A Qualitative Study on Participants’ Experiences with a Community-based Mindful Walking Pilot Intervention Using Mobile Device Measurement (Preprint)

2019 ◽  
Author(s):  
Karyn O Jones ◽  
Ralph S. Welsh ◽  
Snehal S. Lopes ◽  
Liwei Chen ◽  
Mark Wilson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mobile Device ◽  
Intervention Group ◽  
Activity Level ◽  
Community Based ◽  
Negative Experience ◽  
Qualitative Thematic Analysis ◽  
Raising Awareness ◽  
Mindfulness Interventions ◽  
Pilot Intervention

BACKGROUND Wearable mobile devices have been increasingly used to measure outcomes of mindfulness interventions. OBJECTIVE This study documents participants’ experiences with a mindful walking (MW) intervention and their experiences with reporting daily step counts using a mobile device. METHODS The pilot study involved a randomized MW intervention including 38 participants with inadequate physical activity. All participants were provided with a mobile device (“Fitbit”) to measure and report physical activity. The intervention group received a four-week MW intervention. All participants reported their experiences with Fitbit in responses to open-ended survey questions; those in the intervention group reported their experiences with MW. We used a qualitative thematic analysis of this survey-collected narrative dataset. RESULTS Participants’ reported experiences using the Fitbit device were mostly positive, with a majority of participants (63%) providing feedback that using the device was “enjoyable” and “helpful”. The common negative experience, reported by 16% of participants, was that the Fitbit was “uncomfortable to wear”. Perceived benefits of using the device included raising awareness about participants’ physical activity level and providing motivation to reach fitness goals. Participant feedback about the MW arm of the intervention included positive reports of benefits such as, “helping to focus on the present”, “coping with stressful emotions”, and negative feedback related to lacking the patience or ability to engage in meditation. CONCLUSIONS Most participants reported step count data, demonstrating the feasibility of a mobile-device-assisted MW intervention. While most of the feedback about MW and the device was positive, some reported discomfort with wearing the device and lack of patience with meditation. These barriers should be addressed in future mobile health and mindfulness interventions. CLINICALTRIAL ClinicalTrials.gov NCT03856385, http://clinicaltrials.gov/ct2/show/ NCT03856385

scholarly journals Community-Based Adaptive Physical Activity Program for Chronic Stroke: Feasibility, Safety, and Efficacy of the Empoli Model

2009 ◽  
Vol 23 (7) ◽  
pp. 726-734 ◽  
Author(s):  
Mary Stuart ◽  
Francesco Benvenuti ◽  
Richard Macko ◽  
Antonio Taviani ◽  
Lucianna Segenni ◽  
...  
Keyword(s):  
Physical Activity ◽  
Exercise Intervention ◽  
Rating Scale ◽  
Intervention Group ◽  
Exercise Program ◽  
Gait Velocity ◽  
Controlled Study ◽  
Oral Glucose ◽  
Community Based ◽  
Hemiparetic Stroke

Objective. To determine whether Adaptive Physical Activity (APA-stroke), a community-based exercise program for participants with hemiparetic stroke, improves function in the community. Methods. Nonrandomized controlled study in Tuscany, Italy, of participants with mild to moderate hemiparesis at least 9 months after stroke. Forty-nine participants in a geographic health authority (Empoli) were offered APA-stroke (40 completed the study). Forty-four control participants in neighboring health authorities (Florence and Pisa) received usual care (38 completed the study). The APA intervention was a community-based progressive group exercise regimen that included walking, strength, and balance training for 1 hour, thrice a week, in local gyms, supervised by gym instructors. No serious adverse clinical events occurred during the exercise intervention. Outcome measures included the following: 6-month change in gait velocity (6-Minute Timed Walk), Short Physical Performance Battery (SPPB), Berg Balance Scale, Stroke Impact Scale (SIS), Barthel Index, Hamilton Rating Scale for Depression, and Index of Caregivers Strain. Results. After 6 months, the intervention group improved whereas controls declined in gait velocity, balance, SPPB, and SIS social participation domains. These between-group comparisons were statistically significant at P < .00015. Individuals with depressive symptoms at baseline improved whereas controls were unchanged ( P < .003). Oral glucose tolerance tests were performed on a subset of participants in the intervention group. For these individuals, insulin secretion declined 29% after 6 months ( P = .01). Conclusion. APA-stroke appears to be safe, feasible, and efficacious in a community setting.

scholarly journals Impact of a University-Community Partnership Approach to Improving Health Behaviors and Outcomes Among Overweight/Obese Hispanic Adults

2016 ◽  
Vol 11 (6) ◽  
pp. 479-488 ◽  
Author(s):  
Carolyn M. Tucker ◽  
Tasia M. Smith ◽  
Guillermo M. Wippold ◽  
Nicole E. Whitehead ◽  
Tara A. Morrissette ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Healthy Eating ◽  
Intervention Group ◽  
Control Group ◽  
Post Intervention ◽  
Community Based ◽  
Hispanic Adults ◽  
Waitlist Control Group ◽  
Health Promotion Interventions

Objective. To examine the impact of a community-informed and community-based Health-Smart Church (HSC) Program on engagement in health promoting behaviors (healthy eating and physical activity) and health outcomes (body mass index, weight, and systolic and diastolic blood pressure). Design. A total of 70 overweight/obese Hispanic adults participated in an intervention group (n = 37) or a waitlist control group (n = 33) in 2 Hispanic churches in Bronx, New York. Results. Post-intervention the intervention group significantly increased in frequency of healthy eating and physical activity compared to the waitlist control group. Although no significant changes in body mass index or systolic blood pressure were found for either group, the intervention group decreased significantly in weight from pre-intervention to post-intervention. Conclusions. The results of the present study add to the growing body of literature evidencing the successful use of community-engaged and community-based participatory health promotion interventions with racial/ethnic minority populations and highlight important practices and considerations for similar health promotion interventions with these communities.

Efficacy of an E-Mail Intervention for the Promotion of Physical Activity and Nutrition Behavior in the Workplace Context

2005 ◽  
Vol 19 (6) ◽  
pp. 422-429 ◽  
Author(s):  
Ronald C. Plotnikoff ◽  
Linda J. McCargar ◽  
Philip M. Wilson ◽  
Constantinos A. Loucaides
Keyword(s):  
Physical Activity ◽  
Mode Of Delivery ◽  
Intervention Group ◽  
Activity Level ◽  
Self Report ◽  
Control Group ◽  
Nutrition Behavior ◽  
Nutrition Messages ◽  
Mail Address ◽  
E Mail

Purpose. The purpose of this study was to evaluate a 12-week workplace e-mail intervention designed to promote physical activity and nutrition behavior. Design. A pre- and post-test design was conducted to compare the effects of e-mail messages between intervention and control groups. Setting. Five large workplaces in Alberta, Canada. Subjects. Employees with access to a personal e-mail address (N = 2121) were randomly assigned to an intervention (n = 1566) or a control group (n = 555). Intervention. Physical activity and nutrition messages were based on social-cognitive theories. The intervention group received one physical activity and one parallel nutrition message per week for 12 weeks. The control group received no weekly messages. Measures. Each participant completed self-report measures of physical activity and nutrition related to knowledge, attitudes, and behaviors 1 week before (time 1) and 1 week after (time 2) the intervention. Results. The intervention group was more efficacious at time 2 on measures of self-efficacy, pros, cons, intentions, and behavior related to physical activity. This group also reported more favorable changes in practicing healthy eating, balancing food intake with activity level, cooking meals with techniques to reduce fat, and avoiding eating high-fat foods. Effect sizes for all significant differences were small. Conclusion. E-mail is a promising mode of delivery for promoting physical activity and nutrition in the workplace. Further theoretically driven studies are needed.

scholarly journals Implementing exercise in standard cancer care: Bizi Orain hybrid, clinical and implementation randomized trial study protocol to evaluate the effectiveness of a community-based exercise programme for people living with cancer (Preprint)

2020 ◽  
Author(s):  
Maria Soledad Arietaleanizbeaskoa ◽  
Erreka Gil Rey ◽  
Nere Mendizabal Gallastegui ◽  
Arturo García Álvarez ◽  
Ibon De La Fuente ◽  
...  
Keyword(s):  
Physical Activity ◽  
Overall Survival ◽  
Side Effects ◽  
Physical Function ◽  
Cancer Patients ◽  
Cancer Care ◽  
Exercise Programme ◽  
Programme Evaluation ◽  
Activity Level ◽  
Community Based

BACKGROUND Despite the established benefits of regular exercise for cancer patients to counteract the deleterious effects of the disease itself, and treatment-related side-effects, most of them do not engage in sufficient levels of physical activity and there is a paucity of data on the integration of efficacious exercise programmes that are accessible and generalizable to a large proportion of cancer patients into routine cancer care. This paper describes the implementation of Bizi Orain, a community-based exercise programme for people with cancer, and the protocol for the programme evaluation. OBJECTIVE To describe the implementation of a community-based exercise programme for cancer patients (“Bizi Orain”) and the protocol for programme evaluation. METHODS This will be a hybrid study, with a first experimental phase in which patients diagnosed with any type of cancer will be randomized to two parallel groups, one that immediately performs Bizi Orain, a 3-month supervised exercise programme (3 times a week) in addition to behavioural counselling in a primary healthcare setting, and the other, a reference group that starts the exercise programme 3 months later (delayed treatment). In a second observational phase, the entire cohort of participants will be followed-up for 5 years. Any person diagnosed with cancer in the previous 2 years is eligible for the programme. Evaluation of the programme involves uptake, safety, adherence and effectiveness assessed on the completion of the programme and at 3, 6, 12, 24, 36, 48 and 60 months of follow-ups. The primary outcomes of the experimental study, to be compared between groups, are physical function and patient-reported outcomes, whereas overall survival is the main endpoint of the prospective study. To analyse the association between changes in physical activity level and overall survival, longitudinal mixed-effects models will be used for repeated follow-up measures. RESULTS It is a protocol, so there are no results CONCLUSIONS Bizi Orain is the first population-based exercise programme in Spain that will offer more insight into the implementation of feasible, generalizable and sustainable supportive care services involving structured exercise to extend cancer patients’ survival, improve their physical function and quality of life, and reverse the side-effects of their disease and related treatments, thereby reducing the clinical burden. CLINICALTRIAL Clinical Trials.gov Identifier: NCT03819595. Date of registration: 18/01/2019

scholarly journals Motivating Diabetic and Hypertensive Patients to Increase Physical Activity: The Use of Photos and Group Dynamics

2018 ◽  
Author(s):  
Angela Yee Man Leung ◽  
Pui Hing Chau ◽  
Isaac Leung ◽  
Michael Tse ◽  
Perick Lai Choi Wong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Lower Limb ◽  
Intervention Group ◽  
Mean Difference ◽  
Regular Physical Activity ◽  
Activity Level ◽  
Control Group ◽  
Body Strength ◽  
Group Meetings

Aims: Photovoice is a strategy to allow people to express their views and concerns about health. This project aimed to promote physical activity (PA) among patients with chronic illness, identify facilitators and barriers for PA, enhance walking within the neighbourhood, and build up efficacy in doing exercise. Design: A quasi-experimental study with waitlisted control and pre-and-post measures. Setting: Community elderly centres. Participants: A total of 204 older adults with diabetes and/or hypertension were recruited. They were assigned to either intervention group (IG) or waitlisted control group (CG). Intervention: Under the supervision of a nurse, six weekly group meetings were arranged in community elderly centres in which the participants freely exchanged their views about the barriers and facilitators of regular physical activity. Participants were encourage to take photos in their neighbourhood or at homes, and brought these photos for sharing in the group meetings. The photos showed the barriers and the facilitators to PA. In the last meeting, each participant worked out a plan to perform PA in the coming four weeks. Measures: PA referred to the number of steps taken per day and it was measured by Garmin Accelerometer at baseline, at Week 6 and Week 10. Other measures include the 9-item Self-efficacy Scale for Exercise - Chinese version (SEE-C), the 23-item Chinese Barriers to Exercise Scale and Senior Fitness Tests. General linear mixed model was used to compare the outcomes between IG and CG after the intervention. Results: After the 6-week intervention, the average number of steps taken by the IG participants increased. At Week 10, there was a significant higher proportion of the IG participants who had increased at least 1,200 steps than that of the CG (Estimate=0.151, SE=0.066, p&lt;0.05). The lower body strength of the IG participants was significantly higher than that of the CG (mean difference = 0.94, t=1.957, p&lt;0.05) and the lower limb flexibility of the IG participants was also significantly higher than that of the CG (mean difference = 2.04, t=2.397, p&lt;0.05) at Week 10. Conclusion: Understanding older adults&rsquo; views and thoughts about barriers to PA through photos and group discussion seemed to be a good strategy to motivate older adults with chronic illnesses to commit to regular physical activity. This photovoice intervention improved the participants&rsquo; physical activity level and physical fitness, particularly in lower limb flexibility and body strength.

scholarly journals Children’s physical activity level and sedentary behaviour in Norwegian early childhood education and care: effects of a staff-led cluster-randomised controlled trial

2020 ◽  
Author(s):  
Eivind Andersen ◽  
Steinar Øvreås ◽  
Kari Anne Jørgensen ◽  
Janne Borch-Jenssen ◽  
Thomas Moser
Keyword(s):  
Physical Activity ◽  
Sedentary Time ◽  
Controlled Trial ◽  
Intervention Group ◽  
Activity Level ◽  
Control Group ◽  
Education And Care ◽  
Vigorous Intensity ◽  
Randomised Controlled ◽  
Children’S Physical Activity

Abstract Background: A growing body of evidence suggest that the children’s physical activity (PA) level in early childhood education and care (ECEC) settings are insufficient. Since most children attend ECEC settings for many hours on most days of the week, and these institutions reach children across the socioeconomic spectrum, the ECEC settings may serve as an ideal avenue for increasing physical activity level, reduce sedentary time and enhance the overall health of young children. This paper investigates the effectiveness of the “Active Kindergarten – Active Children” study to increase children’s PA level and reduce sedentary time within the ECEC setting. Methods: Accelerometers were used to asses PA and sedentary time. A total of 116 three to four-year olds took part in a randomised controlled trial in 11 ECEC settings. Participants were cluster-randomised, by ECEC setting, to either a 12 week staff-led and expert-supported intervention or a waiting list control group. Results: The intervention group increased time spent in moderate- and vigorous intensity PA by 10 min/day (95% CI = 3, 18; P=0.01), took 1909 more steps per day (95% CI = 1130, 2688; P˂0.01) and reduced sedentary time with 14min/day (95% CI = -27, -1; P=0.04) compared to the control group. The intervention group had a 2.4 higher odds (95% CI = 1.05, 5.7; P = 0.04) of meeting the PA recommendations compared to the control group at follow-up. Conclusions: Our results show that a flexible staff-led and expert-supported multicomponent PA intervention can increase total PA level, moderate- and vigorous intensity PA and reduce time spent sedentary in three to four-year old children during their stay in ECEC settings.Trial registration: The trial was retrospectively registered on September 19, 2020 and available online at ClinicalTrials.gov: No. NCT04555746

'Effectiveness Of A Peer Support Intervention Program On Obesity Control Among Women In A Rural Area Of Turkey' (Preprint)

2021 ◽  
Author(s):  
Berna Bilgin Şahin ◽  
Erhan Eser
Keyword(s):  
Physical Activity ◽  
Peer Support ◽  
Intervention Program ◽  
Intervention Group ◽  
The Body ◽  
Obesity Prevalence ◽  
Community Based ◽  
Support Intervention ◽  
Quasi Experimental ◽  
Obesity Interventions

BACKGROUND Obesity in women is one of the leading public health problems globally. Peer support interventions have been effective in many areas of health promotion, and they have also been successful in obesity prevention and treatment. OBJECTIVE The purpose of this research was to reduce the Body Mass Index, fat ratio, and fat amount of the targeted women through the support of their peers (leading women) by regulating nutrition and improving physical activity in a rural community. METHODS This is a quasi-experimental obesity peer-led intervention study called the Leading Woman Model. At baseline, the obesity prevalence was found to be 60.5% among women aged 18–64 (n = 655) living in a rural district of Turkey. Of the participants (n = 137), 86.9% completed the 3rd month and 78.1% the 6th month of the intervention. Leading women (n = 11) were recruited from the community to supervise and monitor their own target groups of women during the intervention, which included supervised balanced nutrition and regular physical activity. RESULTS The mean age of the target intervention group was 42.8 ± 12.2. Significant improvements were observed in the body weight of the participating in the 3rd (-1.15 ± 2.51 kg) and 6th month (-1.13 ± 4.15 kg) of the intervention (p <0.05). Of the women, 10.9% lost at least 5% of their weight by the 3rd month and 13.1% by the 6th month of intervention, and 8.4% and 11.2% of the women achieved a better BMI category in the 3rd and 6th month of intervention, respectively. CONCLUSIONS Community-based obesity interventions are challenging but much more promising than those based at a facility. We suggest the Leading Women Model for community-based obesity interventions in women.

scholarly journals Pedometer-based walking intervention with and without group support among sedentary adults in primary care patients in north-east Malaysia: a randomized controlled trial

2018 ◽  
Vol 17 (1) ◽  
pp. 52-57
Author(s):  
Nur Emilia A ◽  
Lili Husniati Yaacob ◽  
AK Azidah
Keyword(s):  
Physical Activity ◽  
Repeated Measures ◽  
Intervention Group ◽  
Activity Level ◽  
Control Group ◽  
Group Support ◽  
Step Counts ◽  
Walking Program ◽  
North East ◽  
Significant Difference

Background: Many studies have shown that pedometer is an effective motivational tool to promote walking however there is lack of evidence which combines pedometer and group support in motivating patient to increase their physical activityObjective: To determine the effectiveness of pedometer and group support versus pedometer only on physical activity level and cardiovascular risk factors among sedentary adults in north-east MalayMethods: This was a prospective randomized comparative trial. Eighty participants were randomly assigned to pedometer-based walking program plus group support ( N=40) or pedometer-based walking program only (N=40) for 12 weeks. Both groups received physical activity counselling. The intervention group had monthly group meeting for support, motivation and also walking activities. Measurements for step-counts, 7-day physical activity recall, body mass, BMI, waist and hip circumference, blood pressure, total cholesterol, HDL cholesterol and fasting blood sugar were taken at baseline and at week 12. Analyses were performed using repeated measures ANOVA and analysis of co-variance (ANCOVA).Results and Discussion: Sixty two participants completed the study. The mean age in the intervention group were 48 (4.43) years old and 47 (5.08) years old in the control group. There were significant improvements in the intervention group in terms of step-counts (p < 0.001), weight (P<0.05) and BMI (p>0.05) compared to control group. However there was no significant difference in term of other health outcome.Conclusion A pedometer-based walking program, incorporating a physical activity consultation and group support, is effective in promoting walking and improving health outcome in community based individuals. Studies of longer duration need to be done to see the sustainability of the above intervention.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.52-57

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