Abstract:
:Individuals diagnosed with impaired glucose tolerance (i.e., prediabetes) are at increased risk for developing diabetes. We proposed a clinical trial with a novel adaptive randomization designed to examine the impact of a home-based physical activity (PA) counseling intervention on metabolic risk in prediabetic elders. This manuscript details the lessons learned relative to recruitment, study design, and implementation of a 12-month randomized controlled PA counseling trial. A detailed discussion on how we responded to unforeseen challenges is provided. A total of 302 older patients with prediabetes were randomly assigned to either PA counseling or usual care. A novel adaptive design that reallocated counseling intensity based on self-report of adherence to PA was initiated but revised when rates of non-response were lower than projected. This study presents baseline participant characteristics and discusses unwelcome adaptations to a highly innovative study design to increase PA and enhance glucose metabolism when the best-laid plans went awry.
journal_name
Transl Behav Medjournal_title
Translational behavioral medicineauthors
Hall KS,Pieper CF,Edelman DE,Yancy WS Jr,Green JB,Lum H,Peterson MJ,Sloane R,Cowper PA,Bosworth HB,Huffman KM,Cavanaugh JT,Chapman JG,Pearson MP,Howard TA,Ekelund CC,McCraw BL,Burrell JB,Taylor GA,Morey MCdoi
10.1007/s13142-011-0075-6subject
Has Abstractpub_date
2011-11-01 00:00:00pages
573-587issue
4eissn
1869-6716issn
1613-9860journal_volume
1pub_type
杂志文章abstract::Girl Scouts (GS) is a setting with large reach to target increased moderate-to-vigorous physical activity (MVPA) in girls. The Scouting Nutrition and Activity Program (SNAP) increased MVPA during intervention troop meetings; therefore, further examination of implementation of SNAP components is warranted to determine ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby091
更新日期:2018-11-21 00:00:00
abstract::The advancement of implementation science is dependent on identifying assessment strategies that can address implementation and clinical outcome variables in ways that are valid, relevant to stakeholders, and scalable. This paper presents a measurement agenda for implementation science that integrates the previously d...
journal_title:Translational behavioral medicine
pub_type: 杂志文章,评审
doi:10.1007/s13142-017-0464-6
更新日期:2017-09-01 00:00:00
abstract::The escalating obesity rate in the USA has made obesity prevention a top public health priority. Recent interventions have tapped into the social media (SM) landscape. To leverage SM in obesity prevention, we must understand user-generated discourse surrounding the topic. This study was conducted to describe SM intera...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-014-0256-1
更新日期:2014-09-01 00:00:00
abstract::Obesity takes a substantial toll on society as a whole. Obesity and its health-related complications contribute significantly to healthcare costs and negatively affects almost every aspect of human life. It is therefore reasonable for the government to be involved in finding solutions to control the epidemic. This art...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby079
更新日期:2019-07-16 00:00:00
abstract::Changing Minds, Changing Lives, a seminar-mediated behavior change intervention, aims to enhance health care professionals' (HCPs') social cognitions for discussing leisure-time physical activity (LTPA) with patients with physical disabilities. This study examines which seminar implementation variables (presenter char...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-017-0526-9
更新日期:2017-09-01 00:00:00
abstract::Cooking is a complex behavior associated with more frequent and nutrient-dense family meals. The Cook Together, Eat Together (CTET) social marketing program used formative, process, and outcome evaluations over a 3-year period to design a program to increase fruit and vegetable intake and frequency of family meals. We...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa037
更新日期:2020-12-31 00:00:00
abstract::Many nurses express difficulty in communicating with their patients, especially in oncology settings where there are numerous challenges and high-stake decisions during the course of diagnosis and treatment. Providing specific training in communication skills is one way to enhance the communication between nurses and ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-017-0473-5
更新日期:2017-09-01 00:00:00
abstract::Engaging and retaining adolescents in research studies is challenging. Social media offers utility for expanding the sphere of research recruitment. This study examined and compared traditional and Facebook-based recruitment strategies on reach, enrollment, cost, and retention. Substance users aged 13-17 years were re...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-015-0312-5
更新日期:2015-09-01 00:00:00
abstract::Risk-reducing mastectomy (RRM) and salpingo-oophorectomy (RRSO) are increasingly used to reduce breast and ovarian cancer risk following BRCA1/BRCA2 testing. However, little is known about how genetic counseling influences decisions about these surgeries. Although previous studies have examined intentions prior to cou...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby101
更新日期:2020-05-20 00:00:00
abstract::Research on the communication of genetic test results has focused predominately on non-Hispanic White (NHW) mutation-positive families with high-risk hereditary cancer conditions. Little is known about this process for racially and ethnically diverse individuals or for those with mutations in moderate risk genes. The ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibx010
更新日期:2018-01-29 00:00:00
abstract::It is necessary to scale up measurement in order to confront the persisting problem of food insecurity in the United States (USA). The causes and consequences around food insecurity are briefly described in order to frame the complexity of the public health issue and demonstrate need for expanded measurement approache...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa112
更新日期:2020-12-31 00:00:00
abstract::A major contributor to the obesity epidemic is the overconsumption of high-calorie foods, which is partly governed by inhibitory control, that is, the ability to override pre-prepotent impulses and drives. Computerized inhibitory control trainings (ICTs) have demonstrated qualified success at affecting real-world heal...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa091
更新日期:2020-09-18 00:00:00
abstract::Use of digital communication technologies (DCT) shows promise for enhancing outcomes and efficiencies in asthma care management. However, little is known about the impact of DCT interventions on healthcare personnel requirements and costs, thus making it difficult for providers and health systems to understand the val...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa130
更新日期:2021-01-15 00:00:00
abstract::Researchers, practitioners, and policymakers develop interventions to change behavior based on their understanding of how behavior change techniques (BCTs) impact the determinants of behavior. A transparent, systematic, and accessible method of linking BCTs with the processes through which they change behavior (i.e., ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa050
更新日期:2020-08-04 00:00:00
abstract::The Patient Protection and Affordable Care Act, and Centers for Medicare and Medicaid Services (CMS) decision on tobacco cessation counseling support the need for expanded cessation coverage. Primary care practices receiving CMS payments will soon be mandated to offer these services. This commentary discusses the sali...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-010-0010-2
更新日期:2011-03-01 00:00:00
abstract::Too few smokers who present for outpatient healthcare receive evidence-based interventions to stop smoking. Referral to nationally available smoking cessation support may enhance tobacco intervention reach during healthcare visits. This study evaluated the feasibility of outpatient electronic health record (EHR)-enabl...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz072
更新日期:2020-12-31 00:00:00
abstract::Innovative treatments like yoga for men's smoking cessation (SC) are lacking. To examine the feasibility and acceptability of yoga for men's SC. We randomly assigned eligible men (smoker, ≥5 cigarettes/day, age 18-65) to receive cognitive behavioral therapy for SC, plus a yoga or wellness program. Measures included fe...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-014-0295-7
更新日期:2015-06-01 00:00:00
abstract::Elevated blood pressure can lead to serious patient morbidity and mortality. The aim of the study was to evaluate the implementation of a tailored multifaceted program, administered by care managers in a Medicaid setting to improve hypertension medication adherence. The program enrolled 558 Medicaid patients. Patients...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-010-0007-x
更新日期:2011-03-01 00:00:00
abstract::A lack of access to fresh fruits and vegetables (F&Vs) is associated with consumption of fewer F&Vs and higher risk of obesity, especially for lower-income individuals. It is widely believed that the addition of new food retail opportunities could improve F&V consumption and subsequently reduce the chronic disease bur...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz094
更新日期:2019-10-01 00:00:00
abstract::Interventions that promote long-term maintenance of behaviors such as exercise, healthy eating, and avoidance of tobacco and excessive alcohol are critical to reduce noncommunicable disease burden. Theories of health behavior maintenance tend to address reactive (i.e., automatic) or reflective (i.e., deliberative) dec...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz165
更新日期:2019-11-15 00:00:00
abstract::The National Diabetes Prevention Program (NDPP) is the most widely available behavioral intervention to prevent diabetes, but attrition is a concern and strategies are needed to make the program more engaging. Previous evidence suggests that the 150-min weekly physical activity goal in NDPP is hard for many to achieve...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibx021
更新日期:2018-11-21 00:00:00
abstract::Integrating mobile technology into health promotion strategies has the potential to support healthy behaviors. A new theory-informed app was designed to augment an intervention promoting wellness motivation in older adults with fall risk and low levels of physical activity. The app content was evaluated for clarity, h...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-013-0221-4
更新日期:2014-03-01 00:00:00
abstract::Secondary stroke prevention is championed as guideline care; yet there are no systematic programs offered. We developed a stroke self-management program to address this gap and pilot test the program. We conducted a randomized controlled trial at two Veterans Administration (VA) hospital sites where we recruited patie...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-011-0070-y
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:While health inequities are well documented, and there are helpful frameworks to understand health disparities, implementation frameworks are also needed to focus the design, evaluation and reporting on interventions targeting populations at increased risk. PURPOSE:Describe how the RE-AIM framework (Reach, ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-013-0201-8
更新日期:2013-06-01 00:00:00
abstract: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, PsycINF...
journal_title:Translational behavioral medicine
pub_type: 杂志文章,评审
doi:10.1007/s13142-014-0262-3
更新日期:2014-12-01 00:00:00
abstract::Although membership changes within teams are a common practice, research into this phenomenon is relatively nascent (Summers et al.; Acad Manag J 55:314-338, 2012). The small literature base, however, does provide insight into skills required for effective adaptation. The purpose of this effort is to provide a brief r...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-012-0177-9
更新日期:2012-12-01 00:00:00
abstract::Rural communities experience higher rates of obesity, and residents have a lower intake of fruits and vegetables. Innovative healthy food promotions in supermarkets may improve healthy food access and dietary intake among residents, yet few supermarket interventions have been translated to the rural context. The aim o...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz064
更新日期:2019-10-01 00:00:00
abstract::Voluntary medical male circumcision (VMMC) uptake in Africa could prevent 3.4 million HIV infections across a 10 year span. In Zambia, however, ~80 per cent of uncircumcised men report no interest in undergoing VMMC. The Spear & Shield (S&S) intervention has been shown to be more effective than control or observation ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby078
更新日期:2018-11-21 00:00:00
abstract::Smartphone applications (apps) might be able to reach pregnant smokers who do not engage with face-to-face support. However, we do not know how far pregnant smokers will engage with smoking cessation apps or what components are likely to be effective. This study aimed to assess pregnant smokers' engagement with the Sm...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby073
更新日期:2019-07-16 00:00:00
abstract::Cardiovascular diseases (CVDs) are a leading cause of premature death worldwide. International guidelines recommend routine delivery of all phases of cardiac rehabilitation (CR). Uptake of traditional CR remains suboptimal, as attendance at formal hospital-based CR programs is low, with community-based CR rates and in...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby017
更新日期:2019-01-01 00:00:00