Exploring maintenance of physical activity behaviour change among people living with and beyond gastrointestinal cancer: a cross-sectional qualitative study and typology

ObjectivesIn the last decade, there has been a rapid expansion of physical activity (PA) promotion programmes and interventions targeting people living with and beyond cancer (LWBC). The impact that these initiatives have on long-term maintenance of PA remains under-researched. This study sought to explore the experiences of participants in order to characterise those who have and have not successfully sustained increases in PA following participation in a PA intervention after a diagnosis of gastrointestinal (GI) cancer, and identify barriers and facilitators of this behaviour.DesignCross-sectional qualitative study. Semi-structured interviews with participants who had previously taken part in a PA programme in the UK, explored current and past PA behaviour and factors that promoted or inhibited regular PA participation. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Themes and subthemes were identified. Differences between individuals were recognised and a typology of PA engagement was developed.ParticipantsTwenty-seven individuals (n=15 male, mean age=66.3 years) with a diagnosis of GI cancer who had participated in one of four interventions designed to encourage PA participation.SettingUK.ResultsSeven themes were identified: disease processes, the role of ageing, emotion and psychological well-being, incorporating PA into everyday life, social interaction, support and self-monitoring and competing demands. A typology with three types describing long-term PA engagement was generated: (1) maintained PA, (2) intermittent PA, (3) low activity. Findings indicate that identifying an enjoyable activity that is appropriate to an individual’s level of physical functioning and is highly valued is key to supporting long-term PA engagement.ConclusionThe typology described here can be used to guide stratified and personalised intervention development and support sustained PA engagement by people LWBC.

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Well-being, physical activity and long-term conditions: cross-sectional analysis of Health Survey for England 2016

Public Health ◽

10.1016/j.puhe.2020.06.013 ◽

2020 ◽

Vol 185 ◽

pp. 368-374

Author(s):

C. Harvey ◽

P. Ratcliffe ◽

M.C. Gulliford

Keyword(s):

Physical Activity ◽

Health Survey ◽

Well Being ◽

Cross Sectional ◽

Long Term Conditions ◽

Cross Sectional Analysis ◽

Sectional Analysis ◽

Health Survey For England

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The impact of sleep disturbances on care home residents with dementia: the SIESTA qualitative study

International Psychogeriatrics ◽

10.1017/s1041610220000642 ◽

2020 ◽

Vol 32 (7) ◽

pp. 839-847

Author(s):

Lucy Webster ◽

Kingsley Powell ◽

Sergi G. Costafreda ◽

Gill Livingston

Keyword(s):

Qualitative Study ◽

Sleep Disturbance ◽

Sleep Disturbances ◽

Care Home ◽

Well Being ◽

Structured Interviews ◽

Topic Guide ◽

Disturbed Sleep ◽

Risk Of Falls ◽

The Impact

ABSTRACTObjectives:Nearly 40% of care home residents who are living with dementia also have symptoms of disturbed sleep. However, the impact of these disturbances is relatively unknown and is needed to indicate whether interventions are warranted; therefore, we aimed to investigate the impact.Design:One-to-one semi-structured interviews.Settings:Four UK care homes.Participants:We interviewed 18 nurses and care assistants about residents with sleep disturbances.Measurements:We used a topic guide to explore staff experience of sleep disturbance in residents with dementia. The interviews were audio recorded and transcribed and then analyzed thematically by two researchers independently.Results:Staff described that sleep disturbances in most, but not all, residents impacted negatively on the resident, other residents, staff, and relatives. Residents became more irritable or agitated if they had slept badly. They slept in the daytime after a bad night, which then increased their chances of being awake the following night. For some, being sleepy in the day led to falls, missing medication, drinks, and meals. Staff perceived hypnotics as having low efficacy, but increasing the risk of falls and drowsiness. Other residents were disturbed by noise, and staff described stress when several residents had sleep disturbance. Some of the strategies reported by staff to deal with sleep disturbances such as feeding or providing caffeinated tea at night might be counterproductive.Conclusions:Sleep disturbances in care home residents living with dementia negatively affect their physical and psychological well-being. These disturbances also disturb other residents and increase stress in staff.

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Spirituality and Physical Activity and Sedentary Behavior among Latino Men and Women in Massachusetts

Ethnicity & Disease ◽

10.18865/ed.27.1.3 ◽

2017 ◽

Vol 27 (1) ◽

pp. 3 ◽

Cited By ~ 3

Author(s):

Valerie J. Silfee ◽

Christina F. Haughton ◽

Stephenie C. Lemon ◽

Vilma Lora ◽

Milagros C. Rosal

Keyword(s):

Physical Activity ◽

Sedentary Behavior ◽

Family Health ◽

Well Being ◽

Future Research ◽

Cross Sectional ◽

Latino Men ◽

Hispanic Adults ◽

Sectional Analysis ◽

The Impact

Objective: To examine the relationships between spirituality and physical activity and sedentary behavior in a sample of Latino adults in Massachusetts.Design: This is a cross-sectional analysis of the Lawrence Health and Well Being Study; a study that was conducted among patients at the Greater Lawrence Family Health Center (GLFHC) in Lawrence, Massachusetts.Participants: 602 Latino or Hispanic adults aged 21 to 85 years completed the study.Results: There was a significant negative relationship between spirituality and sedentary behavior (β= -.12, p = .004). Although not statistically significant, higher spirituality was associated with increased odds of engaging in physical activity. There were no significant associations between spirituality and physical activity among men or women. Men with greater spirituality were significantly less sedentary (β = -.17, P = .005). There was no relationship between sedentary behavior and spirituality among women.Conclusions: This study found that individuals who are more spiritual are also less sedentary, and this association was stronger in men than women. Findings provide insight for developing future interventions to promote activity in this high-risk population, which has been greatly understudied. Future research endeavors should consider investigating the impact of spirituality-based messages to reduce sedentary behavior among Latinos.Ethn Dis. 2017;27(1):3-10; doi:10.18865/ed.27.1.3.

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A Qualitative Study Exploring the Impact and Effects Following Hospital Discharge of COVID-19

Journal of Respiration ◽

10.3390/jor1030020 ◽

2021 ◽

Vol 1 (3) ◽

pp. 216-222

Author(s):

Abigail Reay ◽

Avinash Aujayeb ◽

Catherine Dotchin ◽

Ellen Tullo ◽

John Steer ◽

...

Keyword(s):

Qualitative Study ◽

Hospital Discharge ◽

Psychological Effects ◽

Functional Abilities ◽

Long Term Effects ◽

Structured Interviews ◽

Discharge From Hospital ◽

The Impact

Introduction: Research into the long-term effects of coronavirus disease 2019 (COVID-19) continues at an unprecedented pace. Many physical long-term symptoms of COVID-19 have been reported and include headache, fatigue, muscle pain and breathlessness, etc. Psychological effects are not dissimilar to survivors of SARS. There is limited qualitative research exploring the mental health impacts and experiences of hospitalized COVID-19 inpatients. Methods: A prospective qualitative study is planned to explore patient experiences post hospital discharge following a diagnosis of COVID-19. The research aims to gain an understanding of how COVID-19 affects quality of life (QoL) and functional abilities. Patients discharged from the hospital will be invited to take part in semi-structured interviews discussing their experiences of hospitalization and the impact of COVID-19 on their QoL. Interviews will be conducted at three and six months following discharge from hospital. This study will provide important qualitative insight and may inform clinical interventions and commissioning decisions. Trial registration: The study has Research Ethics Committee (REC) and Health Research Authority (HRA) approvals obtained from Health and Care Research Wales (HCRW) [IRAS project ID 293196].

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Influence of the COVID-19 Lockdown on the Physical and Psychosocial Well-being and Work Productivity of Remote Workers: Cross-sectional Correlational Study (Preprint)

10.2196/preprints.30708 ◽

2021 ◽

Author(s):

Yessica Abigail Tronco Hernández ◽

Fabio Parente ◽

Mark A Faghy ◽

Clare M P Roscoe ◽

Frances A Maratos

Keyword(s):

Mental Health ◽

Physical Activity ◽

Alcohol Consumption ◽

Sedentary Behavior ◽

Work Productivity ◽

Well Being ◽

Cross Sectional ◽

Remote Workers ◽

Distress Scale ◽

The Impact

BACKGROUND Lockdowns imposed during the COVID-19 pandemic have impacted the living and working habits of millions of people, with potentially important implications for their physical, mental, and social well-being. OBJECTIVE The primary objective of this study was to investigate the impact of the COVID-19 pandemic on remote workers who were not directly affected by COVID-19. METHODS This was a correlational cross-sectional study (with an additional qualitative component) of 184 remote workers surveyed during the first COVID-19 lockdown in the United Kingdom. Standard measures of mental health (Kessler-6 Distress Scale), productivity (Brief Instrument to Assess Workers’ Productivity During a Working Day), and physical activity (International Physical Activity Questionnaire) were used, and respondents were further surveyed on changes to their dietary, exercise, smoking, drinking, and socialization habits to produce a well-being change index. RESULTS The results revealed associations between sedentary behavior and poorer mental health (τb=0.14) and between poorer mental health and low work productivity (τb=–0.39). However, both positive and negative lifestyle changes were reported; a self-reported increase in well-being (with respect to diet, exercise, smoking, alcohol consumption, and socialization) since the start of the pandemic was associated with both better mental health (τb=–0.14) and better work productivity (τb=0.14). Of note, among respondents without a mental health diagnosis (137/184, 74.4%), we observed rates of moderate (76/137, 55.5%) and severe (17/137, 12.4%) psychological distress, which were markedly higher than those reported in large prepandemic studies; moreover, 70.1% (129/184) of our respondents reported more sedentary behavior, 41% (69/168) increased their alcohol consumption, and 38.6% (71/184) increased their overall food intake. However, 46% (75/163), 44.8% (39/87) and 51.8% (57/110) of respondents reported spending more time walking and engaging in more moderate and vigorous exercise, respectively. Qualitative analysis revealed many positive adaptations to lockdowns (eg, decreased commuting expenses, flexibility) but also a number of structural obstacles to remote working (eg, lack of support and high expectations from employers, childcare duties). CONCLUSIONS These findings may be of practical importance for policy makers and employers in a world in which work involves long-term remote or hybrid employment arrangements; strategies to promote more sustainable remote working are discussed.

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Impact of hospitalisation of children on parental dietary habits: a qualitative study

Archives of Disease in Childhood ◽

10.1136/archdischild-2018-316280 ◽

2019 ◽

Vol 104 (10) ◽

pp. 967-971 ◽

Cited By ~ 1

Author(s):

Kirstyn Church ◽

David Campbell ◽

Vanessa Halliday

Keyword(s):

Qualitative Study ◽

Dietary Habits ◽

Hospital Setting ◽

Well Being ◽

Considerable Effect ◽

Physical And Mental Health ◽

Structured Interviews ◽

Neurological Condition ◽

Access To Food

ObjectiveTo explore how prolonged hospitalisation of a child with a neurological condition influences the dietary habits of parents, taking account of their attitudes and perceptions of this experience.DesignQualitative study using semi-structured interviews and inductive thematic analysis.SubjectsFifteen parents of children (aged 2–16 years) with a neurological condition resulting in prolonged periods of hospitalisation were recruited.ResultsMothers (n=13) and fathers (n=2) who were interviewed experienced frequent hospital visits brought about by their child’s condition, or associated medical complications. Dietary habits of parents were affected throughout their time in hospital. Three key themes were identified relating to how hospitalisation influenced this: (1) access to food, (2) emotional and physical well-being and (3) impact on eating patterns and food choice.ConclusionsFindings from this study suggest that parents in these circumstances need to be better supported within the hospital setting as a number of barriers exist when it comes to accessing food in hospital and making healthy food choices. Additionally, having a child in hospital has a considerable effect on a parent’s emotional well-being, which further impacts on their dietary habits. The long-term physical and mental health implications of this may influence their ability to care for the sick child.

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Psychological Impact of Parkinson Disease Delusions on Spouse Caregivers: A Qualitative Study

Brain Sciences ◽

10.3390/brainsci11070871 ◽

2021 ◽

Vol 11 (7) ◽

pp. 871

Author(s):

Caroline J. Deutsch ◽

Noelle Robertson ◽

Janis M. Miyasaki

Keyword(s):

Qualitative Study ◽

Thematic Analysis ◽

Psychological Impact ◽

Well Being ◽

Interdisciplinary Teams ◽

Structured Interviews ◽

Clinical Interviews ◽

Spouse Caregivers ◽

And Behavior ◽

The Impact

There is growing research on carers of people with Parkinson’s disease (PD) experiences. However, the impact on carers by PD delusions is not specifically examined. We conducted a qualitative study using semi-structured interviews of spouse carers of PD patients with delusions. Thematic analysis was employed using MAXQDA 2018. Twelve spouse participants (SPs) were interviewed. Four themes emerged: Managing incredulity: trying to make sense of delusion content; Hypervigilance: constant alertness to bizarre and threatening discourse and behavior; Defensive strategizing: anticipating delusions and potential consequences; Concealing and exposing: ambivalence about disclosing the effect of delusions yet wanting support. SPs reported effects on their emotional well-being and marital relationship and challenges to an orderly, predictable life. SPs were reluctant to share their experiences due to delusion content (often infidelity and sexual in nature) and a desire to protect their spouses’ image. SPs’ awareness of the potential for delusional thought was low prior to their occurrence. Conclusions: education surrounding potential neurobehavioral changes should occur for patients and carers. Clinicians should be aware that the impact of delusions on carers is often greater than disclosed in clinical interviews. Interdisciplinary teams speaking separately to spousal carers may improve disclosure and delivery of appropriate psychological support.

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PREVALENCE AND PREDICTORS OF STRESS AMONG COVID 19 HEALTH WORKERS IN KABWE DISTRICT: A CROSS SECTIONAL STUDY

10.1101/2021.12.20.21267832 ◽

2021 ◽

Author(s):

Leah L. Mukwasa ◽

Emmy Nkhama ◽

Mowa Zambwe ◽

Richard Mutemwa ◽

Peter J. Chipimo

Keyword(s):

Healthcare Workers ◽

Health Workers ◽

Well Being ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Care Workers ◽

The Impact ◽

Depth Interviews

This study aimed at determining the magnitude of stress among COVID 19 health workers in Kabwe district. METHODS The study was a cross-sectional study which recruited 138 health care workers managing COVID 19 cases in Kabwe. Data were collected through structured questionnaires and in-depth interviews. Quantitative data was analyzed using SPSS version 16 while qualitative data was analyzed using Nvivo8. RESULTS The study obtained 100% responses from the respondents and the prevalence of stress among the respondents was 73%. The nurses were more perceived to experience stress compared to the pharmacy personnel (28% vs. 3%). Similarly, women displayed a higher likelihood of experiencing stress compared to men. Lack of support, increased workload and fear were among the factors leading to stress. CONCLUSION The study went out to determine stress among healthcare workers in Kabwe district. It was established that nurses were more vulnerable than groups. And women were found to be more stressed than men. It is therefore recommended that effective and meaningful interventions be put in place to mitigate the impact of long-term psychological distress and physical well-being in healthcare workers during the COVID 19 pandemic and future outbreaks.

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“Mummy, Can I Join a Sports Club?” A Qualitative Study on the Impact of Health-Promoting Schools on Health Behaviours in the Home Setting

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182212219 ◽

2021 ◽

Vol 18 (22) ◽

pp. 12219

Author(s):

Marla T. H. Hahnraths ◽

Maartje Willeboordse ◽

Annick D. H. M. Jungbauer ◽

Corina de Gier ◽

Carlien Schouten ◽

...

Keyword(s):

Physical Activity ◽

Qualitative Study ◽

Behavioural Change ◽

Health Behaviours ◽

Well Being ◽

Home Setting ◽

School Based ◽

Health Promoting ◽

The Impact ◽

At Home

Information regarding school-based health-promoting interventions’ potential effects in the home environment is scarce. Gaining more insight into this is vital to optimise interventions’ potential. The Healthy Primary School of the Future (HPSF) is a Dutch initiative aiming to improve children’s health and well-being by providing daily physical activity sessions and healthy school lunches. This qualitative study examines if and how HPSF influenced children’s and parents’ physical activity and dietary behaviours at home. In 2018–2019, 27 semi-structured interviews were conducted with parents from two HPSFs. Interviews were recorded and transcribed, and data were coded and interpreted through thematic analysis. HPSF resulted in various behavioural changes at home, initiated by both children and parents. Parents reported improvements in healthy behaviours, as well as compensatory, unhealthy behaviours. Reasons for behavioural change included increased awareness, perceived support to adopt healthy behaviours, and children asking for the same healthy products at home. Barriers to change included no perceived necessity for change, lack of HPSF-related information provision, and time and financial constraints. Both child-to-adult intergenerational learning and parent-initiated changes play an important role in the transfer of health behaviours from school to home and are therefore key mechanisms to maximise school-based health-promoting interventions’ impact.

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Impact of the COVID-19 pandemic on psychological well-being of students in an Italian university: a web-based cross-sectional survey

Globalization and Health ◽

10.1186/s12992-021-00680-w ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Leonardo Villani ◽

Roberta Pastorino ◽

Enrico Molinari ◽

Franco Anelli ◽

Walter Ricciardi ◽

...

Keyword(s):

Mental Health ◽

University Students ◽

Well Being ◽

Depression Symptoms ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Psychological Well Being ◽

Self Rating ◽

The Impact

Abstract Background Italy was the first European country to implement a national lockdown because of the COVID-19 pandemic. Worldwide, this pandemic had a huge impact on the mental health of people in many countries causing similar reaction in terms of emotions and concerns at the population level. Our study investigated the impact of the COVID-19 pandemic on psychological well-being in a cohort of Italian university students. Methods We conducted a cross-sectional survey in the period immediately after the first lockdown through the administration of a questionnaire on the personal websites of students attending their undergraduate courses at the Università Cattolica del Sacro Cuore. We used the Patient-Health-Engagement-Scale, Self-Rating-Anxiety-Scale, and Self-Rating-Depression-Scale to assess engagement, anxiety symptoms, and depression symptoms of our sample. Results The sample size was 501 subjects, of which 35.33% were classified as anxious and 72.93% as depressed. Over 90% of respondents had good understanding of the preventive measures despite over 70% suffered from the impossibility of physically seeing friends and partners. Around 55% of students would have been willing to contribute much more to face the pandemic. An increase in the occurrences of anxiety was associated with being female, being student of the Rome campus, suffering from the impossibility of attending university, being distant from colleagues, and being unable of physically seeing one’s partner. Performing physical activity reduced this likelihood. Conclusion University students are at risk of psychological distress in the case of traumatic events. The evolution of the pandemic is uncertain and may have long-term effects on mental health. Therefore, it is crucial to study the most effective interventions to identify vulnerable subgroups and to plan for acute and long-term psychological services to control and reduce the burden of psychological problems.

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