Promoting physical activity compliance in a low socioeconomic Latina population with chronic neurological disorders: A Proof-of-Concept Study (Preprint)

2021 ◽  
Author(s):  
Alexander Garbin ◽  
Jesús Díaz ◽  
Vy Bui ◽  
Janina Morrison ◽  
Beth E Fisher ◽  
...  
Keyword(s):  
Physical Activity ◽  
Effect Size ◽  
Neurological Disorders ◽  
Medical Center ◽  
Vigorous Physical Activity ◽  
Community Based ◽  
Self Monitoring ◽  
Low Socioeconomic ◽  
Behavioral Coaching

BACKGROUND Physical activity is known to improve quality of life as well as reduce mortality and disease progression in individuals with chronic neurological disorders. However, Latinas are less likely to participate in recommended levels of physical activity due to common socioeconomic barriers including limited resources and access to exercise programs. Therefore, we developed a community-based intervention with activity-monitoring and behavioral coaching to target these barriers and facilitate sustained participation in an exercise program promoting physical activity. OBJECTIVE To determine the feasibility and efficacy of a community-based intervention to promote physical activity (PA) through self-monitoring via a Fitbit and behavioral coaching in Latina participants with chronic neurological disorders. METHODS We conducted a proof-of-concept study in 21 Spanish-speaking Latina participants recruited from the Los Angeles County/ University of Southern California (LAC/USC) neurology clinic and enrolled in the 16-week intervention at The Wellness Center at The Historic General Hospital. Demographic data was assessed at baseline. Feasibility was defined by participant attrition and Fitbit adherence. Physical activity promotion was determined by examining change in time spent performing moderate-vigorous physical activity (MVPA) over the 16-week period. The effect of behavioral coaching was assessed by quantifying the difference in MVPA on days coaching occurred vs. days without coaching. Change in psychometric measures (baseline vs. post-intervention) and medical center visits (16-weeks pre-intervention vs. during intervention) were also examined. RESULTS Participants were of low socioeconomic status and acculturation. 19 participants completed the study (attrition 9.5%) with high Fitbit wear adherence (90.31%). Time performing moderate-vigorous physical activity (MVPA) significantly increased throughout the study (P<0.001). Behavioral coaching enhanced intervention effectiveness as evidenced by a higher time spent in MVPA on days coaching occurred. Participants’ illness perception (Effect Size g=.30), self-rated quality-of-life (Effect Size g=.32), and medical center visit frequency (Effect Size r =.44) improved. CONCLUSIONS Self-monitoring with behavioral coaching is a feasible community-based intervention for PA promotion in low socioeconomic Latinas with chronic neurological conditions. PA is known to be important in brain health in neurological conditions but remains relatively unexplored in minority populations. CLINICALTRIAL Clinicaltrials.gov; NCT04820153

scholarly journals Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children

2021 ◽  
Vol 18 (5) ◽  
pp. 2702
Author(s):  
Manuel Ávila-García ◽  
María Esojo-Rivas ◽  
Emilio Villa-González ◽  
Pablo Tercedor ◽  
Francisco Javier Huertas-Delgado
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Well Being ◽  
Self Esteem ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Higher sedentary time and lower physical activity (PA) are associated with a poor health-related quality of life (HRQoL) in children. The aims of this study were: (1) to analyze the sedentary time, objectively measured PA levels (light, moderate, vigorous, and moderate-to-vigorous physical activity (MVPA)), and HRQoL dimensions (physical well-being, emotional well-being, self-esteem, family, friends, school, and total score) in children; and (2) to examine the association between sedentary time, PA levels, and HRQoL in children separately by sex. A total of 459 children (8.4 ± 0.4 years old, 50.54% males) from 15 schools in Granada (Spain) participated in the study. A tri-axial accelerometer was used to measure PA levels in the children for 7 consecutive days. The Revidierter KINDer Lebensqualitätsfragebogen (KINDL-R) questionnaire was used to determine the children’s HRQoL dimensions. The results showed that males presented more minutes engaged in MVPA than females. Both sedentary time and PA levels were associated with self-esteem and total score (all p < 0.05). In males, moderate and vigorous PA levels were associated with higher HRQoL, whereas light PA was associated with higher HRQoL in females. Future studies should take into account the use of activities with difference intensities in order to increase HRQoL in males and females.

Supporting Self-Management and Quality of Life in Bipolar Disorder with the Beta PolarUs App: Protocol for a Mixed-Methods Study (Preprint)

2022 ◽  
Author(s):  
Erin E Michalak ◽  
Steven J Barnes ◽  
Emma Morton ◽  
Heather O'Brien ◽  
Greg Murray ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mixed Methods ◽  
Management Strategies ◽  
Community Based Participatory Research ◽  
Self Management ◽  
Community Based ◽  
Self Monitoring ◽  
Web Based ◽  
Beta Version

BACKGROUND Quality of life (QoL) is increasingly recognised as a key outcome of self-management interventions for bipolar disorder (BD). Mobile phone applications (apps) can increase access to evidence-based self-management strategies and provide real-time support. However, while individuals with lived experience desire support with monitoring and improving broader health domains, existing BD apps largely target mood symptoms only. Further, evidence from the broader mHealth literature has shown that the desires and goals of end-users are not adequately taken into account during app development, and as a result engagement with mental health apps is suboptimal. To capitalise on the potential of apps to optimise wellness in BD, there is a need for interventions developed in consultation with real-world users that are designed to support QoL self-monitoring and self-management. Objective: This mixed methods pilot study is designed to evaluate the beta version of the newly developed PolarUs app, which aims to support QoL self-monitoring and self-management in people with BD. Developed using a community-based participatory research framework, the PolarUs app builds on the web-based adaptation of a BD-specific QoL self-assessment measure, and integrates material from a web-based portal providing information on evidence-informed self-management strategies in BD. OBJECTIVE The primary objectives of this project are to: (1) evaluate PolarUs app feasibility (via behavioral usage metrics); (2) evaluate PolarUs impact (via the Brief Quality of Life in Bipolar Disorders, QoL.BD scale, our primary outcomes measure); and (3) explore engagement with the PolarUs app (via both quantitative and qualitative methods). METHODS Study participants will be North American residents (N=150) aged 18-65 years with a DSM-5 diagnosis of BD-I, BD-II or BD not otherwise specified (NOS) as assessed by a structured diagnostic interview. An embedded mixed-methods research design will be adopted; qualitative interviews with a purposefully selected sub-sample (~n=30) of participants will be conducted to explore in more depth feasibility, impact and engagement with the PolarUs app over the 12-week study period. RESULTS At the time of publication of this protocol, the development of the beta version of the PolarUs app is complete. Participant enrollment is expected to begin in February 2022. Data collection is expected to be completed by December 2022. CONCLUSIONS Beyond contributing knowledge on the feasibility and impacts of a novel app to support QoL and self-management in BD, this study is also expected to provide new knowledge on engagement with mHealth apps. Furthermore, it is expected to function as a case study of successful co-design between individuals living with BD, clinicians who specialise in the treatment of BD, and BD researchers, providing a template for future use of community-based participatory research frameworks in mHealth intervention development. Results will be used to further refine the PolarUs app and inform the design of a larger clinical trial.

scholarly journals Presenting Health Status in Children Using a Radar Plot

Sports ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 53 ◽  
Author(s):  
Asgeir Mamen ◽  
Lars Erik Braaum ◽  
Per Morten Fredriksen
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Blood Pressure ◽  
Health Status ◽  
Vigorous Physical Activity ◽  
Density Lipoprotein ◽  
Activity Level ◽  
Cholesterol Concentration ◽  
Lower Systolic Blood Pressure

Background: To try out the feasibility of presenting the health status of children 6 to 12 years old by using radar plots. Methods: With data from the Health Oriented Pedagogical Project (HOPP) we have described the health status for 1340 children aged 6 to 12 years. We collected or calculated: stature, body mass, waist circumference, waist to height ratio, high density lipoprotein (HDL) and total cholesterol concentration, blood pressure, accelerometer assessed physical activity, endurance interval running performance, and quality of life. Pertinent variables were presented through a radar plot for both individual cases and groups. Results: The boys showed better endurance and recorded more moderate to vigorous physical activity than the girls. The activity level dropped from age 6 to age 12 for both sexes. The girls showed a lower systolic blood pressure compared with boys. Self-rated quality of life was high among boys and girls. Conclusions: This cohort showed good health and the radar plot made it easy to visualise health status for groups and individuals.

scholarly journals Physical activity, diet and quality of life during mandatory (COVID-19) quarantine following repatriation

2020 ◽  
Vol 8 ◽  
pp. 2050313X2097250
Author(s):  
Philippe Jean-Luc Gradidge ◽  
Herculina Salome Kruger
Keyword(s):  
Physical Activity ◽  
South African ◽  
Cardiovascular Health ◽  
Sitting Time ◽  
Physical And Mental Health ◽  
Physically Active ◽  
Self Monitoring ◽  
Prolonged Sitting ◽  
Online Tools

The coronavirus disease 2019 crisis in South Africa has been managed through an effective evidence-based approach. The aim of this case report was to determine the value of staying physically active during the coronavirus disease 2019 pandemic, using online resources to prevent the harmful effects of sedentary behaviour under confined living conditions. A repatriated South African citizen was placed into monitored 14-day quarantine confined to a room, self-monitoring dietary intake and physical and health measures, while engaged in online exercise videos and indoor walking. This study demonstrates that structured indoor activity improves physical and mental health outcomes, despite prolonged sitting time during the day. During the current pandemic and in the presence of limited freedom of movement, sustained physical activity is made feasible by accessing online tools and resources, essentially reducing vulnerability to existing cardiovascular health concerns. However, these findings are based on a single participant and therefore further study is required.

scholarly journals Television Viewing: Moderator or Mediator of an Adolescent Physical Activity Intervention?

2008 ◽  
Vol 23 (2) ◽  
pp. 88-91 ◽  
Author(s):  
Dan J. Graham ◽  
Margaret Schneider ◽  
Dan M. Cooper
Keyword(s):  
Physical Activity ◽  
Program Effectiveness ◽  
Physical Activity Intervention ◽  
Vigorous Physical Activity ◽  
Cycle Ergometer ◽  
Cardiovascular Fitness ◽  
Public High School ◽  
Regression Equations ◽  
Tv Viewing ◽  
Self Monitoring

Purpose. To determine whether the amount of television (TV) watched by participants enrolled in a physical activity intervention mediates or moderates program effectiveness. Design. Nine-month, controlled, school-based physical activity intervention. Setting. Public high school. Participants. One hundred twenty-two sedentary adolescent females (mean + standard deviation age = 15.04 + 0.79 years). Intervention. Supervised in-class exercise, health education, and internet-based self-monitoring. Measures. Physical activity by 3-day physical activity recall; TV viewing by self-reports; cardiovascular fitness by cycle ergometer. Analysis. T-tests were conducted to examine between-group differences. Linear regression equations tested the mediating or moderating role of TV watching relative to the intervention. Results. TV viewing moderated the intervention's effect on vigorous activity; the intervention significantly predicted change in physical activity among high (β = −.45; p < .001), but not among low (p > .05), TV watchers. TV viewing did not mediate the intervention effect. Conclusions. Consistent with displacement theory, adolescents who watched more TV prior to the intervention showed postintervention increases in vigorous physical activity and concomitant decreases in TV viewing, whereas those who watched less TV showed no change in physical activity or TV viewing.

Evaluation of an interactive portal for breast cancer survivors: Use, satisfaction, and preliminary effects.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 200-200
Author(s):  
Wilma Kuijpers ◽  
Wim G Groen ◽  
Hester SA Oldenburg ◽  
Michel W.J.M. Wouters ◽  
Neil K Aaronson ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Physical Activity ◽  
Cancer Survivors ◽  
User Satisfaction ◽  
Breast Cancer Survivors ◽  
Vigorous Physical Activity ◽  
Sf 36 ◽  
Patient Reported

200 Background: MijnAVL is an interactive portal that includes patient education, an overview of appointments, access to the electronic medical record (EMR), patient-reported outcomes plus feedback and physical activity support. The aim of this feasibility study was to evaluate use, satisfaction and preliminary effects among breast cancer survivors. Methods: We included women currently or recently treated for breast cancer with curative intent. At baseline, they completed a questionnaire on sociodemographics, expectations of MijnAVL and three effect measures: patient activation (PAM), quality of life (SF-36), and physical activity (IPAQ). MijnAVL could be used noncommittally for 4 months. Log data were collected retrospectively and participants completed questions on satisfaction and effect measures. This process was conducted twice, to be able to improve MijnAVL iteratively. Results: We included 92 women (mean age 49.5 years, 59% on-treatment). Mean number of logins was 8.7 and mean duration 13.1 minutes. Overview of appointments (80% of participants) and access to the EMR (90%) were most frequently used and most appreciated. Website user satisfaction was rated 3.8 on a 1-5 scale on average and participants were primarily positive about the accessibility of information. We did not find an effect on the PAM. For the SF-36, we found significant improvements on the role functioning – emotional (65.3 to 78.5, p< .01), mental health (69.8 to 76.5, p< .01) and social functioning (71.2 to 80.5, p< .01) domains. Median vigorous physical activity significantly increased from 0 to 360 MET-minutes per week (p< .05); levels of walking and moderate physical activity did not change significantly over time. These effects were not related to the intensity of use of MijnAVL. Conclusions: This study showed that user experiences were positive and that exposure to MijnAVL resulted in improvements on three quality of life domains and vigorous physical activity. More tailored, interactive features might be needed to substantially change empowerment, quality of life and physical activity. Research with a controlled design and possibly a more sensitive measure for patient empowerment are needed to substantiate our findings.

scholarly journals Perceptions and measurement of playtime physical activity in English primary school children: The influence of socioeconomic status

2017 ◽  
Vol 25 (2) ◽  
pp. 438-455 ◽  
Author(s):  
Nicola McWhannell ◽  
Carmel Triggs ◽  
Samantha Moss
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Primary School ◽  
Low Socioeconomic Status ◽  
School Children ◽  
Vigorous Physical Activity ◽  
Primary School Children ◽  
Depth Information ◽  
High Socioeconomic Status ◽  
Low Socioeconomic

Children in areas of low socioeconomic status might face barriers to physical activity during school playtime in comparison to their high socioeconomic status counterparts. However, limited research within the area currently prevents evidence-based interventions from being targeted appropriately. This exploratory study aimed to assess and compare playtime physical activity levels and perceptions of physical activity in primary school children from two schools of different socioeconomic status. Fifty-three children wore an accelerometer during playtime for three school days while 33 children participated in single-sex focus groups to elicit their experiences of physical activity during playtime. Results revealed that children from the low socioeconomic status school spent more time in sedentary activities ( P = 0.001) and spent less time in moderate and moderate to vigorous physical activity ( P = 0.001) than children from the high socioeconomic status school. Despite some between-school similarities in their perceptions of physical activity, differences resonated in their reasons for taking part in physical activity, perceptions of the play environment and ideas to improve physical activity. These findings contribute to current research and provide in-depth information from active users of the play environment that could be useful to inform new interventions for schools of varying socioeconomic status.

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