scholarly journals A Mental Health–Informed Physical Activity Intervention for First Responders and Their Partners Delivered Using Facebook: Mixed Methods Pilot Study

10.2196/23432 ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. e23432
Author(s):  
Grace McKeon ◽  
Zachary Steel ◽  
Ruth Wells ◽  
Jill Newby ◽  
Dusan Hadzi-Pavlovic ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Time Series ◽  
First Responders ◽  
Multiple Time ◽  
Multiple Time Series ◽  
Physical Activity Interventions ◽  
Series Design ◽  
Time Series Design

Background First responders (eg, police, firefighters, and paramedics) are at high risk of experiencing poor mental health. Physical activity interventions can help reduce symptoms and improve mental health in this group. More research is needed to evaluate accessible, low-cost methods of delivering programs. Social media may be a potential platform for delivering group-based physical activity interventions. Objective This study aims to examine the feasibility and acceptability of delivering a mental health–informed physical activity program for first responders and their self-nominated support partners. This study also aims to assess the feasibility of applying a novel multiple time series design and to explore the impact of the intervention on mental health symptoms, sleep quality, quality of life, and physical activity levels. Methods We co-designed a 10-week web-based physical activity program delivered via a private Facebook group. We provided education and motivation around different topics weekly (eg, goal setting, overcoming barriers to exercise, and reducing sedentary behavior) and provided participants with a Fitbit. A multiple time series design was applied to assess psychological distress levels, with participants acting as their own control before the intervention. Results In total, 24 participants (12 first responders and 12 nominated support partners) were recruited, and 21 (88%) completed the postassessment questionnaires. High acceptability was observed in the qualitative interviews. Exploratory analyses revealed significant reductions in psychological distress during the intervention. Preintervention and postintervention analysis showed significant improvements in quality of life (P=.001; Cohen d=0.60); total depression, anxiety, and stress scores (P=.047; Cohen d=0.35); and minutes of walking (P=.04; Cohen d=0.55). Changes in perceived social support from family (P=.07; Cohen d=0.37), friends (P=.10; Cohen d=0.38), and sleep quality (P=.28; Cohen d=0.19) were not significant. Conclusions The results provide preliminary support for the use of social media and a multiple time series design to deliver mental health–informed physical activity interventions for first responders and their support partners. Therefore, an adequately powered trial is required. Trial Registration Australian New Zealand Clinical Trials Registry (ACTRN): 12618001267246; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12618001267246.

scholarly journals A Facebook delivered, mental health informed physical activity intervention for first responders and their partners: A pilot study (Preprint)

2020 ◽  
Author(s):  
Grace McKeon ◽  
Zachary Steel ◽  
Ruth Wells ◽  
Jill Newby ◽  
Dusan Hadzi-Pavlovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Activity ◽  
Time Series ◽  
First Responders ◽  
Multiple Time ◽  
Multiple Time Series ◽  
Physical Activity Interventions ◽  
Series Design

UNSTRUCTURED First-responders (e.g. police, firefighters, paramedics) are at high risk of experiencing poor mental health. Physical activity interventions can help reduce symptoms and improve mental health in this group. More research is however needed to evaluate accessible, low cost ways of delivering programs. Social media may be a potential platform for delivering group-based physical activity interventions. We co-designed a 10-week online physical activity program delivered via a private Facebook group. We provided education and motivation around different weekly topics (e.g. goal setting and reducing sedentary behaviour) and provided participants with a Fitbit. We aimed to examine the feasibility and acceptability of the program for first-responders and a nominated informal caregiver to participate with them. We also explored the impact on mental health symptoms, sleep quality, quality of life and physical activity levels. A multiple time series design was applied to assess levels of psychological distress, with participants acting as their own control prior to the intervention. Twenty-four participants (n=12 first responders and n=12 nominated support partners) were recruited and 88% (n=21) completed the post assessment questionnaires. High acceptability was observed in the qualitative interviews. Exploratory analyses found significant reductions in psychological distress across the intervention. Pre and post analysis showed significant improvements in quality of life (Cohen’s d=0.603), total depression, anxiety and stress scores (d=0.354) and minutes of walking (d=0.549). Changes in perceived social support to exercise and sleep quality were not significant. The results provide preliminary support for the use of social media and a multiple-time series design to deliver mental health informed physical activity interventions for first-responders and their informal caregivers.

scholarly journals PENGARUH PENDAMPINGAN KADER TERHADAP PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS CIKULUR KABUPATEN LEBAK

2019 ◽  
Vol 6 (1) ◽  
pp. 55-60
Author(s):  
Omo Sutomo
Keyword(s):  
Time Series ◽  
Multiple Time ◽  
Multiple Time Series ◽  
Series Design ◽  
Time Series Design

Pemberia ASI eksklusif memiliki kontribusi yang besar terhadap tumbuh kembang dan daya tahan tubuh anak (Patal, 2013), Sayangnya tidak semua ibu berhasil dalam menyusui terutama dalam enam bulan pertama kehidupan bayi. Menurut Pusat Data dan Informasi Kemenkes RI (2014), cakupan ASI eksklusif secara Nasional masih rendah (54,3%), demikian pula di provinsi Banten masih tergolong rendah (47,9%). Penelitian ini bertujuan untuk mengetahui pengaruh pendampingan kader terhadap pemberian ASI eksklusif di wilayah kerja Puskesmas Cikulur Kabupaten Lebah tahun 2018. Penelitian ini merupakan penelitian  quasi eksperiment, rancangan seri ganda (multiple time series) design).Sampel ialah ibu pasca nifas sebanyak 92 orang ( 46 orang perlakuan dan 46 orang kontrol). Sampel diambil  dengan teknik quata sampling. Untuk mengetahui kemaknaan pengaruh digunakan nilai α sebesar 0,05. Hasil penelitian menunjukkan bahwa lebih dari separuhnya ibu tidak memberikan ASI eksklusi (51,1%). Ibu yang tidak memberikan ASI eksklusif lebih banyak (63.0%) terjadi pada ibuyang tidak didampingi oleh kader  dibandingkan dengan ibu yang didampingi kader  hanya 39,1 % yang tidak memberikan ASI eksklusif pada bayinya.  Terdapat pengaruh yang signifikan pendampingan kader  terhadap pemberian ASI eksklusif (p=0,037). Ibu yang tidak mendapat pendampingan kader  berisiko hampir tiga kali lebih besar untuk tidak memberikan ASI eksklusif pada bayinya dibandingkan dengan ibu yang mendapat pendampingan kader (OR=2,654) 

ORBITS

2020 ◽  
Vol 14 (3) ◽  
pp. 294-306
Author(s):  
Mourad Khayati ◽  
Ines Arous ◽  
Zakhar Tymchenko ◽  
Philippe Cudré-Mauroux
Keyword(s):  
Time Series ◽  
Linear Time ◽  
Multiple Time ◽  
Multiple Time Series ◽  
Online Data ◽  
Incremental Computation ◽  
Online Recovery ◽  
Recovery Technique ◽  
Centroid Decomposition

With the emergence of the Internet of Things (IoT), time series streams have become ubiquitous in our daily life. Recording such data is rarely a perfect process, as sensor failures frequently occur, yielding occasional blocks of data that go missing in multiple time series. These missing blocks do not only affect real-time monitoring but also compromise the quality of online data analyses. Effective streaming recovery (imputation) techniques either have a quadratic runtime complexity, which is infeasible for any moderately sized data, or cannot recover more than one time series at a time. In this paper, we introduce a new online recovery technique to recover multiple time series streams in linear time. Our recovery technique implements a novel incremental version of the Centroid Decomposition technique and reduces its complexity from quadratic to linear. Using this incremental technique, missing blocks are efficiently recovered in a continuous manner based on previous recoveries. We formally prove the correctness of our new incremental computation, which yields an accurate recovery. Our experimental results on real-world time series show that our recovery technique is, on average, 30% more accurate than the state of the art while being vastly more efficient.

Incorporating Exercise Professionals in Mental Health Settings: An Australian Perspective

2019 ◽  
Vol 8 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Hamish Fibbins ◽  
Oscar Lederman ◽  
Rachel Morell ◽  
Bonnie Furzer ◽  
Kemi Wright ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Mental Illness ◽  
Premature Mortality ◽  
Health Organizations ◽  
Physical Activity Interventions ◽  
Mental Health Settings

ABSTRACT Low rates of physical activity, in addition to other poor physical health behaviors, contribute to lower quality of life and increased rates of premature mortality for people living with mental illness. Physical activity reduces this mortality gap while simultaneously improving mood, cognitive function, and symptomology for a variety of psychiatric disorders. While physical activity programs are feasible and acceptable in this population, significant barriers exist that limit long-term adherence. Accredited exercise physiologists (AEPs) are best-placed in Australia to lead physical activity interventions for people living with mental illness. Additionally, AEPs provide an important role in improving culture change within mental health settings by influencing clinicians' attitudes to physical activity interventions. Leading international mental health organizations should collaborate and promote the role of physical activity to increase the provision of such services to people living with mental illness.

scholarly journals A Comparative Study of Using Multimedia Annotation and Printed Textual Glossary in Learning Vocabulary

2011 ◽  
Vol 1 (1) ◽  
pp. 82
Author(s):  
Mohamad Jafre Zainol Abidin ◽  
Majid Pour-Mohammadi ◽  
Neda Sharbaf Shoar ◽  
See Toh Hoe Cheong ◽  
Afif Mohamad Jafre
Keyword(s):  
Time Series ◽  
Comparative Study ◽  
Retention Rate ◽  
Vocabulary Learning ◽  
Multiple Time ◽  
Multiple Time Series ◽  
Multimedia Annotation ◽  
Positive Effects ◽  
Series Design ◽  
L2 Vocabulary

This study intends to evaluate the effectiveness of Electronic Glossary and Non-electronic Glossary in L2 vocabulary learning among a group of low proficiency learners of English. It also seeks to determine which glossary mode is effective to help learners in the recall and retention of the meanings learned. A multiple time-series design was adopted as the study involved the use of two sets of treatments as well as using three measurements in the forms of a pretest, a posttest and a delayed posttest. It was conducted over 4 weeks and 120 students from 2 different schools participated. Results suggest that Electronic Glossary in the form of Multimedia Annotation is more effective in the acquisition and learning of unknown vocabulary than Non-electronic Glossary in the form of Printed Textual Glossary. In addition, it is also figured out that both modes of glossaries have some positive effects on the recall and retention rate of low proficiency students. The results are also discussed and some recommendations are finally provided.

scholarly journals Mental health informed physical activity for first responders and their support partner: a protocol for a stepped-wedge evaluation of an online, codesigned intervention

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030668 ◽  
Author(s):  
Grace McKeon ◽  
Zachary Steel ◽  
Ruth Wells ◽  
Jill M Newby ◽  
Dusan Hadzi-Pavlovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Activity ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
First Responders ◽  
Post Traumatic Stress ◽  
Post Traumatic

BackgroundFirst responders (police, fire and ambulance officers) are at a significantly increased risk of experiencing poor mental health, including depression and post-traumatic stress disorder. These conditions are associated with high rates of cardiovascular disease, in part due to low levels of physical activity (PA) and high levels of sedentary behaviour. Using a person’s social support system may be an effective solution to help increase PA levels to improve mental and physical health outcomes. We will examine the efficacy of a group-based online intervention in increasing PA in first responders and their support partners, iteratively codesigned with advisors with lived experience of mental illness among first responders.MethodsThis study will recruit a convenience sample of self-identified sedentary first responders and their self-selected support partners to a 10-week PA programme delivered through a private Facebook group. We will deliver education on predetermined topics related to PA and diet and provide participants with an activity tracker (Fitbit). A stepped-wedged design will be applied to compare multiple baselines to intervention and follow-up phases within subjects. Five cohorts of n=20 will be recruited, with each cohort randomised to a different baseline length. Our primary outcome will be psychological distress (Kessler-6). Secondary outcomes include feasibility, self-report and objective PA data (Simple Physical Activity Questionnaire and Fitbit accelerometry), depression and anxiety (Depression Anxiety and Stress Scale-21 items), post-traumatic stress disorder symptoms (PTSD Checklist for DSM-5), quality of life Assessment of Quality of Life-6 dimensions, sleep quality (The Pittsburgh Sleep Quality Index), suicidal ideation (Suicidal Ideation Attributes Scale) and social support for exercise. The mobile data collection platform MetricWire will be used.Ethics and disseminationEthical approval was obtained from the University of New South Wales, Deupty Vice-Chancellor Research, Human Research Ethics Committee on 3 June 2019, HC180561. Findings will be published in peer-reviewed journals and disseminated at national conferences.Trial registration numberACTRN12619000877189.

scholarly journals Pengaruh Terapi Bacaan Al-Qur’an (TBQ) sebagai Biblioterapi Islami pada Kesehatan Mental Narapidana Lesbian

2020 ◽  
Vol 7 (02) ◽  
pp. 104-112
Author(s):  
Inggriane Puspita Dewi ◽  
Redita Aida Suryadi ◽  
Siti Ulfah Rifa’atul Fitri
Keyword(s):  
Mental Health ◽  
Time Series ◽  
Series Design ◽  
Time Series Design

Kapasitas rutan dan lapas di Jawa Barat saat ini mengalami kelebihan sampai dengan 52 %, salah satu dampak yang terjadi adalah penyimpangan perilaku seksual. Penyimpangan perilaku seksual dapat disebabkan oleh buruknya kesehatan mental seorang narapidana. Penggunaan Terapi Bacaan al-Qur’an (TBQ) sebagai intervensi untuk kesehatan mental belum dilakukan pada kelompok lesbian ini. Penelitian ini untuk mengetahui adanya pengaruh Terapi Bacaan al-Qur’an (TBQ) sebagai biblioterapi Islami pada kesehatan mental narapidana wanita yang mengalami penyimpangan orientasi seksual (lesbian). Penelitian kuantitatif dengan quasi eksperimen time series design. Sample penelitian ini adalah 22 responden. Responden diberikan kuisioner Mental Health Inventory, kemudian diberikan intervensi: 1) sesi membaca Al-Quran dan 2) membaca Biblioterapi Islami sebanyak 1 kali setiap hari Jum’at selama tiga pekan berturut-turut dengan tema yang berbeda-beda. Analisis bivariate yang digunakan adalah uji repetead Anova. Terdapat pengaruh pemberian Terapi Bacaan al-Qur’an (TBQ) sebagai biblioterapi Islami pada peningkatan kesehatan mental (p < 0,001). Biblioterapi Islami ini mendorong responden menyadari fitrahnya sebagai perempuan, mengenal penciptanya serta kewajiban terhadap pencipta-Nya. Terapi Bacaan al-Qur’an (TBQ) sebagai biblioterapi Islami dapat menjadi salah satu pilihan intervensi spiritual untuk kelompok wanita lesbian yang beragama Islam dalam meningkatkan kesehatan mentalnya.

Pengaruh edukasi stunting menggunakan metode brainstorming dan audiovisual terhadap pengetahuan ibu dengan anak stunting

2019 ◽  
Vol 2 (2) ◽  
pp. 141
Author(s):  
Izka Sofiyya Wahyurin ◽  
Arfiyanti Nur Aqmarina ◽  
Hiya Alfi Rahmah ◽  
Ade Uswatun Hasanah ◽  
Christy Nataly Br Silaen
Keyword(s):  
Time Series ◽  
Series Design ◽  
Time Series Design

Latar Belakang: Stunting merupakan kondisi gagal tumbuh untuk mencapai pertumbuhan normal yang diakibatkan oleh status gizi kurang dalam periode waktu lama. Pencegahan serta penanganan stunting dapat dilakukan dengan meningkatkan pengetahuan ibu yang memiliki anak stunting agar tidak berlanjut pada anak selanjutnya. Pemberian edukasi pada ibu dapat dilakukan menggunakan metode brainstorming dan audiovisual. Tujuan: Mengetahui pengaruh pemberian edukasi dengan metode brainstorming dan audiovisual terhadap pengetahuan ibu tentang stunting di Desa Gununglurah, Cilongok, Kabupaten Banyumas. Metode: Desain penelitian adalah quasy experimental with time series design. Subjek penelitian terdiri dari 34 ibu yang memiliki balita stunting. Data pengetahuan ibu mengenai stunting dikumpulkan menggunakan kuesioner pretest dan posttest. Pemberian edukasi gizi mengenai stunting dilakukan dengan metode brainstorming (curah pendapat) menggunakan alat bantu leaflet. Pemberian edukasi gizi mengenai stunting dengan metode audiovisual dilakukan menggunakan film ilustrasi. Hasil: Rerata skor pengetahuan ibu pada saat pretest adalah 6,44±1,65 sedangkan skor pada saat posttest naik menjadi 7,38±1,76. Analisis statistik menggunakan uji beda Wilcoxon menunjukkan adanya perbedaan signifikan antara pengetahuan ibu mengenai stunting pada waktu sebelum dan sesudah dilakukan intervensi (p=0,009). Kesimpulan: Terdapat perbedaan pengetahuan ibu yang signifikan mengenai stunting pada waktu sebelum dan sesudah pemberian edukasi gizi dengan metode brainstorming dan audiovisual. 

scholarly journals Effect of a physical activity and sleep m-health intervention on a composite activity-sleep behaviour score and mental health: a mediation analysis of two randomised controlled trials

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mitch J. Duncan ◽  
Anna T. Rayward ◽  
Elizabeth G. Holliday ◽  
Wendy J. Brown ◽  
Corneel Vandelanotte ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Trial Registration ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Sleep Health ◽  
Intervention Effects ◽  
Symptoms Of Depression ◽  
Randomised Controlled

Abstract Background To examine if a composite activity-sleep behaviour index (ASI) mediates the effects of a combined physical activity and sleep intervention on symptoms of depression, anxiety, or stress, quality of life (QOL), energy and fatigue in adults. Methods This analysis used data pooled from two studies: Synergy and Refresh. Synergy: Physically inactive adults (18–65 years) who reported poor sleep quality were recruited for a two-arm Randomised Controlled Trial (RCT) (Physical Activity and Sleep Health (PAS; n = 80), or Wait-list Control (CON; n = 80) groups). Refresh: Physically inactive adults (40–65 years) who reported poor sleep quality were recruited for a three-arm RCT (PAS (n = 110), Sleep Health-Only (SO; n = 110) or CON (n = 55) groups). The SO group was omitted from this study. The PAS groups received a pedometer, and accessed a smartphone/tablet “app” using behaviour change strategies (e.g., self-monitoring, goal setting, action planning), with additional email/SMS support. The ASI score comprised self-reported moderate-to-vigorous-intensity physical activity, resistance training, sitting time, sleep duration, efficiency, quality and timing. Outcomes were assessed using DASS-21 (depression, anxiety, stress), SF-12 (QOL-physical, QOL-mental) and SF-36 (Energy & Fatigue). Assessments were conducted at baseline, 3 months (primary time-point), and 6 months. Mediation effects were examined using Structural Equation Modelling and the product of coefficients approach (AB), with significance set at 0.05. Results At 3 months there were no direct intervention effects on mental health, QOL or energy and fatigue (all p > 0.05), and the intervention significantly improved the ASI (all p < 0.05). A more favourable ASI score was associated with improved symptoms of depression, anxiety, stress, QOL-mental and of energy and fatigue (all p < 0.05). The intervention effects on symptoms of depression ([AB; 95%CI] -0.31; − 0.60,-0.11), anxiety (− 0.11; − 0.27,-0.01), stress (− 0.37; − 0.65,-0.174), QOL-mental (0.53; 0.22, 1.01) and ratings of energy and fatigue (0.85; 0.33, 1.63) were mediated by ASI. At 6 months the magnitude of association was larger although the overall pattern of results remained similar. Conclusions Improvements in the overall physical activity and sleep behaviours of adults partially mediated the intervention effects on mental health and quality of life outcomes. This highlights the potential benefit of improving the overall pattern of physical activity and sleep on these outcomes. Trial registration Australian New Zealand Clinical Trial Registry: ACTRN12617000680369; ACTRN12617000376347. Universal Trial number: U1111–1194-2680; U1111–1186-6588. Human Research Ethics Committee Approval: H-2016-0267; H-2016–0181.

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