scholarly journals Perspectives of health practitioners and the key population on predictors of relapse in physical activity and dietary behavior: a concept mapping study

2020 ◽  
Author(s):  
Eline Roordink ◽  
Ingrid H.M. Steenhuis ◽  
Willemieke Kroeze ◽  
Mai J.M. Chinapaw ◽  
Maartje M. van Stralen

Abstract Background To prevent people from relapsing into unhealthy habits, insight into predictors of relapse in physical activity and dietary behavior is needed. Therefore, we aimed to explore predictors of relapse in physical activity and dietary behavior from the perspectives of health practitioners and the key population (i.e. adults who recently lost weight and experienced relapse). Methods We used concept mapping to collect data among five groups of health practitioners (N = 39) and three key population groups (N = 21). First participants’ ideas on potential predictors were collected. Subsequently, these ideas were individually sorted by relatedness and rated on importance. Concept maps were created for each group using principal component analysis and cluster analysis. Results In total 43 predictors were identified, of which the majority belonged to the individual domain compared to the environmental domain. Although the majority of perceived predictors were mentioned by both stakeholder groups, both groups had different opinions regarding the importance of predictors. Also, few predictors were mentioned by all practitioner groups, but not by the key population, and vice versa. Practitioners indicated change in daily structure, stress, lack of effective coping skills, habitual behavior, and lack of self-efficacy regarding losing weight as most important recurrent (i.e. mentioned in all practitioner groups) predictors. The key population indicated lifestyle imbalance or experiencing a life event, lack of perseverance, negative emotional state, abstinence violation effect, decrease in motivation and indulgence as most important recurrent predictors. Conclusions Both stakeholder groups predominantly rated individual factors as most important perceived predictors of relapse. The finding that both groups differed in opinion regarding importance of predictors or identified different predictors, may provide an opportunity to enhance lifestyle coaching by ensuring it is patient-centered and tailored.

2006 ◽  
Vol 5 (3) ◽  
pp. 167-174 ◽  
Author(s):  
Sigmar-Olaf Tergan ◽  
Tanja Keller ◽  
Remo A Burkhard

Current affordances in educational and workplace settings have much to do with managing and making use of complex knowledge and a diversity of information resources. Knowledge and information visualizations are used to make structures of knowledge and information apparent, as well as to help users coping with complex tasks and ill-structured subject matter. Knowledge visualization aims at assisting the users in learning and problem solving. Information visualization aims at helping users to explore large amounts of data by making use of the human cognitive ability to see patterns and by using interactive filtering techniques. Both approaches suffer from shortcomings resulting from the limitations of their conceptual rationale, as well as those of the representational techniques and methods used for visualization. These shortcomings may not easily be overcome with means provided by the individual approaches alone. It is suggested that synergies may be revealed when ideas and technologies from both fields are brought together. Along these lines, the Special Issue draws attention to digital concept mapping as a bridging technology to overcome shortcomings in visualizing knowledge and information. This introductory paper serves the purpose of outlining the rationale and goals of the special issue. It provides a preview of the relevance of each paper's contributions to the central theme of this issue.


2003 ◽  
Vol 11 (3) ◽  
pp. 305-318 ◽  
Author(s):  
Konstantinos Alexandris ◽  
Vasilis Barkoukis ◽  
Haralambos Tsorbatzoudis ◽  
George Grouios

The purpose of the study was to examine whether older adults (>60 years old) who participated in physical activity programs provided by a senior center in Greece perceived certain constraints as limiting reasons for their participation and whether perceived constraints could predict individuals’ intentions to continue participation. The sample of the study consisted of 125 adults age 60 and older. The principal-component analysis of the leisure-constraint scale revealed 4 constraint dimensions: facilities/services, individual/psychological, lack of partners, and accessibility/financial. The results revealed significant differences in the perception of constraints between frequent and infrequent participants in the individual/psychological and accessibility/financial constraints. The constraint dimensions were also shown to predict a significant and fairly high (40%) proportion of the variance in older adults’ intention to continue participation. The individual/psychological and accessibility/financial constraint dimensions were shown to be the major predictors. The implications of these results for promoting physical activity programs among older adults are discussed.


2020 ◽  
pp. 073346482093574
Author(s):  
Lissette M. Piedra ◽  
John Ridings ◽  
Melissa J. K. Howe ◽  
Jennifer L. Smith ◽  
Catherine O’Brien ◽  
...  

Few studies explore the differences between diverse stakeholders’ understandings of what constitutes “positive aging” for Latino older adults. To address this gap, we worked with a 20-member steering committee (SC) of community stakeholders to collect concept mapping data from 38 scholars and community workers. We generated 90 statements related to positive aging from the literature and produced concept maps based on four different stakeholder groups’ ratings of them. All stakeholders prioritized “Financial Security,” but scholars marked “Spirituality” as least important whereas community workers rated it second highest. The design of programs for Latino older adults should reflect such differences.


2013 ◽  
Vol 9 (1) ◽  
pp. 9-25 ◽  
Author(s):  
Kyparisia A. Papanikolaou ◽  
Evangelia Gouli

The research presented in this paper aims at investigating factors that reflect Individual to Group (I-to-G) and Group to Individual (G-to-I) influences in a collaborative learning setting. An empirical study is described, in which students worked on concept mapping tasks, individually and in groups. Analysing the individual and group concept maps, specific factors were identified that account for G-to-I and I-to-G influences reflecting peer interaction and impact on group and individual achievement during and after collaboration. Dependences were also identified between individual/group characteristics, such as knowledge and style, and individual/group progress. Finally, a discussion about how these factors may inform the learner and group models of the adaptive concept mapping environment COMPASS is given.


2018 ◽  
Vol 14 (2) ◽  
pp. 97-107 ◽  
Author(s):  
Staci Defibaugh

Small talk in medical visits has received ample attention; however, small talk that occurs at the close of a medical visit has not been explored. Small talk, with its focus on relational work, is an important aspect of medical care, particularly so considering the current focus in the US on the patient-centered approach and the desire to construct positive provider– patient relationships, which have been shown to contribute to higher patient satisfaction and better health outcomes. Therefore, even small talk that is unrelated to the transactional aspect of the medical visit in fact serves an important function. In this article, I analyze small talk exchanges between nurse practitioners (NPs) and their patients which occur after the transactional work of the visit is completed. I focus on two exchanges which highlight different interactional goals. I argue that these examples illustrate a willingness on the part of all participants to extend the visit solely for the purpose of constructing positive provider–patient relationships. Furthermore, because exchanges occur after the ‘work’ of the visit has been completed, they have the potential to construct positive relationships that extend beyond the individual visit.


2020 ◽  
Vol 5 (5) ◽  
pp. 386-393
Author(s):  
L. M. Gunina ◽  
◽  
Kazys Mylashyus ◽  
Voitenko V. L. ◽  
◽  
...  

Under high-intensity loads, the athlete's bodies take place a number of biochemical reactions and physiological processes that can lead to hyperbilirubinemia. The factors that can initiate the onset of this phenomenon include the syndrome of micro-damage muscle, violation of the integrity of erythrocyte membranes, decreased blood pH, malnutrition and increase oxygen demand of the body. Degree of expression of manifestations of physiological bilirubinemia depends on the level of adaptation of the athlete to the physical activities offered. Hyperbilirubinemia in athletes can be one of the components of the deterioration of the functional state, forming the symptoms of endogenous intoxication. The relevance of this problem in sport lies in the relatively low detection rate of hyperbilirubinemia due to the lack of regular screening studies. However, in drawing up a plan of nutritional- metabolic support for training and competitive activity and recovery measures, must not only the individual reaction of the athlete body to physical activity, but also the severity of shifts in the indicators of bilirubin metabolism and their ratio. The article describes the reasons for the increase in bilirubin levels, which can be caused by both the effect of physical activity and by the presence of pathological processes in athletes. The factors influencing the blood serum’s bilirubin content are also highlighted, which include the state of erythrocyte cell membranes and the rate of hemoglobin destruction, the functional state of the liver, the specifics of physical loads and the use of ergogenic pharmacological agents by athletes. Particular accent has been placed on the illumination of hereditary hyperbilirubinemias, which may have been detected at the stage of selection of athletes. The most common phenomenon is Gilbert's syndrome, which occurs in 2-5% of cases in the general population, is characterized in the clinic by a benign flow and is manifested by episodes of jaundice and an increase in total bilirubin content to moderate values due to indirect. The frequency of detection of hyperbilirubinemias in the population of athletes is 4.68%, among which Gilbert's disease accounts for almost half (48.7%). Conclusion. The work highlighted the pathogenesis and diagnostic algorithm of Gilbert's disease, and also emphasized that its drug prevention and correction in athletes to maintain functional and physical fitness should be carried out taking into account anti-doping rules, which requires upon diagnosis timely receipt of a therapeutic exclusion


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Antonios Bakolis ◽  
Dimitrios Stamovlasis ◽  
Georgios Tsaparlis

Abstract A crucial step in problem solving is the retrieval of already learned schemata from long-term memory, a process which may be facilitated by categorization of the problem. The way knowledge is organized affects its availability, and, at the same time, it constitutes the important difference between experts and novices. The present study employed concept maps in a novel way, as a categorization tool for chemical equilibrium problems. The objective was to determine whether providing specific practice in problem categorization improves student achievement in problem solving and in conceptual understanding. Two groups of eleventh-grade students from two special private seminars in Corfu island, Greece, were used: the treatment group (N = 19) and the control group (N = 21). Results showed that the categorization helped students to improve their achievement, but the improvement was not always statistically significant. Students at lower (Piagetian) developmental level (in our sample, students at the transitional stage) had a larger improvement, which was statistically significant with a high effect size. Finally, Nakhleh’s categorization scheme, distinguishing algorithmic versus conceptual subproblems in the solution process, was studied. Dependency of problem solving on an organized knowledge base and the significance of concept mapping on student achievement were the conclusion.


2021 ◽  
Vol 11 (5) ◽  
pp. 2228
Author(s):  
Daniela Galli ◽  
Cecilia Carubbi ◽  
Elena Masselli ◽  
Mauro Vaccarezza ◽  
Valentina Presta ◽  
...  

Reactive Oxygen Species (ROS) are molecules naturally produced by cells. If their levels are too high, the cellular antioxidant machinery intervenes to bring back their quantity to physiological conditions. Since aging often induces malfunctioning in this machinery, ROS are considered an effective cause of age-associated diseases. Exercise stimulates ROS production on one side, and the antioxidant systems on the other side. The effects of exercise on oxidative stress markers have been shown in blood, vascular tissue, brain, cardiac and skeletal muscle, both in young and aged people. However, the intensity and volume of exercise and the individual subject characteristics are important to envisage future strategies to adequately personalize the balance of the oxidant/antioxidant environment. Here, we reviewed the literature that deals with the effects of physical activity on redox balance in young and aged people, with insights into the molecular mechanisms involved. Although many molecular pathways are involved, we are still far from a comprehensive view of the mechanisms that stand behind the effects of physical activity during aging. Although we believe that future precision medicine will be able to transform exercise administration from wellness to targeted prevention, as yet we admit that the topic is still in its infancy.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Luisa V. Giles ◽  
Michael S. Koehle ◽  
Brian E. Saelens ◽  
Hind Sbihi ◽  
Chris Carlsten

Abstract Background The physical environment can facilitate or hinder physical activity. A challenge in promoting physical activity is ensuring that the physical environment is supportive and that these supports are appropriately tailored to the individual or group in question. Ideally, aspects of the environment that impact physical activity would be enhanced, but environmental changes take time, and identifying ways to provide more precision to physical activity recommendations might be helpful for specific individuals or groups. Therefore, moving beyond a “one size fits all” to a precision-based approach is critical. Main body To this end, we considered 4 critical aspects of the physical environment that influence physical activity (walkability, green space, traffic-related air pollution, and heat) and how these aspects could enhance our ability to precisely guide physical activity. Strategies to increase physical activity could include optimizing design of the built environment or mitigating of some of the environmental impediments to activity through personalized or population-wide interventions. Conclusions Although at present non-personalized approaches may be more widespread than those tailored to one person’s physical environment, targeting intrinsic personal elements (e.g., medical conditions, sex, age, socioeconomic status) has interesting potential to enhance the likelihood and ability of individuals to participate in physical activity.


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