Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .

The Annals of Behavioral Medicine aims to facilitate the exchange of knowledge among disciplines involved in the field of behavioral medicine, integrating biological, psychosocial, and behavioral factors and principles as they relate to areas such as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is dedicated to publishing original empirical articles, including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Additionally, integrative reviews of the evidence for the application of behavioral interventions in healthcare will also be provided.

《Annals of Behavioral Medicine》旨在促进与行为医学领域相关的学科之间的知识交流，并整合生物、心理社会和行为因素及其原则，涉及健康促进、疾病预防、风险因素修改、疾病进展、对身体疾病的适应与调整以及康复等领域。为实现这些目标，本期刊大部分内容致力于发表原创实证文章，包括随机对照试验、观察性研究或其他基础和临床研究的报告。同时，还将提供关于行为干预在医疗保健中应用的证据的综合评审。

Annals of Behavioral Medicine

Exergames have the potential to significantly increase physical activity in children. Studies to date have shown mixed results and often rely on self-reported data. Multi-player gaming may augment participation. The purpose of the study was to examine children's adherence behaviors in multi-player online exergames compared to a single-player condition within a home environment. Seventy-two children, aged 9–12 years, who were not meeting physical activity guidelines at baseline, were allocated to the multi-player or single-player condition. Six-week cycle-based exergaming trials took place 5 day/week in the early evening with online game supervision. Bike use was objectively recorded via game logs. Adherence was high throughout the trial. Play session duration was M = 37.65 (SD = 15.39) min/day, and overall play duration was M = 133.45 (SD = 81.27) min in Week 1 and M = 77.23 (SD = 84.09) min in Week 6. Total physical activity was significantly higher at 6 weeks compared to baseline (p = .01, ηp2 = .13). There was no significant difference in play duration between conditions (p = .57, ηp2 = .01). This trial objectively demonstrated that exergames can promote high adherence levels. Multi-player capabilities did not augment adherence levels. Introducing new games throughout the trial may have motivated participants to keep playing, regardless of whether play was against real or artificial opponents. Weekly play duration decreased due to a significant drop in play frequency. For children who enjoy exergames, innovative solutions to promote more frequent exergame play are needed. NCT02032667.

Maximus D Kaos

Mark R Beauchamp

Shelly Bursick

Amy E Latimer-Cheung

Hamilton Hernandez

Darren E R Warburton

Christopher Yao

Zi Ye

T C Nicholas Graham

Ryan E Rhodes

Efficacy of Online Multi-Player Versus Single-Player Exergames on Adherence Behaviors Among Children: A Nonrandomized Control Trial

在线多人 versus 单人运动游戏对儿童坚持行为的影响：一项非随机对照试验

CONSORT guidelines call for precise reporting of behavior change interventions: we need rigorous methods of characterizing active content of interventions with precision and specificity.The objective of this study is to develop an extensive, consensually agreed hierarchically structured taxonomy of techniques [behavior change techniques (BCTs)] used in behavior change interventions.In a Delphi-type exercise, 14 experts rated labels and definitions of 124 BCTs from six published classification systems. Another 18 experts grouped BCTs according to similarity of active ingredients in an open-sort task. Inter-rater agreement amongst six researchers coding 85 intervention descriptions by BCTs was assessed.This resulted in 93 BCTs clustered into 16 groups. Of the 26 BCTs occurring at least five times, 23 had adjusted kappas of 0.60 or above."BCT taxonomy v1," an extensive taxonomy of 93 consensually agreed, distinct BCTs, offers a step change as a method for specifying interventions, but we anticipate further development and evaluation based on international, interdisciplinary consensus.

Susan Michie

Michelle Richardson

Marie Johnston

Charles Abraham

Jill Francis

Wendy Hardeman

Martin P. Eccles

James Cane

Caroline E. Wood

ann. behav. med.

The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques: Building an International Consensus for the Reporting of Behavior Change Interventions

行为改变技术分类法（v1）：93种层级聚类技术的国际共识构建及行为改变干预报告

Exercise generally improves quality of life (QoL) and psychosocial functioning in adult populations but few randomized trials have examined dose-response effects.The purpose of the present study was to report the QoL and psychosocial outcomes from the Breast Cancer and Exercise Trial in Alberta (BETA).Healthy but inactive postmenopausal women at risk for breast cancer were randomized to a year-long aerobic exercise intervention consisting of either 150 min/week (moderate volume group, n = 200) or 300 min/week (high volume group, n = 200). QoL was assessed at baseline and 1 year using the short form-36 health survey. Sleep quality, depression, anxiety, stress, self-esteem, and happiness were also assessed. Participant preference for group assignment (i.e., exercise volume) was assessed at baseline and tested as a moderator.There were no statistically significant dose-response effects of aerobic exercise on any QoL, sleep quality, or psychosocial outcome. Participant preference for group assignment did not moderate any QoL, sleep quality, or psychosocial responses. Marital status was a significant moderator (p for interaction = 0.01) and obesity showed a trend towards being a moderator (p for interaction = 0.08) of the dose-response effects of aerobic exercise on global sleep quality such that unmarried and obese women improved sleep quality with the higher volume of aerobic exercise.A higher volume of aerobic exercise, approximately double the minimum public health guideline, did not provide additional QoL or psychosocial benefits compared to the minimum public health guideline in inactive postmenopausal women, even for women who preferred the higher volume of exercise at baseline.Trial Registration clinicaltrials.gov identifier: NCT1435005.

Kerry S. Courneya

Jessica McNeil

Rachel O’Reilly

Andria R. Morielli

Christine M. Friedenreich

Dose-Response Effects of Aerobic Exercise on Quality of Life in Postmenopausal Women: Results from the Breast Cancer and Exercise Trial in Alberta (BETA)

有氧运动对绝经后女性生活质量的剂量-反应效应：来自阿尔伯塔乳腺癌与运动试验（BETA）的结果

Prior research has found affect to predict exercise. Little research has examined the causal influence of exercise-related affect on exercise intentions. The purpose of this study was to test whether expectations about post-exercise affect can be successfully manipulated to produce changes in post-exercise affect and exercise intentions. We also tested whether cognitively elaborating on the expectation would increase the duration of the expectation effect. Participants (59 men, 89 women) were exposed to an affective expectation manipulation as well as an elaboration manipulation and then completed 10 min of light-intensity exercise on a stationary bicycle in the laboratory. Participants also completed a 2-week follow-up. Affective expectation participants displayed more positive post-exercise affect and exercise intentions than no-expectation participants (ps < .05). Affective expectation participants who also elaborated on that expectation reported more positive post-exercise affect during the follow-up than the no-elaboration participants (p < .05). Expectations about positive post-exercise affect can be experimentally manipulated to increase exercise-related feelings and intentions. The duration of this effect increases when individuals cognitively elaborate on the expectation.

Suzanne G. Helfer

Jon D. Elhai

Andrew L. Geers

Affect and Exercise: Positive Affective Expectations Can Increase Post-Exercise Mood and Exercise Intentions

情感与运动：积极的情感预期可以提升运动后的情绪和运动意向

Affect may be important for understanding physical activity behavior. To examine whether affective valence (i.e., good/bad feelings) during and immediately following a brief walk predicts concurrent and future physical activity. At months 6 and 12 of a 12-month physical activity promotion trial, healthy low-active adults (N = 146) reported affective valence during and immediately following a 10-min treadmill walk. Dependent variables were self-reported minutes/week of lifestyle physical activity at months 6 and 12. Affect reported during the treadmill walk was cross-sectionally (month 6: β = 28.6, p = 0.008; month 12: β = 26.6, p = 0.021) and longitudinally (β = 14.8, p = 0.030) associated with minutes/week of physical activity. Affect reported during a 2-min cool down was cross-sectionally (month 6: β = 21.1, p = 0.034; month 12: β = 30.3, p < 0.001), but not longitudinally associated with minutes/week of physical activity. Affect reported during a postcool-down seated rest was not associated with physical activity. During-behavior affect is predictive of concurrent and future physical activity behavior.

David M. Williams

Shira Dunsiger

Ernestine G. Jennings

Bess H. Marcus

Does Affective Valence During and Immediately Following a 10-Min Walk Predict Concurrent and Future Physical Activity?

10分钟步行期间及结束后的情感效价是否能预测当前及未来的身体活动？

Abstract Background Patients’ negative expectations about medication can exacerbate side effect burden leading to low adherence and persistence. A novel intervention involves targeting mindsets about non-severe symptoms; reframing them as encouraging signs of medication working. Purpose This study aimed to assess whether a brief symptom-mindset intervention can improve symptom experience and adherence in patients starting methotrexate to treat an inflammatory rheumatic disease. Methods A randomized controlled trial was conducted with patients starting methotrexate. Participants were randomly assigned (1:1) to a mindset intervention or standard information control condition. Symptom mindset was assessed after 4 weeks to check intervention efficacy. The primary outcome was symptom experience after 4 weeks. Secondary outcomes were adherence and motivation to take methotrexate (4 weeks), as well as continuation and C-reactive protein (12 weeks). Results Forty-seven participants were randomly assigned to the intervention (n = 24) or control group (n = 23). All participants completed the study. After 4 weeks, compared to the control group, intervention participants endorsed more positive symptom mindsets, experienced less symptom burden (mean difference −2.70 [95% CI, −4.50, −0.90] P = .005), fewer general symptoms (3.53 [−6.99, .79] P = .045) and a similar number of methotrexate-specific symptoms (−0.79 [−2.29, 0.71] P = .295). The intervention group had better motivation and adherence to methotrexate at 4 weeks and better continuation, and C-reactive protein at 12 weeks than the control group. There was no difference in side effect attribution. Conclusions In patients starting methotrexate, a mindset intervention reframing the role of non-severe side effects is a promising approach for improving symptom experience and early stage medication persistence.

Rachael Yielder

Kari Leibowitz

Alia J Crum

Paul Manley

Nicola Dalbeth

Keith J Petrie

Changing mindsets about methotrexate in the rheumatology clinic to reduce side effects and improve adherence: a randomized controlled trial

在风湿病诊所改变对甲氨蝶呤的心态以减少副作用并提高依从性：一项随机对照试验

Abstract Objective To compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes. Design and methods Comparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-Me-Auto (algorithm-driven text-based personalized feedback), or DD-Me-Tel (coach delivered personalized feedback). Changes in HbA1c (primary outcome), low-density lipoprotein-cholesterol, systolic blood pressure, and patient-reported outcomes were examined across 6 and 12 months, with the primary comparison being DD versus DD-Me (combined automated and telephonic). Results Participants were 52.1 (±10.2) years old, 69.7% female, with HbA1c 9.3% (±1.6) at baseline. Across groups, there was a statistically significant improvement in HbA1c at 6 months (mean∆ per month = −0.17, 95% CI −0.20, −0.14; P &amp;lt; .001) and 12 months (mean∆ per month = −0.07, 95% CI −0.09, −0.05; P &amp;lt; .001). However, there were no time-by-group interaction effects indicating group differences in clinical outcomes across 6 or 12 months. The DD-Me groups showed greater improvements across time than the DD group for diabetes self-management behaviors. Conclusions Static and adaptive digital interventions for Latine adults with type 2 diabetes had similar and clinically significant effects on HbA1c across 12 months. Simple digital approaches can be integrated within primary care-based chronic care models to reduce diabetes disparities. ClinicalTrials.gov registration NCT03130699, Initial Release 04/24/2017, https://clinicaltrials.gov/ct2/show/NCT03130699?term=NCT03130699&amp;draw=2&amp;rank=1.

Athena Philis-Tsimikas

Addie L Fortmann

Taylor Clark

Samantha R Spierling Bagsic

Emilia Farcas

Scott C Roesch

James Schultz

Todd P Gilmer

Job G Godino

Kimberly L Savin

Mariya Chichmarenko

Jennifer A Jones

Haley Sandoval

Linda C Gallo

Dulce Digital-Me: results of a randomized comparative trial of static versus adaptive digital interventions for Latine adults with diabetes

《Dulce Digital-Me：针对拉丁裔糖尿病患者的静态与适应性数字干预随机对照试验结果》

Abstract Background As part of a study to test the feasibility and acceptability of the Finding Respect and Ending Stigma around HIV (FRESH) intervention to reduce stigmas and improve HIV viral suppression, our team collected qualitative data from men who have sex with men (MSM) with HIV, transgender women with HIV, and HIV healthcare providers for their perspectives on different stigmas in Dominican Republic healthcare settings. Purpose We aimed to develop an understanding of the causes, consequences, and domains of stigma among sexual and gender minorities with HIV in Dominican Republic HIV clinics. Methods Data collection occurred in Santo Domingo and Santiago (2020-2021) and included four focus groups with MSM with HIV (n = 26), in-depth interviews with transgender women with HIV (n = 14), and in-depth interviews with HIV healthcare providers (n = 16). All data collection occurred in person and was audio recorded. Standardized guides were used for focus groups and in-depth interviews. Using a deductive process, 2 research associates thematically coded data in the NVivo software. Results On average, focus groups were 81 minutes, provider in-depth interviews were 24 minutes, and transgender women in-depth interviews were 32 minutes. We identified 4 key themes that mapped to 4 domains of stigma affecting MSM and transgender women with HIV: migrant stigma, religious stigma, sexual and gender minorities (SGM) stigma, and HIV stigma. All participant types noted the persistence of stigma and discrimination in healthcare settings in the Dominican Republic. The consequences of these stigmas were reported as being significant, including attempted suicide. Conclusions Interventions to reduce stigma experienced by SGM populations with HIV should address structural barriers, including inner and outer contexts of HIV care provision and cultural norms and values that propagate stigma. Findings offer insights about which stigmas could be targeted in future studies and how to potentially address stigma to improve population health in the Dominican Republic.

Henna Budhwani

Ingrid Ruiz De León

John Waters

Princess Nash

Christyenne L Bond

Nelson Varas-Díaz

Sylvie Naar

Laura Nyblade

Robert Paulino-Ramírez

Janet M Turan

Stigmas experienced by sexual and gender minority people with HIV in the Dominican Republic: a qualitative study

多米尼加共和国性少数群体和性别少数群体HIV感染者的污名经历：一项定性研究

Abstract Background Self-efficacy is a modifiable intervention target in behavioral weight loss interventions. However, its role in the context of digital interventions is less clear. Purpose To determine change in self-efficacy in a digital weight loss intervention, and whether self-efficacy is associated with engagement in self-monitoring diet or weight loss. Methods This is a secondary analysis of the GoalTracker study among 100 adults with overweight or obesity enrolled in a 12-week standalone digital weight loss intervention emphasizing daily self-monitoring. At baseline, 1 month, and 3 months, we assessed self-efficacy for controlling eating (via the Weight Efficacy Lifestyle Questionnaire; WELQ) and self-efficacy for tracking diet. Dietary self-monitoring engagement data were collected from the MyFitnessPal app. Weight was collected in person on a calibrated scale. Analyses included participants with complete data (N range: 72-99). Results Positive change from baseline to 1 month in self-efficacy for controlling eating was associated with higher dietary self-monitoring engagement (r = 0.21, P = .008) but not with 3-month weight change (r = –0.20, P = .052). Meanwhile, positive change from baseline to 1 month in self-efficacy for tracking diet was associated in a beneficial direction with both outcomes (r = 0.57, P &amp;lt; .001; r = –0.35, P &amp;lt; .001, respectively). However, on average, self-efficacy for controlling eating did not change over time while self-efficacy for tracking diet decreased (P &amp;lt; .001). Conclusion Improvements in self-efficacy—particularly for tracking diet—early on in a digital weight loss intervention served as a mechanism of greater engagement and weight loss, highlighting the need for strengthening intervention strategies that promote early self-efficacy within a digital context.

Angel E Cleare

Christopher D Gardner

Abby C King

Michele L Patel

Yes I can! Exploring the impact of self-efficacy in a digital weight loss intervention

是的，我能行！探究自我效能在数字减肥干预中的影响

Abstract Background Depression affects 33% of women with type 2 diabetes (T2D) and leads to increased risks of premature mortality. Fluctuation and variation of depressive presentations can hinder clinical identification. Purpose We aimed to identify and examine subgroups characterized by distinct depressive symptom trajectories among women with T2D. Methods This retrospective analysis leveraged the Women’s Interagency HIV Study data to identify depressive symptom trajectories based on the Center for Epidemiological Studies Depression scores (2014-2019) among women with and without HIV. Descriptive statistics characterized sample demographics (eg, age, race, income), clinical indices (eg, hemoglobin A1C [HbA1c], BMI, HIV status), and psychosocial experiences (eg, discrimination, social support, anxiety, pain). We used growth mixture modeling to identify groups defined by distinct depressive symptom trajectories and parametric and non-parametric tests to examine demographic, clinical, and psychosocial differences across subgroups. Results Among the 630 women included, the mean age was 50.4 (SD = 8.3) years, 72.4% identified as Black and non-Hispanic, and 68.2% were living with HIV. Five subgroups were identified and distinguished by severity and symptom type. Participants with lower incomes (P = .01), lower employment (P &amp;lt; .0001), lower social support (P = .0001), and experiences of discrimination (P &amp;lt; .0001) showed greater membership in threshold, moderate, and severe depressive subgroups. Subgroup membership was not associated with metabolic indices (BMI, HbA1c) or HIV status. Anxiety, pain, and loneliness (all P = .0001) were worse in subgroups with higher depressive symptoms. Conclusions Among women with T2D, depressive symptom trajectories differ across clinical and social contexts. This study advances precision by delineating subgroups within a broad clinical category.

Nicole Beaulieu Perez

Gail D’Eramo Melkus

Jason Fletcher

Kristen Allen-Watts

Deborah L Jones

Lauren F Collins

Catalina Ramirez

Amanda Long

Mardge H Cohen

Daniel Merenstein

Tracey E Wilson

Anjali Sharma

Brad Aouizerat

Heterogeneous depressive symptom trajectories among women with type 2 diabetes: findings from the Women’s Interagency HIV Study

2型糖尿病女性患者的异质性抑郁症状轨迹：来自女性 interagency HIV 研究的结果

Abbreviation	ann. behav. med.
Journal Impact	3.46
Quartiles(Global)	PSYCHOLOGY, MULTIDISCIPLINARY(Q1)

ISSN	0883-6612, 1532-4796
h-index	152

Publication Information	Publisher: Oxford University Press，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1987，Proportion of original research papers: 83.08%，Self Citation Rate:0.00%， Gold OA Rate: 21.81%

Annals of Behavioral Medicine

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