Growing epidemiological evidence identifies key domains relevant to behavioral cardiology,
including health behaviors, emotions, mental mindsets, stress management, social connectedness,
and a sense of purpose. Each of these domains exists along a continuum, ranging from
positive factors that promote health, to negative factors, which are pathophysiological.
To date, there has been relatively little translation of this growing knowledge base
into cardiology practice. Four initiatives are proposed to meet this challenge: 1)
promulgating greater awareness of the potency of psychosocial risks factors; 2) overcoming
a current "artificial divide" between conventional and psychosocial risk factors;
3) developing novel cost-effective interventions using Internet and mobile health
applications, group-based counseling, and development of tiered-care behavioral management;
and 4) in recognition that "one size does not fit all" with respect to behavioral
interventions, developing specialists who can counsel patients in multidisciplinary
fashion and use evidence-based approaches for promoting patient motivation and execution
of health goals.