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Commentary |

Translational Behavioral Research in Respiratory Medicine

Bruce G. Bender, PhD; Mark S. Aloia, PhD; Allison E. Rankin, MPH, MSW; Frederick S. Wamboldt, MD
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From the Department of Pediatrics (Dr Bender and Ms Rankin) and Department of Psychosocial Medicine (Drs Aloia and Wamboldt and Ms Rankin), National Jewish Health, Denver, CO; and Department of Psychiatry (Drs Bender, Aloia, and Wamboldt), University of Colorado School of Medicine, Denver, CO.

Correspondence to: Bruce G. Bender, PhD, The Center for Health Promotion, National Jewish Health, 1400 Jackson St, Denver, CO 80206; e-mail: benderb@njhealth.org


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;139(6):1279-1284. doi:10.1378/chest.10-2443
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Human behavior can prevent or invite disease and is a major determinant of treatment success. Consequently, many efforts have been directed toward developing interventions to promote behaviors essential to managing or preventing respiratory disease. The process of developing, testing, and disseminating health behavior interventions should closely follow the translational research paradigm. However, most behavioral investigators have failed to adequately apply the translational research paradigm to behavioral research. The final stage of translation, consisting of testing the effectiveness of interventions in broad clinical settings after efficacy has been demonstrated in randomized controlled trials, is too often omitted. Additionally, the important task of understanding why any given health behavior intervention succeeds with some people but fails to change behavior in others is inconsistently pursued and seldom used to develop the robust theories of behavior change needed to improve respiratory health. Bringing health behavior research through the full translational process has the potential to significantly enhance respiratory health with specific behavioral targets, including smoking cessation, obesity prevention, TB control, and adherence to a multitude of respiratory treatments.

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