Abstract
Never before have the challenges for behavioral medicine been more exciting or more urgent. Because most health problems have their roots in behavioral causes, the role of behavioral medicine is paramount in public health. The challenges focus both on issues related to the way researchers interact, set priorities, and conduct research, as well as priority areas for future research. The principles include a need for more theoretical diversity and critique of theory, more inclusiveness, more cost-consciousness, an acceptance of failure as a fundamental part of behavioral science, and a greater commitment to international health. The priorities encompass a greater focus on basic behavioral science, more attention to the study of risk perception, more study of the problems of children and aging populations, and an urgent need for proven, proactive interventions. Actualization of these principles could help behavioral medicine researchers and practitioners to achieve a much greater impact in improving the public’s health both in the U.S. and abroad.
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References
Medawar PB:Advice to a Young Scientist. New York: Harper & Row, 1979.
Cuomo M:Reason to Believe. New York: Simon & Schuster, 1995.
Pierce J, Farkas A, Zhu SH, Berry C, Kaplan R: Should the Stages of Change Model be challenged.Addiction. 1996,91(9): 1290–1292.
Prochaska JO: Comments on Davidson’s ‘Prochaska and DiClemente’s model of change: A case study?British Journal of Addiction. 1992,87: 825–835.
Davidson, R: Prochaska and DiClemente’s model of change: A case study?British Journal of Addiction. 1992,87: 821–822.
Gardner J:Excellence: Can We Be Equal and Excellent Too? New York: Norton, 1984.
Schwartz G, Weiss S: Behavioral medicine revisited.Journal of Behavioral Medicine. 1978,1(3): 249–250.
Abrams D, Orleans CT, Niaura R, et al: Integrating individual and public health perspectives for treatment of tobacco dependence under managed health care: A combined stepped care and matching model.Annals of Behavioral Medicine (in press, 1996).
McGinnis JM, Foege WH: Actual causes of death in the United States.Journal of the American Medical Association, 1993.270(18): 2207–2212.
Biglan A: Recapturing Skinner’s legacy in behavioral therapy.The Behavioral Therapist. 1993, 3–5.
Wynder EL: Interdisciplinary centers for tobacco-related cancer research—A health policy issue.American Journal of Public Health, 1976,66(4): 367–371.
Shiffman S: Smoking cessation treatment: Any progress?Journal of Consulting and Clinical Psychology. 1993,61(5): 718–722.
Bishop M: Cancer: The rise of the genetic paradigm.Genes and Development. 1995,9: 1309–1315.
Lerman C: Translational behavioral research in cancer genetics. National Cancer Institute Meeting on Behavioral Research in Cancer. Washington, DC: July, 1995.
Lerman C, Croyle RT: Psychological issues in genetic testing for breast cancer susceptibility.Archives of Internal Medicine. 1994,154: 609.
Lerman C, Croyle RT: Genetic testing for cancer predisposition: Behavioral science issues.Journal of the National Cancer Institute Monographs. 1995,17: 63.
Lerman C, Gold K, Audrain J, et al: Incorporating biomarkers of exposure and genetic susceptibility into smoking cessation treatment: Effects of smoking-related cognition and quitting readiness.Health Psychology, 1997,16(1): 87–99.
Audrain J, Gomez-Caminero A, Lerman C, et al: Gender and ethnic differences in readiness to change smoking behavior.Women’s Health (in press, 1997).
Lerman C, Orleans T, Engstrom P: Biological markers in smoking cessation treatment.Seminars in Oncology. 1993,20(4): 359–367.
Gritz ER, Moon TE: The new cancer prevention and control.Cancer Epidemiology, Biomarkers and Prevention. 1992,1: 163–165.
Anderson N: Translational behavioral research in cancer genetics. National Cancer Institute Meeting on Behavioral Research in Cancer. Washington, DC: July, 1995.
Kornguth P, Keefe, F, Conaway MR: Pain during mammography: Characteristics and relationship to demographic and medical variables.Pain. 1996,66: 187–194.
National Research Council:Improving Risk Communication. Washington, DC: National Academy Press, 1989.
Weinstein ND, Sandman PM: A stage model of the precaution adoption process: Evidence from home radon testing.Health Psychology. 1992,11: 170–180.
Lerman C, Schwartz M, Miller S, et al: A randomized trial of breast cancer risk counseling: Interacting effects of counseling, educational level, and coping style.Health Psychology (in press, 1996).
King E, Rimer BK, Seay J, Balshem A, Engstrom PF: Promoting mammography use through progressive interventions: Its it effective?American Journal of Public Health. 1994,84(1): 104–106.
Curry SJ, McBride CM, Grothaus LC, Louie D, Wagner EH: A randomized trial of self-help materials, personalized feedback, and telephone counseling with non-volunteer smokers.Journal of Consulting and Clinical Psychology. 1995,63(6): 1005–1014.
Prochaska JO, DiClemente CC: Stages of processes of self-change in smoking: Towards an integration of change.Journal of Consulting and Clinical Psychology. 1995,87(2): 87–93.
Strecher VJ, Kreuter MW, DenBoer DJ, et al: The effects of computer-tailored smoking cessation messages in family practice setting.Journal of Family Practice. 1994,39(1): 262–270.
Skinner CS, Strecher VJ, Hospers H: Physician recommendations for mammography: Do tailored messages make a difference?American Journal of Public Health. 1994,84(1): 43–49.
Cambell MK, DeVellis BM, Strecher VJ, et al: The impact of message tailoring on dietary behavior change for disease prevention in primary care settings.American Journal of Public Health, 1994,84(5): 783–787.
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Preparation of this manuscript was supported in part by IRO-ICA63782-03 and IROICA59734-03, IPOICA72099-01, IP50CA68438-02.
I am grateful to my husband, Bernard Glassman, for the many discussions that influenced the ideas in this paper as well as for his editorial guidance.
Thanks are due to Licy M. Do Canto for editorial advice and word processing.
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Rimer, B.K. Toward an improved behavioral medicine. ann. behav. med. 19, 6–10 (1997). https://doi.org/10.1007/BF02883421
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DOI: https://doi.org/10.1007/BF02883421