Abstract
This chapter discusses future directions of behavioral medicine in terms of three broad themes, (1) understanding the individual and the relationships between behavior and health, (2) the global spread of the field of behavioral medicine, and, (3) how developments within its epistemology will change behavioral medicine and the understanding of behavior and within the broader domains of health, health care and prevention. Among these, discussion includes how behavioral medicine’s emphasis on reciprocal influence is reflected in broad trends emphasizing complexity and big data, reaching beyond “personalized medicine” to “personalized care,” the importance of a lifespan perspective, resilience and positive and protective influences, the importance of considering populations and scalability, global disparities, national and international policy, and the epidemiological transition provoking a change from concern for acute to noncommunicable, chronic diseases and a change from a focus on mortality to years of disability compromised health. Across these, there has been an evolution of our world views, our Weltanschauungen. These have evolved from “bench research” and clinical application to considering communities and populations, evolved to include “big data,” evolved from trying to limit and control confounders to analyzing and understanding complexity, and evolved from a narrow focus on biological pathology and curing disease to include broader concerns about behavior, disease management, and quality of life.
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Notes
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This emphasis on choice and the availability of choices as a central criterion in judging the ethical quality of interventions was suggested to EF as a student by Leonard Krasner around 1970. At the time, Krasner was a central figure in controversy about the ethical qualities of behavioral control and behavioral influence in behavior modification and behavior therapy.
References
Buttorff, C., Hock, R. S., Weiss, H. A., Naik, S., Araya, R., Kirkwood, B. R., et al. (2012). Economic evaluation of a task-shifting intervention for common mental disorders in India. Bulletin of the World Health Organization, 90(11), 813–821.
Coon, H. M., & Kemmelmeier, M. (2001). Cultural orientations in the United States: (Re)examining differences among ethnic groups. Journal of Cross-Cultural Psychology, 32(3), 348–364.
Fisher, E. B. (2016). Social support, peer support, and strategic perspectives on health behavior. In H. Khan (Ed.), The future of people powered health (pp. 29–31). London: Nesta Health Lab.
Fisher, E. B., Ballesteros, J., Bhushan, N., Coufal, M. M., Kowitt, S. D., McDonough, A. M., et al. (2015). Key features of peer support in chronic disease prevention and management. Health Affairs (Millwood), 34(9), 1523–1530.
GBD 2013 Dalys, Hale Collaborators, Murray, C. J., Barber, R. M., Foreman, K. J., Abbasoglu Ozgoren, A., et al. (2015). Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: Quantifying the epidemiological transition. Lancet, 386(10009), 2145–2191.
Khan, H. (2016). The future of people-powered health. London: Nesta Health Lab.
King, A. C., Hekler, E. B., Grieco, L. A., Winter, S. J., Sheats, J. L., Buman, M. P., et al. (2016). Effects of three motivationally targeted mobile device applications on initial physical activity and sedentary behavior change in midlife and older adults: A randomized trial. PloS One, 11(6), e0156370.
Loevinger, J. (1948). The technic of homogeneous tests compared with some aspects of scale analysis and factor analysis. Psychological Bulletin, 45, 507–529.
Loevinger, J. (1976). Ego development. San Francisco: Jossey-Bass.
Maglio, P. P., & Mabry, P. L. (2011). Agent-based models and systems science approaches to public health. American Journal of Preventive Medicine, 40(3), 392–394.
Maman, S., Mbwambo, J. K., Hogan, N. M., Kilonzo, G. P., Campbell, J. C., Weiss, E., et al. (2002). HIV-positive women report more lifetime partner violence: Findings from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. American Journal of Public Health, 92(8), 1331–1337.
Perry, H. B., Zulliger, R., & Rogers, M. M. (2014). Community health workers in low-, middle-, and high-income countries: An overview of their history, recent evolution, and current effectiveness. Annual Review of Public Health, 35, 399–421.
Rahman, A., Malik, A., Sikander, S., Roberts, C., & Creed, F. (2008). Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: A cluster-randomised controlled trial. Lancet, 372(9642), 902–909.
United Nations. (2015). Sustainable development goals: 17 goals to transform our world. http://www.un.org/sustainabledevelopment/sustainable-development-goals/
Ussar, S., Griffin, N. W., Bezy, O., Fujisaka, S., Vienberg, S., Softic, S., et al. (2015). Interactions between gut microbiota, host genetics and diet modulate the predisposition to obesity and metabolic syndrome. Cell Metabolism, 22(3), 516–530.
van de Vijver, M. J. (2002). A gene-expression signature as a predictor of survival in breast cancer. The New England Journal of Medicine, 347, 1999–2009.
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Fisher, E.B. et al. (2018). Behavioral Medicine of the Future: From Disease to Health and Well Being, from the Individual to the Community and the Global, from Causes to Complexity. In: Fisher, E., et al. Principles and Concepts of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-93826-4_38
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DOI: https://doi.org/10.1007/978-0-387-93826-4_38
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