SBM's 2009 Annual Meeting & Scientific Sessions
November 28, 2008 - January 5, 2009
PRESIDENT'S MESSAGE: ACROSS BOUNDARIES
Bonnie Spring, PhD, ABPP
Some of you know that I am an inveterate traveler. Asia has been my favorite destination for more than 30 years. Never have I been happier than when trekking (usually literally) through Japan, India, China, Cambodia, Vietnam, Indonesia, Thailand, Myanmar, or Singapore. At least initially, my fascination with Asia reflected its exoticism, relative to my U.S. life experiences. Meeting others with vastly different values, priorities, beliefs and fears expanded my own horizons. Seeing how things really are different elsewhere helped me to envision how they could be different where I am.
After a hiatus of several years, I returned to Japan this past August 2008 to attend the International Congress of Behavioral Medicine. Re-orienting to Tokyo I was struck, as usual, by much that is different. Where in the U.S. could one ever encounter: …a luggage attendant who bows formally to each departing airport bus..... a breakfast buffet containing (adjacently) iceberg lettuce, fruit loops, congee, pickles, scrambled eggs, seaweed, hotdogs, olives, sashimi…..a device that automatically sheaths in plastic the wet umbrellas of entering customers …orderly subway lines….heated toilet seats with rushing water acoustics…..white gloved, capped train attendants?
Yet in the midst of so much foreignness, a vague feeling of familiarity also crept over me. Compared to most Americans, the Japanese are very slight in build. More than once I've given a gift of extra-large Japanese size clothing that failed to close around an American frame. I'd always attributed the apparent absence of Japanese weight control problems to a mixture of felicitous genes and healthy lifestyle. Having a car is a distinct liability in Tokyo, where food portion sizes also tend to be sensible. The ubiquitous Japanese vending machine has for many years offered the micro-packages of soft drinks and Haagen-Dazs that calorie-conscious Westerners can now purchase. On this visit, my Japanese companions at the breakfast buffet still decorated their plates elegantly with tiny food servings. But something was askew…..Could my fellow patrons actually have grown slightly larger than I'd remembered?
The change was subtle, nearly imperceptible, but born out by a Google search. Fearing the economic costs of obesity in a rapidly aging society, the Japanese government passed a new law this past April 2008. The so-called "Metabo Law" aims to shrink by 10 percent over the next four years and 25 percent over the next seven years the number of Japanese whose waist circumference exceeds government limits. The national law forbids waist lines larger than 33.5 inches for men and 35.4 inches for women. Companies and local governments must now measure the waistlines of all employees and citizens between the ages of 40 and 74 as part of an annual check-up. Companies whose employees fail to meet weight loss targets will face hefty fines.
Which shall we consider more astonishing: the Japanese approach to the "metabo" problem or the fact that the obesity epidemic has now struck the lithe Japanese? Clearly, the world has entered a global era in which our problems are our neighbors' and our neighbors' problems are ours. Let us hope that the expanded human capital now applied to solve our shared health challenges will yield better solutions…and soon.
In that same spirit we can look forward to hearing fresh perspectives when SBM 2009 meets in Montréal, Canada this coming April. Nearly 150 annual meeting submissions this year have come from Canada - a new record. Meeting attendees are ensured of an international perspective on behavioral medicine in a world-class city.
I have spent much of the past two years learning about a different kind of boundary: the sort that separates the health professions. My education has been contributed by the mentoring souls who co-populate the Council on Evidence-Based Behavioral Practice (EBBP), supported by the National Institutes of Health's Office of Behavioral and Social Science Research (OBSSR). Council members hail from medicine (Evelyn Whitlock), social work (Edward Mullen), nursing (Robin Newhouse), public health (Ross Brownson), psychology (Jason Satterfield), and information sciences (Kristin Hitchcock).
The EBBP Council is trying to decipher how practitioners can utilize behavioral medicine research to help people engage in healthier behaviors. Our process of mutual education has been alternately head-spinning and eye-popping, hair-pulling and uplifting. In other words, our process is quite reminiscent of the one that affects those of you who work on interdisciplinary teams. The core, ineluctable challenge has been the one to which SBM introduced me: that of integrating behavioral medicine interventions at the individual, community, and population levels of the ecological model. With alternating exhilaration and gnashing of teeth, Council was able to develop a model of the evidence based behavioral practice process that appears to us to apply at all levels of the ecological model. A set of three free on-line learning modules on searching for evidence, systematic reviews, and engaging the EBBP practice process for individuals and communities was just released at www.ebbp.org/training. The EBBP Council would very much welcome your input on how we're doing: firstname.lastname@example.org
Much can be learned by craning one's neck to assume the perspective of a sister discipline whose members engage in behavioral medicine. Acquiring the new viewpoint takes time and practice. The developmental process is akin to that needed to perform Piaget's Three Mountain Task. There the challenge is to depart from egocentrism well enough to envision how things look from a different vantage point. The undertaking is puzzling, enlightening, and eminently worthwhile. It affords the kind of deep, broad perspective that becomes possible when SBM's many member professional disciplines gather for the annual meeting.
In many respects, the boundary of greatest importance for SBM to cross is the one that involves translating research findings into practical implementation and practical questions into meaningful, useful research. Four SBM working groups have been working diligently and creatively to address that challenge. Their efforts are beginning to bear fruit, and you can expect to hear more about their accomplishments in the next issue of Outlook. In the meanwhile, most sincere thanks go to Paul Jacobsen for chairing the Guidelines working group, Barbara Resnick for chairing the Practice journal working group, Jeff Goodie for chairing the group on practice research networks, and Amanda Graham for chairing the consumer demand working group.
Ellen R. Gritz, PhD
SBM Member Ellen R. Gritz, PhD Receives Award
The Foundation for the History of Women in Medicine (FHWIM) recognized SBM Member and Fellow, Ellen R. Gritz, PhD, on October 1, 2008, as the 2008 Alma Dea Mornai, MD, Renaissance Woman Award recipient. Dr. Gritz is professor and the founding chair of the Department of Behavioral Science at the University of Texas M.D. Anderson Cancer Center.
"Dr. Gritz is a significant advocate for preventive medicine, as well as a driving force in cancer research," notes Barbara Atkinson, MD, FHWIM President. Dr. Gritz is an established leader in cancer prevention and control research and an internationally known investigator. She holds a long record of distinguished activity within the medical field; she is a member of multiple advisory councils, Boards of Directors, and was elected to membership in the Institute of Medicine.
In order to be recognized with this prestigious award, a woman must: have provided a uniquely valuable influence in medicine and the sciences; challenge the status quo and embrace the unknown with a passion for learning; be determined and spirited beyond the traditional pathways; and posses a dedication to service that has enhanced the practice and understanding of medicine and humanities in our lifetime.
SBM extends its warmest congratulations to Dr. Gritz for this noteworthy achievement.
From the Ethnic Minority and Multicultural Health SIG
The following article from the Ethnic Minority and Multicultural Health SIG provides a brief overview about the opportunities and challenges in conducting research with ethnic and racial minority participants.
Michelle Martin, Ph.D.
The Willingness of Ethnic and Racial Minorities to Participate in Behavioral Medicine Research
Jeffrey L. Kibler, Ph.D.
Mindy Ma, Ph.D., Division of Social and Behavioral Sciences, Farquhar College of Arts and Sciences, Nova Southeastern University
Despite the importance of including participants from ethnic and racial minority groups in research, and initiatives of funding agencies to mandate adequate inclusion of minorities, there continues to be under-representation of minority groups in behavioral medicine research. Difficulties recruiting individuals of ethnic and racial minority status in biobehavioral research can result in samples that are too small for conventional analyses, limit conclusions drawn from studies, and diminish the ability to improve health services for minority populations. Several variables have been identified as facilitators of research participation for ethnic/racial minorities. Studies in genetics (1), HIV prevention (e.g., 2-3), cardiovascular health (4), and general assessments of community views (e.g., 5-6) have generally associated greater willingness to participate with less mistrust, fewer health-related fears, greater perceived benefits (benefits to the community or personal incentives), altruism, greater health risks, knowing someone with the illness under investigation, and lacking knowledge of the Tuskegee Syphilis Study. These findings are consistent with first-hand experiences of investigators in the field, which suggest that efforts of the research team to immerse themselves in the community, actively engage community members, leaders and gatekeepers, and provide education about study details, are effective for gaining trust and enhancing recruitment (e.g., 7-8). In addition, investigators may provide information that addresses health-related fears of study candidates and effectively communicate the benefits of research participation for potential volunteers and the community. Messages that focus on the potential of research findings to improve quality of life for specific segments of the community may stimulate altruistic intentions for the targeted population.
There is a need for further systematic research of the factors that predict study participation, and the implementation of empirically-based strategies for enhancing recruitment. To date, studies of willingness to participate have primarily focused on African American samples. Given the history of research-related ethical violations involving African Americans, the perspectives of African Americans are central to understanding barriers and facilitators in research participation. However, expanding willingness research to other ethnic and racial minority groups will enhance the understanding of how sociocultural differences between groups may contribute to decisions regarding participation.
Americans are central to understanding barriers and facilitators in research participation. However, expanding willingness research to other ethnic and racial minority groups will enhance the understanding of how sociocultural differences between groups may contribute to decisions regarding participation.
From the Complementary and Alternative Medicine SIG
The common perception of many healthcare providers is that the Department of Defense is more conservative in their approach to healthcare than most civilian organizations. Many would probably think that military hospitals would not be interested in exploring Complementary and Alternative Medicine approaches to treatment. Submitted by Dr. Mona Bingham of the Complementary and Alternative Medicine SIG, this article provides two examples of current research efforts focused on addressing the efficacy of these holistic healing practices for military populations.
Suzanne C. Danhauer, Ph.D.
Research in Integrative Medicine at the Department of Defense: Generating Quality Research to Promote Healing
Yoga Experience for Soldiers (YES)
In 2004, there was little literature on the use of yoga with military populations. However, we believed that the multi-component aspects of yoga - physical exercise, breathing and meditation - could be effective in reducing physical discomfort and mental stress for soldiers experiencing physical and emotional pain resulting from injuries or illnesses related to Operation Iraqi Freedom (OIF). This pilot project, Yoga Experience for Soldiers (YES), was uniquely designed as a medical therapeutic intervention for injured soldiers. Because Dr. Beth Whitney-Teeple had a strong background in the military, yoga, and research, she was the perfect co-researcher, with Dr. Mona Bingham, the PI for this project. She has also completed the 500-hour level Viniyoga training w/ Gary Kraftsow (Director, American Viniyoga Institute www.viniyoga.com, Author: Yoga for Wellness, 1999; Yoga for Transformation, 2002). She consulted with numerous other yoga experts to identify optimal sequencing of movements and postures to ensure a safe and healing program for soldiers with multiple types of injuries who were generally inexperienced with yoga.
**This pilot project was selected for presentation at the 1st Symposium on Yoga Therapy and Research (SYTAR), International Association for Yoga Therapists, Los Angeles, California, January 2007. This work has also been presented to military audiences of clinicians and researchers.
*Funding provided through the US Army Center for Health Promotion and Preventive Medicine (USACHPPM) Directorate of Health Promotion and Wellness (DHPW).
Outcomes of Cranial Electrotherapy Stimulation (CES) with Soldiers for Combat-Related Symptoms
CES has been found to be effective in controlling anxiety, depression, insomnia, and generalized stress with other populations (Kirsch & Smith, 2000). There are many Department of Defense (DoD) facilities that are using CES in clinical practice, and it has gained popularity with many military providers and patients, but there are no published data for the use of CES in soldiers with combat related symptoms post-deployment. Considering the largely positive results of preliminary studies on patients with anxiety, depression, and insomnia, we decided to examine the effects of CES as an adjunct therapy for combat-related symptoms. The purpose of an ongoing double-blind randomized controlled research study is to determine if CES for soldiers is effective in reducing irritability (and also other combat-related symptoms of anxiety, depression, pain, and sleep disturbance). The study uses a repeated measures design to measure outcomes and duration of effects up to one month following treatment. This inter-disciplinary study combines the Nursing Research Service with a Clinical Health Psychologist (Alice Inman, PsyD) as co-investigator and works closely with Case Management and Behavioral Medicine to recruit soldiers who may benefit from this treatment. Currently, this study is active and no data has been analyzed. We anticipate outcomes by 2009.
Kirsch, D. L. (2008). CES in the treatment of pain-related disorders. Practical Pain Management, 8(3), 12-25.
These studies are just two examples of integrative medicine research in military hospitals. It is our hope that we can continue to promote integrative medicine treatment and research to improve the health and healing of our military population. Thank you for the opportunity to share our work here, and we look forward to sharing our findings and discussing future ideas and collaborations with you.
*Contact information for Dr. Mona Bingham, PI for both studies, is listed below.
Mona Bingham, PhD, RN
Lieutenant Colonel, U. S. Army
Chief, Nursing Research Service
Brooke Army Medical Center
Fort Sam Houston, TX 78234
The opinions or assertions contained herein are the private views of the author(s) and are not to be construed as official or reflecting the views of the U.S. Department of Defense, U.S. Army, or Army Nurse Corps
From the Women's Health SIG
Reviving Attention on Women's Health at SBM
Given these trends, would anyone dispute the fact that women's health research warrants continued, and even increased, attention by SBM members? We know that many of you are already working productively on these issues, particularly in regards to improving prevention and treatment efforts. As you know, the Special Interest Group (SIG) structure provides a forum for health professionals, researchers, and clinicians to share their innovations and challenges, as well as a venue for networking. Sadly, in the past few years, there has been a notable decline in participation in the Women's Health SIG. Given the importance of women's health issues in behavioral medicine, this decreased interest in the SIG is perplexing.
Our Current Challenge
Call to Action
We welcome the reactions, ideas, and comments of all society members. Achieving our goal of increasing visibility on women's health at SBM is much larger than solely the Women's Health SIG membership. We hope to attract the attention and assistance of all society members. We would appreciate feedback and ideas on ways we could increase participation and attention on women's health at SBM. Our contact information is below. We look forward to hearing from you.
NIH OBSSR-Sponsored On-Line Training in
The interdisciplinary Council for Training in Evidence-Based Behavioral Practice (EBBP), sponsored by National Institutes of Health's Office of Behavioral and Social Science Research (OBSSR), announces release of a newly redesigned website and training modules at http://www.ebbp.org. A goal of the EBBP project is to develop online learning tools to help behavioral practitioners and students integrate research and practice in real-world conditions. Three training modules are currently available: The EBBP Process, Searching for Evidence, and Introduction to Systematic Reviews.
The EBBP Process module aims to enhance the skills of behavioral interventionists from a variety of health care disciplines to find, appraise, and apply evidence to improve the health of individuals, communities, and other populations. In Searching for Evidence, behavioral health professionals will learn about available on-line resources and develop skills to more effectively search for health care evidence. In Systematic Reviews, evidence-users will learn to appraise the quality of systematic reviews, and evidence-creators will learn the basic steps in conducting a systematic review. Instructors who use the modules or other EBBP materials in their courses are also invited to share syllabi, conference presentations, and other resources in the new EBBP Teaching Resource Library at http://ebbp.org/syllabus.php.
EBBP.org training materials are based on an analysis of the professional competencies required to engage in the EBBP process. The EBBP Council white paper describing these competencies, available at http://www.ebbp.org/competencies.html, is a singular accomplishment. Council members representing the disciplines of medicine, nursing, psychology, social work, public health, and information sciences came together to delineate a harmonized approach to the evidence-based practice process across the major professions that deliver behavioral interventions. The white paper, which received public comment in spring and fall of 2007, reflects revisions based on the input of numerous professional societies.
Focus on SBM Scientific and Professional Liaisons
Liaison: coordination;the exchange of information or the planning of joint efforts by two or more people or groups
In an effort to inform our members of ongoing and planned activities of the Scientific and Professional Liaison Council, Outlook will regularly shed a spotlight on SBM partnerships with other organizations and groups. Are you working with another organization on behalf of SBM? The Scientific & Professional Liaison Council would like to hear from you! Contact Susan Woods, MD at email@example.com
Highlight: Society for Medical Decision Making The Society of Behavioral Medicine (SBM) and the Society for Medical Decision Making (SMDM) share more than a few core values. Both are diverse multidisciplinary societies whose members come from around the globe and both seek to improve health outcomes. The distinct emphasis in SMDM, in contrast to SBM, is health decision making. SMDM works to improve health outcomes through the proactive application of systematic methods such as decision analysis, shared decision making, utility elicitation, cost-effectiveness analysis, technology assessment, predictive modeling, quality of life assessment, medical informatics, discrete-event simulation, and evidence-based medicine. The Scientific and Professional Liaison Council of SBM has provided support and guidance in the formation of a special interest group on medical decision making and plans for shared programmatic activities with SMDM. For additional information, or to participate in the SBM Health Decision Making SIG and SBM/SMDM collaborative activities, please contact Sara Knight, PhD, at firstname.lastname@example.org, or Jamie Studts, PhD., email@example.com. Information about SMDM can be found at www.smdm.org.
An Update from the Integrated Primary Care (IPC) SIG
Members of the Integrated Primary Care (IPC) Special Interest Group (SIG) had a productive meeting in San Diego in March 2008. Here are a few highlights of activities of some of its members:
Literature reviews of IPC are needed
Increasing reimbursement for Health & Behavior codes
A recent release of a report funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), Health Resources and Services Administration (HRSA), and Centers for Medicare & Medicaid Services (CMS) helps to support the expansion of IPC. However, it does not address the unique needs of those who practice behavioral medicine in getting reimbursed for brief interventions targeted at medical conditions such as insomnia, pain, and adherence. The American Psychological Association (APA) informed us that reimbursement of H&B codes depends less on private carriers and more on whether or not an employer has included coverage for health and behavior series in the contract that they sign with the insurer. Because of the wide variation in policies, and the thousands of existing private insurance carriers, APA indicated they do not have the resources to closely monitor this. APA has been receiving fewer requests to assist psychologists in convincing private insurers to cover these services and regard this decrease as an indication that carriers are now more willing to make health and behavior care a covered benefit. Dr. Roger Kessler, an IPC SIG member, recently published an article on this issue in Family, Systems, and Health, Vol. 26, #2. IPC SIG members have submitted a symposium on this issue for consideration at the 2009 Annual meeting in Montreal.
Primary Care Behavioral Health in the Air Force
Compendium of IPC Training Sites
Planning for the 2009 Annual Meeting
2009 Society of Behavioral Medicine Achievement Awards
The Society of Behavioral Medicine is now accepting applications for its 2009 Achievement Awards. Recipients will be presented with their respective awards at the 30th Annual Meeting & Scientific Sessions of the Society if Behavioral Medicine, April 22-25, in Montréal, Québec, Canada. This year the awards presentation will take place during the Business Meeting on Thursday, April 23 at 5:45 pm. The Presidential Reception, with hors d'oeuvres and cash bar will immediately follow.
For more information about the award nomination process including criteria and submission instructions, please visit www.sbm.org
Nomination and Application Submission Information
For questions regarding the achievement awards, please contact the SBM national office:
New Membership Directory Search Features Help Connect SBM Members
Until now, the online SBM Membership Directory allowed users to find other members only by name, company, or location. Now, SBM members can also search by Specialty, Occupation, or Primary Profession. If, for example, an SBM member was interested in finding all members who indicated their specialty as "nutrition", now it's not only possible - it's easy! Here's how: simply log onto the "Members Only" section of the SBM Web site at http://www.sbm.org. (If you've forgotten your log in information - user name and/or password - all you need do is submit your email address and the information will be emailed to you.) Click "SBM Membership Directory." By the "specialty" field, either type in "nutrition" or choose it from the link of common examples at the right. Hit search, and voila - a list of names with locations appears instantly. For detailed contact information click on the member's name.
Searchers can fill in one field or a combination of fields. Common examples and a drop down menu (by occupation) make searching especially easy.
Plan Now to Attend the 30th Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine, April 22-25, 2009
"Behavioral Medicine: From Evidence to Practice and Policy," is the theme of the 30th Annual Meeting & Scientific Sessions of SBM in Montréal, Canada, April 22-25, 2009, a timely topic of keen interest to behavioral medicine researchers, practitioners, and educators alike.
Other speakers include:
Wayne J. Katon, MD, professor of Psychiatry and Behavioral Sciences, University of Washington.
Delia Smith West, PhD, professor and Look AHEAD investigator, College of Public Health, University of Arkansas for Medical Sciences
Caryn Lerman, PhD, director of the Tobacco Use Research Center, University of Pennsylvania.
Dee Edington, PhD, professor of Movement Science, University of Michigan.
Noshir Contractor, PhD, engineer and entrepreneur who will share his work on the use of e-network science to map, understand and enable effective networks among business, science, engineering, and public health communities.
C. Tracy Orleans, PhD, Distinguished Fellow and Senior Scientist, Robert Wood Johnson Foundation
Colin Milner, CEO of the International Council on Active Aging;
Sumit Majumdar, MD, MPH, health outcomes expert at the University of Alberta
Miriam Shuchman, MD, physician and medical columnist.
All educational sessions will be held at the Palais des congrès de Montréal, directly across from the main meeting hotels, the Hyatt Regency and the Intercontinental.
Housing Registration Open
Thanks to our Canadian Colleagues
Rapid Communication Abstracts Accepted November 28 - January 5
Mix and Mingle
Wednesday evening, April 22:
Don't Forget Your Passport
To advertise in the Winter 2008 edition of Outlook (which will be available in January 2009), please supply ad copy to the SBM National Office. Artwork, including company logos, will not be accepted. Please contact the National Office for additional information.
The deadline for receipt of ad copy is November 3, 2008. Advertising is billed at a rate of $10 per line based on Outlook’s final layout.
Francis Keefe, PhD
Peter G. Kaufmann, PhD*
Susan M. Czajkowski, PhD*
Amanda L. Graham, PhD
Felicia Hill-Briggs, PhD
Lisa Klesges, PhD
Lora E. Burke, PhD, MPH, RN, Chair
Kenneth Freedland, PhD, Chair
Susan H. Woods, MD, MPH, Chair
Jennifer L. Steel, PhD, Chair
Suzanne M. Miller, PhD
David Mohr, PhD
Kenneth A. Wallston, PhD
Prabhu Ponkshe, MA, LLB
Peter G. Kaufmann, PhD*
Sherry L. Pagoto, PhD, Chair
Kathleen Goggin, PhD
Cheryl L. Albright, PhD, MPH, Editor
*Serving in a personal capacity
Please send Outlook correspondence to:
Cheryl L. Albright, PhD, MPH
Guidelines for Articles submitted to Outlook
1. Articles should be no longer than 500 words, plus up to 10 references.
Editor: Cheryl L. Albright, PhD, MPH
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