Definition and Characteristics of Behavioral Medicine, and Main Tasks and Goals of the International Society of Behavioral Medicine-an International Delphi Study.

Behavior Definition Goals Medicine

Journal

International journal of behavioral medicine
ISSN: 1532-7558
Titre abrégé: Int J Behav Med
Pays: England
ID NLM: 9421097

Informations de publication

Date de publication:
Jun 2021
Historique:
pubmed: 11 9 2020
medline: 11 9 2020
entrez: 10 9 2020
Statut: ppublish

Résumé

In the past decades, behavioral medicine has attained global recognition. Due to its global reach, a critical need has emerged to consider whether the original definition of behavioral medicine is still valid, comprehensive, and inclusive, and to reconsider the main tasks and goals of the International Society of Behavioral Medicine (ISBM), as the umbrella organization in the field. The purpose of the present study was to (i) update the definition and scope of behavioral medicine and its defining characteristics; and (ii) develop a proposal on ISBM's main tasks and goals. Our study used the Delphi method. A core group prepared a discussion paper. An international Delphi panel rated questions and provided comments. The panel intended to reach an a priori defined level of consensus (i.e., 70%). The international panel reached consensus on an updated definition and scope of behavioral medicine as a field of research and practice that builds on collaboration among multiple disciplines. These disciplines are concerned with development and application of behavioral and biomedical evidence across the disease continuum in clinical and public health domains. Consensus was reached on a proposal for ISBM's main tasks and goals focused on supporting communication and collaboration across disciplines and participating organizations; stimulating research, education, and practice; and supporting individuals and organizations in the field. The consensus on definition and scope of behavioral medicine and ISBM's tasks and goals provides a foundational step toward achieving these goals.

Sections du résumé

BACKGROUND BACKGROUND
In the past decades, behavioral medicine has attained global recognition. Due to its global reach, a critical need has emerged to consider whether the original definition of behavioral medicine is still valid, comprehensive, and inclusive, and to reconsider the main tasks and goals of the International Society of Behavioral Medicine (ISBM), as the umbrella organization in the field. The purpose of the present study was to (i) update the definition and scope of behavioral medicine and its defining characteristics; and (ii) develop a proposal on ISBM's main tasks and goals.
METHOD METHODS
Our study used the Delphi method. A core group prepared a discussion paper. An international Delphi panel rated questions and provided comments. The panel intended to reach an a priori defined level of consensus (i.e., 70%).
RESULTS RESULTS
The international panel reached consensus on an updated definition and scope of behavioral medicine as a field of research and practice that builds on collaboration among multiple disciplines. These disciplines are concerned with development and application of behavioral and biomedical evidence across the disease continuum in clinical and public health domains. Consensus was reached on a proposal for ISBM's main tasks and goals focused on supporting communication and collaboration across disciplines and participating organizations; stimulating research, education, and practice; and supporting individuals and organizations in the field.
CONCLUSION CONCLUSIONS
The consensus on definition and scope of behavioral medicine and ISBM's tasks and goals provides a foundational step toward achieving these goals.

Identifiants

DOI: 10.1007/s12529-020-09928-y PMID: 32909153 PMC: PMC8121730
pubmed: 32909153
doi: 10.1007/s12529-020-09928-y
pii: 10.1007/s12529-020-09928-y
pmc: PMC8121730
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

268-276

Références

Schwartz GE, Weiss SM. Behavioral medicine revisited: an amended definition. J Behav Med. 1978;1(3):249–51.
doi: 10.1007/BF00846677
Schwartz GE, Weiss SM. Yale Conference on Behavioral Medicine: a proposed definition and statement of goals. J Behav Med. 1978;1(1):3–12. https://doi.org/10.1007/bf00846582 .
doi: 10.1007/bf00846582 pubmed: 45369
Hare DL, Toukhsati SR, Johansson P, Jaarsma T. Depression and cardiovascular disease: a clinical review. Eur Heart J. 2014;35(21):1365–72. https://doi.org/10.1093/eurheartj/eht462 .
doi: 10.1093/eurheartj/eht462 pubmed: 24282187
Marteau TM, Hollands GJ, Fletcher PC. Changing human behavior to prevent disease: the importance of targeting automatic processes. Science. 2012;337(6101):1492–5. https://doi.org/10.1126/science.1226918 .
doi: 10.1126/science.1226918 pubmed: 22997327
International Society of Behavioral Medicine. Information about ISBM. 2019. https://www.isbm.info/about-isbm/ .
Dekker J, Stauder A, Penedo FJ. Proposal for an update of the definition and scope of behavioral medicine. Int J Behav Med. 2017;24(1):1–4. https://doi.org/10.1007/s12529-016-9610-7 .
doi: 10.1007/s12529-016-9610-7 pubmed: 27844398
Dekker J, Stauder A, Penedo FJ. Defining the field of behavioral medicine: a collaborative endeavor. Int J Behav Med. 2017;24(1):21–4. https://doi.org/10.1007/s12529-016-9616-1 .
doi: 10.1007/s12529-016-9616-1 pubmed: 27882490
Weiss SM. Proposal for an update of the definition and scope of behavioral medicine: commentary. Int J Behav Med. 2017;24(1):5–7. https://doi.org/10.1007/s12529-016-9614-3 .
doi: 10.1007/s12529-016-9614-3 pubmed: 27905007
Johnston M, Johnston D. What is behavioural medicine? Commentary on definition proposed by Dekker, Stauder and Penedo. Int J Behav Med. 2017;24(1):8–11. https://doi.org/10.1007/s12529-016-9611-6 .
doi: 10.1007/s12529-016-9611-6 pubmed: 27924552
Lau JT. Commentary: proposal for an update of the definition and scope of behavioral medicine. Int J Behav Med. 2017;24(1):12–5. https://doi.org/10.1007/s12529-016-9615-2 .
doi: 10.1007/s12529-016-9615-2 pubmed: 27981473
Nater UM. Behavioral medicine and related disciplines. Int J Behav Med. 2017;24(1):16–7. https://doi.org/10.1007/s12529-016-9613-4 .
doi: 10.1007/s12529-016-9613-4 pubmed: 27844399
Kawakami N. Reflections on the proposed definition and scope of behavioral medicine. Int J Behav Med. 2017;24(1):18–20. https://doi.org/10.1007/s12529-016-9612-5 .
doi: 10.1007/s12529-016-9612-5 pubmed: 27900732
Humphrey-Murto S, Varpio L, Wood TJ, Gonsalves C, Ufholz LA, Mascioli K, et al. The use of the Delphi and other consensus group methods in medical education research: a review. Acad Med. 2017;92(10):1491–8. https://doi.org/10.1097/acm.0000000000001812 .
doi: 10.1097/acm.0000000000001812 pubmed: 28678098
International Congress of Behavioral Medicine. Meeting: revising the definition of behavioral medicine: perspectives from ‘western’ and ‘non-western’ countries. 2018. https://issuu.com/zentidos/docs/icbm2018_program_book?e=5521120/65519331 .
Sommer R. Discipline and field of study: a search for clarification. J Environ Psychol. 2000;20(1):1–4.
doi: 10.1006/jevp.1999.0168

Auteurs

Joost Dekker (J)

Department of Rehabilitation Medicine and Department of Psychiatry, Amsterdam University Medical Centers, PO Box 7057, 1007 MB, Amsterdam, the Netherlands. j.dekker@amsterdamumc.nl.
ORCID: 0000-0003-2027-0027

Marie Amitami (M)

Community-Based Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

Anne H Berman (AH)

Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm, Stockholm Region, Sweden.
Department of Psychology, Uppsala University, Uppsala, Sweden.

Helen Brown (H)

Institute for Physical Activity and Nutrition, Deakin University, Melbourne, Australia.

Bryan Cleal (B)

Steno Diabetes Center Copenhagen, Copenhagen, Denmark.

Maria João Figueiras (MJ)

Psychology Department, College of Natural and Health Sciences, Zayed University, Abu Dhabi, United Arab Emirates.

Lila J Finney Rutten (LJ)

Department of Health Sciences Research, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, MN, USA.

Egil A Fors (EA)

General Practice Research Unit, Department of Public Health and Nursing, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, Norway.

Konstadina Griva (K)

Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.

Jing Gu (J)

School of Public Health, Sun Yat-sen University, Guangzhou, China.

Chris Keyworth (C)

Manchester Centre for Health Psychology, Division of Psychology & Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.

Maria Kleinstäuber (M)

Department of Psychological Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.

Claas Lahmann (C)

Department of Psychosomatic Medicine and Psychotherapy, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Joseph T F Lau (JTF)

Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, New Territory, Hong Kong, China.

Bernd Leplow (B)

Institute for Psychology, Martin-Luther-University Halle-Wittenberg, Halle, Germany.

Li Li (L)

Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Hanna Malmberg Gavelin (H)

Academic Unit for Psychiatry of Old Age, University of Melbourne, Melbourne, Australia.
Department of Psychology, Umeå University, Umeå, Sweden.

Ricarda Mewes (R)

Outpatient Unit for Research, Teaching, and Practice, Faculty of Psychology, University of Vienna, Vienna, Austria.

Phoenix K H Mo (PKH)

Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, New Territory, Hong Kong, China.

Barbara Mullan (B)

School of Psychology, Faculty of Health Sciences, Curtin University, Perth, Australia.

Frank J Penedo (FJ)

Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA.

Judith Prins (J)

Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, the Netherlands.

Teresa Rodríguez Rodríguez (T)

Science and Technology Department, University Hospital "Dr. Gustavo Aldereguía Lima", Cienfuegos, Cuba.
Cienfuegos Medical School, Cienfuegos, Cuba.

Sharon A Simpson (SA)

MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Adrienne Stauder (A)

Institute of Behavioural Sciences, Semmelweis University Budapest, Budapest, Hungary.

Martti T Tuomisto (MT)

Faculty of Social Sciences (Psychology), Tampere University, Tampere, Finland.

Deborah Jones Weiss (DJ)

Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.

Urs M Nater (UM)

Faculty of Psychology, University of Vienna, Vienna, Austria.

Classifications MeSH