Volume 15, Issue 1, January 2025
A New Way Forward
Commentary/Position Paper
AI for all: bridging data gaps in machine learning and health
The effectiveness of AI-informed health care is limited by the quality and diversity of training datasets, which are often biased, incomplete, and unrepresentative, resulting in predictions that exacerbate existing health disparities. This commentary highlights the importance of inclusive data practices, community engagement, and the adoption of innovative strategies throughout the research continuum to advance equity in AI applications in medicine and health care.
Cancer
Original Research
Supporting community translation of lung cancer screening: A web-based decision aid to support informed decision making
A novel lung cancer screening decision aid (LuCaS CHOICES) was acceptable to screening candidates and a feasible approach to supporting preference-concordant decision making about participating in lung cancer screening.
Stakeholder-informed refinement of a behavioral sleep/circadian intervention for gynecologic cancer survivors: an application of the MOST preparation phase
Stakeholder feedback was effectively solicited, analyzed, and applied to refine a behavioral sleep/circadian intervention for survivors of gynecologic cancers as part of the multiphase optimization strategy preparation phase.
Assessing multidimensional fidelity in a pilot optimization trial: A process evaluation of four intervention components supporting medication adherence in women with breast cancer
A multimethods process evaluation to assess the multidimensional fidelity of four intervention components aimed at supporting medication adherence in women with breast cancer.
Mindful self-compassion for lung cancer (MSC-LC): Incorporating perspectives of lung cancer patients, clinicians, and researchers to create an adapted intervention to reduce lung cancer stigma
To bolster self-compassion and reduce stigma for lung cancer patients, perspectives from adults diagnosed with lung cancer, psycho-oncology researchers, expert mindfulness teachers, and oncology clinicians were systematically collected and integrated to inform the development of an adapted intervention program called mindful self-compassion for lung cancer (MSC-LC).
Providing Reminders and Education Prior to lung cancer screening: Feasibility and acceptability of a multilevel approach to address disparities in lung cancer screening
We developed a feasible and acceptable multilevel approach aimed at increasing lung cancer screening among African Americans in the primary care setting.
Cardiovascular Disease
Original Research
Advancing translational research in digital cardiac rehabilitation: The preparation phase of the Multiphase Optimization Strategy
A case study of developing a conceptual model of digital cardiac rehabilitation as part of the preparation phase of the Multiphase Optimization Strategy (MOST).
Chronic Disease
Original Research
Impact of a community-based lifestyle intervention with initial sedentary reduction or physical activity increasing goals on self-reported health-related quality of life
Lifestyle interventions to reduce risk of type 2 diabetes involving increasing and maintaining physical activity goals or reducing sedentary behavior improve health-related quality of life.
Individual and clinical factors associated with patient acceptance of referrals to social services and community resources at a multi-purpose resource hub
Individual and clinical factors were associated with patient acceptance of referrals to social services and community resources at a large safety-net health system that utilizes a bi-directional communication and referral system and a community resource hub on-campus that coordinates these clinical-community linkages. Study results are currently being used to help inform refinements to system-level interventions that can increase patient acceptance of these referrals as a way to facilitate and improve patient-centered care.
Community-Based Research
Original Research
Application of an implementation premortem: A novel qualitative approach leveraging prospective hindsight to enhance barbershop health interventions for Black men
Community health programs in barbershops can be more effective by focusing on accessibility, cultural sensitivity, and community engagement. Our study identifies key strategies to improve the success of these health promotion efforts for Black men.
Enhancing adapted physical activity training for community organizations: co-construction and evaluation of training modules
Modules co-created with community-based organizations improved kinesiologists’ capability, opportunity, motivation, and skills to support persons with physical disabilities in adapted physical activity programmes.
A Prescription Produce Program integrating lifestyle behavior counseling and health education: A program description and evaluation
A program designed to provide healthy fruits and vegetables to communities with limited access to healthy food was successfully implemented through an academic-community partnership.
Preparing to implement Floreciendo with Latina teens and their female caregivers: Integrating implementation science and the multiphase optimization strategy framework
Implementation science can enhance research conducted using the multiphase optimization strategy (MOST) framework.
A community-engaged implementation mapping approach to increase SNAP participation in a diverse Latine community
Increasing Supplemental Nutrition Assistance Program enrollment requires an interdisciplinary implementation team that includes perspectives from all stakeholders.
Dissemination & Implementation
Original Research
Differing conceptual maps of skills for implementing evidence-based interventions held by community-based organization practitioners and academics: A multidimensional scaling comparison
This group concept mapping study draws on the expertise of 34 community-based organizations (CBO) practitioners and 30 academics addressing cervical cancer inequities to explore important differences in conceptualizing core skills needed to implement evidence-based interventions. Convergence and divergence between group-specific skills maps suggest that capacity-building interventions must integrate differing perspectives held by practitioners and academics.
Multilevel factors influence the use of a cardiovascular disease assessment tool embedded in the electronic health record in oncology care
Oncology care teams found the Automated Heart-Health Assessment tool easy to use and valuable for discussing cardiovascular health with cancer survivors, potentially enhancing patient care. Lack of time and workflow challenges were common barriers to using the AH-HA tool in clinical practice, highlighting the need for strategies to integrate similar digital health tools seamlessly into care settings. Lessons learned from studying the AH-HA tool can inform the development and implementation of other digital health tools across various clinical settings, ultimately improving patient care.
Testing a Push–Pull model: community-based dissemination of oral HIV self-testing
We developed a Lesbian, Gay, Bisexual, Transgender, and Queer plus commercial network system to disseminate free oral HIV self-test kits to customers over a 6-month intervention window, wherein we distributed 2698 kits. Using a formative quasi-experimental design, we found that test kit dissemination varied significantly with the intensity of the promotional effort, and the promotional effort was successful in significantly increasing customer awareness of the intervention.
Health Equity
Practice and Public Health Policies
Pass the Expanding Access To (EAT) Local Foods Act to promote farm viability and nutrition security
This article focuses on advocating for the EAT Local Foods Act—a bill to promote economic opportunities for farmers and ranchers to strengthen local food supply chains while increasing access to nutritious foods among households experiencing food insecurity and chronic disease risk.
Mental Health
Original Research
The Selah trial: A preference-based partially randomized waitlist control study of three stress management interventions
Among United Methodist clergy who face many stressors, a distance-learning version of mindfulness-based stress reduction improved both physiological and psychological correlates of stress, whereas two brief and easily implemented practices—a prayer practice and, separately, a combination of stress inoculation and breathing exercises—improved psychological correlates of stress.
Adaptation of meaning-centered psychotherapy for healthcare providers to buffer work-induced distress and improve wellbeing
Multidisciplinary clinicians suggest that meaning-centered psychotherapy may be an effective intervention to alleviate healthcare provider work-induced distress and bolster their wellbeing.
Physical Activity
Original Research
Scale-up influences and definitions of scale-up ‘success’: evidence from globally scaled interventions
Influences on scale-up and definitions of scale-up ‘success’ that include scaling inputs, outputs, outcomes, and context.
Process evaluation of the Hockey Fans in Training lifestyle intervention (for men with overweight or obesity)
Group dynamics in pursuit of cohesiveness are a pivotal part in creating health behaviour change. Working within groups or communities with similar interests (such as hockey fans) could be a strong foundation for creating and maintaining behaviour change.
Substance Use
Original Research
Co-created improvement goals and strategies for implementing SBIRT and MAUD in primary care settings in a facilitator-supported, tailored implementation study
A facilitator-supported, tailored implementation model allowed for co-creation of goals to improve implementation of screening, brief intervention, and referral to treatment (SBIRT) and medication-assisted treatment for alcohol use disorder (MAUD) in primary care settings.
Smarter and Better Behavior Change Strategies
Original Research
Adaptation of a sleep hygiene intervention for individuals with poor sleep and their companions: Results of a randomized controlled pilot trial
A known, effective preventative intervention to improve sleep hygiene in young adults was adapted to be delivered individually or in the presence of a companion to young adults with poor sleep in a pilot RCT. Results provide evidence of feasibility and acceptability for a larger study, in addition to preliminary efficacy pre–post intervention for all participants. We did not find differences between those with and without companions.
Systematic Reviews
A systematic review to determine the effect of strategies to sustain chronic disease prevention interventions in clinical and community settings
Strategies that target a wide range of barriers may be most effective in supporting the sustainment of health programmes.
Addressing vaccine hesitancy: A systematic review comparing the efficacy of motivational versus educational interventions on vaccination uptake
Both education and motivational counseling are equally effective for improving vaccine uptake, but the strength of the effect for education was weak. The strength of the effect for motivational approaches was uncertain due to the paucity of research, suggesting the need for more research in this area.
Telehealth & mHealth
Commentary/Position Paper
Technology for advancing behavioral health integration: implications for behavioral health practice and policy
This paper reports on technology’s role in advancing behavioral health integration (BHI) per the Continuum-based Framework of BHI published in Translational Behavioral Medicine (2020). It provides guidance at the practice and policy levels regarding how technology can be applied to accomplish BHI at scale.
How to integrate and leverage digital health modalities for health promotion in early childhood education: Opportunities to improve intervention access and engagement
Health behavior promotion strategies in childcare should prioritize digital health modalities and using existing evidence-based curriculum.
Original Research
Co-designing prediction data visualizations for a digital binge eating intervention
Individuals with binge eating and obesity are interested in using predictions from an app to help them lower their binge eating but want these predictions to be encouraging and presented in a way they can understand easily.
Understanding and overcoming barriers to digital health adoption: a patient and public involvement study
Despite the promise of digital health solutions, adoption remains uneven, particularly among vulnerable communities. This study identifies key barriers and strategies to improve equitable access and engagement in multicultural populations.
Systematic Reviews
Leveraging artificial intelligence-mediated communication for cancer prevention and control and drug addiction: A systematic review
We conducted a systematic review on behavioral interventions using Artificial Intelligence-Mediated Communication in the contexts of cancer prevention/control and substance use.