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 - December 1, 2017 Category: International Medicine & Public Health Source Type: research
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 - 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 - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Brookings supports breastfeeding: using public deliberation as a community-engaged approach to dissemination of research
AbstractEmpirical evidence demonstrates myriad benefits of breastfeeding for mother and child, along with benefits to businesses that support breastfeeding. Federal and state legislation requires workplace support for pumping and provides protections for public breastfeeding. Yet, many are unaware of these laws, and thus, support systems remain underdeveloped. We used a community-based approach to spread awareness about the evidence-based benefits of breastfeeding and breastfeeding support. We worked to improve breastfeeding support at the local hospital, among local employers, and throughout the broader community. Our coa...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
A 6-year update of the health policy and advocacy priorities of the Society of Behavioral Medicine
AbstractGovernment policy affects virtually every topic of interest to health behavior researchers, from research funding to reimbursement for clinical services to application of evidence to impact health outcomes. This paper provides a 6-year update on the expansion of Society of Behavioral Medicine ’s (SBM) public policy and advocacy agenda and proposed future directions. SBM’s Health Policy Council is responsible for ensuring coordination of the policy-related activities of the Health Policy Committee (HPC), the Civic and Public Engagement Committee (CPEC), and the Scientific and Professi onal Liaison Council (SPLC)...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
“During early implementation you just muddle through”: factors that impacted a statewide arthritis program’s implementation
AbstractThe need to scale-up effective arthritis self-management programs is pressing as the prevalence of arthritis increases. The CDC Arthritis Program funds state health departments to work with local delivery systems to embed arthritis programs into their day-to-day work. To encourage organizational ownership and sustainability of programs, funding is restricted to offset program start-up costs. The purpose of this study was to identify factors that impacted the success of implementing an evidence-based arthritis self-management program, funded by the CDC Arthritis Program, into the Oregon Extension Service. We intervi...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Bridging the divide: building infrastructure to support community-academic partnerships and improve capacity to conduct patient-centered outcomes research
AbstractFor research to be useful, trustworthy, and ultimately lead to greater dissemination of findings to patients and communities, it is important to train and mentor academic researchers to meaningfully engage community members in patient-centered outcomes research (PCOR). Thus, it is necessary for research institutions to strengthen their underlying infrastructure to support PCOR. PATIENTS —PATient-centered Involvement in Evaluating effectiveNess of TreatmentS—at the University of Maryland, Baltimore, focuses on improving PCOR methods and addressing health disparities. It relies on evidence-based engagement method...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review
AbstractAlthough regular physical activity (PA) is a cornerstone of treatment for type 2 diabetes (T2D), most adults with T2D are sedentary. Randomized controlled trials (RCTs) have proven the effectiveness of PA behavioral interventions for adults with T2D but have rarely been conducted in healthcare settings. We sought to identify PA interventions that are effective and practical to implement in clinical practice settings. Our first aim was to use the valid Pragmatic-Explanatory Continuum Indicator Summary 2 (PRECIS-2) tool to assess the potential for future implementation of PA interventions in clinical practice setting...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Sources of practice knowledge among Australian fitness trainers
This study aims to describe sources of practice knowledge among Australian fitness trainers. In July 2014, 9100 Australian fitness trainers were invited to complete an online survey. Respondents reported the frequency of use of eight sources of practice knowledge (e.g. fitness magazines, academic texts). In a separate survey, exercise science experts (n = 27) ranked each source as either (1) ‘high-quality’ or (2) ‘low-quality’. Proportions of users of ‘high-quality’ sources were calculated across demographic (age, sex) and fitness industry-related characteristics (qualification, setting, role). A multivariate...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
Developing a peer-based healthy lifestyle program for people with serious mental illness in supportive housing
AbstractOverweight and obesity disproportionally impact people with serious mental illness (SMI). Healthy lifestyle interventions can improve the health of people with SMI but may need to be adapted for this population. The aims of this study were: to (1) examine the feasibility and acceptability of delivering the Peer-based Group Lifestyle Balance (PGLB) intervention and (2) describe intervention adaptations for people with SMI in supportive housing. Peer specialists and social workers co-facilitated 12 weekly PGLB sessions for 14 supportive housing clients. We conducted structured interviews and collected qualitative dat...
Source: Translational Behavioral Medicine - December 1, 2017 Category: International Medicine & Public Health Source Type: research
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
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
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
