Implementation of an evidence-based biobehavioral treatment for cancer patients
AbstractOne aim of dissemination and implementation (DI) research is to study the translation of evidence-based treatments (EBTs) from the research environments of their development and testing to broader communities where they are needed. There are few behavioral medicine DI studies and none in cancer survivorship. A determinant model (Setting, Therapist, Education, imPlementation, and Sustainability (STEPS)) was used to conceptualize DI of mental health treatment and frame a longitudinal study of implementation of a behavioral medicine EBT —a biobehavioral intervention (BBI) for cancer patients. Using effective dissemi...
Source: Translational Behavioral Medicine - January 17, 2017 Category: Global & Universal Source Type: research
Adherence with physical activity monitoring wearable devices in a community-based population: observations from the Washington, D.C., Cardiovascular Health and Needs Assessment
AbstractWearable mobile health (mHealth) technologies offer approaches for targeting physical activity (PA) in resource-limited, community-based interventions. We sought to explore user characteristics of PA tracking, wearable technology among a community-based population within a health and needs assessment. In 2014 –2015, we conducted the Washington, D.C., Cardiovascular Health and Needs Assessment in predominantly African-American churches among communities with higher obesity rates and lower household incomes. Participants received a mHealth PA monitor and wirelessly uploaded PA data weekly to church data collection ...
Source: Translational Behavioral Medicine - January 16, 2017 Category: Global & Universal Source Type: research
Peer mentors delivering a physical activity intervention for cancer survivors: effects among mentors
AbstractTo further inform implementation efforts of a telephone-based physical activity (PA) intervention for breast cancer survivors, we assessed the PA, fatigue, mood, and quality of life of the peer mentors/coaches who delivered the program. The coaches were volunteers with the American Cancer Society ’s Reach to Recovery program. The coaches (n = 18) delivered the PA intervention to 76 breast cancer survivors in a randomized controlled trial. Coaches completed assessments of PA (self-report), motivational readiness for PA, and standardized measures of psychosocial variables at the start of coaching and at study exi...
Source: Translational Behavioral Medicine - January 16, 2017 Category: Global & Universal Source Type: research
Effects of a web-based intervention on women ’s breast health behaviors
AbstractHelping women make choices to reduce cancer risk and to improve breast health behaviors is important, but the best ways to reach more people with intervention assistance is not known. To test the efficacy of a web-based intervention designed to help women make better breast health choices, we adapted our previously tested, successful breast health intervention package to be delivered on the Internet, and then we tested it in a randomized trial. We recruited women from the general public to be randomized to either an active intervention group or a delayed intervention control group. The intervention consisted of a s...
Source: Translational Behavioral Medicine - January 16, 2017 Category: Global & Universal 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 - January 8, 2017 Category: Global & Universal Source Type: research
Physical activity promotion and translational research
(Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - December 27, 2016 Category: Global & Universal Source Type: research
Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis
Abstract“Engagement” with digital behaviour change interventions (DBCIs) is considered important for their effectiveness. Evaluating engagement is therefore a priority; however, a shared understanding of how to usefully conceptualise engagement is lacking. This review aimed to synthesise literature on e ngagement to identify key conceptualisations and to develop an integrative conceptual framework involving potential direct and indirect influences on engagement and relationships between engagement and intervention effectiveness. Four electronic databases (Ovid MEDLINE, PsycINFO, ISI Web of Knowledg e, ScienceDirect) we...
Source: Translational Behavioral Medicine - December 12, 2016 Category: Global & Universal Source Type: research
Recruiting pregnant smokers from Text4baby for a randomized controlled trial of Quit4baby
This study demonstrates success recruiting pregnant smokers using text message. Future studies should consider building on this approach for recruiting high-risk populations. (Source: Translational Behavioral Medicine)
Source: Translational Behavioral Medicine - November 30, 2016 Category: Global & Universal Source Type: research
Lower depression scores associated with greater weight loss among rural black women in a behavioral weight loss program
AbstractDepression and stress have been associated with less weight loss among some participants in behavioral weight loss (BWL) programs. The purpose of this study was to (1) measure the levels of depression and stress among a sample of black women living in rural Alabama and Mississippi who were participating in a BWL program and (2) examine the association between these psychosocial variables and weight loss outcomes of participants at 6 months. Overweight and obese black women in a BWL program (n = 409) completed validated surveys to measure depression and stress at baseline and 6 months. Weight and height were al...
Source: Translational Behavioral Medicine - November 30, 2016 Category: Global & Universal Source Type: research
Online tobacco websites and online communities —who uses them and do users quit smoking? The quit-primo and national dental practice-based research network Hi-Quit studies
AbstractOnline tobacco cessation communities are beneficial but underused. Our study examined whether, among smokers participating in a web-assisted tobacco intervention (Decide2quit.org), specific characteristics were associated with navigating to BecomeAnEx.org, an online cessation community, and with subsequent quit rates. Among smokers (N = 759) registered with Decide2quit.org, we identified visitors to BecomeAnEx.org, examining associations between smoker characteristics and likelihood of visiting. We then tested for associations between visits and 6-month cessation (point prevalence). We also tested for an intera...
Source: Translational Behavioral Medicine - November 16, 2016 Category: Global & Universal Source Type: research
Choosing between responsive-design websites versus mobile apps for your mobile behavioral intervention: presenting four case studies
AbstractBoth mobile apps and responsive-design websites (web apps) can be used to deliver mobile health (mHealth) interventions, but it can be difficult to discern which to use in research. The goal of this paper is to present four case studies from behavioral interventions that developed either a mobile app or a web app for research and present an information table to help researchers determine which mobile option would work best for them. Four behavioral intervention case studies (two developed a mobile app, and two developed a web app) presented include time, cost, and expertise. Considerations for adopting a mobile app...
Source: Translational Behavioral Medicine - November 2, 2016 Category: Global & Universal Source Type: research
A content analysis of electronic health record (EHR) functionality to support tobacco treatment
AbstractGovernment regulations have created new incentives for health systems to implement changes in electronic health records (EHRs) to reduce tobacco use among patients. The purpose of this study is to conduct a content analysis of EHR modifications aimed at supporting tobacco cessation and to document these modifications using a 5 A ’s framework (i.e., Ask, Advise, Assess, Assist, Arrange). Fourteen trials were identified that met inclusion criteria. A content analysis of EHR functionality in these trials was conducted by two independent reviewers between February and June 2015. For “Ask,” all trials provided for...
Source: Translational Behavioral Medicine - October 30, 2016 Category: Global & Universal Source Type: research
Dose and timing of text messages for increasing physical activity among pregnant women: a randomized controlled trial
The objective of this study was to determine the effectiveness of physical activity (PA) specific SMS to improve PA in pregnant women (vs standard T4b) and the most effective dose/timing of PA-specific SMS to improve PA. Pregnant women (N = 80) were randomized to one of four groups that differed in frequency and time of SMS. The Fitbit™ Flex measured PA. Data were analyzed using mixed model analyses. There were no increases in PA regardless of frequency or time. Those that received six PA SMS/week had greater decreases in acti vity and greater increases in sedentary time. SMS may not be a “potent” enough strategy...
Source: Translational Behavioral Medicine - October 30, 2016 Category: Global & Universal Source Type: research
The healthy living partnerships to prevent diabetes and the diabetes prevention program: a comparison of year 1 and 2 intervention results
AbstractA number of research studies have attempted to translate the behavioral lifestyle intervention delivered in the Diabetes Prevention Program (DPP). To compare the active interventions of two trials, Diabetes Prevention Program DPP and Healthy Living Partnerships to Prevent Diabetes (HELP PD), after 1 and 2 years of intervention. DPP included 3234 adults with prediabetes randomized to intensive lifestyle intervention, metformin, troglitazone, or placebo. The lifestyle intervention, professionally delivered to individuals in a clinical setting, focused on diet and increased physical activity. HELP PD, a community-ba...
Source: Translational Behavioral Medicine - October 27, 2016 Category: Global & Universal Source Type: research
Feasibility and preliminary efficacy of an intervention to reduce older adults ’ sedentary behavior
This study evaluated the feasibility, acceptability, safety, and preliminary efficacy of an intervention to reduce sedentary behavior (SB) in older adults that can be disseminated broadly for limited cost and delivered by paraprofessionals with limited training. Senior centers in Central Pennsylvania were randomized to receive one of two healthy aging programs (i.e., intervention or comparison). Participants in both groups attended three 90-min meetings over 2 weeks. Behavior change content was delivered at the second session (i.e., day 7). Forty-two participants (nintervention = 25,ncomparison = 17) were recruit...
Source: Translational Behavioral Medicine - October 11, 2016 Category: Global & Universal Source Type: research
