scholarly journals Feasibility and Preliminary Efficacy of an m-Health Intervention Targeting Physical Activity, Diet, and Sleep Quality in Shift-Workers

2019 ◽  
Vol 16 (20) ◽  
pp. 3810 ◽  
Author(s):  
Stina Oftedal ◽  
Tracy Burrows ◽  
Sasha Fenton ◽  
Beatrice Murawski ◽  
Anna B. Rayward ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Diet Quality ◽  
Mixed Model ◽  
Qualitative Interviews ◽  
Intervention Group ◽  
Wait List ◽  
Shift Workers ◽  
Accessible Information ◽  
System Usability Scale

Poor health behaviors are prevalent in shift-workers, but few multiple health-behavior interventions consider their unique needs. This study aimed to (1) evaluate the feasibility and acceptability of an existing app-based intervention to improve physical activity, diet, and sleep quality in a shift-worker population, (2) estimate intervention effect in a four-week pilot randomized controlled trial (RCT) (ACTRN12618001785291). Shift-workers (18–65 years old) were randomized to intervention (n = 20) or wait-list (n = 20) groups. Outcomes included recruitment, engagement, attrition, usefulness ratings, System Usability Scale (SUS), qualitative interviews, and estimation of treatment effect (minutes of physical activity, diet quality, and sleep quality) using mixed model analysis. Recruitment took one week. App-use at week four was 55% (11/20), 85% (34/40) completed the four-week follow-up questionnaire, and 20% (4/20) of the intervention group completed the qualitative interview. The intervention was rated as slightly to moderately useful by 76.9% (10/13) of participants on a five-point scale. The SUS score was 62.7 (12.7) out of 100. Diet quality improved for the intervention (4.5 points; 95% confidence interval (CI) = 0.1, 8.9; p = 0.047) vs. the wait-list group, but not physical activity or sleep quality. Qualitative interviews found that a more tailored intervention, more accessible information, and interactive features were desired. The intervention was feasible in terms of recruitment, but modifications to increase engagement are needed.

scholarly journals AN MHEALTH BEHAVIORAL INTERVENTION FOR PROMOTING PHYSICAL ACTIVITY AND SLEEP IN COMMUNITY-DWELLING OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S169-S169
Author(s):  
Junxin Li ◽  
Sarah Szanton ◽  
Minhui Liu ◽  
Nada Lukkahatai ◽  
Junxin Li ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sleep Quality ◽  
Behavioral Intervention ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Post Intervention ◽  
Tnf Α ◽  
Community Dwelling Older Adults

Abstract Evidence suggests physical activity (PA) improves sleep in older adults. This study examined the preliminary effect of a personalized mHealth behavioral intervention on PA and sleep in older adults. We conducted a randomized controlled pilot trial in 21 community-dwelling older adults with sleep complaints. The 24-week mHealth behavioral intervention included a 2-hour in person training session, personalized exercise prescription, real time PA self-monitoring, interactive prompts, phone consultation, and weekly financial incentives. PA and sleep were measured objectively using Actiwatch 2.0 and subjectively using questionnaires. Peripheral blood was drawn for measuring Plasma inflammatory biomarkers [interleukin 1β, 6, 8, Tumor Necrosis Factor- alpha (TNF-α), and c-reactive protein (CRP)]. Data were collected at baseline, 8-week, 16-week, and post intervention. Repeated measures ANOVA (time*group) was used to examine differences of PA and sleep across times between the two groups. Majority of participants are women (71.4%) with mean age of 73.7 (SD = 6.9). Repeated measure ANOVA showed significant (p <0.05) improvement of objective and subjective PA, objective nocturnal sleep duration, self-report sleep quality (measured by Pittsburg Sleep Quality Index and Insomnia Severity Index) and decreasing of sedentary time over times in the intervention group (n=11), compared to the control group. The intervention group showed significant reduction of plasma TNF-α and CRP levels at 16-week and post intervention. Interventions combining personalized PA and mHealth strategies may positively affect physical activity and sleep in older adults. A larger study is needed to test the efficacy of this intervention and the mechanisms associated with it.

scholarly journals Outcomes From a Hybrid Implementation-effectiveness Study of the Living Well During Pregnancy Tele-coaching Program for Women at High Risk of Excessive Gestational Weight Gain

2022 ◽  
Author(s):  
Susan de Jersey ◽  
Nina Meloncelli ◽  
Taylor Guthrie ◽  
Hilary Powlesland ◽  
Leonie Callaway ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Diet Quality ◽  
Comparison Group ◽  
Intervention Group ◽  
Implementation Effectiveness ◽  
Face To Face ◽  
Historical Comparison ◽  
Gestational Weight ◽  
Living Well

Abstract BackgroundExcess gestational weight gain (GWG) is associated with short-term perinatal complications and longer term cardiometabolic risks for mothers and their babies. Dietitian counselling and weight gain monitoring for women at risk of high pregnancy weight gain is recommended by clinical practice guidelines. However, face-to-face appointments, during a time with high appointment burden, can introduce barriers to engaging with care. Telephone counselling may offer a solution. The Living Well during Pregnancy (LWdP) program is a dietitian-delivered telephone coaching program implemented within routine antenatal care for women at risk of excess GWG. This program evaluation used a hybrid implementation-effectiveness design guided by the RE-AIM framework reports on the primary outcomes (reach, adoption, implementation, maintenance) and secondary outcomes (effectiveness) of the LWdP intervention. MethodsThe LWdP program evaluation compared data from women participating in the LWdP program with a historical comparison group (pregnant women receiving dietetic counselling for GWG in the 12 months prior to the study). The primary outcomes were described for the LWdP program. Between group comparisons were used to determine effectiveness of achieving appropriate GWG and pre and post intervention comparisons of LWdP participants was used to determine changes to dietary intake and physical activity. ResultsThe LWdP intervention group (n=142) were compared with women in the historical comparison group (n=49). Women in the LWdP intervention group attended 3.4 (95% CI 2.9 – 3.8) appointments compared with 1.9 (95% CI, 1.6 – 2.2). GWG was similar between the two groups, including the proportion of women gaining weight above the Institute of Medicine recommendations (70% vs 73%, p=0.69). Within group comparison showed that total diet quality, intake of fruit and vegetables and weekly physical activity were all significantly improved from baseline to follow-up for the women in the LWdP, while consumption of discretionary food and time spent being sedentary decreased (all p<0.05). ConclusionThe LWdP program resulted in more women accessing care and positive improvements in diet quality, intuitive eating behaviours and physical activity. It was as effective as face-to-face appointments for GWG, though more research is required to identify how to engage women earlier in pregnancy and reduce appointment burden.

scholarly journals A self-help diet and physical activity intervention with dietetic support for weight management in men treated for prostate cancer: pilot study of the Prostate Cancer Weight Management (PRO-MAN) randomised controlled trial

2019 ◽  
Vol 122 (5) ◽  
pp. 592-600 ◽  
Author(s):  
H. Mohamad ◽  
M. Ntessalen ◽  
L. C. A. Craig ◽  
J. Clark ◽  
S. Fielding ◽  
...  
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Weight Loss ◽  
Weight Management ◽  
Physical Activity Intervention ◽  
Intervention Group ◽  
Wait List ◽  
Web Based ◽  
Self Help ◽  
Diet And Physical Activity

AbstractOverweight and obesity may increase risk of disease progression in men with prostate cancer, but there have been few studies of weight loss interventions in this patient group. In this study overweight or obese men treated for prostate cancer were randomised to a self-help diet and activity intervention with telephone-based dietitian support or a wait-list mini-intervention group. The intervention group had an initial group meeting, a supporting letter from their urological consultant, three telephone dietitian consultations at 4-week intervals, a pedometer and access to web-based diet and physical activity resources. At 12 weeks, men in both groups were given digital scales for providing follow-up weight measurements, and the wait-list group received a mini-intervention of the supporting letter, a pedometer and access to the web-based resources. Sixty-two men were randomised; fifty-four completed baseline and 12-week measurements, and fifty-one and twenty-seven provided measurements at 6 and 12 months, respectively. In a repeated-measures model, mean difference in weight change between groups (wait-list mini-intervention minus intervention) at 12 weeks was −2·13 (95 % CI −3·44, −0·82) kg (P = 0·002). At 12 months the corresponding value was −2·43 (95 % CI −4·50, −0·37) kg (P = 0·022). Mean difference in global quality of life score change between groups at 12 weeks was 12·3 (95 % CI 4·93, 19·7) (P = 0·002); at 12 months there were no significant differences between groups. Results suggest the potential of self-help diet and physical activity intervention with trained support for modest but sustained weight loss in this patient group.

scholarly journals Use and usability of the dr. Bart app and its relation with health care utilisation and clinical outcomes in people with knee and/or hip osteoarthritis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tim Pelle ◽  
Job van der Palen ◽  
Frank de Graaf ◽  
Frank H. J. van den Hoogen ◽  
Karen Bevers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Clinical Outcomes ◽  
Intervention Group ◽  
Central Element ◽  
Hip Osteoarthritis ◽  
Health Care Utilisation ◽  
Self Management ◽  
Care Utilisation ◽  
System Usability Scale

Abstract Background Self-management is of paramount importance in the non-surgical treatment of knee/hip osteoarthritis (OA). Modern technologies offer the possibility of 24/7 self-management support. We developed an e-self-management application (dr. Bart app) for people with knee/hip OA. The aim of this study was to document the use and usability of the dr. Bart app and its relation with health care utilisation and clinical outcomes in people with knee/hip OA. Methods For this study we used backend data for the first 26 weeks of use by the intervention group (N = 214) of an RCT examining the effectiveness of the dr. Bart app. A central element of the dr. Bart app is that it proposes a selection of 72 preformulated goals for health behaviours based on the ‘tiny habits method’ (e.g. after lunch I rise 12 times from my chair to train my leg muscles). The usability of the app was measured using the System Usability Scale questionnaire (SUS), on a scale of 0–100. To assess the association between the intensity of use of the app and health care utilisation (i.e., consultations in primary or secondary health care) and clinical outcomes (i.e., self-management behaviour, physical activity, health-related quality of life, illness perceptions, symptoms, pain, activities of daily living) we calculated Spearman rank correlation coefficients. Results Of the 214 participants, 171 (80%) logged in at least once with 151 (71%) choosing at least one goal and 114 (53%) completing at least one goal during the 26 weeks. Of those who chose at least one goal, 56 participants (37%) continued to log in for up to 26 weeks, 12 (8%) continued to select new goals from the offered goals and 37 (25%) continued to complete goals. Preformulated goals in the themes of physical activity (e.g., performing an exercise from the exercises library in the app) and nutrition (e.g., ‘eat two pieces of fruit today’) were found to be most popular with users. The mean usability scores (standard deviation) at the three and six month follow-ups were 65.9 (16.9) and 64.5 (17.5), respectively. The vast majority of associations between the intensity of use of the dr. Bart app and target outcomes were weak at ρ < (−) 0.25. Conclusions More than one-third of people with knee/hip OA who started using the app, continued to use it up to 26 weeks, though usability could be improved. Patients appear to have preferences for goals related to physical activity and nutrition, rather than for goals related to vitality and education. We found weak/no associations between the intensity of use of the dr. Bart app and health care utilisation and clinical outcomes. Trial registration (21 September 2017): Dutch Trial Register (Trial Number NTR6693/NL6505)

Coaching Process Outcomes of a Family Visit Nutrition and Physical Activity Intervention

2006 ◽  
Vol 34 (1) ◽  
pp. 71-89 ◽  
Author(s):  
Jerianne Heimendinger ◽  
Terry Uyeki ◽  
Aurielle Andhara ◽  
Julie A. Marshall ◽  
Sharon Scarbro ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Vegetable Consumption ◽  
Qualitative Interviews ◽  
Intervention Group ◽  
Second Graders ◽  
Family Activities ◽  
Coaching Process ◽  
Process Outcomes ◽  
Delayed Intervention

The purpose of this article is to report the process outcomes of a coaching methodology used in a study designed to increase fruit and vegetable consumption and physical activity in families. Eighty-eight families with second graders were recruited from a rural, biethnic community in Colorado and randomized to intervention and delayed intervention conditions. This article reports on the 27 families in the delayed intervention group. Families received up to 10 home visits over 10 months from a family advisor and completed activities to improve their dietary and physical activity behaviors. Coaching conversations took place during each home visit. Coaching process outcomes were evaluated by analysis of visit documentation, participant survey, and qualitative interviews. Results indicated that coaching, in conjunction with family activities, engaged families in the process of change and facilitated movement toward the achievement of their weekly nutrition or physical activity goals. Coaching methodology may be particularly useful for participatory research.

Impact of a physical activity intervention on adolescents’ subjective sleep quality: a pilot study

2016 ◽  
Vol 24 (4) ◽  
pp. 14-22 ◽  
Author(s):  
Birna Baldursdottir ◽  
Richard E. Taehtinen ◽  
Inga Dora Sigfusdottir ◽  
Alexandra Krettek ◽  
Heiddis B. Valdimarsdottir
Keyword(s):  
Physical Activity ◽  
Pilot Study ◽  
Sleep Quality ◽  
Physical Activity Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Physical Activity Interventions

Background: The aim of this pilot study was to examine the impact of a brief physical activity intervention on adolescents’ subjective sleep quality. Cross-sectional studies indicate that physically active adolescents have better subjective sleep quality than those with more sedentary habits. However, less is known about the effectiveness of physical activity interventions in improving adolescents’ subjective sleep quality. Methods: In a three-week physical activity intervention, four Icelandic upper secondary schools were randomized to either an intervention group with pedometers and step diaries or a control group without pedometers and diaries. Out of 84, a total of 53 students, aged 15−16 years, provided complete data or a minimum of two days step data (out of three possible) as well as sleep quality measures at baseline and follow-up. Subjective sleep quality, the primary outcome in this study, was assessed with four individual items: sleep onset latency, nightly awakenings, general sleep quality, and sleep sufficiency. Daily steps were assessed with Yamax CW-701 pedometers. Results: The intervention group ( n = 26) had significantly higher average step-count ( p = 0.03, partial η2 = 0.093) compared to the control group ( n = 27) at follow-up. Subjective sleep quality improved ( p = 0.02, partial η2 = 0.203) over time in the intervention group but not in the control group. Conclusions: Brief physical activity interventions based on pedometers and step diaries may be effective in improving adolescents’ subjective sleep quality. This has important public health relevance as the intervention can easily be disseminated and incorporated into school curricula.

scholarly journals The Effects of a Comprehensive, Integrated Obesity Prevention Intervention Approach (SuperFIT) on Children’s Physical Activity, Sedentary Behavior, and BMI Z-Score

2019 ◽  
Vol 16 (24) ◽  
pp. 5016 ◽  
Author(s):  
Ilona van de Kolk ◽  
Sanne M. P. L. Gerards ◽  
Lisa S. E. Harms ◽  
Stef P. J. Kremers ◽  
Jessica S. Gubbels
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Intervention Group ◽  
Integrated Approach ◽  
Control Group ◽  
Z Score ◽  
Intervention Approach

SuperFIT is a comprehensive, integrated intervention approach aimed at promoting healthy energy balance-related behaviors in 2- to 4-year-old children in the preschool and home settings. A quasi-experimental research design was adopted to evaluate the effects of SuperFIT on physical activity (PA), sedentary behavior (SB) and Body Mass Index (BMI) z-score. Children could participate in the preschool-based and family-based component (full intervention) or only in the preschool-based component (partial intervention). Children’s PA levels and SB were assessed with accelerometers and observations, and height and weight were measured for the BMI z-score. Measurements were performed at baseline and two follow-up time points. Effectiveness was evaluated using linear mixed-model analyses, correcting for relevant covariates. Healthy changes in PA levels occurred within all study groups over time. No significant differences were found in overall PA levels between the intervention groups and control group at both follow-ups. Nevertheless, sedentary behavior decreased more in the full intervention group (effect size (ES): −0.62), and moderate-to-vigorous PA (ES: 0.85) and counts per minute (ES: 0.45) increased more compared to the control group on preschool days at the first follow-up. No effects were found for BMI z-score. The integrated approach of SuperFIT may induce changes in PA of young children, although the effects were small.

scholarly journals 0984 Less Consistent Bedtimes Explains The Relationship Between Household Poverty And BMI In Toddlers

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A374-A374
Author(s):  
L B Covington ◽  
B Armstrong ◽  
M M Black
Keyword(s):  
Physical Activity ◽  
Obesity Prevention ◽  
Diet Quality ◽  
Longitudinal Research ◽  
Sleep Onset ◽  
Intervention Group ◽  
Sleep Time ◽  
Healthy Eating Index ◽  
Healthy Weight ◽  
Household Poverty

Abstract Introduction Consistent bedtimes, in conjunction with physical activity and diet have been linked to healthy weight in childhood. Young children living in impoverished families are at risk for obesity, and the mechanisms of obesity etiology are not fully understood. This study compares the role of bedtime consistency, physical activity and diet quality as mediators between household poverty and toddler weight gain. Methods 207 toddlers participating in an obesity prevention trial wore Actical accelerometers for up to 7 consecutive days, at 3 time points over 12 months. At each assessment, gender-specific BMI-for-age z-scores (zBMI) were calculated from toddlers’ weight/length according to WHO standards. Household poverty ratio was calculated based on the number of household members and annual income. Diet quality was assessed using Healthy Eating Index (HEI-2015) from 24-hour dietary recall. Physical activity and sleep were measured using ankle accelerometry (Actical; Sadeh algorithm used for sleep). Bedtime consistency was defined as SD of sleep onset across 7 days. A multi-level mediation model was conducted in the SPSS macro MLmed examining toddler bedtime consistency, physical activity and diet quality as mediators between household poverty and toddler zBMI. The analysis adjusted for toddler age, gender, total sleep time and intervention group. Results Between-person effects revealed that less household poverty was associated with more consistent bedtimes. Children with less consistent bedtimes, but not poor diet quality or physical activity, had higher zBMI. Bedtime consistency indirectly explained the association between average household poverty and average toddler zBMI over 12 months. Conclusion Children who generally have less bedtime consistency, above and beyond physical activity and diet quality, had higher zBMI. This link uniquely indirectly explained the association between household poverty and zBMI. Inconsistent bedtimes may indicate lack of structure in other health behaviors, and therefore, continued longitudinal research examining family routines may inform obesity prevention strategies. Support Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), R01HD056099

Effect of chronotype on diet and sleep quality in healthy female students: night lark versus early bird

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mahmut Bodur ◽  
Şahika Nur Bidar ◽  
Hülya Yardimci
Keyword(s):  
Physical Activity ◽  
Fatty Acids ◽  
Sleep Quality ◽  
Diet Quality ◽  
Healthy Eating Index ◽  
Female Students ◽  
Activity Level ◽  
Content Type ◽  
Healthy Female ◽  
Daily Energy

Purpose The purpose of this study is to investigate the effects of chronotype on diet and sleep quality in healthy female students. Design/methodology/approach This study was conducted in 197 healthy female students and were grouped in morning, intermediate and evening types according to the Horne and Ostberg Morningness-Eveningness Questionnaire (MEQ). Assessment included sleep quality using the Pittsburgh Sleep Quality Index (PSQI); physical activity level using the International Physical Activity Questionnaire-Short Form (IPAQ-SF); dietary intake using the 24-h dietary recall; and diet quality using the Healthy Eating Index-2015 (HEI-2015). Findings In this study, no significant difference was found between chronotypes in terms of general nutritional habits, age, smoking status, anthropometric measurements and physical activity levels. However, evening-type individuals had poor sleep quality (p = 0.040) and having issues about sleep latency (p = 0.049) and daytime dysfunction (p = 0.044), and they had had lower intake of whole fruit (p = 0.002), total fruit (p = 0.024) and higher consumption of refined grains (p < 0.001). Although, among chronotypes, there is no difference in the intake of protein, saturated fat, monounsaturated fatty acids, polyunsaturated fatty acids and dietary fiber, evening-type individuals’ daily energy (p = 0.013), fat (p = 0.021) and carbohydrate intake (p = 0.033) were higher. Originality/value In conclusion, further research is required to understand the relationship between chronotype, diet and sleep quality. This study is one of the limited studies that examines sleep quality, daily energy and macronutrient intake and diet quality together for healthy women.

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