scholarly journals Objective Church Environment Audits and Attendee Perceptions of Healthy Eating and Physical Activity Supports within the Church Setting

2020 ◽  
Vol 17 (10) ◽  
pp. 3598
Author(s):  
Marilyn E. Wende ◽  
Andrew T. Kaczynski ◽  
John A. Bernhart ◽  
Caroline G. Dunn ◽  
Sara Wilcox
Keyword(s):  
Physical Activity ◽  
South Carolina ◽  
Healthy Eating ◽  
Self Efficacy ◽  
Past Research ◽  
Future Research ◽  
Individual Level ◽  
Faith Based ◽  
And Behaviors ◽  
The Church

Interventions in faith-based settings are increasingly popular, due to their effectiveness for improving attendee health outcomes and behaviors. Little past research has examined the important role of the church environment in individual-level outcomes using objective environmental audits. This study examined associations between the objectively measured physical church environment and attendees’ perceptions of physical activity (PA) and healthy eating (HE) supports within the church environment, self-efficacy for PA and HE, and self-reported PA and HE behaviors. Data were collected via church audits and church attendee surveys in 54 churches in a rural, medically underserved county in South Carolina. Multi-level regression was used to analyze associations between the church environment and outcomes. Physical elements of churches were positively related to attendees’ perceptions of church environment supports for PA (B = 0.03, 95% CI = 0.01, 0.05) and HE (B = 0.05, 95% CI = 0.01, 0.09) and there was a significant interaction between perceptions of HE supports and HE church environment. Self-efficacy and behaviors for PA and HE did not show an association with the church environment. Future research should establish a temporal relationship between the church environment and these important constructs for improving health. Future faith-based interventions should apply infrastructure changes to the church environment to influence important mediating constructs to health behavior.

scholarly journals Promoting a Healthy Post-Collegiate Lifestyle: An Evaluation of the Moving On! Transition Program for Student-Athletes

2018 ◽  
pp. 54-76 ◽  
Author(s):  
Erin J Reifsteck ◽  
DeAnne D Brooks ◽  
Jamian D Newton ◽  
Lenka H Shriver
Keyword(s):  
Physical Activity ◽  
Focus Group ◽  
Healthy Eating ◽  
Program Implementation ◽  
Self Efficacy ◽  
Student Athletes ◽  
Eating Behaviors ◽  
Autonomous Motivation ◽  
Future Research ◽  
Self Perceptions

Former student-athletes may face challenges in maintaining physical activity and engaging in healthy eating after transitioning out of collegiate athletics. Maladaptive adjustments following athletic transitions can result in detrimental outcomes for former student-athletes, ranging from physical health concerns to negative psychosocial consequences. In contrast, positive transitions can promote optimal health and wellbeing. The Moving On! program was developed in recognition of the unique challenges faced by student-athletes and the importance of making healthy transitions out of college sports. The purpose of this study was to evaluate the Moving On! program’s influence on several relevant theoretical constructs that influence health behaviors, including student-athletes’ self-perceptions and self-determined motivation for maintaining physical activity and healthy eating, along with their self-efficacy and intentions for engaging in these health-related behaviors after college. NCAA student-athletes in their final year of competition were recruited from two institutions. Participants (N = 20) completed the Moving On! program along with pre- and post-test surveys and focus group interviews. Survey results revealed positive changes in nutrition-related self-perceptions (t(19) = 2.406; p = 0.026; g = 0.38) and self-efficacy for healthy eating behaviors (t(19) = 3.022; p = 0.007; g = 0.70). No significant changes were observed for exercise identity (p = 0.845), physical activity self-efficacy (p = 0.114), or autonomous motivation for exercise (p = 0.108) and health eating (p = 0.264). Focus group responses indicated that student-athletes’ experiences in the program fostered positive shifts in their self-perceptions, enhanced their self-determined motivation, and reinforced their intentions for engaging in physical activity and healthy eating in the future. Implications for future research and program implementation are discussed.

scholarly journals Training may enhance early childhood educators’ self-efficacy to lead physical activity in childcare

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Brianne A. Bruijns ◽  
Andrew M. Johnson ◽  
Jennifer D. Irwin ◽  
Shauna M. Burke ◽  
Molly Driediger ◽  
...  
Keyword(s):  
Physical Activity ◽  
Early Childhood ◽  
Self Efficacy ◽  
Critical Role ◽  
Early Childhood Educators ◽  
Outdoor Play ◽  
Future Research ◽  
Intervention Component ◽  
Space Extension ◽  
The Impact

Abstract Background Early childhood educators (ECEs) play a critical role in promoting physical activity (PA) among preschoolers in childcare; thus, PA-related training for ECEs is essential. The Supporting PA in the Childcare Environment (SPACE) intervention incorporated: 1. shorter, more frequent outdoor play sessions; 2. provision of portable play equipment; and, PA training for ECEs. An extension of the SPACE intervention (the SPACE-Extension) incorporated only the shorter, more frequent outdoor play periods component of the original SPACE intervention. The purpose of this study was to explore the individual impact of these interventions on ECEs’ PA-related self-efficacy and knowledge. Methods ECEs from the SPACE (n = 83) and SPACE-Extension (n = 31) were administered surveys at all intervention time-points to assess: self-efficacy to engage preschoolers in PA (n = 6 items; scale 0 to 100); self-efficacy to implement the intervention (n = 6 items); and, knowledge of preschooler-specific PA and screen-viewing guidelines (n = 2 items). A linear mixed effects model was used to analyze the impact of each intervention on ECEs’ self-efficacy and knowledge and controlled for multiple comparison bias. Results The SPACE intervention significantly impacted ECEs’ self-efficacy to engage preschoolers in PA for 180 min/day (main effect), and when outdoor playtime was not an option (interaction effect). Further, the interaction model for ECEs’ knowledge of the total PA guideline for preschoolers approached significance when compared to the main effects model. Participants within the SPACE-Extension did not demonstrate any significant changes in self-efficacy or knowledge variables. Conclusions Findings from this study highlight the benefit of ECE training in PA with regard to fostering their PA-related self-efficacy and knowledge. Future research should explore the impact of PA training for ECEs uniquely in order to determine if this intervention component, alone, can produce meaningful changes in children’s PA behaviours at childcare.

scholarly journals Mediators of Lifestyle Behaviour Changes in Obese Pregnant Women. Secondary Analyses from the DALI Lifestyle Randomised Controlled Trial

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 311 ◽  
Author(s):  
Mireille NM van Poppel ◽  
Judith G.M. Jelsma ◽  
David Simmons
Keyword(s):  
Physical Activity ◽  
Behaviour Change ◽  
Healthy Eating ◽  
Self Efficacy ◽  
Perceived Risk ◽  
Controlled Trial ◽  
Outcome Expectancy ◽  
Care Group ◽  
Lifestyle Behaviour ◽  
Intervention Effects

A better understanding of what drives behaviour change in obese pregnant overweight women is needed to improve the effectiveness of lifestyle interventions in this group at risk for gestational diabetes (GDM). Therefore, we assessed which factors mediated behaviour change in the Vitamin D and Lifestyle Intervention for GDM Prevention (DALI) Lifestyle Study. A total of 436 women, with pre-pregnancy body mass index ≥29 kg/m2, ≤19 + 6 weeks of gestation and without GDM, were randomised for counselling based on motivational interviewing (MI) on healthy eating and physical activity, healthy eating alone, physical activity alone, or to a usual care group. Lifestyle was measured at baseline, and at 24–28 and 35–37 weeks of gestation. Outcome expectancy, risk perception, task self-efficacy and social support were measured at those same time points and considered as possible mediators of intervention effects on lifestyle. All three interventions resulted in increased positive outcome expectancy for GDM reduction, perceived risk to the baby and increased task self-efficacy. The latter mediated intervention effects on physical activity and reduced sugared drink consumption. In conclusion, our MI intervention was successful in increasing task self-efficacy, which was related to improved health behaviours.

Changes in Men’s Physical Activity and Healthy Eating Knowledge and Behavior as a Result of Program Exposure: Findings From the Workplace POWERPLAY Program

2016 ◽  
Vol 13 (12) ◽  
pp. 1364-1371 ◽  
Author(s):  
Cristina M. Caperchione ◽  
Sean Stolp ◽  
Joan L. Bottorff ◽  
John L. Oliffe ◽  
Steven T. Johnson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Healthy Eating ◽  
Workplace Health Promotion ◽  
Computer Assisted ◽  
Exposure Group ◽  
Workplace Health ◽  
High Exposure ◽  
And Behaviors ◽  
Health Eating

Background:The purpose of this study was to examine changes in physical activity and healthy eating knowledge and behaviors associated with the level of exposure to POWERPLAY, a men-centered workplace health promotion program.Methods:This study is based on a quasi-experimental prepost design. Using a computer assisted telephone interview survey, data regarding program exposure and physical activity and health eating knowledge and behaviors were collected from men (N = 103) in 4 workplaces.Results:Exposure scores were calculated and participants were categorized as having low (n = 54) or high exposure (n = 49) to POWERPLAY. Compared with the low exposure group, those reporting high exposure scored significantly higher on physical activity knowledge (F (1, 99) =14.17, P < .001, eta2 = .125) and health eating knowledge (F (1, 99) =14.37, P = .001, eta2 = .111). The high exposure group also reported significantly more minutes walked place to place (F (2, 206) = 3.91, P = .022, eta2 = .037) and on minutes walked for leisure (F (2, 230) = 3.08, P = .048, eta2 = .026).Conclusions:POWERPLAY shows significant promise as a workplace health promotion approach and may have an even greater impact when program exposure is augmented with environmental and policy changes.

Associations between diet quality and physical activity measures among a southern Ontario regional sample of grade 6 students

2010 ◽  
Vol 35 (6) ◽  
pp. 826-833 ◽  
Author(s):  
Sarah J. Woodruff ◽  
Rhona M. Hanning
Keyword(s):  
Physical Activity ◽  
Healthy Eating ◽  
Diet Quality ◽  
Odds Ratio ◽  
Weight Status ◽  
Positive Association ◽  
Healthy Eating Index ◽  
Normal Weight ◽  
Future Research ◽  
Ordinal Logistic Regression Analysis

The purpose of this study was to determine diet quality and physical activity behaviours of grade 6 students by sex and body weight status, and to determine the associations between diet quality and physical activity behaviours. The Web-based Food Behaviour Questionnaire, which included a 24-h diet recall and the modified Physical Activity Questionnaire for Older Children (PAQ-C), was administered to a cross-section of schools (n = 405 students from 15 schools). Measured height and weight were used to calculate body mass index and weight status (Cole et al. 2000). A Canadian version of the Healthy Eating Index (HEI-C) was used to describe overall diet quality. The mean HEI-C was 69.6 (13.2) with the majority (72%) falling into the needs improvement category. The overall mean physical activity score was 3.7 out of a maximum of 5, with obese subjects being less active compared with normal weight and overweight (p < 0.001). Ordinal logistic regression analysis (of HEI-C vs. all measures of the PAQ-C, sex, and weight status) revealed that HEI-C ratings were likely to be higher in students that walked to and from school 5 days per week (vs. 0 days per week; odds ratio 3.18, p = 0.010); and were active 1 evening per week (vs. none; odds ratio 3.48, p = 0.039). The positive association between diet quality and some aspects of physical activity suggests possible clustering of health behaviours. Future research should test the potential benefits of promoting 1 health behaviour (e.g., healthy eating) with another (e.g., physical activity).

scholarly journals Development and Feasibility of an App to Decrease Risk Factors for Type 2 Diabetes in Hispanic Women With Recent Gestational Diabetes (Hola Bebé, Adiós Diabetes): Pilot Pre-Post Study (Preprint)

2020 ◽  
Author(s):  
Ellen W Seely ◽  
Patricia Flynn Weitzman ◽  
Dharma Cortes ◽  
Sara Romero Vicente ◽  
Sue E Levkoff
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Healthy Eating ◽  
Self Efficacy ◽  
Hispanic Women ◽  
Short Term ◽  
Increased Risk ◽  
Reduce Risk

BACKGROUND Hispanic women have increased risk of gestational diabetes mellitus (GDM), which carries an increased risk for future type 2 diabetes, compared to non-Hispanic women. In addition, Hispanic women are less likely to engage in healthy eating and physical activity, which are both risk factors for type 2 diabetes. Supporting patients to engage in healthy lifestyle behaviors through mobile health (mHealth) interventions is increasingly recognized as a viable, underused tool for disease prevention, as they reduce barriers to access frequently experienced in face-to-face interventions. Despite the high percentage of smartphone ownership among Hispanics, mHealth programs to reduce risk factors for type 2 diabetes in Hispanic women with prior GDM are lacking. OBJECTIVE This study aimed to (1) develop a mobile app (¡Hola Bebé, Adiós Diabetes!) to pilot test a culturally tailored, bilingual (Spanish/English) lifestyle program to reduce risk factors for type 2 diabetes in Hispanic women with GDM in the prior 5 years; (2) examine the acceptability and usability of the app; and (3) assess the short-term effectiveness of the app in increasing self-efficacy for both healthy eating and physical activity, and in decreasing weight. METHODS Social cognitive theory provided the framework for the study. A prototype app was developed based on prior research and cultural tailoring of content. Features included educational audiovisual modules on healthy eating and physical activity; personal action plans; motivational text messages; weight tracking; user-friendly, easy-to-follow recipes; directions on building a balanced plate; and tiered badges to reward achievements. Perceptions of the app’s acceptability and usability were explored through four focus groups. Short-term effectiveness of the app was tested in an 8-week single group pilot study. RESULTS In total, 11 Hispanic women, receiving care at a federally qualified community health center, aged 18-45 years, and with GDM in the last 5 years, participated in four focus groups to evaluate the app’s acceptability and usability. Participants found the following sections most useful: audiovisual modules, badges for completion of activities, weight-tracking graphics, and recipes. Suggested modifications included adjustments in phrasing, graphics, and a tiering system of badges. After app modifications, we conducted usability testing with 4 Hispanic women, with the key result being the suggestion for a “how-to tutorial.” To assess short-term effectiveness, 21 Hispanic women with prior GDM participated in the pilot. There was a statistically significant improvement in both self-efficacy for physical activity (<i>P</i>=.003) and self-efficacy for healthy eating (<i>P</i>=.007). Weight decreased but not significantly. Backend process data revealed a high level of user engagement. CONCLUSIONS These data support the app’s acceptability, usability, and short-term effectiveness, suggesting that this mHealth program has the potential to fill the gap in care experienced by Hispanic women with prior GDM following pregnancy. Future studies are needed to determine the effectiveness of an enhanced app in a randomized controlled trial. CLINICALTRIAL ClinicalTrials.gov NCT04149054; https://clinicaltrials.gov/ct2/show/NCT04149054

The Association Between Neighborhood Socioeconomic Deprivation, Cardiorespiratory Fitness, and Physical Activity in US Youth

2019 ◽  
Vol 16 (12) ◽  
pp. 1147-1153
Author(s):  
Morgan N. Clennin ◽  
Russell R. Pate
Keyword(s):  
Physical Activity ◽  
Cardiorespiratory Fitness ◽  
Maximal Oxygen Consumption ◽  
Composite Index ◽  
Socioeconomic Deprivation ◽  
Future Research ◽  
Cardiometabolic Health ◽  
Individual Level ◽  
Complex Sampling ◽  
Underlying Mechanisms

Background: Growing evidence suggests that the broader neighborhood socioeconomic environment is independently associated with cardiometabolic health. However, few studies have examined this relationship among younger populations. Purpose: The purpose of the study was to (1) investigate the association between neighborhood socioeconomic deprivation (SED) and cardiorespiratory fitness and (2) determine the extent to which physical activity mediates this relationship. Methods: Data from 312 youth (aged 12–15 y) were obtained from the 2012 National Health and Nutrition Examination Survey National Youth Fitness Survey. Cardiorespiratory fitness was measured using a standard submaximal treadmill test, and maximal oxygen consumption was estimated. Physical activity was self-reported time spent in moderate to vigorous activity. Neighborhood SED was measured by a composite index score at the census tract of residence. Logistic regression analyses examined relationships between neighborhood SED, physical activity, and cardiorespiratory fitness, adjusting for individual-level characteristics and the complex sampling design. Results: Neighborhood SED was not significantly associated with cardiorespiratory fitness or physical activity among youth in the study sample. Conclusions: While not significant, cardiorespiratory fitness levels were observed to decrease as neighborhood SED increased. Future research is needed to better understand this relationship and to identify underlying mechanisms beyond fitness or physical activity that may drive the relationship between neighborhood SED and health.

The Relationship Between Self-Regulatory Efficacy and Physical Activity in Adolescents With a Caveat: A Cross-Lag Design Examining Weather

2020 ◽  
Vol 32 (4) ◽  
pp. 210-216
Author(s):  
Kathleen S. Wilson ◽  
Kevin S. Spink
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Structural Equation ◽  
Weather Conditions ◽  
Cold Weather ◽  
Equation Modeling ◽  
Future Research ◽  
School Year ◽  
Warm Weather ◽  
The Relationship

Purpose: The use of self-efficacy to predict physical activity has a long history. However, this relationship is complex, as self-efficacy is thought to influence and be influenced by physical activity. The directionality of the self-regulatory efficacy (SRE) and physical activity relationship was examined using a cross-lagged design. A secondary purpose was to examine these relationships across differing weather conditions. Methods: Canadian adolescents (N = 337; aged between 13 and 18 years) completed the physical activity and SRE measures 4 times during a school year. Structural equation modeling was used to perform a cross-lag analysis. Results: The relationships between physical activity and SRE appeared to be weather dependent. During a more challenging weather period (eg, cold weather), the relationship between physical activity and SRE was bidirectional. However, no relationship emerged when the 2 constructs were assessed during a more optimal weather period (eg, warm weather). Conclusions: Some support has been provided for the bidirectional nature of the relationship between physical activity and SRE. The relationship appeared to be qualified by climate considerations, suggesting that future research examine how weather may relate not just to physical activity but also to the correlates of physical activity.

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