Extract

Over the last 3 years, the Coronavirus disease 2019 (COVID-19) pandemic has shined a major spotlight on the role of health behaviors in the management of the spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus [1, 2]. In spite of the desperate need for innovative and adaptive behavioral interventions to better engage individuals in actions such as getting vaccinated, wearing a mask, physically distancing, etc [2, 3], only 0.007% of worldwide COVID-19 trials were dedicated to behavioral research [4]. Beyond the pandemic, we know that health risk behaviors, such as medication non-adherence, physical inactivity, consumption of a poor quality diet, and smoking, underpin virtually all non-communicable chronic diseases (NCDs) [5, 6]. Though there have been a number of behavioral intervention success stories over the last several decades, there is still limited uptake of health behavior interventions in the community and clinical practice.

The mission of the International Behavioural Trials Network (IBTN [7], www.IBTNetwork.org) is to foster global improvement in the quality of behavioral interventions and in trial implementation. This is done through the sharing of existing recommendations, tools, and methodologies on behavioral trials and intervention development. The members of the IBTN met for their 4th international conference, which was held using a hybrid format between May 19 and 21, 2022 in Montreal, Canada. The meeting was attended by more than 230 researchers, clinicians, public health and implementation specialists, trainees, and other end-users from 28 countries, spanning 6 continents, and featured 9 plenary presentations, 3 achievement awards presentations, 6 early career investigator presentations, 7 workshops, given by an outstanding faculty (https://www.ibtnetwork.org/conference/2022-conference-program/), and 42 abstracts (see supplement). Here we summarize the proceedings of the plenary sessions and discuss key challenges that were raised for the field as it moves forward.

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