Lasting Changes In Behavior Research Articles

Maternal prenatal social contact during the COVID-19 pandemic predicts infant birth weight

BackgroundSocial connectedness and mental health have been associated with infant birth weight, and both were compromised by the COVID-19 pandemic. AimsWe sought to examine whether changes in maternal prenatal social contact due to the COVID-19 pandemic were associated with infant birth weight and if maternal prenatal mental health mediated this association. Study designA longitudinal study of mothers and their infants born during the first wave of the COVID-19 pandemic. SubjectsThe sample consisted of 282 United States-based mother-infant dyads. Outcome measuresDepressive symptoms were measured with the Beck Depression Inventory-II, anxiety was measured with the State Anxiety Inventory, and stress was measured using the Perceived Stress Scale 14. We also asked participants about pandemic-related changes in social contact across various domains. Adjusted birth weight was calculated from birth records or participant-report when birth records were unavailable. ResultsDecreases in social contact during the pandemic were associated with lower adjusted infant birth weight (B = 76.82, SE = 35.82, p = .035). This association was mediated by maternal prenatal depressive symptoms [Effect = 15.06, 95 % CI (0.19, 35.58)] but not by prenatal anxiety [95 % CI (−0.02, 32.38)] or stress [95 % CI (−0.31, 26.19)]. ConclusionThese findings highlight concerns for both mothers and infants in the wake of the COVID-19 pandemic, since birth weight can have long-term health implications and the social restructuring occasioned by the pandemic may lead to lasting changes in social behavior.

Input, Outcome, and Impact: A Program-Informed Model to Improve the Effectiveness of Corporate Social Marketing

Background The purpose of this research is to extend Corporate Social Marketing (CSM) literature and provide practitioners with a framework that can be used in different contexts, as the existing literature lacks an understanding of what factors determine the success of a CSM program and understand the interplay between cross-sector partnerships, CSM, and societal outcomes and impact delivery. Companies are taking a greater interest in addressing social issues, utilizing innovative CSR approaches such as CSM to promote behavior change among their audience while matching their core strengths and attributes ( Kotler et al., 2012 ). Focus of the Article The article evaluates how the CSM program Mein Pragati developed lasting behavior change and seeks to develop a conceptual model around its success. Research Question How can the CSM contribute to behavior change programs? Program Design/Approach Importance to the Social Marketing Field The proposed model (Input, Outcome, and Impact Model of Program Development) provides a structured approach to building a CSM program that changes behavior and develops mutual benefit between corporations, government, and nonprofits. Methods Using a case study approach, this paper analyzes a successful financial inclusion program, Mein Pragati of a global analytics company, CRISIL, and its CSR arm. The three studies (in-depth interviews with eight management members, in-depth interviews with 82 Sakhis (peer educators) and their spouses, and 248 survey interviews with beneficiaries reveal the connection between program development, social outcomes, and societal impact. Results Based on the findings of the three studies, the cross-sector Input, Output, and Outcome Model of the Program Development proposes ways to build effective CSR interventions. Individually, the findings from the in-depth interviews provide a thematic overview of CSM’s success, peer educator interviews identify the impact and outcomes of Mein Pragati, and beneficiary interviews demonstrate program success. Recommendations for Research and Practice Future research can empirically test the Input, Outcome, and Impact Model of Program Development, as further exploration of CSM is needed to understand how the concepts of people, planet, and profits can mutually benefit and provide both behavioral and societal change within program development.

Perspectives on contingency management for alcohol use and alcohol-associated conditions among people in care with HIV.

Contingency management (CM) is an evidence-based approach for reducing alcohol use; however, its implementation into routine HIV primary care-based settings has been limited. We evaluated perspectives on implementing CM to address unhealthy alcohol use and associated conditions for people with HIV in primary care settings. From May 2021 to August 2021, we conducted two focus groups with staff involved in delivering the intervention (n = 5 Social Workers and n = 4 Research Coordinators) and individual interviews (n = 13) with a subset of participants involved in the multi-site Financial Incentives, Randomization, and Stepped Treatment (FIRST) trial. Qualitative data collection and analyses were informed by the Promoting Action on Research Implementation in Health Service (PARIHS) implementation science framework, including evidence (perception of CM), context (HIV primary care clinic and CM procedures), and facilitation (feasibility outside the research setting). Several major themes were identified. Regarding the evidence, participants lacked prior experience with CM, but the intervention was well received and, by some, perceived to lead to lasting behavior change. Regarding the clinical context for the reward schedule, the use of biochemical testing, specifically fingerstick phosphatidylethanol testing, and the reward process were perceived to be engaging and gratifying for both staff and patients. Participants indicated that the intervention was enhanced by its co-location within the HIV clinic. Regarding facilitation, participants suggested addressing the intervention's feasibility for non-research use, simplifying the reward structure, and rewarding non-abstinence in alcohol use. Among patients and staff involved in a clinical trial, CM was viewed as a helpful, positive, and feasible approach to addressing unhealthy alcohol use and related conditions. To enhance implementation, future efforts may consider simplified approaches to the reward structure and expanding rewards to non-abstinent reductions in alcohol consumption.

Implementation of Functional Behavior Assessments for Individuals with Developmental Disabilities Exhibiting Sexually Inappropriate Behaviors

A functional behavior assessment is an evidence-based process that identifies the function of challenging behaviors in order for educators to develop behavior intervention plans for students with disabilities. All behaviors are under stimulus control and research indicates that behaviors typically serve four functions: tangible, escape, attention, and automatic. However, when individuals with developmental disabilities engage in inappropriate sexual behaviors such as exposing their genitalia in public places or groping a stranger, it is not typical for practitioners to implement this functional behavior assessment process as these sexual behaviors are often viewed as different from non-sexual inappropriate behaviors like screaming in class or throwing school materials. This article presents information of how to complete a comprehensive functional behavior assessment for three students with developmental disabilities who exhibit sexually inappropriate behaviors in school settings to highlight the usefulness of the functional behavior assessment process for developing behavior intervention plans for long lasting behavior change

Self-efficacy resources program for behavior changes

Self-efficacy resources program for behavior changes

Early life sleep disruption potentiates lasting sex-specific changes in behavior in genetically vulnerable Shank3 heterozygous autism model mice

BackgroundPatients with autism spectrum disorder (ASD) experience high rates of sleep disruption beginning early in life; however, the developmental consequences of this disruption are not understood. We examined sleep behavior and the consequences of sleep disruption in developing mice bearing C-terminal truncation mutation in the high-confidence ASD risk gene SHANK3 (Shank3ΔC). We hypothesized that sleep disruption may be an early sign of developmental divergence, and that clinically relevant Shank3WT/ΔC mice may be at increased risk of lasting deleterious outcomes following early life sleep disruption.MethodsWe recorded sleep behavior in developing Shank3ΔC/ΔC, Shank3WT/ΔC, and wild-type siblings of both sexes using a noninvasive home-cage monitoring system. Separately, litters of Shank3WT/ΔC and wild-type littermates were exposed to automated mechanical sleep disruption for 7 days prior to weaning (early life sleep disruption: ELSD) or post-adolescence (PASD) or undisturbed control (CON) conditions. All groups underwent standard behavioral testing as adults.ResultsMale and female Shank3ΔC/ΔC mice slept significantly less than wild-type and Shank3WT/ΔC siblings shortly after weaning, with increasing sleep fragmentation in adolescence, indicating that sleep disruption has a developmental onset in this ASD model. ELSD treatment interacted with genetic vulnerability in Shank3WT/ΔC mice, resulting in lasting, sex-specific changes in behavior, whereas wild-type siblings were largely resilient to these effects. Male ELSD Shank3WT/ΔC subjects demonstrated significant changes in sociability, sensory processing, and locomotion, while female ELSD Shank3WT/ΔC subjects had a significant reduction in risk aversion. CON Shank3WT/ΔC mice, PASD mice, and all wild-type mice demonstrated typical behavioral responses in most tests.LimitationsThis study tested the interaction between developmental sleep disruption and genetic vulnerability using a single ASD mouse model: Shank3ΔC (deletion of exon 21). The broader implications of this work should be supported by additional studies using ASD model mice with distinct genetic vulnerabilities.ConclusionOur study shows that sleep disruption during sensitive periods of early life interacts with underlying genetic vulnerability to drive lasting and sex-specific changes in behavior. As individuals progress through maturation, they gain resilience to the lasting effects of sleep disruption. This work highlights developmental sleep disruption as an important vulnerability in ASD susceptibility.

Big Data Model of Higher Education Online Teaching Based on Intelligent Algorithm

With the continuous development of society, the demand for processing large-scale data in many fields is increasing. Traditional processing training techniques have many limitations for big data analysis applications. Therefore, how to transform big data into general-purpose information becomes particularly important. This research mainly discusses the big data model analysis of higher education online teaching based on intelligent algorithms. The process of the experiment is to access how trainers interact or receive information stimulation in videos and courseware and how to cause relatively lasting changes in cognitive behavior. From the experimental research, we discovered the law of practical training and finally provided personalized teaching support services according to the needs and abilities of the trainers. On the other hand, the online training algorithm for big data analysis is studied, the methods needed to solve the big data mining task are discussed, and the online course training is recommended in many ways. Experimental data show that the algorithm of large-scale online training behavior data analysis on the behavior analysis results of online trainers is conducive to the improvement of online trainers’ learning efficiency. The experimental results show that the algorithm of large-scale online training behavior data analysis can show good model analysis performance, which is conducive to the prediction of the training personnel, and the prediction accuracy reaches about 90%. It is found that the algorithm that implements large-scale online training behavior data analysis can effectively categorize the relationship between the trainee’s visits. Through innovative data analysis methods, fast, efficient, and timely analysis of big data streams is realized.

Fitness motivations in United States Airmen

The increased consumer use of wearable fitness trackers which began in the early 2010s, has provided researchers with the opportunity to better understand human motivations for fitness. While physical fitness remains vital to health and is recognized as a predictor of long-term healthcare cost, it is crucial to better understand how to influence lasting changes in behavior and how those changes are associated with different motivation. The United States Air Force requires members to adhere to certain fitness standards as a means to measure mission readiness as well as in consideration of healthcare costs throughout an Airmen’s career and into their retirement. Wearable fitness trackers offer an opportunity for the Air Force to increase physical fitness among Airmen by tailoring motivation tactics to fit their individual needs. This article will review the differing types of human motivation that drive fitness by examining them in relation to self-determination theory and exploring how wearable fitness trackers can be utilized in conjunction with this to improve fitness among Airmen.

Behavioral Psychedelics: Integrating Mind and Behavior to Improve Health and Resilience.

One of the most recent and potentially promising advancements in the health sciences has involved the attempted use of psychedelics for treating mental and behavioral health problems, such as anxiety, depression, posttraumatic stress disorder, and addiction. Despite surging scientific and public interest in this work, however, we presently have no standard of care or consensus regarding how best to combine psychotherapy and psychedelics or to assess effectiveness. We discuss these timely issues here through the lens of behavioral psychedelics, which we define as the study of psychedelics to foster intentional changes in habits and behaviors to improve health and resilience. Psychedelics may have the potential to reduce chronic disease risk caused by mental and behavioral rigidity. To fully realize this potential, though, we believe the field must establish best practices and guidelines that include how to induce lasting changes in behavior.

Health Behavior Change Programs in Primary Care and Community Practices for Cardiovascular Disease Prevention and Risk Factor Management Among Midlife and Older Adults: A Scientific Statement From the American Heart Association.

Cardiovascular disease predominates as the leading health burden among middle-aged and older American adults, but progress in improving cardiovascular health remains slow. Comprehensive, evidenced-based behavioral counseling interventions in primary care are a recommended first-line approach for promoting healthy behaviors and preventing poor cardiovascular disease outcomes in adults with cardiovascular risk factors. Assisting patients to adopt and achieve their health promotion goals and arranging follow-up support are critical tenets of the 5A Model for behavior counseling in primary care. These 2 steps in behavior counseling are considered essential to effectively promote meaningful and lasting behavior change for primary cardiovascular disease prevention. However, adoption and implementation of behavioral counseling interventions in clinical settings can be challenging. The purpose of this scientific statement from the American Heart Association is to guide primary health care professional efforts to offer or refer patients for behavioral counseling, beyond what can be done during brief and infrequent office visits. This scientific statement presents evidence of effective behavioral intervention programs that are feasible for adoption in primary care settings for cardiovascular disease prevention and risk management in middle-aged and older adults. Furthermore, examples are provided of resources available to facilitate the widespread adoption and implementation of behavioral intervention programs in primary care or community-based settings and practical approaches to appropriately engage and refer patients to these programs. In addition, current national models that influence translation of evidence-based behavioral counseling in primary care and community settings are described. Finally, this scientific statement highlights opportunities to enhance the delivery of equitable and preventive care that prioritizes effective behavioral counseling of patients with varying levels of cardiovascular disease risk.

Motivational regulations and lifestyle in muscle-wasted COPD patients undergoing pulmonary rehabilitation

<h2>Summary</h2><h3>Background & Aims</h3> Low physical activity (PA) levels and a poor-quality diet are common in chronic obstructive pulmonary disease (COPD) patients eligible for pulmonary rehabilitation (PR). PR may improve short-term nutritional status and exercise capacity but generally not long-term lifestyle outcomes. We hypothesized that healthy lifestyle motivation is related to PA levels and dietary quality before PR and the responsiveness thereof after PR. <h3>Methods</h3> Before and after standardized outpatient PR, 81 COPD patients with low muscle mass completed validated motivational regulation self-reports. Physical (in)activity was assessed before and after PR through 7-day accelerometry (GT3X Actigraph). Dietary quality was assessed using a validated cross-check dietary history before and after PR and quantified as the Mean Adequacy Ratio (MAR). <h3>Results</h3> Patients' baseline motivational profile was unrelated to dietary quality or PA. Baseline integrated motivation and its change during PR significantly predicted MAR change during PR and its levels after PR. Baseline introjected motivation and its change during PR significantly predicted PA change during PR and its levels after PR. <h3>Conclusions</h3> Specific motivational regulations predict dietary quality and PA improvements of patients with COPD admitted to PR. Therefore, targeting integrated and introjected motivation may be key to achieving lasting behavior change after PR. <h3>Registry site</h3> Maastricht University Medical Centre+. <h3>Clinical trial identifier number</h3> NCT01344135.

Close encounters of the worst kind: reforms needed to curb coral reef damage by recreational divers

Intentional and unintentional physical contact between scuba divers and the seabed is made by most divers and multiple times per dive, which often results in damage to corals and other marine life. Current efforts to reduce reef contacts (e.g., voluntary dive operator recognition programs and voluntary dive standards) can be effective, but lack sufficient incentive structures for long-term compliance. In their current capacity, these programs fail to reduce reef contacts to tolerable levels. Regulatory policies can facilitate pervasive and permanent shifts in human behavior, but have been underutilized to change unsustainable underwater norms. Most coral reefs open to recreational diving lie within territorial waters of individual countries, and many already have existing forms of protection with legislation that can be easily modified. Successful policy precedents in Marine Protected Areas (e.g., bans on underwater glove use) and elsewhere (e.g., anti-smoking laws in public spaces and legislation enforcing seat belt use) demonstrate the largely untapped potential of using effective governance to change destructive diving norms for good. To reduce intentional reef contacts, policy-makers can enact regulations in MPAs directly banning all contact between divers and the seabed. To reduce unintentional contacts, policy-makers can create policy safeguards that preempt such occurrences (e.g., requiring divers to keep a certain distance from the seabed). Crucially, such policies will need accompanying formal and informal enforcement measures that are equitable, effective, and efficient to motivate compliance and effect lasting behavior change. Having a robust, well-enforced, regulatory framework to tackle both types of reef contacts lends credence to the efforts of existing conservation programs, and is key to permanently changing divers’ underwater attitudes and fostering sustainable scuba diving behavior to the benefit of all.

Making the grade with quality reports

The current volume of The Journal includes a study from Fogel et al at Penn State, which reports on the results of a quality improvement study at their institution. These workers aimed to improve adherence with current guidelines on lead screening in children in some of their affiliated practices. The study found that an educational intervention produced very little change in practitioner behavior, as assessed by medical record documentation of appropriate lead testing. However, introduction of a point of care (POC) testing device in one of the clinics resulted in striking and durable improvement in screening. Quality improvement initiatives are ubiquitous in children's hospitals these days, and clearly provide value added to the children and families served. However, we rarely publish single-center studies such as this one. We believe that QI initiatives are generally specific to the institutions conducting them, and rarely have the type of generalized impact that we like to see in manuscripts we publish. That being said, there were 3 reasons we believed that this study was appropriate for The Journal. First, of course, the problem was important. Beyond that, the study was very nicely designed, undertaken, and reported. As such, it can provide a model for such reports in the future. Finally, the report drives home a common observation in quality intervention science. "Education," while admirable, rarely produces lasting changes in behavior. Meaningful change in provider behavior in this study only occurred when a novel intervention (a technology) made it possible to change a process, making it easy for the test to be ordered and performed while the child was still in the clinic. Article page 206 ▸ Point-of-Care Testing Improves Lead Screening Rates at 1- and 2-Year Well VisitsThe Journal of PediatricsVol. 233PreviewTo increase blood lead level screening rates in children at 12- and 24-month well visits through provider education and the implementation of a point-of-care (POC) lead screening program in 4 primary care practice offices located in and neighbored by counties with ≥5% prevalence of blood lead levels ≥5 μg/dL. Full-Text PDF

Impact of Social Media on Skin Cancer Prevention.

Despite the increasing prevalence of social media usage in health care contexts, its impact on skin cancer prevention and awareness has not been largely investigated. We conducted a review of literature on this topic with the objective of summarizing and analyzing the role of social media in skin cancer and sun damage awareness and to identify the uses, benefits, and limitations of different social media platforms on skin cancer prevention. In today’s technological society, it is critical to understand and study the best form of communication. Specific platforms like Instagram, Twitter, Facebook, YouTube, and TikTok vary in originators of material, target demographics, messaging strategies, and reliability of information with regards to skin cancer, sun, and indoor tanning damage. Our results demonstrate that social media interventions have shown promise in skin cancer prevention and continue to escalate by the day. Dermatologists should keep pace with the latest dermatological content on social media and examine its evolution to target the right audience with the proper messages. Further research is needed to evaluate the effectiveness and true impact of social media on meaningful and lasting behavior change for skin cancer prevention.

A Review of Effective Strategies for Parent-Delivered Instruction.

Parent involvement in treatment is an important component of effective behavior-analytic services. Whether parents are expected to act as the primary behavior change agent or support treatment in other ways, behavior analysts must provide them with the resources necessary to encourage lasting behavior change. A critical component of supporting lasting behavior change is the foundational skills related to instruction delivery. Without these skills, parents will not likely benefit from more advanced programs and interventions recommended by behavior analysts. Therefore, the purpose of this article is to describe the foundational skills necessary for parents to successfully establish an instructional environment for further program and intervention delivery. To aid practitioners, a parent-friendly handout is included and discussed.

Psychological affordances help explain where a self-transcendent purpose intervention improves performance.

Lay theory interventions instill situation-general ways of thinking, often using short reading and writing exercises, and they have led to lasting changes in behavior and performance in a wide variety of policy domains. Do they work in all contexts? We suggest that lay theory intervention effects depend on psychological affordances, which are defined as cues that allow individuals to view a lay theory as legitimate and adaptive in that context. The present research directly and experimentally tested this hypothesis using the example of a "purpose for learning" lay theory intervention, which taught the lay theory that school is a place to develop skills that allow one to make progress toward self-transcendent aims. A double-blind 2 (student purpose intervention) × 2 (purpose-affording note) field experiment was conducted in a relatively low-performing public middle school in the United States. Students first received a web-based purpose for learning lay theory intervention (or a control activity), and 2 weeks later attended a class in which an assignment was accompanied by a purpose-affording note that was hand-written by a teacher (or a control note). Results showed that the purpose lay theory intervention increased performance on an English class writing assignment, but only when it was accompanied by a purpose-affording note. Exploratory analyses revealed that the effects of the manipulations were apparent among students who were at greater risk for poor performance in the class: nonnative English-speaking students. Thus short, online lay theory interventions may reduce performance gaps, provided that the contexts afford the opportunity for the proffered lay theory to seem legitimate and adaptive. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Effects of RU486 treatment after single prolonged stress depend on the post-stress interval

The Single Prolonged Stress protocol is considered a model for PTSD, as it induces long lasting changes in rat behaviour and endocrine regulation. Previous work demonstrated that some of these changes can be prevented by treatment with the glucocorticoid receptor antagonist RU486, administered a week after the stressor. The current study evaluated the effects of an earlier intervention with RU486, as evaluated 1 week after SPS-exposure. Most RU486 effects occurred independent of prior stress, except for the reversal of a stress-induced increase in locomotor behaviour. The accompanying changes in gene expression depended on gene, brain region, and time. DNA methylation of the robustly down-regulated Fkbp5 gene was dissociated of changes in mRNA expression. The findings reinforce the long term effects of GR antagonist treatment, but also emphasize the need to evaluate changes over time to allow the identification of robust correlates between gene expression and behavioural/endocrine outcome of stressful experiences.

Frontoparietal theta-gamma interactions track working memory enhancement with training and tDCS

Despite considerable interest in enhancing, preserving, and rehabilitating working memory (WM), efforts to elicit sustained behavioral improvements have been met with limited success. Here, we paired WM training with transcranial direct current stimulation (tDCS) to the frontoparietal network over four days. Active tDCS enhanced WM performance by modulating interactions between frontoparietal theta oscillations and gamma activity, as measured by pre- and post-training high-density electroencephalography (EEG). Increased phase-amplitude coupling (PAC) between the prefrontal stimulation site and temporo-parietal gamma activity explained behavioral improvements, and was most effective when gamma occurred near the prefrontal theta peak. These results demonstrate for the first time that tDCS-linked WM training elicits lasting changes in behavior by optimizing the oscillatory substrates of prefrontal control.

Dopamine transients do not act as model-free prediction errors during associative learning

Dopamine neurons are proposed to signal the reward prediction error in model-free reinforcement learning algorithms. This term represents the unpredicted or ‘excess’ value of the rewarding event, value that is then added to the intrinsic value of any antecedent cues, contexts or events. To support this proposal, proponents cite evidence that artificially-induced dopamine transients cause lasting changes in behavior. Yet these studies do not generally assess learning under conditions where an endogenous prediction error would occur. Here, to address this, we conducted three experiments where we optogenetically activated dopamine neurons while rats were learning associative relationships, both with and without reward. In each experiment, the antecedent cues failed to acquire value and instead entered into associations with the later events, whether valueless cues or valued rewards. These results show that in learning situations appropriate for the appearance of a prediction error, dopamine transients support associative, rather than model-free, learning.

Embracing complexity: A transdisciplinary conceptual framework for understanding behavior change in the context of development-focused interventions

Abstract Many interventions that aim to improve the livelihoods of vulnerable people in low-income settings fail because the behavior of the people intended to benefit is not well understood and /or not reflected in the design of interventions. Methods for understanding and situating human behavior in the context of development interventions tend to emphasize experimental approaches to objectively isolate key drivers of behavior. However, such methods often do not account for the importance of contextual factors and the wider system. In this paper we propose a conceptual framework to support intervention design that links behavioral insights with service design, a branch of the creative field of design. To develop the framework, we use three case studies conducted in Kenya and Zambia focusing on the uptake of new technologies and services by individuals and households. We demonstrate how the framework can be useful for mapping individuals’ experiences of a new technology or service and, based on this, identify key parameters to support lasting behavior change. The framework reflects how behavior change takes place in the context of complex social-ecological systems – that change over time, and in which a diverse range of actors operate at different levels – with the aim of supporting the design and delivery of more robust development-oriented interventions.