scholarly journals Exploring the Effectiveness of an Integrated Physical Activity and Psychosocial Program Targeting At-Risk Adolescent Girls: Protocol for the Girls United and on the Move (GUM) Intervention Study

10.2196/15302 ◽  
2020 ◽  
Vol 9 (6) ◽  
pp. e15302
Author(s):  
Cristina M Caperchione ◽  
Nicole Hargreaves ◽  
Catherine M Sabiston ◽  
Stephen Berg ◽  
Kent C Kowalski ◽  
...  
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
British Columbia ◽  
Adolescent Girls ◽  
Low Income ◽  
Social Connectedness ◽  
Physical And Mental Health ◽  
Self Perceptions ◽  
Self Compassion ◽  
Program Acceptability

Background Adolescents are highly susceptible to negative self-perceptions, likely due to their social cues and environment. The presence of these negative self-perceptions has been shown to adversely impact levels of physical activity (PA). Although PA has the ability to foster improved self-perceptions, the rates of PA among adolescents continue to descend, with girls appearing to be most susceptible to these declines. At-risk adolescent girls, who may experience a number of negative preceding lifestyle conditions, may be exceptionally vulnerable to declines in PA. There are a high number of adolescent girls from low-income and abusive households in British Columbia, Canada, thus indicating a need for a program to relay the importance of PA and healthy lifestyle behaviors. Objective This paper aims to describe the protocol of the Girls United and on the Move (GUM) pragmatic intervention, an integrated PA and psychosocial program aimed at improving self-compassion, social connectedness, and overall self-perceptions among at-risk adolescent girls. Methods Using a quasi-experimental mixed methods approach, the GUM intervention was conducted in 5 schools in British Columbia, Canada. Adolescent girls aged 11 to 15 years who were identified as at risk were included in the study. The 9-week intervention, co-delivered by a PA/health promotion–trained researcher and a registered social worker, involved a PA component and a psychosocial component with evidence-based topics addressing the concerns of the adolescent girls. The following outcomes were evaluated: PA, self-compassion, social support, leader supportiveness, and sport enjoyment and commitment. Program acceptability and satisfaction was also examined. Outcome measures were assessed at baseline (week 1), week 6, and postintervention (week 9), and interview data concerning program acceptability and satisfaction were collected at postintervention from a subsample of participants. Results A total of 101 participants were invited to participate in the GUM intervention. Reporting of the results is projected for the fall of 2020. Conclusions It is anticipated that the GUM intervention will enhance PA while also improving self-compassion, social connectedness, and overall self-perceptions among at-risk adolescent girls. The findings of this research will contribute to the literature concerning PA and various psychosocial factors that impact the physical and mental health of at-risk adolescent girls. Trial Registration Clinicaltrials.gov NCT03567200; https://clinicaltrials.gov/ct2/show/NCT03567200. International Registered Report Identifier (IRRID) DERR1-10.2196/15302

scholarly journals Exploring the Effectiveness of an Integrated Physical Activity and Psychosocial Program Targeting At-Risk Adolescent Girls: Protocol for the Girls United and on the Move (GUM) Intervention Study (Preprint)

2019 ◽  
Author(s):  
Cristina M Caperchione ◽  
Nicole Hargreaves ◽  
Catherine M Sabiston ◽  
Stephen Berg ◽  
Kent C Kowalski ◽  
...  
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
British Columbia ◽  
Adolescent Girls ◽  
Low Income ◽  
Social Connectedness ◽  
Physical And Mental Health ◽  
Self Perceptions ◽  
Self Compassion ◽  
Program Acceptability

BACKGROUND Adolescents are highly susceptible to negative self-perceptions, likely due to their social cues and environment. The presence of these negative self-perceptions has been shown to adversely impact levels of physical activity (PA). Although PA has the ability to foster improved self-perceptions, the rates of PA among adolescents continue to descend, with girls appearing to be most susceptible to these declines. At-risk adolescent girls, who may experience a number of negative preceding lifestyle conditions, may be exceptionally vulnerable to declines in PA. There are a high number of adolescent girls from low-income and abusive households in British Columbia, Canada, thus indicating a need for a program to relay the importance of PA and healthy lifestyle behaviors. OBJECTIVE This paper aims to describe the protocol of the Girls United and on the Move (GUM) pragmatic intervention, an integrated PA and psychosocial program aimed at improving self-compassion, social connectedness, and overall self-perceptions among at-risk adolescent girls. METHODS Using a quasi-experimental mixed methods approach, the GUM intervention was conducted in 5 schools in British Columbia, Canada. Adolescent girls aged 11 to 15 years who were identified as at risk were included in the study. The 9-week intervention, co-delivered by a PA/health promotion–trained researcher and a registered social worker, involved a PA component and a psychosocial component with evidence-based topics addressing the concerns of the adolescent girls. The following outcomes were evaluated: PA, self-compassion, social support, leader supportiveness, and sport enjoyment and commitment. Program acceptability and satisfaction was also examined. Outcome measures were assessed at baseline (week 1), week 6, and postintervention (week 9), and interview data concerning program acceptability and satisfaction were collected at postintervention from a subsample of participants. RESULTS A total of 101 participants were invited to participate in the GUM intervention. Reporting of the results is projected for the fall of 2020. CONCLUSIONS It is anticipated that the GUM intervention will enhance PA while also improving self-compassion, social connectedness, and overall self-perceptions among at-risk adolescent girls. The findings of this research will contribute to the literature concerning PA and various psychosocial factors that impact the physical and mental health of at-risk adolescent girls. CLINICALTRIAL Clinicaltrials.gov NCT03567200; https://clinicaltrials.gov/ct2/show/NCT03567200. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/15302

scholarly journals PROMOTING PHYSICAL ACTIVITY AMONG AT-RISK OLDER ADULTS: THE IMPACT FROM PHYSICAL AND MENTAL HEALTH

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 742-743
Author(s):  
M Ory ◽  
S Towne ◽  
Y Du ◽  
S Lee ◽  
M Smith
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Physical And Mental Health ◽  
The Impact

scholarly journals Testing Social-Cognitive Theory to Explain Physical Activity Change in Adolescent Girls From Low-Income Communities

2013 ◽  
Vol 84 (4) ◽  
pp. 483-491 ◽  
Author(s):  
Deborah L. Dewar ◽  
Ronald C. Plotnikoff ◽  
Philip J. Morgan ◽  
Anthony D. Okely ◽  
Sarah A. Costigan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Cognitive Theory ◽  
Adolescent Girls ◽  
Low Income ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Activity Change ◽  
Physical Activity Change

scholarly journals Exercise participation : sleep quality in Thai older adults

2016 ◽  
Author(s):  
◽  
Chantra Promnoi
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Logistic Regression ◽  
Social Network ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Social Connectedness ◽  
Health Conditions ◽  
Physical And Mental Health ◽  
Exercise Participation

Physical activity and social interaction may be related to sleep quality in older adults. This study aimed to explore differences in sleep quality among older adults who performed exercise at elder clubs, older adults who exercised at home, and older adults who did not exercise, as well as identify factors associated with sleep quality in this population. The Symptom Management Model was adopted to guide this study. Using a cross-sectional correlational design, three groups of participants (60 persons per group) who met inclusion criteria were recruited from senior clubs and communities from HatYai District, Songkha Province, Thailand. The Kruskal-Wallis test was used to analyze the differences in sleep quality as measured by the Pittsburg Sleep Quality Index and the Insomnia Severity Index among three groups. Logistic regression was used to estimate the extent to which health conditions, pain, depressive symptoms, social connectedness (social network and social support), and self-reported physical activity predicted sleep quality. No significant differences in sleep quality scores were found among the three groups, although the non-exercise group reported scores indicating poorer sleep quality, compared to the other two groups. Sleep quality was associated with number of health conditions, pain level, depressive symptoms, social connectedness (social network), and physical activity. The results of the logistic regression analysis showed that pain and depressive symptoms were significant predictors of sleep quality when controlling for age, gender, education, and marital status. The findings suggest that exercising can positively influence sleep. Healthcare providers should evaluate sleep quality in older adults within the context of their physical and mental health, as well as their social connections.

scholarly journals “It makes me feel not so alone”: Features of the Choose to Move physical activity intervention that reduce loneliness in older adults

2021 ◽  
Author(s):  
Thea Franke ◽  
Joanie Sims-Gould ◽  
Lindsay Nettlefold ◽  
Callista Ottoni ◽  
Heather A. McKay
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
At Risk ◽  
Social Connectedness ◽  
Physical Activity Intervention ◽  
Post Intervention ◽  
Community Based ◽  
Health Promoting ◽  
Baseline Factors ◽  
Meaningful Interaction

Abstract Background: Despite the well-known health benefits of physical activity (PA), older adults are the least active citizens. Older adults are also at risk for loneliness. Given that lonely individuals are at risk for accelerated loss of physical functioning and health with age, PA interventions that aim to enhance social connectedness may decrease loneliness and increase long-term PA participation. The objectives of this mixed-method study are to: (1) evaluate whether an evidence-based PA intervention (Choose to Move; CTM) influenced PA and loneliness differently among self-identified ‘lonely’ versus ‘not lonely’ older adults and (2) to describe factors within CTM components most likely to promote social connectedness/reduce loneliness.Methods:  CTM is a flexible, scalable, community-based health promoting physical activity intervention for older adults. Two community delivery partner organizations delivered 56 CTM programs in 26 urban locations across British Columbia. We collected survey data from participants (n=458 at baseline) at 0 (baseline), 3 (mid-intervention) and 6 (post-intervention) months. We conducted in depth interviews with a subset of older adults to understand how CTM facilitated or impeded their PA and social connectedness.Results: PA increased significantly from baseline to 3 months in lonely and not lonely participants. PA decreased significantly from 3-6 months in lonely participants; however, PA at 6 months remained significantly above baseline levels in both groups. Loneliness decreased significantly from baseline to 3 and 6 months in participants identifying as lonely at baseline. Factors within CTM components that promote social connectedness/reduce loneliness include: Activity coach characteristics/personality traits and approaches; opportunity to share information and experiences and learn from others; engagement with others who share similar/familiar experiences; increased opportunity for meaningful interaction; and accountability.Conclusion: Health promoting interventions that focus on PA and social connectedness through group-based activities can effectively reduce social isolation and loneliness of older adults. Given the ‘epidemic of loneliness’ that plagues many countries currently, these kinds of interventions are timely and important. Research that further delineates mechanisms (e.g., sharing experiences vs. lectures), that modify the effect of an intervention on social connectedness outcomes for older adults engaged in community-based PA programs would be a welcome addition to the literature.

scholarly journals Physical activity level in Korean adults: the Korea National Health and Nutrition Examination Survey 2017

2019 ◽  
Vol 41 ◽  
pp. e2019047 ◽  
Author(s):  
Ki-Yong An
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
National Health ◽  
Low Income ◽  
Activity Level ◽  
Nutrition Examination Survey ◽  
Physical And Mental Health ◽  
Psychological Variables ◽  
Korean Adults ◽  
Health And Nutrition

OBJECTIVES: This study investigated physical activity (PA) participation based on demographic, physical, and psychological variables in Korean adults.METHODS: Participants were divided into four groups (combined, aerobic only, resistance only, and neither) based on meeting the PA guidelines using moderate and vigorous PA time and resistance exercise frequency from the Korea National Health and Nutrition Examination Survey 2017. The association between meeting the PA guidelines and demographic, medical, fitness, lifestyle, and psychological variables were analyzed using complex samples crosstabs and a general linear model.RESULTS: Of the 5,820 Korean adults, 66.0% did not meet any of the guidelines. Among demographic factors, sex, age, marital status, income, education level, occupation, and employment status were associated with meeting the PA guidelines. Chronic disease prevalence, weight, waist circumference, body mass index, diastolic blood pressure, glucose, high-density lipoprotein and triglyceride levels, hand-grip strength, resting heart rate, and family history of chronic disease in the medical and fitness variables; frequency of drinking and eating breakfast, total calorie, water, protein, and fat intake in the lifestyle variables; and perceived stress, depression, suicidal thoughts, and quality of life in the psychological variables were associated with meeting PA guidelines.CONCLUSIONS: Most Korean adults participate in insufficient PA. Moreover, individuals who are socially underprivileged, have low-income or poor physical and mental health conditions participated in relatively less PA. Our findings suggest that government and individual efforts are required to increase PA and resolve health inequality in Korean adults.

scholarly journals Relationships between Physical and Mental Health in Adolescents from Low-Income, Rural Communities: Univariate and Multivariate Analyses

2021 ◽  
Vol 18 (4) ◽  
pp. 1372
Author(s):  
Robyn Feiss ◽  
Melissa M. Pangelinan
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Cluster Analysis ◽  
Body Image ◽  
Body Composition ◽  
Physical Health ◽  
Low Income ◽  
Physical And Mental Health ◽  
Health Burdens ◽  
Mental And Physical Health

Environment (i.e., rural vs. urban) and socioeconomic status (SES) are moderating factors of physical (i.e., obesity and/or physical activity) and internalizing mental health (i.e., stress, anxiety, and depressive symptoms) in adolescents. Relationships between physical and mental health have been shown in adolescents; however, research has not addressed these relationships in those from low-income, rural backgrounds. Thus, the present study characterized physical and mental health in rural, low-SES adolescents and investigated relationships between physical and mental health in this population. Data were collected from 253 10th and 11th-grade students from Title I schools in rural Alabama. Self-report measures of mental health, self-esteem, body image, and physical activity were obtained, in addition to functional fitness and physical health assessments completed at each school. Relationships between mental and physical health were assessed using Pearson correlations and multivariate data-driven cluster analysis. Positive correlations were observed between body composition and mental health symptoms, while negative correlations were observed between body image and mental health and body composition. However, sex differences were present in these relationships. The multivariate cluster analysis identified groups of individuals based on profiles of mental and physical health. This individual-level analysis identified students with greater mental and/or physical health burdens (n = 53 and n = 40) who may benefit from targeted interventions. Overall, these results provide evidence of elevated mental and physical health burdens among rural, low-income adolescents. Moreover, targeted programs are needed to provide education about the relationship between physical and mental health to reduce health burdens in both domains in this population.

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