Effect of an obesity best practice alert on physician documentation and referral practices
AbstractThe Centers for Medicare& Medicaid Services Electronic Health Record Meaningful Use Incentive Program requires physicians to document body mass index (BMI) and a follow-up treatment plan for adult patients with BMI ≥ 25. To examine the effect of a best practice alert on physician documentation of obesity-related care and referrals to weight management treatment, in a cluster-randomized design, 14 primary care clinics at an academic medical center were randomized to best practice alert intervention (n = 7) or comparator (n = 7). The alert was triggered when both height and weight were entered and BMI wa...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Understanding adaptations to patient-centered medical home activities: The PCMH adaptations model
AbstractPrimary care practices have increasingly adopted the patient-centered medical home (PCMH) model and often adapted quality improvement efforts to fit local context. This paper implemented a modified framework for understanding adaptations in the context of primary care PCMH transformation efforts. We combined an adaptations model by Stirman et al. that categorized adaptations to evidence-based interventions in research studies with dimensions from the RE-AIM framework, as well as items specific to PCMH. The resulting constructs were translated into a “plain English” adaptations interview. We conducted interviews...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Momentary assessment of physical activity intention-behavior coupling in adults
This study is the first to take an EMA approach to describe short-term intention-b ehavior coupling in adults. Results suggest that adults have difficulty translating intentions into behavior at the momentary level, more so than over longer timescales, and that positive affect may be a key to successfully translating intentions into behavior. (Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Engagement, compliance and retention with a gamified online social networking physical activity intervention
AbstractHealth behaviour interventions delivered via online social networks are an increasingly popular approach to addressing lifestyle-related health problems. However, research to date consistently reports poor user engagement and retention. The current study examined user engagement, compliance and retention with Active Team —a gamified physical activity intervention delivered by via an online Facebook application. Associations between engagement and participant (n = 51) demographic and team characteristics (sex, age, education and team size) were examined, as well as temporal trends in engagement during the 50-da...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
The urgent need to ban youth indoor tanning: evidence from college undergraduates
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Building partnerships: a pilot study of stakeholders ’ attitudes on technology disruption in behavioral health delivery and research
AbstractCollaborations between scientists, care providers, and technology industry professionals are becoming more relevant for developing, testing, and implementing behavioral health technologies. As the need for such partnerships increases, it is important to understand stakeholders ’ attitudes about their role in partnering for developing such technologies and how much do they expect technology to impact behavioral research and care. The aim of this study was to investigate how much technology disruption do stakeholders expect in healthcare, as well as their perceived contri bution in partnering for developing behavio...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Society of Behavioral Medicine (SBM) position statement: SBM supports curbing summertime weight gain among America ’s youth
AbstractThe Society of Behavioral Medicine recommends adoption of policies at the district, state, and federal levels that minimize weight gain among youth over the summertime, particularly among low-income, minority school-age youth who appear to be at greater risk. Policies that facilitate (1) partnerships between school districts and community organizations to provide affordable summertime programming, (2) strategic efforts by schools and communities to encourage families to enroll and attend summertime programming via the creation of community-wide summertime offerings offices, (3) adoption of joint-use/shared use agre...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
The failure to increase social support: it just might be time to stop intervening (and start rigorously observing)
AbstractIn 1986, Lichtenstein et al. (Behav Ther. 17(5):607 –19,1986) presented the results of five studies focused on enhancing social support for smoking cessation in community-based clinic and worksite interventions. The manuscript was titled Social Support in Smoking Cessation: In Search of Effective Interventions and its main conclusion was that"attempts to both increase social support and to enhance treatment effectiveness have not been successful." Thirty years later, the paper by Cutrona et al. (Transl Behav Med. 6(4):546 –57,2016) draws a similar conclusion from a study focused on providing social su...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Factors related to lifestyle goal achievement in a diabetes prevention program dissemination study
AbstractThe U.S. Diabetes Prevention Program (DPP) showed that lifestyle participants who achieved ≥7% weight loss and ≥150 min/week physical activity experienced the greatest reduction in type 2 diabetes incidence. Demographic, clinical, and program factors that are related to achieving both these lifestyle goals have seldom been explored in community-delivered DPP programs. The purpose of this investigation is to examine factors associated with concurrent achievement of weight loss and physical activity goals in a 12-month community DPP lifestyle intervention. Adults [n = 223; age = 58.4 (SD = 11.5); BMI = 3...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Erratum to: Feasibility of a telephone and web-based physical activity intervention for women shift workers
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Evaluating the effectiveness of physician counseling to promote physical activity in Mexico: an effectiveness-implementation hybrid study
AbstractIntegrating physical activity (PA) counseling in routine clinical practice remains a challenge. The purpose of this study was to evaluate the implementation and effectiveness of a pragmatic strategy aimed to improve physician PA counseling and patient PA. An effectiveness-implementation type-2 hybrid design was used to evaluate a 3-h training (i.e., implementation strategy-IS) to increase physician use of the 5-As (assess, advise, agree, assist, arrange) for PA counseling (i.e., clinical intervention-CI) and to determine if the CI improved patient PA. Patients of trained and untrained physicians reported on PA and ...
Source: Translational Behavioral Medicine - September 21, 2017 Category: International Medicine & Public Health Source Type: research
Fostering integrated approaches to dissemination and implementation and community engaged research
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - September 21, 2017 Category: International Medicine & Public Health Source Type: research
Who are mobile app users from healthy lifestyle websites? Analysis of patterns of app use and user characteristics
In this study, we recruited users of nutrition, weight management, and fitness-oriented websites in the Czech Republic to better understand who uses mobile apps and who does not, including user sociodemographic and psychological profiles. Respondents aged 13 –39 provided information on app use through an online survey (n = 669; M age = 24.06, SD = 5.23; 84% female). Among users interested in health topics, respondents using apps for managing nutrition, weight, and fitness (n = 403, 60%) were more often female, reported more frequent smartphone use, an d more expert phone skills. In logistic regression models, controlling...
Source: Translational Behavioral Medicine - September 19, 2017 Category: International Medicine & Public Health Source Type: research
The importance of symbolic and engaged participation in evidence-based quality improvement in a complex integrated healthcare system: response to “The science of stakeholder engagement in research”
AbstractIn this commentary, we respond to the commentary provided by Goodman and Sanders Thompson regarding our paper on multilevel stakeholder engagement in a VA implementation trial of evidence-based quality improvement (EBQI) in women ’s health primary care. We clarify our overall approach to engagement (comprised of both symbolic and engaged participation, according to the authors’ classification rubric), highlighting that symbolic participation is of more import and value than the authors suggest, especially in the context of a hierarchical healthcare system. We contend that the issue of power—and how power matt...
Source: Translational Behavioral Medicine - September 19, 2017 Category: International Medicine & Public Health Source Type: research
A multilevel modeling approach to examining the implementation-effectiveness relationship of a behavior change intervention for health care professional trainees
This study examines which seminar implementation variables (presenter characteristics, delivery components) predict effectiveness using multilevel modeling. HCP trainees (n = 564) attended 24 seminars and completed Theory of Planned Behavior-based measures for discussing LTPA at pre-, post-, 1-month post-, and 6-months post-seminar. Implementation variables were extracted from presenter-completed questionnaires/checklists. Seminars presented by a HCP predicted posit ive changes in all cognitions pre-post but negative changes in attitudes and perceived behavioral control (PBC) over follow-up (ps < .05). The number ...
Source: Translational Behavioral Medicine - September 18, 2017 Category: International Medicine & Public Health Source Type: research
