some negative health effects of sedentary behavior, but few studies have examined ways to effectively intervene. This feasibility study examined the acceptability of a new technology (NEAT!) developed to interrupt prolonged bouts (≥20 min) of sedentary time among adults with type 2 diabetes. Eight of nine participants completed a 1-month intervention and agreed that NEAT! made them more conscious of sitting time. Most participants (87.5 %) expressed a desire to use NEAT! in the future. Sedentary...
Source: Translational Behavioral Medicine - March 14, 2015 Category: Global & Universal Source Type: research

Peer health coaching for overweight and obese individuals with serious mental illness: intervention development and initial feasibility study
Abstract Effective and scalable interventions are needed to reach a greater proportion of individuals with serious mental illness (SMI) who experience alarmingly high rates of obesity. This pilot study evaluated the feasibility of translating an evidenced-based professional health coach model (In SHAPE) to peer health coaching for overweight and obese individuals with SMI. Key stakeholders collaborated to modify In SHAPE to include a transition from professional health coaching to individual and group-based peer health coaching enhanced by mobile health technology. Ten individuals with SMI were recruited ...
Source: Translational Behavioral Medicine - March 11, 2015 Category: Global & Universal Source Type: research