scholarly journals Responsiveness to Change of Self-Report and Device-Based Physical Activity Measures in the Living Well With Diabetes Trial

2015 ◽  
Vol 12 (8) ◽  
pp. 1082-1087 ◽  
Author(s):  
Winnie Y.H. Lee ◽  
Bronwyn K. Clark ◽  
Elisabeth Winkler ◽  
Elizabeth G. Eakin ◽  
Marina M. Reeves
Keyword(s):  
Physical Activity ◽  
Usual Care ◽  
Intervention Group ◽  
The United States ◽  
Telephone Counseling ◽  
Self Report ◽  
Responsiveness Index ◽  
Cohen’S D ◽  
Cohen's D ◽  
Responsiveness To Change

Background:This study evaluated the responsiveness to change in physical activity of 2 self-report measures and an accelerometer in the context of a weight loss intervention trial.Methods:302 participants (aged 20 to 75 years) with type 2 diabetes were randomized into telephone counseling (n = 151) or usual care (n = 151) groups. Physical activity (minutes/week) was assessed at baseline and 6-months using the Active Australia Survey (AAS), the United States National Health Interview Survey (USNHIS) walking for exercise items, and accelerometer (Actigraph GT1M; ≥1952 counts/minute). Responsiveness to change was calculated as responsiveness index (RI), Cohen’s d (postscores) and Cohen’s d (change-scores).Results:All instruments showed significant improvement in the intervention group (P < .001) and no significant change for usual care (P > .05). Accelerometer consistently ranked as the most responsive instrument while the least responsive was the USHNIS (responsiveness index) or AAS (Cohen’s d). RIs for AAS, USNHIS and accelerometer did not differ significantly and were, respectively: 0.45 (95% CI: 0.26–0.65); 0.38 (95% CI: 0.20–0.56); and, 0.49 (95% CI: 0.23–0.74).Conclusions:Accelerometer tended to have the highest responsiveness but differences were small and not statistically significant. Consideration of factors, such as validity, feasibility and cost, in addition to responsiveness, is important for instrument selection in future trials

scholarly journals Highly Predictive Transdiagnostic Features Shared across Schizophrenia, Bipolar Disorder, and ADHD Identified Using a Machine Learning Based Approach

2018 ◽  
Author(s):  
Yuelu Liu ◽  
Monika S. Mellem ◽  
Humberto Gonzalez ◽  
Matthew Kollada ◽  
Atul R. Mahableshwarkar ◽  
...  
Keyword(s):  
Machine Learning ◽  
Bipolar Disorder ◽  
Psychiatric Disorders ◽  
Patient Group ◽  
Attention Deficit ◽  
The United States ◽  
Self Report ◽  
Healthy Controls ◽  
Cohen’S D ◽  
Cohen's D

AbstractThe Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard for diagnosing psychiatric disorders in the United States. However, evidence has suggested that symptoms in psychiatric disorders are not restricted to the boundaries between DSM categories, implying an underlying latent transdiagnostic structure of psychopathology. Here, we applied an importance-guided machine learning technique for model selection to item-level data from self-reported instruments contained within the Consortium for Neuropsychiatric Phenomics dataset. From 578 questionnaire items, we identified a set of features which consisted of 85 items that were shared across diagnoses of schizophrenia (SCZ), bipolar disorder (BD), and attention deficit/hyperactivity disorder (ADHD). A classifier trained on the transdiagnostic features reliably distinguished the patient group as a whole from healthy controls (classification AUC = 0.95) and only 10 items were needed to attain the performance level of AUC being 0.90. A sum score created from the items produced high separability between patients and healthy controls (Cohen’s d = 2.85), and it outperformed predefined sum scores and sub-scores within the instruments (Cohen’s d ranging between 0.13 and 1.21). The transdiagnostic features comprised both symptom domains (e.g. dysregulated mood, attention deficit, and anhedonia) and personality traits (e.g. neuroticism, impulsivity, and extraversion). Moreover, by comparing the features that were common across the three patient groups with those that were most predictive of a single patient category, we can describe the unique features for each patient group superimposed on the transdiagnostic feature structure. Overall, our results reveal a latent transdiagnostic symptom/behavioral phenotypic structure shared across SCZ, BD, and ADHD and present a new perspective to understand insights offered by self-report psychiatric instruments.

A School-Based Physical Activity and Motor Development Program for Low-Fit Adolescent Females: The Sport4Fun Pilot Randomized Controlled Trial

2018 ◽  
Vol 6 (2) ◽  
pp. 345-356 ◽  
Author(s):  
Jodie Andruschko ◽  
Anthony D. Okely ◽  
Phil Pearson
Keyword(s):  
Physical Activity ◽  
Secondary School ◽  
Intervention Group ◽  
Development Program ◽  
Adolescent Females ◽  
Control Group ◽  
Fundamental Movement Skill ◽  
Cohen’S D ◽  
School Based ◽  
Cohen's D

This study examined the feasibility and potential efficacy of a multi-faceted secondary school–based intervention among low-fit adolescent females. TheSport4Funprogram was designed to promote physical activity participation, fundamental movement skill proficiency, perceived physical competence, and enjoyment of physical activity in secondary school students. The intervention consisted of three components including two practical components—weekly movement skill activities for 90 min during compulsory school sport and sports-based activities for 60 min after school (non-compulsory) for 6 months—and one theoretical component—three 15-min theory sessions completed during homeroom (or roll call) time per week. The control group participated in their regular school activities. Compared with females in the control group, those in the intervention group showed a greater increase in total weekday accelerometer counts per min (adjusted difference, 77.49; 95% CI, 8.21–132.77;p = .03; Cohen’s d = 1.26). The difference in total fundamental movement skill components mastered favored the intervention group but was not statistically significant (adjusted difference, 1.48; 95% CI, −1.21–4.17;p = .26, Cohen’s d = 0.48). Targeting fundamental movement skills may be a potentially novel and motivating way to promote activity among low-fit adolescent girls; however, challenges in recruitment and implementation warrant further investigation before adopting this approach more broadly.

scholarly journals Impact of Combined Theory-Based Intervention on Psychological Effects and Physical Activity among Chinese Adolescents

2020 ◽  
Vol 17 (9) ◽  
pp. 3026
Author(s):  
Yao Zhang ◽  
Yi Yin ◽  
Jianxiu Liu ◽  
Ming Yang ◽  
Zeshi Liu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Repeated Measures ◽  
Intervention Group ◽  
Control Group ◽  
Seventh Grade ◽  
Exercise Frequency ◽  
Psychological Constructs ◽  
Cohen’S D ◽  
School Day ◽  
Cohen's D

Purpose: The current study was intended to assess the effect of a facilitated behavioral intervention based on the extended theory of planned behavior (TPB) on psychological constructs and physical activity among adolescents over a period of eight weeks. Methods: Students (n = 51, 12 ± 0.3 years of age) in the seventh grade at a junior middle school in China were randomly assigned to two groups: the intervention group (n = 24) and the control group (n = 27). Both groups were pre- and post-tested with the related psychological constructs of the extended TPB, along with behavioral measures of the Physical Activity Scale and ActiGraph accelerometer (model wGT3X-BT). The intervention group took part in 45 min classes once per week for 8 weeks, including five indoor theoretical courses and three outdoor basketball matches. The control group was not required to make any change to their normal school day. Also, 2 × 2 repeated measures analysis of variance (ANOVA) was conducted to compare the differences between the two groups, and then t-test was employed to compare the independent and paired differences. Results: Significant increases in pre–post subjective norms (SN) (p = 0.041, Cohen’s d = 0.62), perceived behavior control (PBC) (p = 0.023, Cohen’s d = 0.72), exercise intention (EI) (p = 0.043, Cohen’s d = 0.61), and self-efficacy (SE) (p = 0.035, Cohen’s d = 1.36) were observed in the intervention group. In addition, participants in the intervention group increased their exercise frequency (p < 0.001, Cohen’s d = 1.25) and intensity (p = 0.028, Cohen’s d = 0.68), especially their time spent on light intensity physical activity (light-PA%; p = 0.031, Cohen’s d = 0.68), and their percentage of sedentary time (SB%) was also reduced (from 68% ± 10% to 58% ± 7%, p < 0.001, Cohen’s d = 1.17). Furthermore, the intervention group showed significantly better performance in PBC (p = 0.032, Cohen’s d = 0.62), EI (p < 0.001, Cohen’s d = 1.32), SE (p < 0.001, Cohen’s d = 1.15), SB% (p < 0.001, Cohen’s d = 1.22), light-PA% (p < 0.001, Cohen’s d = 1.12), and total physical activity (TPA) (p = 0.015, Cohen’s d = 0.72) compared to the control group at the post-test. No significant pre post differences were observed for any psychological or behavioral variables in the control group, except for exercise frequency, but the values were still lower than those in the intervention group after the 8-week intervention (3.70 ± 0.72 versus 3.92 ± 0.83). Conclusion: The combined theory-based intervention was effective at improving psychological constructs and physical activity among seventh-grade adolescents in 8 weeks.

scholarly journals A Randomized Controlled Trial of a Positive Family Holistic Health Intervention for Probationers in Hong Kong: A Mixed-Method Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Agnes Y.-K. Lai ◽  
Shirley M.-M. Sit ◽  
Carol Thomas ◽  
George O.-C. Cheung ◽  
Alice Wan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Family Communication ◽  
Intervention Group ◽  
Well Being ◽  
Holistic Health ◽  
Health Intervention ◽  
Probation Officers ◽  
Cohen’S D ◽  
Probation Service ◽  
Cohen's D

Introduction: Probationers, offenders with less serious and non-violent offences, and under statutory supervision, have low levels of self-esteem and physical health, and high level of family conflict, and poorer quality of family relationships. This study examined the effectiveness of the existing probation service and the additional use of a positive family holistic health intervention to enhance physical, psychological, and family well-being in probationers and relationships with probation officers.Methods: Probationers under the care of the Hong Kong Social Welfare Department were randomized into a care-as-usual control group (CAU), a brief intervention group (BI) receiving two 1-h individual sessions [of a brief theory-based positive family holistic health intervention integrating Zero-time Exercise (simple and easy-to-do lifestyle-integrated physical activity) and positive psychology themes of “Praise and Gratitude” in the existing probation service], or a combined intervention group (CI) receiving BI and a 1-day group activity with family members. The outcomes were physical activity, fitness performance, self-esteem, happiness, anxiety and depression symptoms, life satisfaction, quality of life, family communication and well-being, and relationships with probation officers. Self-administered questionnaires and simple fitness tests were used at baseline, 1-month and 3-month follow-up. Linear mixed model analysis was used to compare difference in the changes of outcome variables among groups, adjusted of sex, age, and baseline values. Focus group interviews were conducted. Thematic content analysis was used.Results: 318 probationers (51% male) were randomized into CAU (n = 105), BI (n = 108), or CI (n = 105) group. CAU showed enhanced physical activity, fitness performance and psychological health, and family communication with small effect sizes (Cohen’s d: 0.19–0.41). BI and CI showed further improved physical activity, family communication and family well-being (Cohen’s d: 0.37–0.70). Additionally, CI reported greater improvements in the relationships with probation officers than CAU with a small effect size (Cohen’s d: 0.43). CI also reported greater increases in physical activity and family communication than BI with small to moderate effect sizes (Cohen’s d: 0.38–0.58). Qualitative feedbacks corroborated the quantitative findings.Conclusion: Our trial provided the first evidence of the effectiveness of probation service and the additional use of an innovative, relatively low-cost, theory-based brief positive family holistic health intervention. This intervention may offer a new model for enhancing probation service.Trial Registration: The research protocol was registered at the National Institutes of Health (identifier: NCT02770898).

scholarly journals Effects of Theory-Based Behavioral Interventions on Physical Activity Among Overweight and Obese Female Cancer Survivors: A Systematic Review of Randomized Controlled Trials

2017 ◽  
Vol 17 (2) ◽  
pp. 226-236 ◽  
Author(s):  
Amerigo Rossi ◽  
Ciarán Friel ◽  
Leeja Carter ◽  
Carol Ewing Garber
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Cohen’S D ◽  
Home Based ◽  
Obese Female ◽  
Health Related ◽  
Cohen's D ◽  
Female Cancer Survivors

Purpose. To determine whether theory-based physical activity (PA) interventions for overweight and obese female cancer survivors lead to increased PA and improved health. Methods. This systematic review examined randomized controlled trials analyzing the impact of theory-based PA interventions on overweight and obese female cancer survivors through December 2016. Searches of 5 electronic databases revealed 10 articles that included 1351 participants who met the inclusion criteria. Results. Participants were primarily non-Hispanic white (74%-100%) breast or endometrial cancer survivors. Intervention characteristics and PA assessment tools varied greatly. Adherence (68%-99%) and retention (79%-100%) were relatively high. Social cognitive theory was utilized as the theoretical construct in 9 of the 10 studies. Home-based interventions led to small improvements in PA (Cohen’s d range = 0.25-0.31), whereas home-based plus center-based interventions led to moderate to large improvements (Cohen’s d range = 0.45-1.02). Only three of the studies assessed psychosocial behavioral processes associated with PA, and the results were mixed. Health-related outcomes included improvements in aerobic fitness (Cohen’s d = 0.32-1.1 in 5 studies), large absolute decreases in waist circumferences (>6 cm in 3 of 5 studies; Cohen’s d = −0.31 to −1.02), and no change in inflammatory biomarkers (in 2 studies). Only one serious adverse event (pelvic stress fracture) was attributed to the interventions. Conclusions. Theory-based PA interventions are safe and feasible for overweight and obese female cancer survivors. Interventions that include a center-based component showed moderate to large effect sizes for PA. Future studies should evaluate behavioral variables and more health-related clinical outcomes.

Abstract P76: Effect of Patient Activation on Self-Management Behaviors in Heart Failure

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Martha Shively ◽  
Nancy Gardetto ◽  
Mary Kodiath ◽  
Ann Kelly ◽  
Tom Smith
Keyword(s):  
Heart Failure ◽  
Usual Care ◽  
Repeated Measures ◽  
Intervention Group ◽  
Patient Activation ◽  
Self Care ◽  
Self Report ◽  
Self Management ◽  
Significant Group ◽  
Repeated Measures Design

Background Disease management and chronic care models have evidenced success with heart failure (HF) patients but have not fully explored patients' engagement/activation in self- care. Objective Determine efficacy of a patient activation intervention (Heart PACT Program) compared to usual care on activation and self-care management in HF. Methods This study was a 4-year, randomized, 2-group, repeated-measures design (baseline, 3 months, and 6 months). Following consent, 84 patients were stratified by activation level and randomly assigned to usual care (n = 41), or usual care plus the activation intervention (n = 43). The primary outcome variables were patient activation using the Patient Activation Measure (PAM) (Hibbard et al., 2005), and self-care using the Self-Care for Heart Failure Index (SCHFI) (Riegel et al., 2004) and the Medical Outcomes Study (MOS) Specific Adherence Scale. The intervention consisted of individual meetings and phone call follow-up over 6 months based on the patient's level of activation: stage 1 or 2 (low activation), stage 3 (medium), or stage 4 (high) as assessed by the patient's self-report PAM score and brief interview. The leaders collaborated with patients to improve activation and self-management of HF: adhering to medications; monitoring weight, blood pressure, and symptoms; and implementing health behavior goals. Findings Participants were primarily male (99%), Caucasian (77%), and classified as NYHA III (52%). The mean age was 66 years (SD 11). The majority (71%) of participants reported 3 or more comorbid conditions. The intervention group compared to the usual care group showed a significant increase in activation/PAM scores from baseline to 6 months (significant group by time interaction linear contrast, F=16.90, p=.02). Although the baseline MOS mean was lower in the intervention group, results revealed a significant group by time effect (F=9.16, p = .001) with the intervention group improving more over time. There were no significant group by time interactions for the SCHFI. Conclusion Patient activation can be improved through targeted intervention. The patient activation model has the potential to change approaches to tailored patient education for self-management in heart failure.

A Group Dynamics-Based Exercise Intervention to Improve Physical Activity Maintenance in Breast Cancer Survivors

2019 ◽  
Vol 16 (9) ◽  
pp. 785-791
Author(s):  
Heather J. Leach ◽  
Katie B. Potter ◽  
Mary C. Hidde
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Group Dynamics ◽  
Breast Cancer Survivors ◽  
Exercise Intervention ◽  
Intervention Group ◽  
Group Cohesion ◽  
Self Report

Background: To maintain increases in physical activity (PA), interventions that implement group dynamics principles and strategies with the intent of enhancing group cohesion may be advantageous. This study examined group cohesion and PA following a group dynamics-based PA intervention among breast cancer survivors. Methods: The study was designed as a pilot randomized controlled trial comparing an 8-week group dynamics-based intervention with an individually supervised intervention. Group cohesion was measured by the Physical Activity Group Environment Questionnaire, and PA was measured at baseline, post-intervention, and 3-month follow-up using a self-report questionnaire and pedometer. Results: Group cohesion levels were high following the intervention and positively associated with PA at 3-month follow-up (ranger = .182–.555). At 3-month follow-up, 91.7% of participants in the group-dynamics-based intervention (n = 12) were classified as moderately active or greater, compared with 54.5% in the individually supervised intervention (n = 11). Conclusions: These results suggest that, for breast cancer survivors, peer support and fostering group cohesion as part of an exercise program may help to support PA following the completion of a structured intervention. A larger trial with longer follow-up is needed to establish comparative efficacy for a group-dynamics-based exercise intervention to enhance long-term PA adherence in breast cancer survivors.

Pilot Trial of a Social Cognitive Theory-Based Physical Activity Intervention Delivered by Nonsupervised Technology in Persons With Multiple Sclerosis

2015 ◽  
Vol 12 (7) ◽  
pp. 924-930 ◽  
Author(s):  
Yoojin Suh ◽  
Robert W. Motl ◽  
Connor Olsen ◽  
Ina Joshi
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Social Cognitive Theory ◽  
Behavioral Intervention ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Pilot Trial ◽  
Intervention Group ◽  
Self Report ◽  
Phone Calls

Background:Physical inactivity is prevalent in people with multiple sclerosis (MS) and this highlights the importance of developing behavioral interventions for increasing physical activity (PA) in MS. This pilot trial examined the efficacy of a 6-week, behavioral intervention based on social cognitive theory (SCT) delivered by newsletters and phone calls for increasing PA in persons with MS who were physically inactive and had middle levels of self-efficacy.Methods:The sample included 68 persons with relapsing-remitting MS who were randomly assigned into intervention and control groups. The intervention group received SCT-based information by newsletters and phone calls, whereas the controls received information regarding topics such as stress management over 6 weeks. Participants completed self-report of PA and social cognitive variables.Results:The intervention group had a significant increase in self-reported PA (d = 0.56, P = .02) over the 6 weeks, but the controls had a nonsignificant change (d = –0.13, P = .45). Goal setting was changed in the intervention group (d = 0.68, P ≤ .01) and identified as a significant mediator of change in self-reported PA.Conclusions:This study provides initial evidence for the benefit of a theory-based behavioral intervention for increasing PA in MS.

Efficacy of an E-Mail Intervention for the Promotion of Physical Activity and Nutrition Behavior in the Workplace Context

2005 ◽  
Vol 19 (6) ◽  
pp. 422-429 ◽  
Author(s):  
Ronald C. Plotnikoff ◽  
Linda J. McCargar ◽  
Philip M. Wilson ◽  
Constantinos A. Loucaides
Keyword(s):  
Physical Activity ◽  
Mode Of Delivery ◽  
Intervention Group ◽  
Activity Level ◽  
Self Report ◽  
Control Group ◽  
Nutrition Behavior ◽  
Nutrition Messages ◽  
Mail Address ◽  
E Mail

Purpose. The purpose of this study was to evaluate a 12-week workplace e-mail intervention designed to promote physical activity and nutrition behavior. Design. A pre- and post-test design was conducted to compare the effects of e-mail messages between intervention and control groups. Setting. Five large workplaces in Alberta, Canada. Subjects. Employees with access to a personal e-mail address (N = 2121) were randomly assigned to an intervention (n = 1566) or a control group (n = 555). Intervention. Physical activity and nutrition messages were based on social-cognitive theories. The intervention group received one physical activity and one parallel nutrition message per week for 12 weeks. The control group received no weekly messages. Measures. Each participant completed self-report measures of physical activity and nutrition related to knowledge, attitudes, and behaviors 1 week before (time 1) and 1 week after (time 2) the intervention. Results. The intervention group was more efficacious at time 2 on measures of self-efficacy, pros, cons, intentions, and behavior related to physical activity. This group also reported more favorable changes in practicing healthy eating, balancing food intake with activity level, cooking meals with techniques to reduce fat, and avoiding eating high-fat foods. Effect sizes for all significant differences were small. Conclusion. E-mail is a promising mode of delivery for promoting physical activity and nutrition in the workplace. Further theoretically driven studies are needed.

scholarly journals Efecto y satisfacción de un programa de actividad física controlada por pulsómetro en el índice de masa corporal de escolares con sobrepeso-obesidad (Effect of and satisfaction with a program of physical activity controlled through heart rate monitors on

Retos ◽  
2017 ◽  
pp. 179-184
Author(s):  
Emilio J Martinez-López ◽  
Jesús Moreno-Cerceda ◽  
Sara Suarez-Manzano ◽  
Alberto Ruiz-Ariza
Keyword(s):  
Physical Activity ◽  
Heart Rate ◽  
Family Health ◽  
The Body ◽  
Control Group ◽  
Heart Rate Monitor ◽  
Sport Practice ◽  
Cohen’S D ◽  
Young Students ◽  
Cohen's D

Sustituir el tiempo sedentario por la práctica sistemática de actividad física (AF) es uno de los grandes retos  educativos y sociales dirigidos a jóvenes con sobrepeso-obesidad. El objetivo principal fue analizar el efecto en el índice de masa corporal (IMC) de un programa de AF extraescolar que empleó el pulsómetro como mecanismo para cuantificar el volumen e intensidad del ejercicio. Participaron 69 escolares con sobrepeso-obesidad de 9 a 12 años. La muestra se aleatorizó en grupo con programa y pulsómetro (GE1, n=23), grupo con solo programa (GE2, n=23), y grupo control que no realizó programa ni empleó pulsómetro (GC, n=23). Los resultados mostraron que GE1 había disminuido el IMC respecto al GC a los dos y tres meses de intervención (-1.65 kg/m2; p=.037, d de Cohen=.786; y -2.02 kg/m2, p=.006, d de Cohen=.895, respectivamente). GE1 incrementó significativamente el tiempo diario de intensidad máxima de AF medida por el pulsómetro (p=.028). El 86.9% y el 60.8% de los alumnos del GE1 y GE2 respectivamente afirmaron estar bastante o totalmente de acuerdo con el ítem “He comprobado que realizo más actividad física diaria que antes”. La mayoría de niños y padres del GE1 consideraron la experiencia como positiva y motivante para realizar más AF. Se concluye que un programa dirigido desde la Educación Física, que combina AF extraescolar y emplea el pulsómetro como mecanismo de control, disminuye el IMC en jóvenes con sobrepeso-obesidad después de dos meses de aplicación, aumenta la motivación por la práctica físico-deportiva, e implica cambios positivos en los hábitos de salud familiares. Abstract. Replacing sedentary time with systematic practice of PA is one of the major social and health challenges of globalized world. The main aim of this research was to analyze the effect of a program based on extracurricular PA, using heart rate monitor to quantify the volume and intensity of PA, on the body mass index (BMI). 69 young students with overweight-obesity aged nine to 12 years participated in this study. The sample was randomly split in two groups: PA program and heart rate monitor (EG1, n=23), PA program without heart rate monitor (EG2, n=23), and control group, whose members did not carry out any program nor used any heart rate monitor (CG, n=23). Results showed that GE1 decreased BMI more than CG after two and three months of intervention (-1.65 kg/m2; p=.037, Cohen’s d=.786; y -2.02 kg/m2, p=.006, Cohen’s d =.895, respectively). G1 significantly increased the daily time of PA at maximum intensity measured by the heart rate monitor (p=.028). 86.9% and 60.8% of students in EG1 and EG2 respectively, were quite or totally in agreement with the item "I have verified that I carry out more physical activity daily than before". The majority of children and parents in EG1 considered the experience as positive and motivating to practice more PA. A program focused on Physical Education and combining extracurricular PA and heart rate monitor as a control mechanism, decreases BMI in overweight-obese young students after two months of application, increases motivation towards PA and sport practice, and implies positive changes in family health habits.

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