This book presents a framework for development, optimization, and evaluation of behavioral, biobehavioral, and biomedical interventions. Behavioral, biobehavioral, and biomedical interventions are programs with the objective of improving and maintaining human health and well-being, broadly defined, in individuals, families, schools, organizations, or communities. These interventions may be aimed at, for example, preventing or treating disease, promoting physical and mental health, preventing violence, or improving academic achievement. This volume introduces the multiphase optimization strategy (MOST), pioneered at The Methodology Center at the Pennsylvania State University, as an alternative to the classical approach of relying solely on the randomized controlled trial (RCT). MOST borrows heavily from perspectives taken and approaches used in engineering, and also integrates concepts from statistics and behavioral science, including the RCT. As described in detail in this book, MOST consists of three phases: preparation, in which the conceptual model underlying the intervention is articulated; optimization, in which experimentation is used to gather the information necessary to identify the optimized intervention; and evaluation, in which the optimized intervention is evaluated in a standard RCT. Through numerous examples, the book demonstrates that MOST can be used to develop interventions that are more effective, efficient, economical, and scalable. Optimization of Behavioral, Biobehavioral, and Biomedical Interventions: The Multiphase Optimization Strategy is the first book to present a comprehensive introduction to MOST. It will be an essential resource for behavioral, biobehavioral, and biomedical scientists; statisticians, biostatisticians, and analysts working in epidemiology and public health; and graduate-level courses in development and evaluation of interventions.

Behavioral, biobehavioral, and biomedical interventions are programs with the objective of improving and maintaining human health and well-being, broadly defined, in individuals, families, schools, organizations, or communities. These interventions may be aimed at, for example, preventing or treating disease, promoting physical and mental health, preventing violence, or improving academic achievement. This book provides additional information on a principled empirical framework for developing interventions that are more effective, efficient, economical, and scalable. This framework is introduced in the monograph, "Optimization of Behavioral, Biobehavioral, and Biomedical Interventions: The Multiphase Optimization Strategy (MOST)" by Linda M. Collins (Springer, 2018). The present book is focused on advanced topics related to MOST. The chapters, all written by experts, are devoted to topics ranging from experimental design and data analysis to development of a conceptual model and implementation of a complex experiment in the field. Intervention scientists who are preparing to apply MOST will find this book an important reference and guide for their research. Fields to which this work pertains include public health (medicine, nursing, health economics, implementation sciences), behavioral sciences (psychology, criminal justice), statistics, and education.

A modern, comprehensive treatment of latent class and latent transition analysis for categorical data On a daily basis, researchers in the social, behavioral, and health sciences collect information and fit statistical models to the gathered empirical data with the goal of making significant advances in these fields. In many cases, it can be useful to identify latent, or unobserved, subgroups in a population, where individuals' subgroup membership is inferred from their responses on a set of observed variables. Latent Class and Latent Transition Analysis provides a comprehensive and unified introduction to this topic through one-of-a-kind, step-by-step presentations and coverage of theoretical, technical, and practical issues in categorical latent variable modeling for both cross-sectional and longitudinal data. The book begins with an introduction to latent class and latent transition analysis for categorical data. Subsequent chapters delve into more in-depth material, featuring: A complete treatment of longitudinal latent class models Focused coverage of the conceptual underpinnings of interpretation and evaluationof a latent class solution Use of parameter restrictions and detection of identification problems Advanced topics such as multi-group analysis and the modeling and interpretation of interactions between covariates The authors present the topic in a style that is accessible yet rigorous. Each method is presented with both a theoretical background and the practical information that is useful for any data analyst. Empirical examples showcase the real-world applications of the discussed concepts and models, and each chapter concludes with a "Points to Remember" section that contains a brief summary of key ideas. All of the analyses in the book are performed using Proc LCA and Proc LTA, the authors' own software packages that can be run within the SAS® environment. A related Web site houses information on these freely available programs and the book's data sets, encouraging readers to reproduce the analyses and also try their own variations. Latent Class and Latent Transition Analysis is an excellent book for courses on categorical data analysis and latent variable models at the upper-undergraduate and graduate levels. It is also a valuable resource for researchers and practitioners in the social, behavioral, and health sciences who conduct latent class and latent transition analysis in their everyday work.

This is the first comprehensive guide to the design of behavioral randomized clinical trials (RCT) for chronic diseases. It includes the scientific foundations for behavioral trial methods, problems that have been encountered in past behavioral trials, advances in design that have evolved, and promising trends and opportunities for the future. The value of this book lies in its potential to foster an ability to “speak the language of medicine” through the conduct of high-quality behavioral clinical trials that match the rigor commonly seen in double-blind drug trials. It is relevant for testing any treatment aimed at improving a behavioral, social, psychosocial, environmental, or policy-level risk factor for a chronic disease including, for example, obesity, sedentary behavior, adherence to treatment, psychosocial stress, food deserts, and fragmented care. Outcomes of interest are those that are of clinical significance in the treatment of chronic diseases, including standard risk factors such as cholesterol, blood pressure, and glucose, and clinical outcomes such as hospitalizations, functional limitations, excess morbidity, quality of life, and mortality. This link between behavior and chronic disease requires innovative clinical trial methods not only from the behavioral sciences but also from medicine, epidemiology, and biostatistics. This integration does not exist in any current book, or in any training program, in either the behavioral sciences or medicine.

Healthy mental, emotional, and behavioral (MEB) development is a critical foundation for a productive adulthood. Much is known about strategies to support families and communities in strengthening the MEB development of children and youth, by promoting healthy development and also by preventing and mitigating disorder, so that young people reach adulthood ready to thrive and contribute to society. Over the last decade, a growing body of research has significantly strengthened understanding of healthy MEB development and the factors that influence it, as well as how it can be fostered. Yet, the United States has not taken full advantage of this growing knowledge base. Ten years later, the nation still is not effectively mitigating risks for poor MEB health outcomes; these risks remain prevalent, and available data show no significant reductions in their prevalence. Fostering Healthy Mental, Emotional, and Behavioral Development in Children and Youth: A National Agenda examines the gap between current research and achievable national goals for the next ten years. This report identifies the complexities of childhood influences and highlights the need for a tailored approach when implementing new policies and practices. This report provides a framework for a cohesive, multidisciplinary national approach to improving MEB health.

This handbook is a comprehensive, authoritative and up-to-date source on prevention technologies specifically for integrated care settings. It covers general issues related to prevention including the practical issues of financing, and staffing, and a general introduction to the advantages of prevention efforts. It covers a range of behavioral health disorders using an approach that is most relevant to the practitioner: it provides basic definitions, and describes the specific roles of both the primary care provider (PCP) and the behavioral care provider (BCP) as well as specific resources presented in a stepped care model. Stepped care has been used sucessfully in medical settings. Adapted to behavioral health settings, It allows the clinician and the patient to choose treatments that are tailored to specific levels of intensity. This handbook is an interdisciplinary resource useful for classes in integrated care as well as for clinicians employed in in these settings.

"Self-determination theory (SDT) represents a comprehensive framework for the study of human motivation, personality development and wellness as evidenced by the breadth and variety of chapters in this handbook. In introducing this collection, we review the basic assumptions, philosophy of science, methods, and mission of SDT. We also provide a brief history of SDT, linking various developments within the theory to the contributions found in this volume. Finally, we attempt to place SDT within the landscape of past and contemporary theoretical psychology, as well as modern historical and cultural developments, in part explaining the continued growth of SDT's basic research and real-world applications"--