scholarly journals Associations between poor sleep quality and stages of change of multiple health behaviors among participants of employee wellness program

2015 ◽  
Vol 2 ◽  
pp. 292-299 ◽  
Author(s):  
Siu-kuen Azor Hui ◽  
Michael A. Grandner
2017 ◽  
Vol 24 (10) ◽  
pp. 1392-1400 ◽  
Author(s):  
Patrick L Hill ◽  
Grant W Edmonds ◽  
Sarah E Hampson

Having a purpose in life has been consistently linked to subjective and objective health markers. Using data from the Hawaii Study of Personality and Health ( n = 749, Mage = 60.1 years), we tested multiple health behaviors as unique mediators of the correlation between sense of purpose and self-rated health ( r = .29). Correlational analyses found that participants’ sense of purpose was positively associated with their reports of vigorous and moderate activity, vegetable intake, flossing, and sleep quality. Combined in a multiple-mediator model, bootstrapping analyses suggested that sleep quality and vigorous activity proved significant unique mediators.


2000 ◽  
Vol 14 (5) ◽  
pp. 306-313 ◽  
Author(s):  
Marci Kramish Campbell ◽  
Irene Tessaro ◽  
Brenda DeVellis ◽  
Salli Benedict ◽  
Kristine Kelsey ◽  
...  

Purpose. This study examined the relationship between health risks, health behaviors, stages-of-change, and behavior change priorities among blue-collar women participating in a worksite health promotion study. Design. Cross-sectional. Setting. Rural manufacturing worksites in North Carolina. Subjects. Participants were 859 women aged 18 and over. Measures. The self-administered questionnaire assessed smoking, exercise, nutrition (fat, fruits, and vegetables), and breast and cervical cancer screening behaviors. In addition, demographics, body weight, perceived health, stages-of-change, and priority for behavior change were measured. Chi-square tests and regression analysis were used to assess statistical significance. Results. Overall, 28% of women smoked, 37% were completely sedentary, 82% consumed less than five daily servings of fruits and vegetables, and the majority were overweight. The dominant stage of change for each of the lifestyle behaviors was contemplation, whereas most women were in the action stage for cancer screening. When asked to prioritize the behavior they most wanted to change, the majority of women chose healthy eating and/or exercise. Conclusions. The findings suggest that blue-collar women in this study had multiple health risks and were interested in changing multiple health behaviors. Allowing women to choose the behavior(s) on which they are ready to focus may be a promising approach to tailoring interventions for this population.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Sachin Agarwal ◽  
Edmund Shen ◽  
Jeffrey L. Birk ◽  
Ari Shechter ◽  
Keith Diaz ◽  
...  

Introduction: Cardiac arrest (CA) patients’ fear of contracting Coronavirus disease 2019 (COVID-19) may limit their ability or willingness to perform cardio-protective health behaviors. We assessed the association of COVID-19 anxiety with physical activity (PA), sleep, and the likelihood of seeking medical care. Methods: Between May 15-28, 2020, a month after the NYC COVID-19 pandemic peak, CA survivors from a prospective cohort were invited to participate in a telephone-based assessment of the pandemic’s impact on psychological and behavioral dimensions. COVID-19 anxiety was assessed using the 7-item Perceived Coronavirus Threat Questionnaire (PCTQ; range 1-42). PA in 7 days both pre- and during COVID-19 was categorized into International Physical Activity Questionnaire-based low, moderate, or high activity levels. Self-reported poor sleep quality and hours of sleep per night in the previous month were assessed via the Pittsburgh Sleep Quality Index. Self-reported likelihood of delay in seeking care for non-COVID related conditions was assessed. Results: Of 100 approached, 75 CA survivors participated (53% male; age 61±15 years; 44% White, 20% Black, and 31% Latinx). The majority (84%) were COVID-19 tests and/or symptoms negative. The median COVID-19 anxiety score was 28 (interquartile range [IQR]: 21-37)- indicating substantial fear. Black and Latinx participants reported greater COVID-19 anxiety than White (33±6 vs 32±8 vs 23±10 respectively, p=0.03). Compared to pre-COVID, CA survivors had reduced their days per week engagement in any PA by an average of 2±3.6 days. COVID-19 anxiety was highest in those who were previously high PA and now were low PA (high-high:25±9, low-low:28±9, and high-low:32±4, ANOVA p=0.06). For every 1 SD increase in COVID-19 anxiety, participants reported 45 min less sleep per night (B= -0.05, p =.06) and poorer sleep quality (OR = 1.07, 95% CI [1.0, 1.1], p=0.017). Participants (48%) who said they were “moderately” to “extremely” likely to delay seeking care for non-COVID related conditions had greater levels of COVID-19 anxiety (32±9 vs 26±10, p=0.02) compared to other responses. Conclusions: COVID-19 anxiety is more frequent in Black and Latinx participants and is associated with poorer health behaviors.


2020 ◽  
pp. 263145412097249
Author(s):  
Sasmita Palo ◽  
Moitrayee Das

Our study of 419 white-collar professionals and 275 rotating shift workers indicates that 79.2 per cent of the white-collar participants and 11 per cent of the rotating shift workers endured poor sleep quality. Forty-eight per cent of white-collar participants and 18 per cent of the shift workers reported suffering from excessive daytime sleepiness. Poor sleep quality has been associated with obesity, hypertension, diabetes and a host of other adverse health outcomes including poor mental health. Studies show that among organisations offering lifestyle management programme as part of their employee wellness programmes, the most targeted behaviours encompass nutrition/weight control activities (79%), smoking (77%) and fitness (72%). However, there is hardly any organisation that offers a well-planned intervention to promote healthy sleep behaviour. Sleep appears to represent a neglected dominion of health behaviour in terms of employee wellness. If sleep health and wellness programmes are endorsed in the workplace, there are several positive outcomes such as productivity enhancement, less work injury, increasing employee satisfaction, good physical and mental health that are likely to supervene, all of which generate a better working environment.


2019 ◽  
Vol 67 (8) ◽  
pp. 381-390 ◽  
Author(s):  
Alissa S. Miller ◽  
Sarah H. Ailey ◽  
Susan Weber Buchholz ◽  
Louis Fogg ◽  
Diana Ingram

Physical activity readiness of front-line employees caring for adults with disabilities ( N = 381) improved during a two-phase project based on stages of change (SOC) theory. In Phase 1, we assessed barriers to, and readiness for, participation in an employee wellness program. We collected data from workers using focus groups and a preintervention physical activity readiness survey. Focus groups ( N = 14) identified barriers, including lack of communication about the employee wellness program. With respect to their SOC ( N = 82), 7% were in precontemplation, 16% in contemplation, 52% preparation, 5% in action, and 20% in maintenance SOC. In Phase 2, we aimed to improve readiness for participation in the program. We used SOC-based employee Facebook group messages, a health education fair, and measurement through a postintervention physical activity readiness survey. The mean number of “views” in which the workers saw the 16 theory-based messages was 12.2 (range = 0-27). Fourteen adults and 17 children attended the fair. Postintervention survey results ( N = 125) indicated physical activity readiness improvement with 1% in precontemplation, 21% in contemplation, 33% in preparation, 33% in action, and 12% in maintenance SOC.


2019 ◽  
Vol 2 (2) ◽  
pp. 211-220
Author(s):  
Ahmed Waqas ◽  
Aqsa Iftikhar ◽  
Zahra Malik ◽  
Kapil Kiran Aedma ◽  
Hafsa Meraj ◽  
...  

AbstractObjectivesThis study has been designed to elucidate the prevalence of stress, depression and poor sleep among medical students in a Pakistani medical school. There is a paucity of data on social support among medical students in Pakistan; an important predictor of depressive symptoms. Therefore, this study was also aimed to demonstrate the direct and indirect impact of social support in alleviating depressive symptoms in the study sample.MethodsThis observational cross-sectional study was conducted in Lahore, Pakistan, where a total of 400 students at a medical school were approached between 1st January to 31st March 2018 to participate in the study. The study sample comprised of medical and dental students enrolled at a privately financed Pakistani medical and dental school. The participants responded to a self-administered survey comprising of five parts: a) demographics, b) Pittsburgh Sleep Quality Index (PSQI), c) Patient Health Questionnaire-9 (PHQ-9), d) Multidimensional Scale of Perceived Social Support (MSPSS) and e) Perceived Stress Scale-4 (PSS-4). All data were analysed using SPSS v. 20. Linear regression analysis was used to reveal the predictors of depression.ResultsIn total, 353 medical students participated, yielding a response rate of 88.25%. Overall, poor sleep quality was experienced by 205 (58.1%) students. Mild to severe depression was reported by 83% of the respondents: mild depression by 104 (29.5%), moderate depression by 104 (29.5%), moderately severe depression by 54 (15.3%) and severe depression by 31 (8.8%) respondents. Subjective sleep quality, sleep latency, daytime dysfunction and stress levels were significantly associated with depression symptoms. Social support was not significantly associated with depressive symptoms in the regression model (Beta = -0.08, P < 0.09); however, it acted as a significant mediator, reducing the strength of the relationship between depressive symptoms and sleep quality and stress.ConclusionsAccording to our study, a large proportion of healthcare (medical and dental) students were found to be suffering from mild to moderate depression and experienced poor sleep quality. It is concluded that social support is an important variable in predicting depressive symptomatology by ameliorating the effects of poor sleep quality and high stress levels.


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