Exploring the effects of microdosing on health behaviour change.

Evaluation of the effectiveness of interprofessional education among health professions students: An umbrella review.

Reflections on non-WEIRD behavior change and the next generation of physical activity research: A commentary on Simpson et al. (2025).

Community and behavior maintenance: the association of community factors with behavior maintenance outcomes in people with type 2 diabetes participating in a group-based walking intervention.

Nurses' hand hygiene is critical for preventing nosocomial infections, yet evidence on effective interventions is limited. This study examined the effect of short messaging on nurses' hand hygiene behaviors. A randomized controlled trial was conducted with 60 nurses in Turkey (intervention, 30; control, 30). The intervention group received eight educational Short Message Service-based messages twice weekly for 4 weeks. Data were collected using validated hand hygiene assessment tools. Analyses included two-way robust tests, Bonferroni, and Mann- Whitney U tests. Posttest scores for the Hand Washing Form, Surgical Hand Washing Form, and Form for Hand Rubbing with Antiseptic Agent were significantly higher in the intervention group compared with baseline (p < .001). The Short Message Service-based education significantly improved nurses' hand hygiene and represents a practical, scalable strategy for clinical training and behavior change.

Inflammatory markers and self-regulation improvements in children and adolescents with obesity during inpatient treatment.

Sewer misconnection: Recommendations for increasing sewer connections in low-income urban communities in Dhaka, Bangladesh.

Impact of quality clusters on antibiotic prescribing patterns. A difference-in-differences study from Danish general practice.

Mind the (widening) gap: why public health must engage with AI now.

Short and long-term effects of a self-determination theory-based physical activity intervention on basic psychological needs and their mediating role in adults with depressive symptoms.

A theory-based randomised controlled trial to increase delivery of behaviour change interventions by healthcare professionals.

Evidence for health promotion interventions to improve cognitive and physical functioning outcomes in older adults with MCI: A state-of-the-art review.

Health-related behaviors are essential determinants of health and well-being, yet unhealthy patterns persist globally. Psychedelics may represent an innovative tool for facilitating positive behavior change. This study investigated retrospective health-related behavior changes attributed to past psychedelic experiences. An online survey was completed by 271 adults who reported on the characteristics of their most impactful psychedelic experience and associated changes across 74 behaviors, including physical activity, and time spent in nature. The most frequently reported changes were in contemplative practices (63%), time spent in nature (55%), and personally meaningful social activities (54%). The majority of changes were reported in a healthy direction. Higher ratings of perceived meaningfulness and having a set intention emerged as significantly associated with overall healthy change. While causality cannot be inferred, these findings highlight the potential of psychedelic experiences as catalysts for health-related behavior change and underscore the role of intention and perceived meaningfulness as candidate mechanisms.

Introduction: This study compared stress and eating behaviors of two independent samples of college students before and after declaration of the COVID-19 pandemic to understand pandemic-related changes in these health-related behaviors. Methods: This was a non-experimental comparative study using a between-subjects design. Two independent groups were invited to the laboratory for a single visit to measure eating behaviors and stress indicators. Four validated instruments were used in this study: The Weight and Lifestyle Inventory questionnaire, Mindfulness Eating Questionnaire, Three-Factor Eating Questionnaire (TFEQ), and the Perceived Stress Scale (PSS). Independent t-tests and two-way ANOVA were used to compare participants who were tested prior to the COVID-19 pandemic declaration and after. Results: N=151 (n=81 male, n=70 female) participants completed testing in the pre-COVID group, and a separate group, N=79, completed testing in the post-COVID group (n=40 male and n=26 female). There was a significant difference in TFEQ-uncontrolled eating between groups by sex (F(1,207)=4.73, p =.031, ƞ2=.022). There were differences between the pre-COVID and post-COVID groups (F(1,204)=5.64, p 019, ƞ2=.027) and between sexes (F(1,204)=16.84, p &lt;0.001, ƞ2=.076) on the TFEQ-emotional eating. The post-COVID group reported higher levels of eating when stressed, depressed/upset, anxious, and when alone compared to the pre-COVID group (all p &lt;.05). There were sex differences in eating when stressed, depressed/upset, anxious, and when alone (all p &lt;.05). PSS scores were significantly higher in the post-COVID group (p =.003). Females (20.4±5.4) reported higher stress than males (17.8±6.3) (p =.003). Conclusions: College students assessed after the pandemic declaration showed higher stress levels and emotional eating scores. Female college students reported higher stress and emotional eating levels than males.

Introduction Self-compassion (SC) is associated with reduced eating disorder pathology, body dissatisfaction, and weight concerns, but most SC interventions and research samples focus on women. Because men often face unique challenges related to weight stigma and masculine norms, SC may be especially valuable in supporting emotion-regulation in health coaching programs. Little is known about how adult men engaged in weight loss interpret and experience SC, limiting the reach of interventions intended to support sustainable health behavior change. As such, the purpose of this study was to qualitatively explore how adult men seeking weight loss with health coaching make sense of SC during weight loss. Specifically, we examined experiences and meanings of SC, the perceived barriers and facilitators to practicing it, and how body image and weight-related experiences shape their understanding and application of SC. Methods Using reflexive thematic analysis, we explored how 11 adult men enrolled in a commercial weight-normative health coaching program made sense of self-compassion in the context of body image, dieting, and masculinity. Semi-structured interviews were conducted, transcribed, and analyzed through an inductive, interpretive process emphasizing information power and meaning-making over saturation. Researcher reflexivity and positionality were integrated throughout the analytic process. Results Seven themes and 20 subthemes were developed. Key themes included: (1) SC as a skill to be learned and practiced; (2) concordance between SC and self-image, including gender norms; (3) the interplay between SC and body image; (4) SC in action through mindset and behavior; (5) barriers to SC such as weight stigma, toxic masculinity, and dieting cycles; (6) facilitators to SC including life experience and upbringing; and (7) SC as a mask for disordered eating and exercise behaviors. Discussion Findings highlight the need to tailor SC interventions to address masculine norms, weight stigma, and internalized bias.

Health risk behaviours including unhealthy diet, physical inactivity, sedentary behaviour, inadequate sleep, tobacco use and alcohol and illicit drug use are prevalent among university students. Universities are pivotal settings for health promotion; however, existing policy/strategy addressing health risk behaviours is uncertain. This scoping review aimed to identify and synthesise current policies/strategies targeting student health behaviours across Australian universities. A systematic search of websites and policy libraries of 39 Australian universities was conducted in January 2025. Policies/strategies were included if they were current, included students within their target group, and addressed at least one health risk behaviour. Data was extracted about policy characteristics and intervention functions and policy categories evaluated using the Behaviour Change Wheel. Fifty-four policies/strategies from 30 universities met the inclusion criteria. Many universities had a policy/strategy focused on smoking (74.4%), alcohol (64.1%) and drug use (43.6%), whereas few addressed physical inactivity (7.7%) or unhealthy diet (2.6%). No university policy/strategy addressed sedentary behaviour or sleep. The most common intervention function and policy category was environmental restructuring and environmental/social planning. This review highlights a fragmented policy landscape, with significant gaps in addressing health risk behaviours within policy or strategy at Australian universities. These findings provide guidance for future institutional policy/strategy development and to encourage interdisciplinary collaboration in embedding student wellbeing within institutional frameworks. SO WHAT?: These findings emphasise the need for national-level guidance to embed systemic approaches to health promotion within the university setting. This is essential to improve student wellbeing, foster academic excellence, address health inequity and advance community health outcomes.

Wearable technologies provide continuous, real‐world data on mobility, cognition, and health behaviours, creating new opportunities to support aging individuals, including those with mild cognitive impairment (MCI), Alzheimer's disease, and related dementias (ADRD). Translating insights derived from wearables into meaningful, personalized feedback can foster sustained behaviour change and enhance adherence in clinical trials and observational studies. Through a multidisciplinary lens, this session will illustrate the challenges and opportunities associated with delivering personalized feedback from wearables, specifically focusing on the following topics: 1) co‐design of feedback mechanisms from wearables to improve adherence and study retention in dementia and aging research, 2) strategies for integrating multimodal sensor data into personalized interventions that drive meaningful behaviour change, and 3) lessons learned from real‐world implementations in clinical trials and longitudinal studies.Lessons drawn from wearable‐based clinical trials and observational studies in aging and ADRDs, including the Ontario Neurodegenerative Disease Research Initiative, the Communication Bridge Trials and the SuperAging Research Initiative, illustrate effective co‐design processes for delivering personalized feedback to individuals with cognitive impairment. Recent findings from the Health in Aging, Neurodegenerative Diseases, and Dementias in Ontario study demonstrate the types and mechanisms of health behaviour changes resulting from wearable‐sensor‐derived personalized feedback. These studies highlight how tailored feedback can influence health behaviour changes, retention, and adherence. Challenges faced when generating and delivering personalized feedback include ensuring it remains valuable and understandable for individuals with cognitive difficulties, balancing comprehensive data collection with participant‐friendly feedback approaches, and providing sufficient data fidelity for reliable and valid feedback. This session will outline practical strategies for overcoming these challenges, including evidence‐based behavioural feedback models, best practices for co‐designing interventions with patients, care partners, and clinicians, incorporating outcomes with high interpretability, and transparent analytics pipelines featuring sensor interoperability.By integrating personalized feedback from wearable sensors into dementia and aging research, we can enhance health behaviours, improve participant retention, and maximize the effectiveness of clinical trials and observational studies. This session will offer a scientific and practical framework for utilizing wearable technology to foster engagement, facilitate behaviour change, and enhance health outcomes in older adults and those with ADRD.

ObjectiveEarly mobility after cardiac surgery in the intensive care unit improves patient outcomes, yet implementation by clinicians remains inconsistent. To inform interventions to increase adoption, this study sought to explore clinicians' perspectives on the definition of early mobility in the cardiac surgery intensive care unit and describe perceived barriers and facilitators to implementation.DesignThis qualitative study was guided by interpretive description.SettingA tertiary hospital that performs 1000 cardiac surgeries annually.ParticipantsA total of 26 clinicians, including nurses, physicians, healthcare aides, respiratory therapists, and physiotherapists, participated.Main MeasuresThe nine focus groups and four individual interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis.ResultsThree themes and 13 categories were created from the data: (1) Incongruent operationalization and conceptualization (across micro, meso, and macro levels), (2) uncertainty, and (3) inconsistency in mobilization practices. Themes were rooted in ambiguous definitions of "early" and "mobility," discrepancy between conceptualization and implementation of timing, varied interpretations of success, and perceived safety concerns. In addition, 4 barriers and 4 facilitators were identified and categorized into patient-care and clinician-related.ConclusionDeveloping early mobility protocols and education informed by clinicians may enhance its implementation in the cardiac surgery intensive care unit. Incorporating the perspectives of clinicians into early mobility protocol development is essential to support behaviour change and provide this beneficial care.

BackgroundAdvance care planning (ACP) is a process that helps individuals identify and communicate their preferences regarding end‐of‐life decisions and future medical needs. It is an ongoing and evolving process, particularly for informal caregivers of persons with cognitive decline (PWCD), whose care recipient's (CR) ability to decide and express their wishes may change as their disease progresses. Informal PWCD caregivers may not know their CR's preference for end‐of‐life care or feel prepared to follow through on established preferences on their CR's behalf. While several formal assessments of ACP have been previously published, many are lengthy or not psychometrically validated to assess ACP self‐efficacy and preparedness in informal PWCD caregivers who are actively involved in ACP with their CR; therefore, the present study aims to address this current gap in the literature.MethodThe present study utilized a conceptual framework based on Behavior Change Theory, positing that knowledge, self‐efficacy, and preparedness are required for ACP to be translated into action (Sudore et al., 2013). A team of nine healthcare providers involved in the provision of clinical care in a Memory Disorders Clinic identified existing self‐report ACP measures with the goal of developing a brief, self‐report measure that would adequately assess ACP self‐efficacy and preparedness in informal PWCD caregivers who are engaging in ACP actions for their CR.ResultAfter reviewing PubMed, Google Scholar, Medline, and PsycINFO, 10 publications describing formal measures of ACP were identified. These publications were reviewed in a focus group of four clinical neuropsychologists, one neuropsychology fellow, and four dementia care coordinators, with the goal of creating a brief, self‐report measure to assess ACP self‐efficacy and readiness in informal PWCD caregivers. Keywords used during the literature review, item selection criteria, and an overview of the proposed survey items will be presented.ConclusionThe proposed ACP survey may be useful to clinicians and researchers evaluating ACP self‐efficacy and preparedness in informal PWCD caregivers who are engaging in ACP activities with their CR. Future directions include administering the proposed survey to a clinical sample of informal PWCD caregivers to evaluate its psychometric properties, including internal consistency, test‐retest reliability, and construct validity.

Hypertension is a significant cause of cardiovascular disease, yet it is preventable and manageable at the community level. This cross-sectional study was conducted to assess the current status of Hypertension management at nine commune health stations (CHSs) in Vinh Yen City, Vinh Phuc Province, from August 2024 to April 2025. Data were collected via self-administered questionnaires and health reports, then analyzed using SPSS 25. All CHSs provided Hypertension screening, but only 44.4% offered ongoing treatment management. On average, each CHS had 3.7 staff involved; 55.6% had sufficient blood pressure monitors; 33.3% had adequate anthropometric tools; and 77.8% had clinical guidelines available. Regarding medications, 33.3% of CHSs stocked two drug classes, and 22.2% had all three essential antihypertensive drug groups. In 2024, 81.8% of adults aged ≥40 were screened, and 10.2% were newly diagnosed. In four communes, 29.2% of patients were under treatment, with 46.6% achieving target blood pressure. Factors significantly associated with blood pressure control included regular follow-up over three months (p=0.033), appropriate dose adjustment (p=0.027), and lifestyle behavior change (p=0.010).