Preparing to implement Floreciendo with Latina teens and their female caregivers: Integrating implementation science and the multiphase optimization strategy framework

Translational Behavioral Medicine, Год журнала: 2025, Номер 15(1)

Опубликована: Янв. 1, 2025

Practical examples of studies integrating implementation science and the multiphase optimization strategy (MOST) framework are lacking. Floreciendo is a sexual reproductive health program for Latina teens their female caregivers, adapted from IMARA evidence-based program. We prepared delivering by developing an plan to support program's adoption sustainment. Drawing on community-based participatory research approach, we used qualitative methods explore logistics, determinants strategies, adoption, sustainability. positioned our study activities within preparation phases both MOST EPIS frameworks. conducted rapidly analyzed seven focus group discussions-one with (n = 9), one caregivers 6), four organizational staff 32), 6)-and key informant interviews. Participants described community organizations as preferred location workshops in offering "safe space." They recommended workshop delivery two days over separate weekends. Teens requested relatable, bilingual facilitators. Implementation barriers were raised (e.g. work conflicts) strategies address them provide stipends). Organizational was perceived likely since addresses clients' needs fits values. Recommendations sustainment included identifying funding opportunities specific each organization. Findings directly informed immediate plans optimize using principles long-term goals can strengthen framework.

Язык: Английский

---

Toward the Science of Engagement With Digital Interventions

Current Directions in Psychological Science, Год журнала: 2024, Номер 33(4), С. 239 - 246

Опубликована: Июнь 3, 2024

Digital technologies, such as mobile devices and wearable sensors, are ingrained in daily life, making them a promising vehicle for delivering health behavior interventions. However, critical challenge that undermines the utility of digital interventions is suboptimal engagement participants, where participant defined investment physical, cognitive, affective energies focal stimulus or task. Research aiming to understand how increase with has grown substantially recent years. This article highlights several limitations existing evidence restrict its scientific practical discusses opportunities advancing science Synthesizing current body evidence, we call conceptualizing collection stimuli (e.g., notifications, reminders) tasks open app, practice relaxation technique) considering process rather than state (i.e., momentary conditions/experiences) trait relatively stable disposition). approach potential enhance rigor transparency measuring, reporting, interpreting would ultimately serve bolster progress toward developing strategies optimizing engagement.

Язык: Английский

---

Universal parent-focused child sexual abuse prevention: A quasi-experimental protocol

PLoS ONE, Год журнала: 2025, Номер 20(1), С. e0314459 - e0314459

Опубликована: Янв. 16, 2025

Child sexual abuse (CSA) is a significant public health concern, and there lack of universal, evidence-based primary prevention interventions that extend beyond focus solely on children. Parents remain consistently underutilized target for efforts aimed at mitigating CSA despite their unique relationship close proximity to risk not confined any specific demographic, its effects affected children are well-documented, significantly impacting numerous dimensions wellbeing. Thus, clear urgent need address this gap in strategies. This study will use quasi-experimental design (target N = 412) examine potential gains CSA-related awareness intentions protective behaviors among parents who participate universal parent-focused workshop, Smarter Parents. Safer Kids., compared those do not. Participants both the control (n 206) experimental group complete 3 survey assessments: Survey 0 (baseline), 1 (1-month), 2 (3-month follow-up). The Kids. workshop between Surveys 1. We data collected from baseline measure mediators intention preventive behaviors. In adjacent enhance curriculum's reach with future dissemination implementation, we also explore impact recruitment materials strategies parental engagement. Results advance implement audience.

Язык: Английский

---

Family-focused intervention programme to foster adolescent mental health and well-being: protocol for a multicountry cluster randomised factorial trial (FLOURISH Phase 2)

BMJ Open, Год журнала: 2025, Номер 15(2), С. e094085 - e094085

Опубликована: Фев. 1, 2025

Introduction Adolescent mental health problems represent a significant global issue, particularly in low- and middle-income countries, such as the Republic of North Macedonia Moldova. Effective scalable interventions are urgently needed to address these challenges. Methods analysis This protocol outlines multicountry cluster randomised factorial trial, implemented according multiphase optimisation strategy (Phase 2), which evaluates effectiveness costs three add-on components for Parenting Lifelong Health Parents Teens programme: adolescent tools based on UNICEFs Helping Adolescents Thrive comics, peer support ‘I Support My Friends’ intervention engagement booster designed enhance attendance programme completion through incentives. The study will recruit 720 families involve 64 clusters Primary outcomes include internalising social support, family functioning during programme. Secondary assess broader aspects among caregivers adolescents, well implementation cost outcomes. Data be collected at baseline postintervention, approximately, 8 weeks later. Statistical analyses regression models main interaction effects analyses. Ethics dissemination received ethical approval from University Klagenfurt Austria (approval number: 2023–013), Medical Faculty St. Cyril Methodius 03-2144/4) National Committee Ethical Expertise Clinical Trials Moldova 1476). results disseminated peer-reviewed journals, conferences, webinars multiple languages, regional forums, stakeholder meetings with policymakers practitioners, public communication media open access platforms, including data sharing early release findings. Trial registration details registration: NCT06562244 ; Project page: https://www.flourish-study.org/about.html

Язык: Английский

---

Initial effectiveness of an ICBT-protocol for GAD in psychiatric care – A feasibility-pilot study

Internet Interventions, Год журнала: 2025, Номер 40, С. 100817 - 100817

Опубликована: Март 1, 2025

Generalized Anxiety Disorder (GAD) is a common and debilitating anxiety disorder with chronic course low rate of spontaneous remission. Previous internet-delivered treatments for GAD in clinical routine care has been shown to be effective but tend use mix many different treatment components, often based several theoretical models. Another approach could instead develop more focused theory driven treatments, potentially allowing the protocol shorter less demanding patients. In this pilot-feasibility-trial we implemented focusing on one target core construct (intolerance uncertainty) at internet psychiatry clinic Stockholm. The was administered 22 individuals GAD. We found significant reduction symptoms similar effect size previous studies CBT ICBT care. Patients rated overall high levels satisfaction credibility. Only two patients dropped out from treatment. Among remaining median 7.5 8 modules were completed. conclude that preliminarily effective, acceptable clinicians, feasible implement psychiatric

Язык: Английский

---

Pilot Optimization Trial of a Sexual and Reproductive Health Program for Latina Teens and Female Caregivers: A Study Protocol

Опубликована: Янв. 1, 2025

Язык: Английский

---

Effects of behavioral intervention components to increase COVID-19 testing for African American/Black and Latine frontline essential workers not up-to-date on COVID-19 vaccination: Results of an optimization randomized controlled trial

Journal of Behavioral Medicine, Год журнала: 2025, Номер unknown

Опубликована: Апрель 17, 2025

Язык: Английский

---

Decision-making in the multiphase optimization strategy: Applying decision analysis for intervention value efficiency to optimize an information leaflet to promote key antecedents of medication adherence

Translational Behavioral Medicine, Год журнала: 2024, Номер 14(8), С. 461 - 471

Опубликована: Май 25, 2024

Advances in the multiphase optimization strategy (MOST) have suggested a new approach, decision analysis for intervention value efficiency (DAIVE), selecting an optimized based on results of factorial trial. The approach opens possibilities to select interventions multiple valued outcomes. We applied DAIVE identify information leaflet intended support eventual adherence adjuvant endocrine therapy women with breast cancer. used empirical performance data five candidate components three hypothesized antecedents adherence: beliefs about medication, objective knowledge AET, and satisfaction medication information. Using from 25 trial (n = 1603), we following steps: (i) Bayesian variance estimate main interaction effects factors (ii) posterior distributions expected outcomes each version (32 total). (iii) scaled combined using linear function predetermined weights indicating relative importance (iv) identified that maximized as leaflet, systematically varied outcome explore robustness. included two components, side-effects, patient input, set their higher levels. Selection was generally robust weight variations consistent initial preferences enables selection best-expected

Язык: Английский

---

Optimization of implementation strategies using the Multiphase Optimization STratgey (MOST) framework: Practical guidance using the factorial design

Translational Behavioral Medicine, Год журнала: 2024, Номер 14(9), С. 505 - 513

Опубликована: Июнь 21, 2024

The Multiphase Optimization STrategy (MOST) is a framework that uses three phases-preparation, optimization, and evaluation-to develop multicomponent interventions achieve intervention EASE by strategically balancing Effectiveness, Affordability, Scalability, Efficiency. In implementation science, optimization of the requires focus on strategies-things we do to deliver intervention-and outcomes. MOST has been primarily used optimize components related behavioral or health However, innovative opportunities discrete (i.e. single strategy) multifaceted multiple strategies) strategies exist can be done independently, in conjunction with, optimization. This article details four scenarios where factorial design strategies: (i) development new strategies; (ii) evaluating interactions between program (iii) independent effects several have previously evaluated as strategy; (iv) modification strategy for local context. We supply hypothetical school-based physical activity examples illustrate these scenarios, provide data help readers make informed decisions derived from their trial data. manuscript offers blueprint scientists such not only field using effectiveness an outcome, but also optimized.

Язык: Английский

---

Effects of Chatbot Components to Facilitate Mental Health Services Use in Individuals With Eating Disorders Following Online Screening: An Optimization Randomized Controlled Trial

International Journal of Eating Disorders, Год журнала: 2024, Номер 57(11), С. 2204 - 2216

Опубликована: Июль 28, 2024

ABSTRACT Objective Few individuals with eating disorders (EDs) receive treatment. Innovations are needed to identify EDs and address care barriers. We developed a chatbot for promoting services uptake that could be paired online screening. However, it is not yet known which components drive effects. This study estimated individual combined contributions of four on mental health use (primary), helpfulness, attitudes toward changing eating/shape/weight concerns (“change attitudes,” higher scores indicating greater importance/readiness). Method s Two hundred five screening an ED but in treatment were randomized optimization controlled trial up components: psychoeducation, motivational interviewing, personalized service recommendations, repeated administration (follow‐up check‐ins/reminders). Assessments at baseline 2, 6, 14 weeks. Results Participants who received more likely report use, no significant effects other use. Repeated slowed the decline change participants experienced over time. interviewing found helpful, this component was also associated larger declines attitudes. recommendations receiving its own most favorable attitude time trend. Psychoeducation showed Discussion indicated important outcomes; findings will used finalize decision making about optimized intervention package. The shows high potential addressing gap EDs.

Язык: Английский

---