Implementing a brief evidence-based HIV intervention: a mixed methods examination of compliance fidelity
ABSTRACT Dissemination of HIV behavioral prevention programs has increased the reach of evidence-based interventions, but there is a paucity of data on implementation and diffusion. The present mixed methods study focused on RESPECT, a brief counseling and testing intervention, examining compliance fidelity and the extent to which Centers for Disease Control and Prevention (CDC) policies and training have diffused to practice settings. Using client exit surveys (N = 830) and counselor interviews (N = 64), we examined implementation in 26 community-based agencies (CBOs) and public health departme...
Source: Translational Behavioral Medicine - December 1, 2014 Category: Global & Universal Source Type: research

Social support for physical activity—role of Facebook with and without structured intervention
This study aims to examine Facebook engagement among participants in the online social networking arm of a randomized controlled physical activity promotion trial (n = 67). Facebook communications were double coded and analyzed using ATLAS.ti. Regression procedures were used to determine predictors of Facebook use and associations between types of use and changes in perceived social support and physical activity. Changes in perceived social support and physical activity were more strongly associated with participants’ individual Facebook use than use of the Facebook intervention group. The way social media sites are ...
Source: Translational Behavioral Medicine - December 1, 2014 Category: Global & Universal Source Type: research

Five population-based interventions for smoking cessation: a MOST trial
ABSTRACT Little is known about the relative, additive, and interactive effects of different population-based treatments for smoking cessation. The goal of this study was to evaluate the main and interactive effects of five different smoking interventions. Using the multiphase optimization strategy (MOST), 1,034 smokers who entered a Web site for smokers (smokefree.gov) were randomly assigned to the “on” and “off” conditions of five smoking cessation interventions: the National Cancer Institute’s (NCI) Web site (www.smokefree.gov vs a “lite” Web site), telephone quitline counseling (vs none...
Source: Translational Behavioral Medicine - December 1, 2014 Category: Global & Universal Source Type: research

Varying social media post types differentially impacts engagement in a behavioral weight loss intervention
Abstract The purpose of this study was to examine whether different types of posts differentially affect participant engagement and if engagement with social media enhances weight loss. Data are a subanalysis from a randomized weight loss study with a 4-month follow-up support period via private Facebook groups and monthly meetings. Counselors posted five different post types/week based on social cognitive theory (weight-related, recipes, nutrition information, poll votes, or requests for suggestions). Types of participant engagement (likes, comments/poll votes, and views) were assessed. Poll votes were...
Source: Translational Behavioral Medicine - December 1, 2014 Category: Global & Universal Source Type: research

Control condition design and implementation features in controlled trials: a meta-analysis of trials evaluating psychotherapy for depression
Abstract Control conditions are the primary methodology used to reduce threats to internal validity in randomized controlled trials (RCTs). This meta-analysis examined the effects of control arm design and implementation on outcomes in RCTs examining psychological treatments for depression. A search of MEDLINE, PsycINFO, and EMBASE identified all RCTs evaluating psychological treatments for depression published through June 2009. Data were analyzed using mixed-effects models. One hundred twenty-five trials were identified yielding 188 comparisons. Outcomes varied significantly depending control condit...
Source: Translational Behavioral Medicine - December 1, 2014 Category: Global & Universal Source Type: research

Effects of chronic disease self-management programs for participants with higher depression scores: secondary analyses of an on-line and a small-group program
This study utilized longitudinal secondary data analysis of depression cohorts (PHQ-8 ≥ 10) from two independent translational implementations of the CDSMP, small-group (N = 175) and Internet-based (N = 110). At baseline, 27 and 55  % of the two samples had PHQ-8 10 or greater. This decreased to 16 and 37  % by 12  months (p < 0.001). Both depressed and non-depressed cohorts demonstrated improvements in most 12-month outcomes (pain, fatigue, activity limitations, and medication adherence). The CDSMP was associated with long-term improvements in depression regardless of delivery mode or location, and...
Source: Translational Behavioral Medicine - December 1, 2014 Category: Global & Universal Source Type: research

Telephone-based motivational interviewing for medication adherence: a systematic review
ABSTRACT Adherence to prescribed medications continues to be a problem in the treatment of chronic disease. Motivational interviewing (MI) has been shown to be successful for eliciting patients’ motivations to change their medication-taking behaviors. Due to the constraints of the US healthcare system, patients do not always have in-person access to providers. Because of this, there is increasing use of non-traditional healthcare delivery methods such as telephonic counseling. A systematic review was conducted among published studies of telephone-based MI interventions aimed at improving the health be...
Source: Translational Behavioral Medicine - December 1, 2014 Category: Global & Universal Source Type: research