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1.
Health Psychol ; 41(10): 643-650, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36107671

RESUMO

One might expect that the provision of integrated cardiovascular care-an approach that treats people as more than their biology; that spans primary, secondary, and tertiary prevention; and that is consistent with our understanding of behavioral and psychosocial factors as major drivers of chronic disease burden- would be the norm. This is clearly not the case, and this fact served as our central motivation for assembling this Special Issue of Health Psychology. The response to the Special Issue announcement as represented by the papers published here reflect where cardiovascular behavioral medicine (CVBM) has been, where our field needs to go, and how we might get there. We see needs (a) to expand our research beyond the epidemiologic and mechanistic studies that have dominated the field and to refocus our science on the design, testing, and implementation of integrated interventions and health care delivery models; (b) to fully integrate CVBM patient care into holistic, team-based cardiovascular care, which will require a louder voice and a place at the table with institutions and organizations that formulate health care reimbursement policies; and (c) to create new models of clinical and research training to develop a workforce that is well prepared to achieve these visions of CVBM research and patient care. Here, we elaborate on our view of these needs, identify barriers to realizing these visions, and discuss paths forward in science, patient care, and training to maximize the impact of cardiovascular behavioral medicine. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Medicina do Comportamento , Pesquisa Comportamental , Doença Crônica , Política de Saúde , Humanos , Assistência ao Paciente
2.
Health Psychol ; 41(10): 813-815, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36107672

RESUMO

Behavioral and psychosocial factors related to the incidence, progression, and treatment of cardiovascular health, have seen increased attention in recent years, from scientific statements to a robust and growing body of literature. Despite this attention, and clear need to prevent and treat cardiovascular disease (CVD) the world over, implementation of cardiovascular behavioral medicine, specialty care that addresses behavioral and psychosocial risk factors among those with, or at risk for, CVD, remains limited. The current commentary discusses the contributions of the diverse body of science published in the Cardiovascular Behavioral Medicine Special Issue of Health Psychology. The authors outline how the special issue articles highlight the value of behavioral medicine education, science, and clinical practice for cardiology and cardiovascular subspecialities, such as heart failure, as well as opportunities for growth and implementation. This commentary outlines the ways in which the special issue furthers understanding of the current and future possibilities for cardiovascular behavioral medicine to grow as a field and influence cardiovascular health and wellbeing. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Medicina do Comportamento , Doenças Cardiovasculares , Insuficiência Cardíaca , Doenças Cardiovasculares/terapia , Humanos
3.
Pediatr Clin North Am ; 69(4): 739-758, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35934497

RESUMO

Despite the continuing integration of digital outreach tools into adolescent preventive services, adaptive guidance for their ethical use remains limited. In this configurative review, we synthesize the ad hoc, applied digital bioethics developed in adolescent human immunodeficiency virus prevention science. By focusing on generalizable technological affordances, while balancing privacy and autonomy, we offer strategies for identifying potential technologically mediated harms that can transcend specific platforms, tools, or the knowledge levels of individual clinicians. Clinical vignettes illustrate the application of these strategies.


Assuntos
Medicina do Comportamento , Bioética , Infecções por HIV , Adolescente , Comunicação , Humanos
4.
Health Psychol ; 41(10): 755-764, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35951404

RESUMO

Cardiovascular behavioral medicine has significantly advanced the knowledge base regarding the mechanisms by which psychological and behavioral factors can impact cardiovascular function and has developed clear links between these factors and cardiovascular health and disease. More recent work has established numerous behavioral interventions that are efficacious, and in several cases demonstrated to be effective. However, despite these significant advances, translation to broad, real-world uptake and utilization has not been well studied, with consequential profound implications for health equity. The purpose of this article is to review what is known about effective implementation strategies to support the uptake of behavioral medicine interventions to improve cardiovascular health, to underscore the potential for developing additional implementation strategies for wide-scale uptake of effective cardiovascular behavioral medicine interventions, and to discuss the potential for developing additional implementation approaches while conducting early stage efficacy studies in this area. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Medicina do Comportamento , Terapia Comportamental , Humanos , Ciência da Implementação
5.
Transl Behav Med ; 12(8): 834-840, 2022 08 17.
Artigo em Inglês | MEDLINE | ID: mdl-35866841

RESUMO

We trace the evolution of digital health industry careers for behavioral medicine specialists. We discuss the current misalignment of career opportunities in the private sector with the predominant graduate education training model that emphasizes the pursuit of academic positions. We describe the potential risks to the profession and public health if the field does not adapt professional training models to be inclusive of private sector industry roles. Finally, we offer a series of recommendations aimed at trainees, faculty advisors, and training programs to better prepare trainees for meaningful careers in industry.


This commentary focuses on the career paths available for behavioral medicine scientists in the private sector digital health industry. Although this field has exciting and impactful career options, graduate training models have been slow to adapt to prepare graduates for these opportunities. We describe many actionable steps that trainees, advisors, and graduate programs can take to help training programs to evolve to prepare graduate for more diverse career paths.


Assuntos
Medicina do Comportamento , Médicos , Escolha da Profissão , Educação de Pós-Graduação , Humanos , Especialização
7.
Comput Intell Neurosci ; 2022: 6207027, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35769284

RESUMO

The purpose is to improve employees' initiative and innovation performance and further improve the overall organizational efficiency of colleges. From the perspective of health psychology, this work analyzes the internal mechanism between leadership empowerment behavior and employee innovation performance at China Agricultural University. By introducing two intermediate variables: task-based psychological capital (PsyCap) and innovative PsyCap, this work puts forward a lightweight deep learning (DL) model. It constructs the college organizational innovation performance (OIP)-oriented internal evaluation system from four dimensions. They are personal development support, power appointment, participation in decision-making, and work guidance. Then, the proposed lightweight DL model reveals the internal relationship between employees' innovation performance and innovation factors using the questionnaire survey method. Overall, 360 questionnaires are distributed. The results show that the average values of the four dimensions (S, P, D, and G) of leadership empowerment are greater than 3, which are 4.3144, 4.3493, 4.4253, and 4.5286, respectively. S, P, D, and G represent empowerment, decision-making, communication, and innovation, respectively. The results show a high level of innovation performance in all dimensions. The finding proves that the influencing factors of employee innovation performance mainly include personal development support, empowerment, participation in decision-making, and work guidance. The effects of different dimensions vary significantly. Finally, the lightweight DL model can improve the analysis accuracy of the college OIP-oriented internal evaluation system. Therefore, college leaders should use the DL model and empowerment behavior to improve employees' psychological quality, innovation enthusiasm, and work efficiency, ultimately benefiting employees.


Assuntos
Medicina do Comportamento , Aprendizado Profundo , Humanos , Inovação Organizacional , Inquéritos e Questionários , Universidades
8.
Arch Sex Behav ; 51(5): 2399-2412, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35763160

RESUMO

Latino sexual minority men (LSMM) experience sexual and behavioral health disparities. Yet, LSMM are underrepresented in sexual and behavioral health research, creating scientific inequity. There is, therefore, a need to identify the barriers and facilitators to LSMM's participation in sexual and behavioral health research, which is the gap that the current study sought to fill. We interviewed LSMM (n = 28; age 18-40, 57% US born) and key informants (n = 10) regarding LSMM's barriers and facilitators to participating in sexual and behavioral health research and suggestions for increasing participation. The research team coded the data via thematic analysis. We found that relational factors are central to understanding LSMM's participation in sexual and behavioral health research. Some relational experiences (e.g., interpersonal stigma) interfered with participation, whereas others (e.g., altruistic desires to contribute to community well-being) facilitated participation. The findings are consolidated within a new relational framework for understanding LSMM's participation in sexual and behavioral health research. Study findings highlight the centrality of relational factors in influencing LSMM's participation in sexual and behavioral health research. Relational factors can be used to inform the development of culturally relevant recruitment strategies to improve representation of LSMM in sexual and behavioral health research. Implementing these recommendations may address scientific inequity, whereby LSMM are disproportionately impacted by sexual and behavioral health concerns yet underrepresented in related research.


Assuntos
Comportamento Sexual , Minorias Sexuais e de Gênero , Adolescente , Adulto , Medicina do Comportamento , Hispânico ou Latino , Humanos , Masculino , Homens , Estigma Social , Adulto Jovem
10.
Am J Health Promot ; 36(7): 1077-1082, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35658684

RESUMO

How do the definitions between health promotion professions differ? Should the shift from using the term wellness to greater use of the well-being term challenge us to explain how our profession improves how people appraise their lives as a whole? After all, achieving well-being is a challenge as relevant to clergy, politicians, artists and entertainers as to health professionals. Successful organizations are keenly attentive to how they differentiate their services so as not to get lost in a sea of like competitors. The American College of Lifestyle Medicine has recently defined lifestyle medicine as a medical specialty delivered by certified clinicians. In contrast, the Society of Behavioral Medicine suggests that virtually any degree holder may be qualified to provide disease management and prevention services. If improved health is one of the surest ways to improve well-being, do we need to more clearly define the health promotion profession's value proposition? How should definitions about differences between professions influence reimbursement differences between professions?


Assuntos
Medicina do Comportamento , Saúde da População , Rosa , Promoção da Saúde , Humanos , Estilo de Vida
11.
Stud Hist Philos Sci ; 93: 183-191, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35533541

RESUMO

The so-called 'missing heritability problem' is often characterized by behavior geneticists as a numerical discrepancy between alternative kinds of heritability. For example, while 'traditional heritability' derived from twin and family studies indicates that approximately ∼50% of variation in intelligence is attributable to genetics, 'SNP heritability' derived from genome-wide association studies indicates that only ∼10% of variation in intelligence is attributable to genetics. This 40% gap in variance accounted for by alternative kinds of heritability is frequently referred to as what's "missing." Philosophers have picked up on this reading, suggesting that "dissolving" the missing heritability problem is merely a matter of closing the numerical gap between traditional and molecular kinds of heritability. We argue that this framing of the problem undervalues the severity of the many challenges to scientific understanding of the "heritability" of human behavior. On our view, resolving the numerical discrepancies between alternative kinds of heritability will do little to advance scientific explanation and understanding of behavior genetics. Thus, we propose a new conceptual framework of the missing heritability problem that comprises three independent methodological and explanatory challenges: the numerical gap, the prediction gap, and the mechanism gap.


Assuntos
Comportamento , Medicina do Comportamento , Genética Comportamental , Padrões de Herança , Comportamento/fisiologia , Estudo de Associação Genômica Ampla , Humanos , Padrões de Herança/genética , Gêmeos/genética
12.
Transl Behav Med ; 12(4): 526-534, 2022 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-35613004

RESUMO

Climate change is the greatest threat to global health in human history. It has been declared a public health emergency by the World Health Organization and leading researchers from academic institutions around the globe. Structural racism disproportionately exposes communities targeted for marginalization to the harmful consequences of climate change through greater risk of exposure and sensitivity to climate hazards and less adaptive capacity to the health threats of climate change. Given its interdisciplinary approach to integrating behavioral, psychosocial, and biomedical knowledge, the discipline of behavioral medicine is uniquely qualified to address the systemic causes of climate change-related health inequities and can offer a perspective that is currently missing from many climate and health equity efforts. In this article, we summarize relevant concepts, describe how climate change and structural racism intersect to exacerbate health inequities, and recommend six strategies with the greatest potential for addressing climate-related health inequities.


Assuntos
Medicina do Comportamento , Equidade em Saúde , Mudança Climática , Iniquidades em Saúde , Humanos , Saúde Pública
14.
Transl Behav Med ; 12(4): 516-525, 2022 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-35613005

RESUMO

Land development, pollution, and waste have affected natural environments, contributing to hurricanes, wildfires, and pandemic infectious diseases like COVID-19. Globalized corporate food systems that produce ultra-refined foods with low nutritional value contribute to both environmental conditions and health conditions like obesity and undernutrition. This has the greatest impact on communities already suffering from elevated health risks driven by economic inequities rooted in racism. These interacting environmental, health, and social conditions represent a syndemic. We outline practical suggestions to address this syndemic of environmental degradation, pandemic infectious disease, chronic disease, undernutrition, and inequity through research and practice at many levels, including individual behavior, local communities, and regional, national and global policy. Collaboration with communities is central to simultaneously tackling interconnected human and environmental health threats. For example, community-led groups have increased access to healthy food in response to pandemic conditions. Building on behavioral medicine's rich foundation of ecological models, communities have partnered with local researchers to address the needs of equitable public transport and reduction of greenhouse gas emissions through multilevel research and practice. Policymakers, researchers, practitioners, and community members should collaborate with each other and across disciplines to find lasting, multiduty solutions to improve physical, psychosocial, and planetary health.


Assuntos
Medicina do Comportamento , COVID-19 , Desnutrição , COVID-19/prevenção & controle , Humanos , Políticas , Sindemia
15.
Support Care Cancer ; 30(8): 6963-6972, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35545723

RESUMO

OBJECTIVE: Health psychology (HP) plays a critical role within a multidisciplinary, integrative oncology team. HP in integrative oncology is not well established and criteria for referral have not been examined. This study examined characteristics of referral to HP. METHODS: A chart review of 1827 patients in the Integrative Medicine Center (IMC) between 2019 and 2020 was conducted. Patient assessments included the Edmonton Symptom Assessment Scale, Measure Yourself Concerns and Well-being, and PROMIS10. Chi-square tests were used to compare categorical variables, Mann-Whitney test for non-normally distributed continuous variables, and t-tests for normally distributed continuous variables comparing those referred and not referred to HP. RESULTS: Patients referred (n = 316) were mostly female (85.4%), White (67.1%), married/partnered (67.7%), obese (42.1%), and with breast cancer (52.2%). When comparing the two groups, patients referred to HP and patients not referred to HP, patients referred had a higher proportion of female and Black patients than expected (p ≤ .01); patients referred were also younger and had higher BMIs (p ≤ .01). Referred patients reported worse fatigue, sleep, depression, anxiety, well-being, spiritual pain, financial distress, memory, overall mental health, physical health, and global health (p ≤ .01). Most common concerns of referrals were diet/nutrition, overall health, and stress/anxiety. Compared to non-referred, HP referrals were more likely to prioritize depression, spirituality, and stress/anxiety (p ≤ .01). CONCLUSIONS: Patient characteristics are well-suited treatment targets for HP, including addressing emotional distress, healthy lifestyle, and quality of life. Our findings can help programs develop strategies to facilitate engagement with psychological counseling.


Assuntos
Medicina do Comportamento , Medicina Integrativa , Oncologia Integrativa , Neoplasias , Feminino , Humanos , Masculino , Neoplasias/psicologia , Neoplasias/terapia , Qualidade de Vida/psicologia , Encaminhamento e Consulta
16.
Transl Behav Med ; 12(4): 535-543, 2022 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-35613003

RESUMO

Climate change poses serious threats to public health and is exacerbating health inequities. Policy changes are essential to mitigate climate change impacts on human and planetary health. The purpose was to describe recommendations by the Policy and Advocacy Subgroup of the Society of Behavioral Medicine (SBM) Climate Change, Behavior Change and Health Presidential Working Group (PWG). The Policy and Advocacy subgroup was comprised of experts in public health, climate policy, and health behavior change, who worked together to identify priorities and develop recommendations. We worked under the premise that building political will for climate policy action is the most urgent goal, and we recommended promotion of citizen advocacy for this purpose. Because citizen advocacy is a set of behaviors, SBM members can use behavioral science to identify and scale up interventions, working collaboratively with communities targeted for marginalization. Recommendations for SBM included establishing an organizational home for climate and health work, providing training and resources, engaging in climate advocacy as an organization, and networking with other organizations. Recommendations for a proposed SBM Climate and Health Committee, Council, or Special Interest Group included developing trainings and resources, seeking opportunities for networking and collaborations, and identifying a research agenda. Individual behavior changes are insufficient to address climate change; policy actions are needed. SBM and similar organizations can support their members to work in developing, evaluating, and scaling up advocacy interventions for action on climate policy to magnify the power of the health and medical sectors to protect planetary and human health.


Increasing advocacy for climate protection policies is a top priority. Recommendations are made for research and advocacy engagement by the Society of Behavioral Medicine and its members.


Assuntos
Medicina do Comportamento , Política de Saúde , Humanos , Sociedades
17.
Obes Surg ; 32(6): 1796-1803, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35426012

RESUMO

BACKGROUND: Psychological factors identified during presurgical screening have the potential to identify which patients may respond better to bariatric surgery, and which patients may need additional assistance. Previous research has validated a number of potential instruments for use in presurgical screening. METHOD: This study evaluated archival data for 224 patients for a 60-month period following bariatric surgery to examine how presurgical scores on the Millon Behavioral Medicine Diagnostic predict body mass index (BMI) over time. Follow-up data was available on 96% of these patients at 12 months and 63% of these patients at 60 months. Hierarchical linear modeling was used to predict BMI based on demographic and psychopathology factors using linear and nonlinear coefficients while controlling for demographic factors and initial BMI. RESULTS: Results overall showed that demographic factors and initial BMI were significantly better predictors of BMI outcomes following bariatric surgery. Millon Behavioral Medicine Diagnostic scales did not significantly contribute to any models predicting outcomes. CONCLUSIONS: Although the Millon Behavioral Medicine Diagnostic has been recommended for presurgical screening prior to bariatric surgery, the current findings suggest that this measure and its specific scales do not predict BMI outcomes following bariatric surgery over time.


Assuntos
Cirurgia Bariátrica , Medicina do Comportamento , Obesidade Mórbida , Cirurgia Bariátrica/psicologia , Índice de Massa Corporal , Humanos , Obesidade Mórbida/cirurgia , Redução de Peso
18.
Health Psychol ; 41(7): 502-505, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35467898

RESUMO

Moderation effects in multiple regression, tested usually by the inclusion of a product term, are frequently investigated in health psychology. However, several issues in presenting the moderation effects in standardized units and their associated confidence intervals are commonly observed. While an old method had been proposed to standardize variables in moderated regression before fitting a moderated regression model, this method was rarely used due to inconvenience and even when used, the confidence intervals derived were biased. Here, we attempt to solve these two problems by providing a tool to conveniently conduct standardization in moderated regression without the step of standardizing the variables beforehand and to accurately form the nonparametric bootstrapping confidence intervals for this standardized measure of moderation effects. Health psychology researchers are now equipped with a tool that can be used to report and interpret standardized moderation effects correctly. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Medicina do Comportamento , Projetos de Pesquisa , Humanos
19.
Res Social Adm Pharm ; 18(10): 3860-3863, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35339394

RESUMO

As more biosimilars enter the pharmaceutical market, patient acceptance remains a significant barrier to their uptake. Psychological factors, such as negative expectations, are important causes of patient hesitancy. As a result, patients can develop nocebo responses following a transition, discontinue biosimilar treatment early, or have poor adherence. These negative outcomes may offset some of the cost-saving potential of biosimilars. Key healthcare professionals such as pharmacists, physicians, and nurses already play a noteworthy role in educating and transitioning patients. However, given the psychological aspect of biosimilar acceptance, it is logical for healthcare professionals and researchers to draw on research and theory from health psychology. This commentary outlines how a multidisciplinary approach can add to the understanding of the mechanisms behind patient resistance to biosimilars and help engage patients in the transitioning process. It also explores how health psychology strategies that have been successful in similar areas can be translated to help conduct more effective transitions. Future directions in research are discussed.


Assuntos
Medicina do Comportamento , Medicamentos Biossimilares , Médicos , Medicamentos Biossimilares/uso terapêutico , Humanos , Efeito Nocebo , Farmacêuticos
20.
Health Psychol ; 41(4): 243-245, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35324245

RESUMO

Psychological resilience represents an important construct for physical and behavioral health. This article introduces a special section on resilience as it relates to health psychology. In this special section, resilience in the context of cardiovascular disease, neurological disorders, sleep disorders, and cancers are studied. This special section is part of an American Psychological Association (APA) interdivisional journal series on resilience. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Medicina do Comportamento , Doenças Cardiovasculares , Resiliência Psicológica , Transtornos do Sono-Vigília , Doenças Cardiovasculares/psicologia , Humanos
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