scholarly journals Effects of an Empowerment-Based Health-Promotion School Intervention on Physical Activity and Sedentary Time among Adolescents in a Multicultural Area

2018 ◽  
Vol 15 (11) ◽  
pp. 2542 ◽  
Author(s):  
Andreas Fröberg ◽  
Linus Jonsson ◽  
Christina Berg ◽  
Eva-Carin Lindgren ◽  
Peter Korp ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Low Socioeconomic Status ◽  
Sedentary Time ◽  
School Intervention ◽  
The Self ◽  
Low Ses ◽  
Shared Decision ◽  
Intervention School ◽  
Low Socioeconomic

Physical activity (PA) decreases with age, and interventions are needed to promote PA during adolescence, especially, among those in low-socioeconomic status (SES) areas. The aim of this study was to investigate whether a two-year, empowerment-based health-promotion school intervention had any effects on changes in (a) moderate-to-vigorous PA (MVPA), (b) sedentary time (SED), (c) exercise training (ET) frequency, and (d) ET duration, among adolescents. Participants (aged 12–13 years at baseline) from one intervention school and two control schools, were recruited from a multicultural area of Sweden, characterized by low-SES. During the course of the two-year intervention, a total of 135 participants (43% boys) were included in the study. The intervention was developed and implemented as a result of cooperation and shared decision-making among the researchers and the participants. MVPA and SED were measured with accelerometers, and ET frequency and duration was self-reported at the beginning of the seventh, eighth, and ninth grade, respectively. There were no significant effects of the two-year, empowerment-based health-promotion school intervention on changes in the accelerometer-measured MVPA and SED, or the self-reported ET frequency and duration, among the adolescents. Overall, the intervention was unsuccessful at promoting PA and reducing SED. Several possible explanations for the intervention’s lack of effects are discussed.

scholarly journals Possibilities and challenges in developing and implementing an empowerment-based school-intervention in a Swedish disadvantaged community

2019 ◽  
Vol 35 (2) ◽  
pp. 232-243 ◽  
Author(s):  
L Jonsson ◽  
A Fröberg ◽  
P Korp ◽  
C Larsson ◽  
C Berg ◽  
...  
Keyword(s):  
Physical Activity ◽  
Goal Setting ◽  
Low Socioeconomic Status ◽  
Deep Understanding ◽  
Health Coaching ◽  
School Intervention ◽  
Seventh Graders ◽  
Shared Decision ◽  
Disadvantaged Community ◽  
Low Socioeconomic

Abstract In this paper, we describe and critically reflect on the possibilities and challenges of developing and implementing an empowerment-based school intervention regarding healthy food and physical activity (PA), involving participants from a Swedish multicultural area characterized by low socioeconomic status. The 2-year intervention was continually developed and implemented, as a result of cooperation and shared decision making among researchers and the participants. All 54 participants were seventh graders, and the intervention comprised health coaching, health promotion sessions and a Facebook group. We experienced that participants valued collaborating with peers, and that they took responsibility in codeveloping and implementing the intervention. Participants expressed feeling listened to, being treated with respect and taken seriously. However, we also experienced a number of barriers that challenged our initial intentions of aiding participation and ambition to support empowerment. Moreover, it was challenging to use structured group health coaching and to work with goal-setting in groups of participants with shared, and sometimes competing, goals, wishes and needs related to food and PA. Successful experiences from this intervention was the importance of acquiring a broad and deep understanding of the context and participants, being open to negotiating, as well as adjusting the intervention.

scholarly journals Effective elements of Dutch care-physical activity initiatives for low socioeconomic status adults

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L S Mulderij ◽  
F Wolters ◽  
M A E Wagemakers ◽  
K T Verkooijen
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
Health Promotion ◽  
Socioeconomic Status ◽  
Concept Mapping ◽  
Low Socioeconomic Status ◽  
Intersectoral Collaboration ◽  
Low Ses ◽  
Low Socioeconomic ◽  
Lifestyle Related Diseases

Abstract Background In care-physical activity (care-PA) initiatives, primary care and sports collaborate to stimulate PA among adults at risk of lifestyle related diseases. Preliminary results of Dutch care-PA initiatives for low socioeconomic status (SES) adults indicate that these initiatives successfully lower participants’ body weight and improve quality of life. However, insight into elements that make these initiatives work is lacking. Therefore, this research aims to unravel the effective elements of care-PA initiatives for low SES adults. Methods Concept Mapping (CM) was used as tool to identify and cluster the effective elements. Nineteen Dutch health promotion experts individually listed as many elements as they felt were of importance to the effectiveness of care-PA initiatives. Next, each expert was asked to cluster the elements and to score them on importance. Then, CS Global MAX software was used for multidimensional scaling and a hierarchical cluster analysis to develop a cluster map. Finally, the cluster map was presented, discussed, and refined in a group meeting with 11 of the experts. Results The experts came up with 113 unique effective elements of care-PA initiatives for low SES adults, clustered into 11 clusters: 1) approach of professionals, 2) barriers experienced during the programme, 3) local embedding, 4) customisation of the programme to target population, 5) social support, 6) methods within the programme, 7) competencies of professionals, 8) accessibility of the programme, 9) actions within the programme, 10) recruitment of participants, and 11) intersectoral collaboration. Conclusions A valuable overview of the effective elements of care-PA initiatives for low SES adults was created. The results can be used to improve existing care-PA initiatives and to develop new ones targeted at low SES adults at risk of lifestyle related diseases. This may eventually help to reduce health inequalities between low and high SES adults. Key messages Concept mapping has been a useful group-based tool to obtain information on the effective elements of care-PA initiatives, in which individual input from health promotion experts has been collected. The overview of effective elements of care-PA initiatives for low SES adults as presented in this study is valuable for the development of care-PA initiatives specifically targeted at low SES adults.

Accelerometer-measured physical activity among adolescents in a multicultural area characterized by low socioeconomic status

2016 ◽  
Vol 30 (3) ◽  
Author(s):  
Andreas Fröberg ◽  
Christel Larsson ◽  
Christina Berg ◽  
Cecilia Boldemann ◽  
Anders Raustorp
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Sedentary Time ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Physically Active ◽  
Low Socioeconomic ◽  
Organized Sports ◽  
Wear Time

Abstract Purpose: The aim of this cross-sectional study was to describe and analyze accelerometer-measured sedentary time and physical activity (PA) among adolescents in a multicultural area characterized by low socioeconomic status (SES). Method: Seventh-graders (n=114 (girls n=66), mean age: 12.8±0.5 y) were recruited from three schools in a multicultural area of the city of Gothenburg, Sweden. Sedentary time and PA were measured with ActiGraph™ accelerometers. Result: Of total wear-time, 70 (±6)% was sedentary, with girls being more sedentary than boys. Girls had less light PA (LPA) and moderate-to-vigorous PA (MVPA) than boys. Similar patterns were shown during in-school and out-of-school hours. During wear-time, 53% had a mean of ≥60 min of MVPA per day, but only 6% of the girls and 24% of the boys were sufficiently physically active every day. Girls had more sedentary bouts of ≥10 min and fewer MVPA bouts of ≥5 min per day than boys. Those who participated in organized sports spent a mean of 15 more minutes of MVPA per day compared to those who did not. No association was observed between body mass index (BMI) and sedentary time and PA. Conclusion: Only a few adolescents from a Swedish multicultural area characterized by low SES met the PA recommendations every day, and girls were more sedentary and less physically active than boys. Adolescents involved in organized sports had more of MVPA per day than their non-involved peers. Sedentary time and PA were not related to BMI.

Effects of Locomotor Skill Program on Minority Preschoolers’ Physical Activity Levels

2012 ◽  
Vol 24 (3) ◽  
pp. 435-449 ◽  
Author(s):  
Sofiya Alhassan ◽  
Ogechi Nwaokelemeh ◽  
Manneh Ghazarian ◽  
Jasmin Roberts ◽  
Albert Mendoza ◽  
...  
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Sedentary Time ◽  
Control Group ◽  
Activity Levels ◽  
Low Socioeconomic ◽  
Preschool Classrooms ◽  
Percent Time ◽  
Physical Activity Levels

This pilot study examined the effects of a teacher-taught, locomotor skill (LMS)- based physical activity (PA) program on the LMS and PA levels of minority preschooler-aged children. Eight low-socioeconomic status preschool classrooms were randomized into LMS-PA (LMS-oriented lesson plans) or control group (supervised free playtime). Interventions were delivered for 30 min/day, five days/week for six months. Changes in PA (accelerometer) and LMS variables were assessed with MANCOVA. LMS-PA group exhibited a significant reduction in during-preschool (F (1,16) = 6.34, p = .02, d = 0.02) and total daily (F (1,16) = 9.78, p = .01, d = 0.30) percent time spent in sedentary activity. LMS-PA group also exhibited significant improvement in leaping skills, F (1, 51) = 7.18, p = .01, d = 0.80). No other, significant changes were observed. The implementation of a teacher-taught, LMS-based PA program could potentially improve LMS and reduce sedentary time of minority preschoolers.

scholarly journals The effectiveness of digital interventions for increasing physical activity in individuals of low socioeconomic status: a systematic review and meta-analysis

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Max J. Western ◽  
Miranda E. G. Armstrong ◽  
Ishrat Islam ◽  
Kelly Morgan ◽  
Una F. Jones ◽  
...  
Keyword(s):  
Physical Activity ◽  
Low Socioeconomic Status ◽  
Digital Technology ◽  
Meta Analysis ◽  
Digital Technologies ◽  
Risk Of Bias ◽  
Behaviour Change Techniques ◽  
Low Ses ◽  
Low Socioeconomic ◽  
Digital Interventions

Abstract Background Digital technologies such as wearables, websites and mobile applications are increasingly used in interventions targeting physical activity (PA). Increasing access to such technologies makes an attractive prospect for helping individuals of low socioeconomic status (SES) in becoming more active and healthier. However, little is known about their effectiveness in such populations. The aim of this systematic review was to explore whether digital interventions were effective in promoting PA in low SES populations, whether interventions are of equal benefit to higher SES individuals and whether the number or type of behaviour change techniques (BCTs) used in digital PA interventions was associated with intervention effects. Methods A systematic search strategy was used to identify eligible studies from MEDLINE, Embase, PsycINFO, Web of Science, Scopus and The Cochrane Library, published between January 1990 and March 2020. Randomised controlled trials, using digital technology as the primary intervention tool, and a control group that did not receive any digital technology-based intervention were included, provided they had a measure of PA as an outcome. Lastly, studies that did not have any measure of SES were excluded from the review. Risk of Bias was assessed using the Cochrane Risk of Bias tool version 2. Results Of the 14,589 records initially identified, 19 studies were included in the final meta-analysis. Using random-effects models, in low SES there was a standardised mean difference (SMD (95%CI)) in PA between intervention and control groups of 0.06 (− 0.08,0.20). In high SES the SMD was 0.34 (0.22,0.45). Heterogeneity was modest in both low (I2 = 0.18) and high (I2 = 0) SES groups. The studies used a range of digital technologies and BCTs in their interventions, but the main findings were consistent across all of the sub-group analyses (digital interventions with a PA only focus, country, chronic disease, and duration of intervention) and there was no association with the number or type of BCTs. Discussion Digital interventions targeting PA do not show equivalent efficacy for people of low and high SES. For people of low SES, there is no evidence that digital PA interventions are effective, irrespective of the behaviour change techniques used. In contrast, the same interventions in high SES participants do indicate effectiveness. To reduce inequalities and improve effectiveness, future development of digital interventions aimed at improving PA must make more effort to meet the needs of low SES people within the target population.

scholarly journals Healthy Mobile Check-In Study: Barriers to exercise for women in high and low SEP suburbs in Brisbane

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J A Carroll ◽  
J Rodgers ◽  
J Lyons-Reid ◽  
R Bennett
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Family Responsibilities ◽  
Social Barriers ◽  
Low Socioeconomic ◽  
Barriers To Exercise ◽  
Promotion Strategies ◽  
The Individual ◽  
Targeted Approach ◽  
Barriers To Physical Activity

Abstract Previous studies have demonstrated that physical activity (PA) promotes health and reduces risk for non-communicable diseases. However, 55% of Australian women did not meet the recommended levels of PA in 2018-19. There remains a gap in knowledge regarding the individual, household, and neighbourhood barriers to physical activity between women from high and low socioeconomic suburbs. We conducted a mixed-methods study to ascertain subjective accounts of the socioecological reasons for different daily logistics, travel, and PA between these groups. In addition to daily mobility data collated from GIS iPhone apps, in-depth interviews were held with 16 women from the high (Ashgrove) and low (Durack) SEP suburbs in Brisbane. Interview data was analysed at the individual, social, and environmental levels to unearth resistance to PA via these thematic strata. Individual psychological barriers to being active that were unique to low SE suburbs included the 'lack of enjoyment' gained from PA. Both high and low SE suburbs reported being 'time poor'. For low SEP participants, this was driven by financial demands, and for high SEP participants, this was driven by work demands. Both groups reported being burnt out. Individual physical barriers for both groups included sore joints, injury, pelvic pain and weight. Social barriers unique to participants from a high SE suburb included 'opportunities to exercise socially', and 'mother guilt'. Both groups reported 'family responsibilities' as a social barrier. Neighbourhood changes that could increase PA in the low SEP suburb included facilities to increase walkability. Participants from the high SE suburb were largely satisfied with the state of their neighbourhood. This study provides foundational insight into improved public health strategies for increasing levels of PA amongst women in Brisbane from different SEP groups. Our findings support the idea that a combination of broad strategies and a targeted approach is needed. Key messages Women from high and low socioeconomic suburbs experience different barriers to physical activity. Health promotion strategies need to accommodate this to improve overall health and reduce inequality. Women from high and low socioeconomic suburbs face psychological, physical and social barriers to exercise. Broad health promotion strategies and a targeted approach is required to address barriers.

Intertemporal impulsivity can also arise from persistent failure of long-term plans

2017 ◽  
Vol 40 ◽  
Author(s):  
Nisheeth Srivastava ◽  
Narayanan Srinivasan
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Social Utility ◽  
Low Ses ◽  
Low Socioeconomic ◽  
Planning And Control ◽  
Intertemporal Discounting ◽  
And Control ◽  
Control Failures

AbstractWe suggest that steep intertemporal discounting in individuals of low socioeconomic status (SES) may arise as a rational metacognitive adaptation to experiencing planning and control failures in long-term plans. Low SES individuals' plans fail more frequently because they operate close to budgetary boundaries, in turn because they consistently operate with limited budgets of money, status, trust, or other forms of social utility.

scholarly journals Implementing HEM in the assessment of oral health promotion to families in underserved areas

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Wretlind ◽  
M Magnusson ◽  
M Hallmyr
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Low Socioeconomic Status ◽  
Cognitive Theory ◽  
Health Determinants ◽  
Oral Health Promotion ◽  
Team Members ◽  
Low Socioeconomic ◽  
Self Confidence ◽  
Health Promoting

Abstract The aim was to, in an oral health promoting setting in low socioeconomic areas, implement a method aiming at improving quality of work by assessing both formative and summative results. The overall aim is to decrease health inequity. Methods Five teams of dental hygienists (n = 5) and dental nurses (n = 3), who operated in socioeconomic low-status areas, participated. The teams were performing health promoting activities on arenas as for example family-centrals. These teams were introduced on how to report health promoting activities according to the Health Equilibrium Methodology (HEM), which is based on Social Cognitive Theory. Following questions were put and answered in every report: Which health determinants were targeted? Did any person seem to perceive him-/herself excluded? Did anything unexpected happen? What to think about next time? Quantitative data were also documented: Almost six-hundred individuals were included in a total of 36 reports. Of these 50% were adults/parents and the rest children, most of them between 1-6 years old. The reports were written directly into a database after every activity and then processed by a facilitator and later discussed with the teams in workshops every third month. Results Analysis of the reports shows that the implementation of health promoting activities according to HEM included the following: -Identification of important health determinants. - Attention on how to get everyone involved and if anything unexpected happened. - Suggestions for change for the next time. Throughout the workshops the team-members exchanged experiences. Conclusions The HEM-method facilitates depicting and discussing the process of health promotion with focus on health equity. Thereby the method has a potential to support development of high-quality health-promoting activities in populations with low socioeconomic status. It may also lead to a better professional self-confidence.

scholarly journals COVID-19 infections in day care centres in Germany: social and organisational determinants of infections in children and staff in the second and third wave of the pandemic

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Franz Neuberger ◽  
Mariana Grgic ◽  
Svenja Diefenbacher ◽  
Florian Spensberger ◽  
Ann-Sophie Lehfeld ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Online Survey ◽  
Random Effect ◽  
Low Ses ◽  
Third Wave ◽  
Low Socioeconomic ◽  
Long Run ◽  
Hygiene Measures ◽  
Education And Care

Abstract Background During the SARS-CoV-2 pandemic, German early childhood education and care (ECEC) centres organised children’s attendance in different ways, they reduced opening hours, provided emergency support for a few children, or closed completely. Further, protection and hygiene measures like fixed children-staff groups, ventilation and surface disinfection were introduced in ECEC centres. To inform or modify public health measures in ECEC, we investigate the occurrence of SARS-CoV-2 infections among children and staff in ECEC centres in light of social determinants (i.e. the socioeconomic status of the children) and recommended structural and hygiene measures. We focus on the question if the relevant factors differ between the 2nd (when no variant of concern (VOC) circulated) and the 3rd wave (when VOC B.1.1.7 (Alpha) predominated). Methods Based on panel data from a weekly online survey of ECEC centre managers (calendar week 36/2020 to 22/2021, ongoing) including approx. 8500 centres, we estimate the number of SARS-CoV-2 infections in children and staff using random-effect-within-between (REWB) panel models for count data in the 2nd and 3rd wave. Results ECEC centres with a high proportion of children with low socioeconomic status (SES) have a higher risk of infections in staff and children. Strict contact restrictions between groups like fixed group assignments for children and fixed staff assignments to groups prevent infections. Both effects tend to be stronger in the 3rd wave. Conclusion ECEC centres with a large proportion of children with a low SES background and lack of using fixed child/staff cohorts experience higher COVID-19 rates. Over the long run, centres should be supported in maintaining recommended measures. Preventive measures such as the vaccination of staff should be prioritised in centres with large proportions of low SES children.

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