The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index; none of the 20 sources its claims cite is checked for support yet.
From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases
Open accessAbstract
OBJECTIVE: Given the critical role of behavior in preventing and treating chronic diseases, it is important to accelerate the development of behavioral treatments that can improve chronic disease prevention and outcomes. Findings from basic behavioral and social sciences research hold great promise for addressing behaviorally based clinical health problems, yet there is currently no established pathway for translating fundamental behavioral science discoveries into health-related treatments ready for Phase III efficacy testing. This article provides a systematic framework for developing behavioral treatments for preventing and treating chronic diseases. METHOD: The Obesity-Related Behavioral Intervention Trials (ORBIT) model for behavioral treatment development features a flexible and progressive process, prespecified clinically significant milestones for forward movement, and return to earlier stages for refinement and optimization. RESULTS: This article presents the background and rationale for the ORBIT model, a summary of key questions for each phase, a selection of study designs and methodologies well-suited to answering these questions, and prespecified milestones for forward or backward movement across phases. CONCLUSIONS: The ORBIT model provides a progressive, clinically relevant approach to increasing the number of evidence-based behavioral treatments available to prevent and treat chronic diseases. (PsycINFO Database Record
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Claims the paper makes
21 Own interpretation · 15 Not checked yet
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Phase IIb data showing that a behavioral treatment produces a clinically significant signal on the behavioral risk factor in patients with the specified clinical problem, while the chosen control does not, supports moving to a Phase III efficacy trial.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None of the sources cited for this claim have been checked yet.
In the paper
“It is widely acknowledged that behavior plays a central role in the prevention and management of chronic disease.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > INTRODUCTION
What the sources say
- Not checked yetcites Mokdad, Marks, Stroup, & Gerberding, 2004
- Not checked yetcites Schroeder, 2007
boostedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
In the paper
“While understanding the mechanisms through which an intervention produces its effects can be useful in developing better-targeted interventions, it is not critical to understand mechanisms of action in order to demonstrate an intervention’s effectiveness (Blumenthal, Babyak, Wei, O’Connor, Waugh, Eisenstein, Mark, Sherwood, et al., 2002).”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
What the sources say
- Not checked yetcites Blumenthal, Babyak, Wei, O’Connor, Waugh, Eisenstein, Mark, Sherwood, et al., 2002
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
In the paper
“a 5% weight loss as a biomedical target (Hamman, Wing, Edelstein, Lachin, Bray, Delahanty, Hoskin, Kriska, et al., 2006)”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
What the sources say
- Not checked yetcites Hamman, Wing, Edelstein, Lachin, Bray, Delahanty, Hoskin, Kriska, et al., 2006
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“If the trial produces positive results, evidence specifically supporting each link of the chain strengthens the assertion that the observed effects were due to hypothesized pathways.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None of the sources cited for this claim have been checked yet.
In the paper
“Interventions that encourage healthy lifestyle behaviors, grounded in fundamental behavioral research and developed incrementally over time, have proven highly effective in reducing weight, blood pressure, cholesterol levels, and incidence of diabetes, among other clinically important outcomes (Appel, Clark, Yeh, Wang, Coughlin, Daumit, Miller, Dalcin et al., 2011; Appel, Champagne, Harsha, Cooper”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > INTRODUCTION
What the sources say
- Not checked yetcites Appel, Clark, Yeh, Wang, Coughlin, Daumit, Miller, Dalcin et al., 2011
- Not checked yetcites Appel, Champagne, Harsha, Cooper, Obarzanek, Elmer, Stevens, Vollmer, et al., 2003
- Not checked yetcites Knowler, Barrett-Connor, Fowler, Hamman, Lachin, Walker, Nathan, Diabetes Prevention Program Research Group, 2002
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Evidence collected for each link of the chain in negative trials can help determine whether null findings were due to a failure of the hypothesis that change in the behavioral risk factor is causally related to change in the biomedical outcome or a failure of the treatment to affect its targets.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
In the paper
“a Phase Ia review of epidemiological studies and clinical trials provides empirical support for the clinical significance of a 30% reduction in diabetes over standard drug treatment (Hamman, Wing, Edelstein, Lachin, Bray, Delahanty, Hoskin, Kriska, et al., 2006)”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
What the sources say
- Not checked yetcites Hamman, Wing, Edelstein, Lachin, Bray, Delahanty, Hoskin, Kriska, et al., 2006
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Without a consistent framework to support progression toward the behavioral efficacy trial, the ability of behavioral and social science researchers to provide the type of evidence that is meaningful to clinical gatekeepers and third-party payers is compromised.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: unclear — It is unclear whether it could be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
In the paper
“Although a feasibility pilot study produces an unstable estimate of the effect size on the primary endpoint of the Phase III efficacy trial (Kraemer, Mintz, Noda & Tinklenberg, 2006), it should be considered along with accumulated effect sizes from similar past trials to determine the sample size needed for the efficacy trial.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
What the sources say
- Not checked yetcites Kraemer, Mintz, Noda & Tinklenberg, 2006
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Probably not a substantial claim. 17
- It may state two separate claims as one. 9
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Without a progressive approach to treatment development that embraces a variety of designs and methods, there is a risk that promising treatments will be abandoned prematurely because they fail tests that are too stringent for an evolving understanding of their fundamental elements.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
In the paper
“Past models have emphasized the value of a systematic, phased approach to behavioral treatment development, and the recent emergence of evidence-based behavioral medicine (Davidson, Goldstein, Kaplan, Kaufmann, Knatterud, Orleans, Spring, Trudeau, & Whitlock, 2002) provides clear standards for rigor.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
What the sources say
- Not checked yetcites Davidson, Goldstein, Kaplan, Kaufmann, Knatterud, Orleans, Spring, Trudeau, & Whitlock, 2002
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The ORBIT model complements and extends these efforts in proposing a systematic, well-defined process by which the investigator can achieve these rigorous standards.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Moreover, moderators (also called a priori subgroups in clinical trial methodology) can be studied in Phase Ib with the goal of adapting treatments so they are maximally powerful across all patients at risk.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Creating a robust evidence base for the value of behavioral treatments in clinical care has enormous potential to expand choices for patients, improve quality of care, prevent or delay disease and disability, and, most urgently, lower health care costs not only for individual patients but for society as a whole.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Crosstalk between clinicians in medical practice and applied behavioral scientists can increase the significance of the questions posed and identify targets that have meaning in clinical practice.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Without the early discovery and innovation that is characteristic of basic science, the potential for behavioral treatments to be robust enough to produce clinically significant results is undercut.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
In the paper
“both dietary changes (e.g., a 5% reduction in percent fat) and increases in physical activity (e.g., 150 minutes/week of moderately vigorous physical activity) as behavioral targets (Hamman, Wing, Edelstein, Lachin, Bray, Delahanty, Hoskin, Kriska, et al., 2006)”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
What the sources say
- Not checked yetcites Hamman, Wing, Edelstein, Lachin, Bray, Delahanty, Hoskin, Kriska, et al., 2006
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In the ORBIT model, physiological mechanisms by which the behavioral risk factor translates into biomedical risk (referred to as biologic plausibility in epidemiology) can be focused on in early Phase Ia studies to help justify the choice of a behavioral risk factor and its cutpoint for clinical significance.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Such crosstalk can facilitate the evaluation of a behavioral treatment’s viability as an alternative or adjunctive treatment, its side effect profile and effects on quality of life, and its potential cost-effectiveness relative to existing treatments.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It suggests that use of a progressive, transdisciplinary framework to facilitate the translation of basic behavioral science findings to clinical application will strengthen behavioral treatments, encourage their testing in rigorous efficacy and effectiveness trials, promote success, and foster dissemination into clinical practice.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Crosstalk between basic and applied behavioral and social scientists can foster innovative approaches to common problems, leading to novel methods for motivating patients to stick with early changes, sustaining change by mobilizing social networks, or maximizing executive function as a way to minimize impulsivity.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“There is a strong rationale for such methods, but when used universally, particularly in the early phases of treatment development, their use can undercut creativity, impede discovery, and produce weak treatments.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: unclear — It is unclear whether it could be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: Most behavioral treatments are currently tested using randomized designs with attention control groups, fixed protocols, and blinding to outcomes until follow-up is complete.
None of the sources cited for this claim have been checked yet.
In the paper
“This contrasts with the biomedical arena which benefits from industry support for early translational research and has a well-defined process for developing a new drug or device, starting with basic science research and progressing to the FDA-required Phase III efficacy trial.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > INTRODUCTION
What the sources say
- Not checked yetcites Friedman, Furburg, & DeMets, 1998
- Not checked yetcites Lipsky & Sharp, 2001
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Research using fMRI has shown that biofeedback can directly alter neural activity in specific brain regions and these changes can affect chronic clinical pain (deCharms, Maeda, Glover, Ludlow, Pauly, Soneji, Gabrieli, & Mackey, 2005).”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
What the sources say
- Not checked yetcites deCharms, Maeda, Glover, Ludlow, Pauly, Soneji, Gabrieli, & Mackey, 2005
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“All of the studies presented in this illustration could be conducted by a single investigator, by a single team of investigators, or by a group of investigators who are, at best, loosely connected.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Without input from clinical practice, treatments that are judged to be successful because they achieve statistical significance may produce results that are too small to be clinically meaningful.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper may give no reason why it holds.
In the paper
“Clinical guidelines promote lifestyle change as the first step in treatment of insulin resistant patients (Handelsman, Mechanick, Blonde, Gruberger, Bloomgarden, Bray, Dagogo-Jack, Davidson, et al., 2011), but few validated lifestyle interventions are available.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
What the sources say
- Not checked yetcites Handelsman, Mechanick, Blonde, Gruberger, Bloomgarden, Bray, Dagogo-Jack, Davidson, et al., 2011
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Coller (2008) has observed that one of the key skills necessary for a successful translational effort is the ability to articulate a health need or clinical question requiring a solution “with the precision of a basic science hypothesis.””
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
What the sources say
- Not checked yetcites Coller (2008)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“It begins with preclinical basic science studies in animal or in vitro models to understand the disease process. Phase I and II studies turn to humans and focus on small numbers of highly-selected subjects. Phase I “dose-finding” studies determine the maximally tolerated dose of a candidate drug, while Phase II studies determine the impact of this maximally tolerated dose on significant biologic”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > The Process of Drug Development
What the sources say
- Not checked yetcites Friedman, Furburg, & DeMets, 1998
- Not checked yetcites Lipsky & Sharp, 2001
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“However, if they are conceptualized as crucial steps in a program of research that is directed toward efficacy and effectiveness trials to answer pressing clinical problems, their value becomes more apparent.”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
- Rests on an assumption: Small early phase studies run the risk of being judged not very important.
The paper relies on this without support.
Applying bench findings to the bedside (Translation I research) is rare in behavioral science.
“Translation I research in which “bench” findings are applied to the “bedside” is uncommon in the behavioral arena.”
The paper relies on this without support.
Knowledge about fundamental human processes is not being optimally used for pressing behavioral health problems.
“Advances in understanding fundamental human processes such as motivation, emotion, cognition, self-regulation, decision-making, stress, and social networks are not being optimally applied to pressing behavioral health problems.”
The paper relies on this without support.
Promising behavioral treatments in development are often abandoned instead of refined when they fail early tests.
“Promising behavioral treatments “in the pipeline” are often abandoned, rather than refined, if they fail early tests.”
The paper relies on this without support.
Some treatments that succeed in early studies are not advanced to Phase III efficacy trials, while others enter Phase III prematurely without sufficient early-phase development.
“In some cases, treatments that achieve success in early studies are not pushed toward rigorous testing in Phase III efficacy trials, while others are tested in Phase III trials prematurely, without undergoing adequate development and refinement in early-phase studies.”
The paper relies on this without support.
Behavioral treatments for physical health outcomes lack governmental regulation and a widely accepted development process.
“Since the development of behavioral treatments that target physical health outcomes has not been regulated by any governmental agency, it has not been guided by any widely recognized and agreed-upon process.”
The paper relies on this without support.
No established pathway currently exists to translate basic behavioral science discoveries into treatments ready for Phase III efficacy testing.
“Findings from basic behavioral and social science research hold great promise for addressing behaviorally-based clinical health problems, yet there is currently no established pathway for translating fundamental behavioral science discoveries into health-related treatments ready for Phase III efficacy testing.”
The authors state this as an assumption.
Research efficiency and quality are enhanced when a collaborative team of investigators integrates diverse studies into a chain of evidence justifying a Phase III trial.
“An essential assumption of the ORBIT model is that research efficiency and quality are enhanced when a collaborative team of investigators works to integrate diverse studies into a chain of evidence that justifies a Phase III trial.”
The paper relies on this without support.
Few validated lifestyle interventions are available for insulin resistant patients.
“Clinical guidelines promote lifestyle change as the first step in treatment of insulin resistant patients (Handelsman, Mechanick, Blonde, Gruberger, Bloomgarden, Bray, Dagogo-Jack, Davidson, et al., 2011), but few validated lifestyle interventions are available.”
The paper relies on this without support.
All elements needed to go from ideas to an efficacy trial currently exist, but the pathway for doing so is not well-defined.
“Currently, all of the elements needed to go from ideas to the efficacy trial exist, but the pathway for doing so is not well-defined.”
The paper relies on this without support.
Most behavioral treatments are currently tested using randomized designs with attention control groups, fixed protocols, and blinding to outcomes until follow-up is complete.
“Currently, most behavioral treatments are tested in the same way using randomized designs with attention control groups, fixed protocols, and blinding to outcomes until follow-up is complete.”
The paper relies on this without support.
Demand is growing for primary and secondary prevention strategies that can reduce the burden of costly chronic diseases which primarily have behavioral causes.
“Currently, a window of opportunity exists in which demand is growing for primary and secondary prevention strategies that can reduce the burden of costly chronic diseases which primarily have behavioral causes.”
The paper relies on this without support.
Small early phase studies run the risk of being judged not very important.
“Small, early phase studies run the risk of being judged to be not very important.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“As a result we opted to rooted our analysis in behavioural science terminology as other work has suggested that this approach can help facilitate relevant understanding and application within the field of behavioural science [63].”
From Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature (2023) · cites this paper as [63]
Experimental — accuracy not yet measuredIn the citing paper
“The ORBIT model was first introduced in 2015 and provides a progressive and iterative approach for developing and testing new interventions.”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [13]
In the citing paper
“A key difference of the ORBIT model versus other approaches is its focus on using small, fluid, and cost-effective formative studies to develop and refine interventions ahead of launching expensive efficacy trials [13].”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [13]
In the citing paper
“The ORBIT model defines four phases of treatment development.”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [13]
In the citing paper
“Per the ORBIT model, evidence of achieving these milestones indicate a treatment may be appropriate for Phase 2 proof of concept or randomized pilot testing. [13]”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [13]
In the citing paper
“Some potential strengths of this study include our use of the ORBIT model for behavioral intervention development to standardize study methods and help refine the intervention [13]”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [13]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
“Intervention Mapping (Bartholomew, Parcel, Kok, Gottlieb & Fernandez, 2011)”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > References
“4. Bartholomew L Parcel G Kok G Gottlieb G 2011 Planning health promotion programs: Intervention mapping San Francisco Jossey-Bass”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > SUMMARY AND CONCLUSIONS
“Davidson, Goldstein, Kaplan, Kaufmann, Knatterud, Orleans, Spring, Trudeau, & Whitlock, 2002”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > References
“14. Davidson KW Goldstein M Kaplan RM Kaufmann PG Knatterud GL Orleans CT Spring B Trudeau KJ Whitlock EP 2003 Evidence-based behavioral medicine: what is it and how do we achieve it?”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > THE ORBIT MODEL FOR BEHAVIORAL TREATMENT DEVELOPMENT > Previous Efforts to Define a Process for Behavioral Intervention Development
“Office of Behavioral and Social Sciences Research, 2010”
§ From Ideas to Efficacy: The ORBIT Model for Developing Behavioral Treatments for Chronic Diseases > References
“37. Office of Behavioral and Social Sciences Research 2011 Available at http://grants.nih.gov/grants/guide/pa-files/PA-11-063.html”
Citations
Cites
Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin
(2002) · New England Journal of Medicine · doi:10.1056/nejmoa012512 · Cited by 19,011
Michie, S., van Stralen, M. M., & West, R. (2011) · Implementation Science · doi:10.1186/1748-5908-6-42 · Cited by 13,697
Developing and evaluating complex interventions: the new Medical Research Council guidance
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008) · BMJ · doi:10.1136/bmj.a1655 · Cited by 10,995
Ecological momentary assessment
Shiffman, S., Stone, A. A., & Hufford, M. R. (2008) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.3.022806.091415 · Cited by 6,454
Actual causes of death in the United States
McGinnis, J. M. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1993.03510180077038 · Cited by 5,480
Actual Causes of Death in the United States, 2000
Mokdad, A. H. (2004) · JAMA · doi:10.1001/jama.291.10.1238 · Cited by 5,211
2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults
Jensen, M. D., Ryan, D. H., Apovian, C. M., Ard, J. D., Comuzzie, A. G., Donato, K. A., Hu, F. B., Hubbard, V. S., Jakicic, J. M., Kushner, R. F., et al. (2014) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.11.004 · Cited by 4,058
Single-Case Research Designs: Methods for Clinical and Applied Settings
Kazdin, A. E. (1982) · Cited by 2,852
Jensen, M. D., Ryan, D. H., Apovian, C. M., Ard, J. D., Comuzzie, A. G., Donato, K. A., Hu, F. B., Hubbard, V. S., Jakicic, J. M., Kushner, R. F., et al. (2014) · Circulation · doi:10.1161/01.cir.0000437739.71477.ee · Cited by 2,735
Planning health promotion programs an intervention mapping approach
Bartholomew, L. K., Parcel, G. S., Kok, G., & Gottlieb, N. (2006) · Cited by 2,038
Research works printed but not linked: 2
- Friedman LM Furberg CD DeMets DL 1998 Fundamentals of Clinical Trials 3 New York Springer-Verlag
- Wansink B 2010 Designing Interventions that Stick: Behavioral Event Monitoring Presented at NIH Workshop on “Translating Ideas into Interventions: The Process of Developing Behavorial Interventions December 6–7, 2010 Bethesda, MD Available at http://www.nihorbit.org/ORBIT%20Content/Workshops%20and%20Conferences.aspx?PageView=Shared
Cited by
Sorted by citations
Items 101–200 of 1,176
Bryan, A. D., Jakicic, J. M., Hunter, C. M., Evans, M. E., Yanovski, S. Z., & Epstein, L. H. (2017) · Obesity · doi:10.1002/oby.21924 · Cited by 45
“A more systematic focus on behavioral intervention development is also required (86), including the use of an experimental medicine approach to testing mechanisms of change (52).”
BackgroundSelf-citationHuffman, J. C., Albanese, A. M., Campbell, K. A., Celano, C. M., Millstein, R. A., Mastromauro, C. A., Healy, B. C., Chung, W., Januzzi, J. L., Collins, L. M., et al. (2017) · Clinical Trials · doi:10.1177/1740774516673365 · Cited by 37
Vilardaga, R., Rizo, J. L., Ries, R. K., Kientz, J. A., Ziedonis, D. M., Hernandez, K., & McClernon, F. J. (2018) · Translational Behavioral Medicine · doi:10.1093/tbm/iby097 · Cited by 35
Weaver, R. G., Webster, C. A., Egan, C., Campos, C. M. C., Michael, R. D., & Vazou, S. (2018) · American Journal of Health Promotion · doi:10.1177/0890117117707289 · Cited by 40
Silverberg, N. D., Cairncross, M., Brasher, P. M. A., Vranceanu, A.-M., Snell, D. L., Yeates, K. O., Panenka, W. J., Iverson, G. L., Debert, C. T., Bayley, M. T., et al. (2022) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2021.12.005 · Cited by 40
Gaps and priorities in advancing methods for health behaviour change research
Byrne, M. (2019) · Health Psychology Review · doi:10.1080/17437199.2019.1707106 · Cited by 32
“, 2008), the Behaviour Change Wheel (Michie, van Stralen, & West, 2011) and the ORBIT Model for Developing Behavioural Treatments for Chronic Diseases (Czajkowski et al., 2015).”
Planning and Implementation Intention Interventions
Rhodes, R. E., Grant, S. J., & de Bruijn, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.039 · Cited by 46
Edmondson, D., Falzon, L., Sundquist, K. J., Julian, J., Meli, L., Sumner, J. A., & Kronish, I. M. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.10.001 · Cited by 39
“(Czajkowski et al., 2015; Onken, Carroll, Shoham, Cuthbert, & Riddle, 2014) The goal of the program is to implement a mechanismsfocused, experimental medicine approach to behavior change research.”
Batchelder, A., Moskowitz, J. T., Jain, J. P., Cohn, M., Earle, M. A., & Carrico, A. W. (2019) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2019.03.001 · Cited by 44
“Consistent with the ORBIT Model’s iterative nature of intervention development, we present the iterative design of the intervention (consistent with Phase I’s define and refine components) as a proof-of-concept pilot (consistent with Phase II’s preliminary testing component; Czajkowski et al., 2015).”
MethodRouleau, C. R., King‐Shier, K. M., Tomfohr‐Madsen, L. M., Bacon, S., Aggarwal, S., Arena, R. A., & Campbell, T. S. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.06.015 · Cited by 38
Attitudes and Persuasive Communication Interventions
Hamilton, K., & Johnson, B. T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.031 · Cited by 44
Brown, J. M., Savaglio, R., Watson, G., Kaplansky, A., LeSage, A., Hughes, J. M., Kapralos, B., & Arcand, J. (2020) · JMIR Formative Research · doi:10.2196/15534 · Cited by 37
“This paper has presented the development and evaluation of Foodbot Factory over three phases of the ORBIT model— Discovery, Phase Ia: Define, and Phase Ib: Refine [19].”
BackgroundMethodInfluentialThe Family of Single-Case Experimental Designs
Epstein, L. H., & Dallery, J. (2022) · Harvard Data Science Review · doi:10.1162/99608f92.ff9300a8 · Cited by 48
“, 2016), and implementing early phase translational research (Czajkowski et al., 2015).”
BackgroundRadović, A., Gmelin, T. A., Hua, J., Long, C. E., Stein, B. D., & Miller, E. P. (2018) · JMIR Mental Health · doi:10.2196/mental.9441 · Cited by 35
“This approach is based on a slightly modified structure recommended by the Office of Behavioral and Social Sciences Research and multiple NIH institution collaboration for behavioral intervention development, the ORBIT model [17].”
MethodKirchhoff, A. C., Berghuijs, K. M. V. T., Waters, A. R., Kaddas, H. K., Warner, E. L., Lopez, P. L. V., Perez, G. K., Ray, N., Chevrier, A., Allen, K., et al. (2023) · JCO Oncology Practice · doi:10.1200/op.23.00171 · Cited by 37
Burton Murray, H., Weeks, I., Becker, K. R., Ljótsson, B., Madva, E. N., Eddy, K. T., Staller, K., Kuo, B., & Thomas, J. J. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.23874 · Cited by 39
Liu, Y., & Lachman, M. E. (2020) · Research on Aging · doi:10.1177/0164027520963613 · Cited by 38
“Complex behavior change interventions are often prematurely studied in efficacy and effectiveness trials (Craig et al., 2008; Czajkowski et al., 2015).”
BackgroundA mixed-methods evaluation of a community physical activity program for breast cancer survivors
Sabiston, C. M., Fong, A. J., O’Loughlin, E. K., & Meterissian, S. H. (2019) · Journal of Translational Medicine · doi:10.1186/s12967-019-1958-4 · Cited by 39
Abouzeid, N., Rivard, M., Mello, C., Mestari, Z., Boulé, M., & Guay, C. (2020) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2020.103747 · Cited by 39
Tarrant, M., Haslam, C., Carter, M., Calitri, R., & Haslam, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.044 · Cited by 38
Leiter, R. E., Yusufov, M., Hasdianda, M. A., Fellion, L., Reust, A. C., Block, S. D., Tulsky, J. A., & Ouchi, K. (2018) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.09.003 · Cited by 34
Heenan, A., Pipe, A., Lemay, K. R., Davidson, J. R., & Tulloch, H. E. (2019) · Behavioral Sleep Medicine · doi:10.1080/15402002.2019.1594815 · Cited by 36
“In keeping with the ORBIT model for developing behavioral trials (Czajkowski et al., 2015), the purpose of this study was to provide proof-of-concept, which will provide the foundation for a later randomized control trial (see clinicaltrials.gov trial #NCT03250468).”
MethodInfluentialChanging Behavior Using Habit Theory
Orbell, S., & Verplanken, B. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.013 · Cited by 50
Harris, M., Thomas, G., Thomas, M., Cafarella, P., Stocks, A., Greig, J., & McEvoy, R. D. (2017) · Palliative & Supportive Care · doi:10.1017/s1478951517000700 · Cited by 35
“…are consistent with current methodological recommendations for improved intervention design through transparent assessment of theoretical and empirical bases for intervention components, followed by staged design and testing (Craig et al., 2008; Czajkowski et al., 2015; Möhler et al., 2015).”
MethodDuncan, A. W., Liddle, M., & Stark, L. J. (2021) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-021-00360-6 · Cited by 36
The ecology of multilevel intervention research
Hall, K. L., Oh, A., Perez, L. G., Rice, E. L., Patel, M. R., Czajkowski, S. M., & Klesges, L. M. (2018) · Translational Behavioral Medicine · doi:10.1093/tbm/iby102 · Cited by 38
Self-citationOgez, D., Péloquin, K., Bertout, L., Bourque, C.-J., Curnier, D., Drouin, S., Laverdière, C., Marcil, V., Ribeiro, R., Callaci, M., et al. (2019) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-019-09612-8 · Cited by 35
The role of psychological science in efforts to improve cardiovascular medication adherence.
Bosworth, H. B., Blalock, D. V., Hoyle, R. H., Czajkowski, S. M., & Voils, C. I. (2018) · American Psychologist · doi:10.1037/amp0000316 · Cited by 35
“The ORBIT framework for intervention design, refinement, and evaluation represents a useful method for translating the findings from psychological science that identifies and describes adherence-related psychological processes, such as self-regulation, habit formation, and automatic priming, into interventions to impr…”
Self-citationTulloch, H. E., Bouchard, K., Clyde, M. J., Madrazo, L., Demidenko, N., Johnson, S. M., & Greenman, P. S. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-032948 · Cited by 35
Cognitive Behavioral Therapy for Insomnia and Women's Health
Nowakowski, S., & Meers, J. M. (2019) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2019.01.002 · Cited by 38
Kim, M., Patrick, K., Nebeker, C., Godino, J., Stein, S., Klasnja, P., Perski, O., Viglione, C., Coleman, A., & Hekler, E. B. (2024) · Journal of Medical Internet Research · doi:10.2196/49208 · Cited by 44
“The 4-phase model is adapted from the National Institutes of Health (NIH)–supported ORBIT [12] model for behavioral intervention development, with phases focused on design, development, testing, and monitoring.”
InfluentialChanging Behavior: A Theory- and Evidence-Based Approach
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.001 · Cited by 47
Willms, A., & Liu, S. (2023) · JMIR Medical Education · doi:10.2196/51426 · Cited by 35
“On the basis of our experience in developing the above content and based on previous research [21,25,47], we have compiled the following recommendations for using ChatGPT for similar purposes.”
Madva, E. N., Harnedy, L. E., Longley, R. M., Amaris, A. R., Castillo, C., Bomm, M. D., Murray, H. B., Staller, K. D., Kuo, B., Keefer, L., et al. (2023) · Neurogastroenterology & Motility · doi:10.1111/nmo.14531 · Cited by 33
Just-in-time adaptive intervention to promote fluid consumption in patients with kidney stones.
Conroy, D. E., West, A. B., Brunke-Reese, D., Thomaz, E., & Streeper, N. M. (2020) · Health Psychology · doi:10.1037/hea0001032 · Cited by 34
“Based on the nature of these questions, this research is an acceptability study within Phase I of the Obesity-Related Behavioral Intervention Trials framework (Czajkowski et al., 2015).”
MethodMacKinnon, A., Madsen, J. W., Giesbrecht, G. F., Campbell, T. S., Carlson, L. E., Dimidjian, S., Letourneau, N. L., Tough, S., & Tomfohr‐Madsen, L. M. (2021) · Mindfulness · doi:10.1007/s12671-020-01585-2 · Cited by 38
Mercer, D. A., Ditto, B., Lavoie, K., Campbell, T. S., Arsenault, A., & Bacon, S. (2018) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000350 · Cited by 37
Adaptive mHealth Intervention for Adolescent Physical Activity Promotion
Cushing, C. C., Bejarano, C. M., Ortega, A., Sayre, N., Fedele, D. A., & Smyth, J. M. (2021) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsaa125 · Cited by 31
Wang, H., McMillan, S. C., Vijayakumar, N., McDonald, S., Huang, L., Gwede, C. K., Padhya, T., Russell, J. S., Vondruska, K., Buck, H. G., et al. (2018) · Cancer Nursing · doi:10.1097/ncc.0000000000000568 · Cited by 39
“The National Institutes of Health ORBIT Model for Developing Behavioral Treatments for Chronic Disease was used to conceptualize and design this study.(19) ORBIT includes 4 phases of research progression from the pre-efficacy phase to the effectiveness research phase.”
MethodArch, J. J., Crespi, C. M., Levin, M. E., Genung, S. R., Nealis, M., Mitchell, J. L., Bright, E. E., Albright, K., Magidson, J. F., & Stanton, A. L. (2022) · Annals of Behavioral Medicine · doi:10.1093/abm/kaab118 · Cited by 34
Yang, C., Hakun, J. G., Roque, N. A., Sliwinski, M. J., & Conroy, D. E. (2021) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2021.101490 · Cited by 32
“Walking is the most prevalent type of physical activity among older adults and the most preferred physical activity among cognitivelyimpaired older adults (Williams et al., 2008; Dai et al., 2015).”
BackgroundPurpose-guided trial design in health-related behavioral intervention research.
Freedland, K. E. (2020) · Health Psychology · doi:10.1037/hea0000867 · Cited by 32
Multilevel factorial designs with experiment-induced clustering.
Nahum-Shani, I. B., Dziak, J. J., & Collins, L. M. (2017) · Psychological Methods · doi:10.1037/met0000128 · Cited by 30
“Given the common occurrence of experimental designs with EIC, as well as the growing interest in (e.g., Baker, Gustafson, & Shah, 2014; Czajkowski et al., 2015; Jacobs & Graham, 2016) and use of (e.”
BackgroundPain relief in the palm of your hand: Harnessing mobile health to manage pediatric pain
Hunter, J. F., Kain, Z. N., & Fortier, M. A. (2018) · Pediatric Anesthesia · doi:10.1111/pan.13547 · Cited by 33
“cal features that must be adhered to when translating a behavioral treatment intervention into practice.(47) ORBIT was informed by models of drug development and encourages a meticulous and progressive program of research that emphasizes a series of well‐”
MethodWilliamson, T. M., Rouleau, C. R., Aggarwal, S., Arena, R. A., Hauer, T., & Campbell, T. S. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.04.024 · Cited by 32
Maheu‐Cadotte, M., Dubé, V., Cossette, S., Lapierre, A., Fontaine, G., Deschênes, M., & Lavoie, P. (2021) · JMIR Serious Games · doi:10.2196/28650 · Cited by 36
“As evaluating the efficacy of an intervention represents one of the last stages in its development [17-19], we considered that SGs that had been the object of RCTs had gone beyond the prototype programing and testing phases [3].”
BackgroundCradock, K. A., Quinlan, L. R., Finucane, F. M., Gainforth, H. L., Martin Ginis, K. A., Barros, A. C. D., Sanders, E. B. N., & ÓLaighin, G. (2021) · Journal of Personalized Medicine · doi:10.3390/jpm11020072 · Cited by 32
“The ORBIT model (Obesity Related Behavioral Intervention Trials) is a framework which provides a three phase pathway for translating behavioural change findings into behavioural treatments for treatment and prevention of chronic illness [25] guided our overall approach with our earlier systematic reviews [3,11], corre…”
MethodAn International Perspective on Improving the Quality and Potential of Behavioral Clinical Trials
for the International Behavioural Trials Network (IBTN), Bacon, S., Lavoie, K., Ninot, G., Czajkowski, S. M., Freedland, K. E., Michie, S., Montgomery, P., Powell, L. H., & Spring, B. J. (2014) · Current Cardiovascular Risk Reports · doi:10.1007/s12170-014-0427-0 · Cited by 32
Self-citationBrowne, J., Halverson, T. F., & Vilardaga, R. (2021) · Translational Behavioral Medicine · doi:10.1093/tbm/ibab100 · Cited by 27
Salsman, J. M., & Rosenberg, A. R. (2024) · Cancer · doi:10.1002/cncr.35182 · Cited by 31
“Resilient AYAs were also more likely to be older at diagnosis and less likely to have experienced disruption in school or work at diagnosis.”
Changing Behavior Using Integrated Theories
Hagger, M. S., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.015 · Cited by 44
Xie, L. F., Itzkovitz, A., Roy‐Fleming, A., Costa, D. D., & Brazeau, A. (2020) · Journal of Medical Internet Research · doi:10.2196/18355 · Cited by 27
A Review of Psychological Well-Being and Mortality Risk
Trudel‐Fitzgerald, C., Kubzansky, L. D., & VanderWeele, T. J. (2021) · doi:10.1093/oso/9780197512531.003.0006 · Cited by 30
Modi, A. C., Mara, C. A., Schmidt, M., Smith, A. W., Turnier, L., Glaser, N. J., & Wade, S. L. (2019) · Epilepsia · doi:10.1111/epi.16317 · Cited by 30
Changing Behavior Using the Health Belief Model and Protection Motivation Theory
Orbell, S., Zahid, H., & Henderson, C. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.004 · Cited by 35
Laraia, B. A., Adler, N. E., Coleman‐Phox, K., Vieten, C., Mellin, L. M., Kristeller, J. L., Thomas, M., Stotland, N. E., Lustig, R. H., Dallman, M. F., et al. (2018) · Maternal and Child Health Journal · doi:10.1007/s10995-018-2435-z · Cited by 32
“We took a multi-phased approach and tested mechanisms hypothesized to influence weight gain (Czajkowski et al. 2015).”
MethodSelf-citationHow Does Narcolepsy Impact Health-Related Quality of Life? A Mixed-Methods Study
Ong, J. C., Fox, R. S., Brower, R., Mazurek, S., & Moore, C. (2020) · Behavioral Sleep Medicine · doi:10.1080/15402002.2020.1715411 · Cited by 32
“Troubleshooting treatment and design issues at this early stage can enhance the rigor of future clinical studies, such as a randomized controlled trial (Czajkowski et al., 2015; Rounsaville et al., 2001).”
BackgroundMethodInfluentialMace, R. A., Gates, M. V., Popok, P., Kulich, R. J., Quiroz, Y. T., & Vranceanu, A. (2020) · The Gerontologist · doi:10.1093/geront/gnaa179 · Cited by 25
“Feasibility measures All benchmarks were determined a priori based on intervention development guidelines (Czajkowski et al., 2015) and our previous feasibility pilot studies (Greenberg et al.”
MethodChanging Behavior Using the Transtheoretical Model
DiClemente, C. C., & Graydon, M. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.010 · Cited by 35
Mace, R. A., Gates, M. V., Bullard, B., Lester, E. G., Silverman, I. H., Quiroz, Y. T., & Vranceanu, A. (2020) · The Gerontologist · doi:10.1093/geront/gnaa084 · Cited by 22
Topical Review: Crowdsourcing as a Novel Approach to Qualitative Research
Sood, E., Wysocki, T., Alderfer, M. A., Aroian, K. J., Christofferson, J. L., Karpyn, A. E., Kazak, A. E., & Pierce, J. S. (2020) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsaa096 · Cited by 31
What Is Slowing Us Down? Six Challenges to Accelerating Advances in Health Behavior Change
Rothman, A. J., & Sheeran, P. (2020) · Annals of Behavioral Medicine · doi:10.1093/abm/kaaa090 · Cited by 30
Ha, D. M., Comer, A. C., Dollar, B., Bedoy, R., Ford, M. A., Gozansky, W. S., Zeng, C. X., Arch, J. J., Leach, H. J., Malhotra, A., et al. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-07999-7 · Cited by 31
“We applied the ORBIT model for developing behavioral treatments [26] and conducted a phase IIb, parallel group, pilot randomized trial (1:1 allocation).”
Eldridge, J. D., Devine, C. M., Wethington, E., Aceves, L., Phillips, E., Wansink, B. C., & Charlson, M. E. (2015) · Appetite · doi:10.1016/j.appet.2015.09.011 · Cited by 29
Self-citationTraining physicians in behavioural change counseling: A systematic review
Dragomir, A. I., Julien, C. A., Bacon, S., Boucher, V. G., & Lavoie, K. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.08.025 · Cited by 25
“Second, none of the studies reported basing their training program on any recognized behavioral intervention development process such as the MRC’s complex intervention guideline or the ORBIT (Obesity-Related Behavioral Intervention Trials) Model [51, 52].”
BackgroundMethodBeets, M. W., Weaver, R. G., Ioannidis, J. P. A., Pfledderer, C. D., Jones, A., von Klinggraeff, L., & Armstrong, B. (2023) · Systematic Reviews · doi:10.1186/s13643-023-02184-7 · Cited by 33
“In the behavioral sciences, conducting smaller trials of an intervention is a common practice and routinely occurs during the early-stage of developing and testing an intervention in order to evaluate feasibility markers associated with conducting a larger, more well-powered definitive trial [10].”
BackgroundConroy, D. E., & Kim, I. (2020) · Health Psychology · doi:10.1037/hea0000886 · Cited by 27
Conley, C. C., Castro, E., Moreno, L., Dutil, J., García, J., Burgos, C., Ricker, C. N., Kim, J., Graves, K. D., Ashing, K. T., et al. (2020) · Journal of Genetic Counseling · doi:10.1002/jgc4.1324 · Cited by 29
“…to determine whether this novel intervention resulted in a clinically significant benefit for Latina BC survivors, we designed and executed a Phase IIb pilot study (per the Obesity-Related Behavioral Intervention Trials (ORBIT) model for behavioral treatment development; Czajkowski et al., 2015).”
MethodIdentifying pathways to quitting smoking via telemedicine-delivered care.
Liebmann, E. P., Preacher, K. J., Richter, K. P., Cupertino, A. P., & Catley, D. (2019) · Health Psychology · doi:10.1037/hea0000740 · Cited by 30
“Incorporating and evaluating the role of hypothesized mediators in clinical trials is recommended for more precise interpretation of the results (Czajkowski et al., 2015).”
BackgroundMacKinnon, A., Simpson, K. M., Salisbury, M. R., Bobula, J., Penner‐Goeke, L., Berard, L. D. H., Rioux, C., Giesbrecht, G. F., Giuliano, R. J., Lebel, C. A., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.880972 · Cited by 38
Self-citationA qualitative study exploring factors that influence enrollment in outpatient cardiac rehabilitation
Rouleau, C. R., King‐Shier, K. M., Tomfohr‐Madsen, L. M., Aggarwal, S., Arena, R. A., & Campbell, T. S. (2016) · Disability and Rehabilitation · doi:10.1080/09638288.2016.1261417 · Cited by 31
“Importantly, this study yields valuable insights that can be used to inform novel strategies to promote CR utilization, consistent with the innovative ORBIT Model [55] which endorses a phased approach to behavioral intervention development.”
BackgroundTransdisciplinary translational behavioral (TDTB) research: opportunities, barriers, and innovations
Czajkowski, S. M., Lynch, M. R., Hall, K. L., Stipelman, B. A., Haverkos, L., Perl, H. I., Scott, M. S., & Shirley, M. C. (2016) · Translational Behavioral Medicine · doi:10.1007/s13142-015-0367-3 · Cited by 29
Self-citationAmonoo, H. L., Harnedy, L. E., Deary, E. C., Traeger, L. N., Brown, L., Daskalakis, E. P., Cutler, C. S., Kelkar, A. H., Rosales, R., Goldschen, L., et al. (2022) · Bone Marrow Transplantation · doi:10.1038/s41409-022-01711-9 · Cited by 30
“Qualitative studies that aim to explore HSCT recipients’ experiences with peer support during transplantation and recovery are an essential first step in rigorous psychosocial intervention development [27].”
BackgroundKratz, A. L., Atalla, M., Whibley, D., Myles, A., Thurston, T. S., & Fritz, N. E. (2019) · Neurology Report · doi:10.1097/npt.0000000000000296 · Cited by 27
Loughan, A. R., Willis, K. D., Braun, S. E., Rodin, G., Lanoye, A., Davies, A. E., Svikis, D., Mazzeo, S., Malkin, M., & Thacker, L. (2022) · Journal of Neuro-Oncology · doi:10.1007/s11060-022-03988-8 · Cited by 29
“Feasibility and Acceptability were operationalized based on published guidelines for Phase IIa proof-of-concept trials and previous peer-reviewed studies adhering to these recommendations, see Table 1 [19, 21, 22, 25, 27].”
BackgroundMethodDragomir, A. I., Boucher, V. G., Bacon, S., Gemme, C., Szczepanik, G., Corace, K. M., Campbell, T. S., Vallis, M. T., Garber, G. E., Rouleau, C. R., et al. (2020) · Translational Behavioral Medicine · doi:10.1093/tbm/ibaa015 · Cited by 28
Richardson, K. E., Petukhova, R., Hughes, S. D., Pitt, J., Yücel, M., & Segrave, R. A. (2024) · BMC Public Health · doi:10.1186/s12889-024-17683-y · Cited by 29
“Going forward, harnessing gold-standard frameworks for behavioural intervention design and development (e.g., The Behaviour Change Wheel [59], ORBIT [60]) is likely to be particularly valuable in identifying and systematically addressing barriers to change.”
BackgroundCommentary: National Institutes of Health (NIH) Science of Behavior Change (SOBC)
Aklin, W. M., Stoeckel, L. E., Green, P. A., Keller, C., King, J. W., Nielsen, L., & Hunter, C. M. (2020) · Health Psychology Review · doi:10.1080/17437199.2020.1716383 · Cited by 24
“…in the SOBC Program and other research endeavours (e.g., the NIH Stage Model, the ORBIT model, Trans-Diagnostic Processes) have the potential to transform the field of behaviour change research to produce more robust interventions with durable effects (Czajkowski et al., 2015; Onken et al., 2014).”
BackgroundSelf-citationOuchi, K., George, N. R., Revette, A. C., Hasdianda, M. A., Fellion, L., Reust, A. C., Powell, L. H., Sudore, R. L., Schuur, J. D., Schonberg, M. A., et al. (2018) · Journal of Palliative Medicine · doi:10.1089/jpm.2018.0360 · Cited by 27
“1).(29) The feasibility and primary efficacy of this intervention are yet to be tested.”
BackgroundSelf-citationKitsaras, G., Asimakopoulou, K. G., Henshaw, M., & Borrelli, B. (2023) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12817 · Cited by 28
Rothman, A. J., Simpson, J. A., Huelsnitz, C. O., Jones, R. E., & Scholz, U. (2020) · Health Psychology Review · doi:10.1080/17437199.2020.1719183 · Cited by 25
“These observations also echo concerns that led to the launch of several initiatives to enhance the design and testing of behavioral interventions, which include the Science of Behavior Change (SOBC; Nielsen, Riddle, & King, 2018; Onken, 2019), Theories and Techniques of Behaviour Change (TAT; Michie et al., 2018), the…”
BackgroundAzizoddin, D. R., DeForge, S. M., Baltazar, A. R., Edwards, R. R., Allsop, M. J., Tulsky, J. A., Businelle, M. S., Schreiber, K. L., & Enzinger, A. C. (2024) · Supportive Care in Cancer · doi:10.1007/s00520-024-08307-7 · Cited by 28
“Following the ORBIT model for developing behavioral treatments for chronic diseases [39] and the adapted STROBE checklist for ecological momentary assessment (EMA) studies [40], our goal was to develop an mHealth application for patients with advanced cancer pain that integrates pain-CBT with…”
Person-specific dose-finding for a digital messaging intervention to promote physical activity.
Hojjatinia, S., Hojjatinia, S., Lagoa, C. M., Brunke-Reese, D., & Conroy, D. E. (2021) · Health Psychology · doi:10.1037/hea0001117 · Cited by 28
Edmondson, D. E., Conroy, D. E., Romero‐Canyas, R., Tanenbaum, M. L., & Czajkowski, S. M. (2022) · Translational Behavioral Medicine · doi:10.1093/tbm/ibac030 · Cited by 34
Self-citationdeJonge, M. L., Jain, S., Faulkner, G., & Sabiston, C. M. (2021) · Mental health and physical activity · doi:10.1016/j.mhpa.2021.100391 · Cited by 36
Carbonnel, F., & Ninot, G. (2019) · Journal of Medical Internet Research · doi:10.2196/13606 · Cited by 31
“%) were dedicated to diseases such as cancer [31], addiction [37], and all chronic disease [62].”
Oswald, L. B., Morales-Cruz, J., Eisel, S. L., Rio, J. D., Hoogland, A. I., Ortiz-Rosado, V., Soto-Lopez, G., Rodriguez-Rivera, E., Savard, J., Castro, E., et al. (2022) · Journal of Behavioral Medicine · doi:10.1007/s10865-022-00313-6 · Cited by 27
“Consistent with the ORBIT Model (Czajkowski et al., 2015), the next step is to test the efficacy of the Spanish-language CBT-I group intervention for BCS in a fully powered RCT. Author contributions Conceptualization: BDG, JMC; Formal analysis: SLE; Resources: JS; Data curation: SLE, JDR, AIH.”
MethodInfluentialSantiago, J., Akeman, E., Kirlić, N., Clausen, A. N., Cosgrove, K. T., McDermott, T. J., Mathis, B. K., Paulus, M. P., Craske, M. G., Abelson, J. L., et al. (2020) · Trials · doi:10.1186/s13063-019-3802-9 · Cited by 26
Ownsworth, T., Chambers, S. K., Jones, S., Parker, G. J., Aitken, J. F., Foote, M. C., Gordon, L. G., Shum, D., Robertson, J., Conlon, E. G., et al. (2023) · Psycho-Oncology · doi:10.1002/pon.6189 · Cited by 29
“15 The trial was pragmatic in the sense that we aimed to determine whether an extended brain tumor ‐ specific intervention yields better clinical outcomes than existing care practices for people with PBT. 12,15 The hypotheses were: 1.”
InfluentialBrown, L., Sharma, M., Leggett, S. S., Sung, J. H., Bennett, R., & Azevedo, M. (2020) · Health Promotion Perspectives · doi:10.34172/hpp.2020.41 · Cited by 25
“Income Less than $10 000 3 (11) 7 (25) 8.”
Locke, J. J., Kang‐Yi, C. D., Pellecchia, M., & Mandell, D. S. (2018) · Journal of Research in Special Educational Needs · doi:10.1111/1471-3802.12436 · Cited by 25
“We also highlight that in a pilot feasibility trial, it is important to understand the potential benefits that the intervention may have on the target population (Czajkowski et al., 2015), in this case, whether Remaking Recess may improve the social outcomes of children with ASD.”
BackgroundMethodInfluentialFinley, D. J., Stevens, C. J., Emond, J. A., Batsis, J. A., Fay, K. A., Darabos, C., Sacks, O. A., Cook, S. B., & Lyons, K. D. (2021) · Surgical Oncology · doi:10.1016/j.suronc.2021.101525 · Cited by 25
Strengthening Clinical Research in Marriage and Family Therapy: Challenges and Multilevel Solutions
Wittenborn, A. K., Blow, A. J., Holtrop, K., & Parra‐Cardona, J. R. (2018) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12338 · Cited by 25
Changing Behavior by Changing Environments
Marteau, T. M., Fletcher, P. C., Hollands, G. J., & Munafo, M. R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.014 · Cited by 32
Developing Behavior Change Interventions
Hankonen, N. E., & Hardeman, W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.021 · Cited by 28
The bases of targeting behavior in health promotion and disease prevention
Rubinelli, S., & Diviani, N. (2020) · Patient Education and Counseling · doi:10.1016/j.pec.2020.08.043 · Cited by 33
Felder, J. N., Roubinov, D. S., Bush, N. R., Coleman‐Phox, K., Vieten, C., Laraia, B. A., Adler, N. E., & Epel, E. S. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22592 · Cited by 24
“Per recommendations from the Obesity-Related Behavioral Intervention Trials model, we utilized a quasi-experimental controlled trial design focused on obtaining a clinically significant signal prior to more rigorous, costly testing using a randomized design (Czajkowski et al., 2015).”
Self-citationHPV-Vaccine Hesitancy in Colombia: A Mixed-Methods Study
Sánchez, V. C., Lemos, M., Lopera, D. A. T., & Gorin, S. S. (2022) · Vaccines · doi:10.3390/vaccines10081187 · Cited by 27
“We used the COM-B model (capability, opportunity, motivation, and behaviour [38]), to select th study’s quantitative measures and f r qualitative d ta collection, nd as a guide for analysing the data.”
BackgroundMethodInfluentialBeyond choice architecture: advancing the science of changing behaviour at scale
Marteau, T. M., Fletcher, P. C., Munafo, M. R., & Hollands, G. J. (2021) · BMC Public Health · doi:10.1186/s12889-021-11382-8 · Cited by 23
Re-orienting transdisciplinary research and community-based participatory research for health equity
Hohl, S. D., Neuhouser, M. L., & Thompson, B. (2022) · Journal of Clinical and Translational Science · doi:10.1017/cts.2022.15 · Cited by 26
Metadata
- Authors
- Czajkowski, S. M., Powell, L. H., Adler, N., Naar-King, S., Reynolds, K. D., Hunter, C. M., Laraia, B., Olster, D. H., Perna, F. M., Peterson, J. C., Epel, E., Boyington, J. E., & Charlson, M. E.
- Affiliations
- National Institutes of Health (US)
- Rush University Medical Center (US)
- University of California, San Francisco (US)
- Claremont Graduate University (US)
- University of California, Berkeley (US)
- Weill Cornell Medicine (US)
- ORCID
- Venue
- Health Psychology
- Published
- 2015-10
- Volume
- 34
- Issue
- 10
- Pages
- 971-982
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC4522392
- OpenAlex
- W1985326609
- Cited by
- 1,161
- References
- 54
- Citations by year
- 2026: 118 · 2025: 152 · 2024: 158 · 2023: 142 · 2022: 116 · 2021: 119 · 2020: 191 · 2019: 69 · 2018: 48 · 2017: 20 · 2016: 21 · 2015: 4
- FWCI
- 50.16
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Health Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Scholarship @ Claremont (The Claremont Colleges) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Aging
- American Federation for Aging Research
- John A. Hartford Foundation
- Atlantic Philanthropies (K23AG042869)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- ORBIT model, chronic disease prevention, chronic disease treatment
- MeSH terms
- Behavior Therapy, Chronic Disease, Humans, Biomedical Research
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