• Why was this study done? Floreciendo is a sexual and reproductive health program for Latina teens and their female caregivers. We researched how best to implement the program, including exploring what would support the program’s delivery, potential barriers we would face when delivering Floreciendo, and strategies we could use to help the program succeed.

• What did we do? We worked as a team of community organizations, university researchers, Latina teens, female caregivers, and others experienced in sexual and Latina health. We integrated the phases of the EPIS framework (which supports implementation planning) with the MOST framework (which focuses on optimizing an intervention through decision-making based on real-world constraints). We rapidly analyzed seven focus groups and seven key-informant interviews.

• What does this paper add? We provide a practical example of how researchers can develop an implementation plan while using the MOST framework. We learned about key considerations for implementing Floreciendo (e.g. where and when the program should take place, who should facilitate it, barriers we might face, and strategies to address them). We also gained perspectives on the program’s potential adoption within organizations and how we can support its continued delivery. We highlight the importance of partnerships between community stakeholders and researchers to achieve our goals.

• What do the findings mean? Findings will play a key role in creating and implementing a program to support Latina teens over the long term. Our findings can also inform future studies that use the MOST framework.

Annals of Behavioral Medicine

Bidirectional associations between daily subjective stress and sexual desire, arousal, and activity in healthy men and women

Hanna M Mües, PhD; Charlotte Markert, PhD; Anja C Feneberg, PhD; Urs M Nater, PhD

Lay Summary

Stress and sexuality are closely linked, but how exactly stress and sexuality are associated, and whether men and women are different, remains unclear. In this study, 59 heterosexual, healthy men and women aged 18-30 who were in a relationship participated. Over 14 days, they rated their subjective stress, sexual desire, and sexual arousal at 6 fixed timepoints each day and whenever they had been sexually active. The results showed that when people experienced more stress at one timepoint, then they reported less sexual desire and arousal (and vice versa) at the same time. Over two subsequent timepoints, when people experience sexual desire and engage in sexual activities, they tend to experience lower stress levels afterward. The association between being sexually active and being less stressed was stronger in women than in men. Since the researchers examined relatively young and healthy individuals, their findings may not apply to everyone. Future research should investigate whether stress reduction interventions may be a potential way to promote sexual health, ultimately contributing to improved well-being and overall health.

Effectiveness of the video teach-back method in reducing kinesiophobia among patients following unilateral total hip arthroplasty: a quasi-experimental study

Hui Ren, PhD; Shanshan Wang, MSc; Xin Yin, MSc; Pan Li, MSc; Xiaolan Li, MSc; Yingchun Xue, MSc; Wenhao Xin, MSc; Yan Wang, MSc; Hongyan Li, PhD

Lay Summary

This study explored the effectiveness of the video teach-back method in reducing kinesiophobia (fear of movement) among patients recovering from unilateral total hip arthroplasty (THA). Kinesiophobia is a common issue that can hinder rehabilitation, prolong recovery, and increase healthcare costs. The video teach-back method combines video education with interactive feedback to improve patients’ understanding of rehabilitation exercises and promote active participation. The study included 91 patients who were divided into an intervention group, which received video teach-back education, and a control group, which received standard care. Results showed that the intervention group experienced significant reductions in kinesiophobia, improved hip function, earlier ambulation, shorter hospital stays, and reduced medical costs compared with the control group. These findings demonstrate that the video teach-back method is an effective and practical tool to enhance recovery outcomes for THA patients. This research highlights the importance of innovative, patient-centered education methods in clinical practice and provides a reference for broader applications of the video teach-back method in healthcare.