Engagement In Behaviors Research Articles

The effect of customer participation on brand preference: Do hotel brand type and star rating matter?

Drawing on value co-creation theory, this study proposes a novel model that incorporates the hotel brand type and star rating into the “customer participation—customer brand engagement—brand preference” model to explore their impacts on the formation of customer brand preferences. Data collected from 330 hotel patrons were analyzed to test the proposed model. The results suggest that customer participation positively affected three dimensions of brand engagement, viz., cognitive engagement, affective engagement, and behavioral engagement, which in turn positively influenced brand preference. Contrary to expectation, hotel brand type and star rating weakened the relationships between affective engagement and brand preference. This study enriches the discussion on the determinants of brand preference and describes its formation path. Implications, as well as future research opportunities, are offered.

Life history strategy and romantic satisfaction in patients' behavior.

According to evolutionary psychologists, an individual-consciously or not-who allocates resources for somatic effort focuses on homeostasis and the protection of themselves and others. During health crises, patients must choose between mobilizing their remaining resources to either recover or accepting the disease as inevitable. When patients choose to be proactive in terms of protecting their health, are conscientious, and compliant in the recovery process, a high level of patient activation is achieved. Therefore, we examined (N = 252) whether the patients' K fitness strategies are predictors for engagement in patient activation-type behavior. In addition, we tested the mediating effect of pain catastrophizing and the moderating effect of romantic satisfaction. We found that people with a medical diagnosis, who were in a romantic relationship, and had high-K fitness were much more likely to be activated patients. Moreover, pain catastrophizing mediated the relationship between high-K fitness strategy and patient activation, while romantic satisfaction moderated this relationship, amplifying its intensity. The findings highlight the importance of identifying patients' psychological resources (e.g., high-K strategy, romantic satisfaction, or pain perception) to keep them engaged in the health recovery process.

Implementation and evaluation of a proactive consultation-liaison model on an inpatient obstetric unit

ObjectivePerinatal mental and anxiety disorders (PMADs) contribute to adverse health outcomes, though they are underrecognized and undertreated. Inpatient obstetric settings represent a unique opportunity for behavioral health engagement, including screening, brief treatment, and referrals for outpatient care. The proactive consultation-liaison (CL) model has proven effective in general hospital settings but is not well-studied in obstetric settings. This article describes the implementation and evaluation of a proactive CL model in an inpatient obstetric unit within a tertiary medical center. MethodsWe implemented a multidisciplinary, proactive CL model in an inpatient obstetric unit with the purpose of identifying patients at risk for or experiencing PMADs and providing intervention and/or referral to treatment. Systematic screening of 7322 admitted patients was performed over a 17-month period to identify eligible patients for behavioral health consultation. Consultation data was retrospectively extracted from the electronic medical record. Key implementation outcomes were assessed using a RE-AIM measures (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Results1589 initial consults were conducted by the multidisciplinary team, yielding a consult rate of 21.7 %. The majority of consults (94 %) were completed by a social worker or psychologist, with most patients identified for consultation at multidisciplinary rounds (60.7 %). The most common indications for consultation with a psychiatrist included medication management, history of bipolar disorder, and history of anxiety. All invited staff and providers participated in the model. Alternative funding sources agreed to cover the salaries of the multidisciplinary team following conclusion of pilot grant funding. ConclusionsA proactive CL model implemented in an inpatient obstetric unit led to a higher consult rate (21.7 %) than is observed with traditional CL services. A multidisciplinary proactive CL model shows promise in identifying people at-risk for PMADs and providing targeted interventions to prevent PMADs and treat those with active symptoms.

The influence of risk tolerance and brand trust on investment decision and customer engagement behavior

Understanding the impact of Risk Tolerance and Brand Trust on Investment Decisions and Customer Engagement Behavior is imperative in today's competitive financial environment. This study investigates the direct and mediating effects of Risk Tolerance and Brand Trust on Investment Decisions and Customer Engagement Behavior. Utilizing a quantitative approach with a survey method, data were collected from 144 private customers of Bank BRI in East Java through random sampling techniques. Structural Equation Modeling (SEM) was employed for data analysis. The research reveals significant direct effects of Risk Tolerance and Brand Trust on Investment Decisions. Likewise, the direct effects of brand trust and investment decision on customer engagement behavior are significant. However, the influence of risk tolerance on customer engagement behavior is not significant. These findings underscore the intricate dynamics of consumer behavior in the financial sector. This study contributes to a deeper understanding of how risk perception and trust in the brand affect investment decisions and customer engagement behavior, offering insights for strategic decision-making in the banking industry.

Self-regulated learning strategies, self-efficacy, and learning engagement of EFL students in smart classrooms: A structural equation modeling analysis

Smart classrooms have become increasingly prevalent in the domain of foreign language education. However, students' EFL learning in smart classrooms, especially their self-regulated learning (SRL) strategies, self-efficacy, and learning engagement during the process, remains understudied. Given the significant impact of these factors on students' academic achievement, this study applied a quantitative method to first clarify their respective factor structures, on the basis of which the links between the three were examined via structural equation modeling (SEM). Participants were 1107 undergraduates from different universities in China who had engaged in EFL learning in smart classrooms. The factor analysis revealed a two-facet structure of students’ SRL strategies (goal-planning strategies and help-seeking and self-evaluation strategies), a similar dual-component structure of their self-efficacy (self-efficacy of communicating with instructors and self-efficacy of task completion), and a four-dimensional structure of their engagement (cognitive engagement, behavioral engagement, social engagement, and emotional engagement) during EFL learning in smart classrooms. Moreover, the SEM results showed that SRL strategies did not directly predict learning engagement, while self-efficacy fully mediated the relationship between SRL strategies and learning engagement. The implications and limitations of these findings were also discussed.

Promoting Resilience in Stress Management for Adolescents With Type 1 Diabetes

Type 1 diabetes (T1D) requires demanding self-management health behaviors, and adolescents with T1D are at risk for poor psychosocial and medical outcomes. Developing resilience skills may help adolescents with T1D and elevated distress navigate common stressors and achieve positive outcomes. To test the efficacy of the Promoting Resilience in Stress Management (PRISM) intervention on levels of hemoglobin A1c (HbA1c), diabetes distress, self-management behaviors, resilience, and quality of life among adolescents. This phase 3, parallel, 1:1 randomized clinical trial that followed up 172 participants for 12 months was conducted from January 1, 2020, to November 30, 2022, at each of 2 children's hospitals, in Seattle, Washington, and Houston, Texas. Participants were ages 13 to 18 years with T1D for at least 12 months and elevated diabetes distress. PRISM, a manualized, skills-based, individual intervention program that teaches stress management, goal setting, reframing, and meaning-making, facilitated by a coach and accompanied by a digital app, was delivered in three 30- to 60-minute sessions approximately 2 weeks apart. The 2 primary outcomes, diabetes distress and HbA1c levels, and 3 secondary outcomes, resilience, quality of life, and engagement in self-management behaviors, were assessed at baseline and 6 and 12 months after baseline. Linear mixed-effects regression models were used to evaluate associations between PRISM or usual care (UC) and these outcomes at both time points for the intention-to-treat population. Among 172 adolescents (mean [SD] age, 15.7 [1.6] years), 96 were female (56%), and their baseline mean (SD) HbA1c level was 8.7% (2.0%). No differences were evident between PRISM and UC recipients in HbA1c levels (β, -0.21 [95% CI, -0.65 to 0.22]; P = .33) or diabetes distress (β, -2.71 [95% CI, -6.31 to 0.90]; P = .14) or any participant-reported outcome (eg, β, 2.25 [95% CI, -0.30 to 4.80]; P = .08 for self-management behaviors) at 6 months. At 12 months, there was no statistically significant difference between arms in HbA1c levels (β, -0.26 [95% CI, -0.72 to 0.19]; P = .25); however, PRISM recipients reported significantly greater amelioration of diabetes distress (β, -4.59 [95% CI, -8.25 to -0.94]; P = .01) and improvement in self-management behaviors (β, 3.4 [95% CI, 0.9 to 5.9]; P = .01) compared with UC recipients. The findings in this randomized clinical trial of psychosocial and behavioral improvements associated with PRISM at 12 months illustrate the value of a strengths-based intervention. Integrating resilience skills-building with traditional diabetes care may be a promising approach for improving outcomes among adolescents with T1D and elevated diabetes distress. ClinicalTrials.gov number: NCT03847194.

Influences on Father Intentions to Engage in Caregiving

Promoting father engagement in caregiving behaviors is a global health priority to improve individual, child, family, and community health. The purpose of this study was to explore barriers and passages to caregiving as experienced by engaged fathers as additional findings of a constructivist grounded theory study on the social process of caregiving in fathers. Through convenience and snowball sampling, 35 participants participated in the study. Data analysis occurred through coding for positive and negative influences utilizing an iterative categorization matrix. Negative influences, or barriers, included preoccupation, exhaustion, controlling forces, and social culture. Positive influences, or passages, included love, expectations, lifestyle, and support. The results of this study are discussed in perspective of the Theory of Caregiving in Fathers, which was created from the original constructivist grounded theory study. The findings of this study can inform targeted tools and interventions to support ongoing challenges to caregiving by fathers.

A randomized clinical trial to evaluate feasibility, tolerability, and preliminary target engagement for a novel executive working memory training in adolescents with ADHD

ObjectiveWorking memory training for Attention-Deficit/Hyperactivity Disorder (ADHD) has focused on increasing working memory capacity, with inconclusive evidence for its effectiveness. Alternative training targets are executive working memory (EWM) processes that promote flexibility or bolster stability of working memory contents to guide behavior via selective attention. This randomized, placebo-controlled study was designed to assess feasibility, tolerability, and behavioral target engagement of a novel EWM training for ADHD. Method62 ADHD-diagnosed adolescents (12–18 years) were randomized to EWM training or placebo arms for 20 remotely coached sessions conducted over 4–5 weeks. Primary outcome measures were behavioral changes on EWM tasks. Secondary outcomes were intervention tolerability, trial retention, and responsiveness to adaptive training difficulty manipulations. ResultsLinear regression analyses found intervention participants showed medium effect size improvements, many of which were statistically significant, on Shifting and Filtering EWM task accuracy and Shifting and Updating reaction time measures. Intervention participants maintained strong self-rated motivation, mood, and engagement and progressed through the adaptive difficulty measures, which was further reflected in high trial retention. ConclusionsThe results suggest that these EWM processes show promise as training targets for ADHD. The subsequent NIMH R33-funded extension clinical trial will seek to replicate and extend these findings.

Symphony of Success: Leader-Practitioner Reciprocity during Evidence-Based Practice Implementation

This study aimed to explore the reciprocal relationships between implementation leadership and practitioner implementation citizenship behavior during the implementation of evidence-based practices (EBPs). Data were collected at two timepoints with a time lag of six months during a national implementation of evidence-based treatment for post-traumatic stress disorder in Norwegian mental health clinics. Data from 72 leaders and 346 practitioners were analyzed with a two-wave cross-lagged panel model, accounting for the nested structure and adjusting for demographic variables. Significant positive autoregressive effects for both implementation leadership and implementation citizenship behavior indicated some stability in ratings across time. Significant cross-lagged effects in both directions indicated that practitioners who experienced greater implementation leadership from their leaders demonstrated greater implementation citizenship behavior six months later, and vice versa. Findings hence supported both the social exchange hypothesis and the followership hypothesis, suggesting reciprocal associations between the constructs. The findings underscore the mutually influential relationship between leaders’ behavior and practitioners’ engagement in citizenship behavior during EBP implementation. The study emphasizes the importance of interventions focusing on leadership behaviors that encourage practitioner engagement and mutually beneficial behavior patterns, highlighting the reciprocal and vital roles that both leaders and practitioners play in successful EBP implementation.

Augmented Narrative Advertising: Consumer Responses to AR Story Filters and Product Placement Primes

We investigated augmented narrative advertising (ANA), which integrates storytelling with digitally embedded product placements using an augmented reality (AR) story filter. With a sample of 130 U.S. college students, we compared AR- and non-AR narrative advertising formats, while also examining the impact of product placement primes (PPPs) in a health context. Our findings illuminated the capability of ANA to prompt positive shifts in an individual’s health beliefs, attitudes, and behavioral intentions within narratives, while also highlighting its advantages in product placement, thereby contributing to the discussion surrounding AR technology. Additionally, PPPs enhanced advertising effectiveness without compromising story engagement, indicating their compatibility with traditional advertising alongside ANA formats. Moreover, we delved into the underlying processes of transportation, elaboration, and engagement to deepen our comprehension of the persuasive prowess of ANA. Our study underscores the intricacies of ANA and emphasizes the necessity for further investigation. These insights provide valuable guidance for advertisers aiming to utilize AR technology to boost brand engagement and influence consumer behavior in the digital landscape.

The Role of Social Media in Building Islamic Banking Consumer Engagement: Analysing the Impact of Brand Personality Traits and Brand Love

This study aims to shed light on the role of social media in building consumer engagement and examines the impact of Islamic brand personality traits on electronic word-of-mouth and brand trust in the context of social media engagement behaviour within Islamic online banking. To assess the proposed model a sample of 665 users was recruited. The results show that the brand personality traits of Islamic brands within the context of the Islamic banking sector have a positive impact on brand trust and electronic word of mouth when mediated by brand love. This study addresses this gap in research by examining the impact of Islamic brand personality traits and brand love on electronic word-of-mouth and brand trust in Palestine. These results underline the importance of considering the alignment of brand personality traits with Islamic principles in fostering engagement and trust towards the brand.

Augmented reality books: in-depth insights into children's reading engagement.

Children's reading engagement is associated with the quality of their reading experiences and outcomes; however, research to date has only examined children's reading engagement within the context of traditional print books or digital texts. Augmented Reality represents a hybrid reading experience, where traditional paper books are augmented with digital features (e.g., animations, sounds, comprehension questions). This is the first study to examine children's perspectives and experiences of AR books, within the context of reading engagement. In total, 38 demographically diverse children (aged 8-10, 21 male, 17 English as an Additional Language, 14 ethnicities, nine with teacher-reported reading difficulties) from the UK participated. After reading an AR book, children participated in interviews about their reading engagement. Deductive (themes) and inductive (subthemes) approaches to thematic analysis were used, examining children's AR reading experiences within the context of their behavioral, cognitive, affective and social engagement. The majority of children found AR books easy to use, and provided examples of how AR books supported their behavioral engagement (e.g., desire to read more/extend reading practices), altered their cognitive engagement (e.g., reading strategies, visual representation/use of imagination, comprehension monitoring), influenced their affective engagement: (e.g., diverse positive feelings), and social engagement (e.g., prompted interaction and discussion), providing examples suggesting similarities and differences with traditional print books. This paper provides novel in-depth insights into children's perspectives and experiences of AR books, and provides a foundation for researchers, educators, and AR book designers interested in better supporting children's reading experiences and outcomes with AR books.

Factors Associated with School Engagement Changes During the COVID-19 Pandemic Among Finnish Middle School Students

Abstract: Introduction: “School engagement” refers to the feelings and thoughts pupils have for school, which, according to theory, can be divided into behavioral, cognitive, and emotional engagement. Previously identified factors predicting school engagement are teacher-student relationship, individual characteristics, emotional stability, and gender. Aim: The current study addresses changes in behavioral, cognitive, and emotional school engagement during the COVID-19 pandemic. It analyzes the effect of previously identified risk factors on self-reported change in school engagement among middle-school students in Finland. Methods: We collected the data in the spring of 2021. Participants were 1,788 Finnish middle-school pupils (age range 12–17) who responded to an online survey during the school day. Results: After we controlled for multiple tests, the results revealed a few significant factors associated with negative changes in school engagement. However, prior anxiety, depression, or externalizing behavior were related to negative changes. Discussion: Pupils with previous risk factors for low engagement or different kinds of struggles in school were more likely to react negatively to the changes brought forth by the pandemic on several engagement outcomes compared to students with few or no risk factors. In the future, should disruptions of normal school routines be necessary, special attention should be given to planning proper support for at-risk students.

“Willing to go the extra mile”: an exploration of antecedents of assigned expatriates' work engagement

PurposeThe expatriation literature (a substantial domain of the International HRM literature) has not paid sufficient attention to the phenomenon of work engagement, which is essential for expatriate success. Equally, research on work engagement in Organizational Behavior, although extensive and mature, has neglected the context of expatriation. Our study bridges the two literature streams to examine the antecedents of expatriates’ work engagement within the distinct context of international assignments.Design/methodology/approachThrough e-interviews with 27 Nordic assigned expatriates in 16 host countries, we delineate and organize antecedents of assigned expatriates’ work engagement in a framework.FindingsWe identify two clusters of antecedents – general and specific – characteristic of expatriate settings (e.g. distance to headquarters, pride in being chosen, culture, fewer distractions, success in a foreign context, adjustment, location, and language). We decompose each cluster into contextual and job-related antecedents leading to absorption, dedication, and vigor as three components of work engagement. We depict and organize the relationships in a framework.Originality/valueOur qualitative study connects two bodies of literature that have remained largely independent of each other. In doing this, we contribute to the expatriate literature by presenting a comprehensive picture of antecedents to work engagement and the engagement literature by exploring engagement in a new occupational work setting, namely international assignments.

Self-Compassion and Emotion Dysregulation Mediate the Effect of Stress Appraisals on Elder Abuse and Neglect Behaviors in Dementia Family Caregiving.

The purpose of this paper is to evaluate the mechanistic process by which family caregivers' situational stress appraisals of behavioral symptoms of dementia (BSD) increase the likelihood of a caregiver engaging in abusive and neglectful behaviors toward their care recipient with dementia. We test the hypotheses that (1) the effect of daily BSD stress appraisals on elder abuse and neglect (EAN) is mediated by the caregivers' emotion dysregulation (2) and the mediation path is moderated by self-compassion. This study employed a multitime series design in which participants (N = 453) completed traditional longitudinal surveys at enrollment followed by 21 sequential days of diary surveys (n = 9,513). The hypothesized moderated mediation path was evaluated through a multilevel structural equation model. Hypotheses were supported. At the within-person level, daily BSD stress appraisal has a significant direct effect on daily EAN. At the between-person level, the path was no longer significant implying a full mediation of emotion dysregulation. The main effect of self-compassion and the interaction term (emotion dysregulation × self-compassion) were also statistically significant indicating the path between emotion dysregulation and EAN is moderated by self-compassion. This study significantly advances the field by empirically showing a mechanistic pathway for a theoretical explanation of EAN. These findings represent a breakthrough for the field and identify modifiable intervention targets for future behavioral interventions to prevent EAN. Emotion (dys)regulation and self-compassion are modifiable traits and skills that can be learned, with robust evidence bases of efficacious interventions that can be adapted for context to dementia family caregiving.

Relationship between driving while impaired and riding with an impaired driver among adolescents in the United States

ABSTRACT Background Alcohol, tobacco, and other drug use (ATOD) and sexual risk-taking are contributors to the health and welfare of adolescents and a significant percentage engage in these behaviors. These behaviors may contribute to other risk-taking such as driving while impaired (DWI) or riding with an impaired driver (RWI). The purpose of this study was to assess the relationship between DWI and RWI and ATOD use, sexual risk-taking, and physical fighting among adolescents. Methods Date for this study were derived from the 2017, 2019, 2021 Youth Risk Behavior Survey (YRBS) (n = 45,132). Logistic regression models were used to estimate the association between DWI and RWI and ATOD use, sexual risk-taking, and physical violence. Results Heavy smoking, binge drinking, prescription pain medication without a prescription, sexual intercourse with four or more people, and being in a fight on school property were associated with DWI. Binge drinking, prescription pain medication without a prescription, alcohol or drug use before last sexual intercourse, and being in a fight in or out of school were associated with RWI. Conclusions The results seem to suggest that risk behaviors are intertwined with DWI and RWI. There may be a combined effect of engaging in one risk behavior, influencing engagement in other risk behaviors.

"Inspired to be a teacher seriously": An autoethnography of student engagement in a Vietnamese TESOL training programme

TESOL (Teaching English to Speakers of Other Languages) training programmes in Vietnam often emphasise the significant alignment of academic knowledge with practical classroom methods. However, an intricate yet underexplored topic is understanding the dynamic engagement of student teachers in those programmes to investigate the complexities of such alignment. Therefore, this research examines factors influencing student teachers’ in-class engagement following a 120-hour TESOL training programme at an institution in Vietnam. This autoethnographic study analysed a TESOL teacher trainer’s reflections on student teachers’ engagement in the programme, using artefacts in the form of anonymous and open-ended short-text feedback from 30 students across approximately eight months. The reflection and feedback responses were analysed thematically, anchored in a framework emphasising the three facets of in-class engagement, i.e., cognitive, emotional, and behavioural dimensions. Through the analysis, three themes were constructed: (1) theoretical-practical synthesis: how TESOL-related concepts are blended with concrete teaching examples; (2) pedagogical climate: the teacher educator’s critical role in creating a receptive and engaging learning environment; and (3) professional pathway clarity: the student teachers’ understanding of their future roles and trajectories in the TESOL arena. The research’s findings provide TESOL educators with crucial insights into student teachers’ engagement with teaching methods that synthesise both theoretical and practical components. Moreover, the research enriches the academic discourse, underscoring the potential of using the cognitive, emotional, and behavioural engagement triad as a diagnostic tool to understand students’ learning experiences in TESOL training programmes.

Barriers to Engagement with Gastrointestinal Health Management

BackgroundAlthough behavioral interventions have been effective in gastrointestinal (GI) conditions, barriers exist in implementing these interventions into clinical practice. The majority of previously published studies have focused on workforce limitations and have not considered individual and social determinants of health (SDoH) factors that can impact engagement in GI behavioral healthcare.AimsTo characterize barriers to engagement in appointment attendance and health management, explore individual and SDoH factors impacting GI behavioral healthcare engagement, and identify barriers that occur more often for patients with SDoH-related vulnerability (low health literacy and/or financial insecurity).MethodsA survey was distributed to adult patients who had been seen in Gastroenterology at the Dartmouth-Hitchcock Medical Center from June 2022 to December 2022.ResultsOne hundred participants [mean age = 58 years, 57.1% women] completed the survey. SDoH vulnerability was present in 32.3% of the population. For the entire sample, 73% reported at least one barrier to accessing care and 75% reported at least one factor which impacted health management. Those with SDoH vulnerability reported significantly more barriers to attending appointments and to managing health. In addition, they were significantly more likely to endorse physical health problems, difficulty affording medical bills, pain, mobility issues, trauma experiences, significant stress, and difficulty with concentration.ConclusionsPatients in a GI clinic reported multiple barriers to accessing care and participating in health management. Innovative, multi-level strategies are needed to address barriers to ensure that all patients are able to obtain quality GI behavioral health services.

Using text and image mining to study how actor engagement creates value in the sharing economy

Purpose This paper aims to explore the concept of “actor engagement” within the context of the sharing economy, a novel and dynamic business model. Specifically, it investigates the formation of actor engagement and its relationship with value creation within this business model. Design/methodology/approach Drawing on Storbacka et al. (2016)actor engagement framework and service-dominant logic service ecosystem model, unstructured data (text and images) from the Airbnb platform in seven countries and text- and image-mining techniques such as machine learning are used to measure the research variables and test the model by PLS-SEM. Findings The results indicate that affective engagement has a more significant impact on behavioural engagement than cognitive engagement for multidimensional actor engagement. Service providers’ engagement – directly, and through customer engagement – influences value creation for service providers (i.e. performance). Moreover, national-level moderator (i.e. economic, competitiveness, technology, social and political factors) plays a significant moderating role in our model. Research limitations/implications This study encourages future research to explore how actor engagement leads to value creation for all actors on the different sharing economy platforms. Practical implications The findings provide practical insights for service providers to engage their customers and platform managers, especially in an international context, on managing their relationships with both customers and service providers in different countries. Originality/value This study advances the current literature on actor engagement and its role in value creation by providing a better understanding of the role of the national context in this process through unstructured data analysis.

Chronic Illness Perceptions and Cardiovascular Disease Risk Behaviors in Black and Latinx Sexual Minority Men with HIV: A Cross-Sectional Analysis.

Ethnic and racial sexual minority men with HIV have a disproportionately higher risk of HIV-related cardiovascular disease (CVD). There is a lack of tailored and culturally salient behavioral interventions to address HIV-related chronic illness in ethnic and racial sexual minority men, and literature on their understanding and awareness of modifiable behavioral risks is limited. The purpose of this study was to assess illness perceptions about HIV and HTN, and describe physical activity, tobacco, and e-cigarette use in Black and Latinx sexual minority men living with HIV. We used the validated Illness Perception Questionnaire-Revised (IPQ-R) to assess perceptions about two interrelated chronic diseases, HIV and CVD. To assess CVD behavioral risk, we assessed physical activity using the International Physical Activity Questionnaire. Tobacco and e-cigarette use were assessed using items from the Behavioral Risk Factor Surveillance System. Sleep difficulties were the most prevalent symptom attributed to HIV, and were statistically associated with fatigue, upset stomach, and loss of strength. Anxiety was reported to be caused by HIV (57%) and HTN (39%). Half of the participants engaged in vigorous activity for 128 min (SD = 135) daily, and 63% engaged in moderate activity for 94 min (SD = 88) daily. Over a third reported current tobacco use and 20% reported current e-cigarette use. This study provides formative data to better understand how Black and Latinx sexual minority men with HIV perceive intersecting chronic illnesses and their engagement in modifiable CVD risk behaviors. Sleep, mental health disparities, and financial hardships were commonly reported. More research is needed to address intersecting chronic illnesses and mental health conditions that are influenced by social positioning over the life course, and impact CVD risk factors. This study was not registered.