scholarly journals Physical Therapists' Role in Health Promotion as Perceived by the Patient: Descriptive Survey

2016 ◽  
Vol 96 (10) ◽  
pp. 1588-1596 ◽  
Author(s):  
Beth Black ◽  
MarySue Ingman ◽  
Jamie Janes
Keyword(s):  
Physical Activity ◽  
Health Behaviors ◽  
Role Models ◽  
Physical Therapists ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Healthy People ◽  
Healthy Weight ◽  
Fruit And Vegetable ◽  
Healthy People 2020

AbstractBackgroundThe importance of health professionals discussing health behaviors with patients is emphasized in Healthy People 2020, the national health objectives established by the US Department of Health and Human Services. Many physical therapists do not routinely discuss health behaviors with their patients. One reason may be uncertainty about how these discussions might be perceived by patients.ObjectiveThe primary purpose of this study was to determine patients' opinions regarding physical therapists discussing the topics of physical activity, smoking, fruit and vegetable consumption, and maintaining a healthy weight during clinical visits. A secondary purpose was to determine whether patients believe that physical therapists should be role models for these behaviors.DesignThis was a descriptive cross-sectional survey.MethodsPatients were surveyed at 8 outpatient clinics in Michigan and Minnesota. A written questionnaire collected information about the participants' health behaviors, their opinions about physical therapists discussing their health behaviors during clinical visits, and their opinions about physical therapists role-modeling healthy behaviors.ResultsThe survey response rate was 45.6%. A total of 230 patients participated. Most participants agreed that physical therapists should speak to them about physical activity (91.3%), maintaining a healthy weight (73%), and abstaining from smoking (51.3%). Fewer participants agreed that physical therapists should advise them about fruit and vegetable consumption (32.1%). The majority of participants agreed that physical therapists should be role models for engaging in regular physical activity (83.4%), maintaining a healthy weight (71.7%), and abstaining from smoking (63.9%).LimitationsLimitations of this study include the potential for response bias and limited generalizability.ConclusionsMost participants believed it is appropriate for physical therapists to speak with them about and be role models for the behaviors of physical activity, maintaining a healthy weight, and abstaining from smoking. Physical therapists have the opportunity to support the goals of Healthy People 2020 by discussing health behaviors with their patients.

Predicting Hawaiian Youth’s Physical Activity and Fruit and Vegetable Consumption Behaviors: A 10-Year Cohort Study

2019 ◽  
Vol 16 (8) ◽  
pp. 644-646
Author(s):  
Sasha A. Fleary ◽  
Robin Mehl ◽  
Claudio Nigg
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Health Behaviors ◽  
Disease Risk ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Chronic Disease Risk ◽  
Childhood Physical Activity

Background: Health behaviors in childhood and adolescence are implicated in health behaviors and chronic disease risk in adulthood for the majority of the US population. However, little is known about these relationships in Hawaiian youth. This study investigated the extent to which childhood physical activity (PA) and fruit and vegetable consumption behaviors predicted later behaviors across a 10-year period in Hawaiian youth. Methods: Three cohorts of fourth- to sixth-grade students who participated in an elementary after-school program (Fun 5) provided baseline data (Y1—data collected between 2003 and 2007), 5-year (Y5—data collected between 2008 and 2012), and 10-year (Y10—data collected between 2013 and 2017) follow-up surveys. Demographic, PA, and fruit and vegetable consumption measures were completed at all 3 time points. Bivariate and multiple regressions were computed in 2018. Results: Y1 and Y5 behavior predicted PA in young adulthood. For fruit and vegetable consumption, Y1 behavior predicted Y5 behavior but not Y10 behavior, and Y5 behavior predicted Y10 behaviors. Conclusions: Similar to mainland US youth, it is important to address PA and nutrition early in the life span for Hawaiian youth to increase long-term preventive health behaviors and reduce long-term chronic disease risk.

scholarly journals Personal Health Behaviors and Role-Modeling Attitudes of Physical Therapists and Physical Therapist Students: A Cross-Sectional Study

2012 ◽  
Vol 92 (11) ◽  
pp. 1419-1436 ◽  
Author(s):  
Beth Black ◽  
Beth C. Marcoux ◽  
Christine Stiller ◽  
Xianggui Qu ◽  
Ronald Gellish
Keyword(s):  
Physical Activity ◽  
Health Behaviors ◽  
Role Models ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Role Modeling ◽  
Healthy Weight ◽  
Cross Sectional ◽  
Physical Therapist Students ◽  
And Behaviors

BackgroundPhysical therapists have been encouraged to engage in health promotion practice. Health professionals who engage in healthy behaviors themselves are more apt to recommend those behaviors, and patients are more motivated to change their behaviors when their health care provider is a credible role model.ObjectiveThe purpose of this study was to describe the health behaviors and role-modeling attitudes of physical therapists and physical therapist students.DesignThis study was a descriptive cross-sectional survey.MethodsA national sample of 405 physical therapists and 329 physical therapist students participated in the survey. Participants' attitudes toward role modeling and behaviors related to physical activity, fruit and vegetable consumption, abstention from smoking, and maintenance of a healthy weight were measured. Wilcoxon rank sum tests were used to examine differences in attitudes and behaviors between physical therapists and physical therapist students.ResultsA majority of the participants reported that they engage in regular physical activity (80.8%), eat fruits and vegetables (60.3%), do not smoke (99.4%), and maintain a healthy weight (78.7%). Although there were no differences in behaviors, physical therapist students were more likely to believe that role modeling is a powerful teaching tool, physical therapist professionals should “practice what they preach,” physical activity is a desirable behavior, and physical therapist professionals should be role models for nonsmoking and maintaining a healthy weight.LimitationsLimitations of this study include the potential for response bias and social desirability bias.ConclusionsPhysical therapists and physical therapist students engage in health-promoting behaviors at similarly high rates but differ in role-modeling attitudes.

scholarly journals Rams Have Heart, a Mobile App Tracking Activity and Fruit and Vegetable Consumption to Support the Cardiovascular Health of College Students: Development and Usability Study (Preprint)

2019 ◽  
Author(s):  
Michelle C Krzyzanowski ◽  
Paul N Kizakevich ◽  
Vanessa Duren-Winfield ◽  
Randall Eckhoff ◽  
Joel Hampton ◽  
...  
Keyword(s):  
Physical Activity ◽  
Query Language ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
User Participation ◽  
Mobile App ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable Intake ◽  
Black College ◽  
Fruit And Vegetable

BACKGROUND With the increasing use of mobile devices to access the internet and as the main computing system of apps, there is a growing market for mobile health apps to provide self-care advice. Their effectiveness with regard to diet and fitness tracking, for example, needs to be examined. The majority of American adults fail to meet daily recommendations for healthy behavior. Testing user engagement with an app in a controlled environment can provide insight into what is effective and not effective in an app focused on improving diet and exercise. OBJECTIVE We developed Rams Have Heart, a mobile app, to support a cardiovascular disease (CVD) intervention course. The app tracks healthy behaviors, including fruit and vegetable consumption and physical activity, throughout the day. This paper aimed to present its functionality and evaluated adherence among the African American college student population. METHODS We developed the app using the Personal Health Informatics and Intervention Toolkit, a software framework. Rams Have Heart integrates self-reported health screening with health education, diary tracking, and user feedback modules to acquire data and assess progress. The parent study, conducted at a historically black college and university-designated institution in southeastern United States, consisted of a semester-long intervention administered as an academic course in the fall, for 3 consecutive years. Changes were made after the cohort 1 pilot study, so results only include cohorts 2 and 3, comprising a total of 115 students (n=55 intervention participants and n=54 control participants) aged from 17 to 24 years. Data collected over the study period were transferred using the secure Hypertext Transfer Protocol Secure protocol and stored in a secure Structured Query Language server database accessible only to authorized persons. SAS software was used to analyze the overall app usage and the specific results collected. RESULTS Of the 55 students in the intervention group, 27 (49%) students in cohort 2 and 25 (45%) in cohort 3 used the Rams Have Heart app at least once. Over the course of the fall semester, app participation dropped off gradually until exam week when most students no longer participated. The average fruit and vegetable intake increased slightly, and activity levels decreased over the study period. CONCLUSIONS Rams Have Heart was developed to allow daily tracking of fruit and vegetable intake and physical activity to support a CVD risk intervention for a student demographic susceptible to obesity, heart disease, and type 2 diabetes. We conducted an analysis of app usage, function, and user results. Although a mobile app provides privacy and flexibility for user participation in a research study, Rams Have Heart did not improve compliance or user outcomes. Health-oriented research studies relying on apps in support of user goals need further evaluation.

scholarly journals The UK Coronavirus Job Retention Scheme and changes in diet, physical activity and sleep during the COVID-19 pandemic: Evidence from eight longitudinal studies

2021 ◽  
Author(s):  
Bozena Wielgoszewska ◽  
Jane Maddock ◽  
Michael J Green ◽  
Giorgio Di Gessa ◽  
Sam Parsons ◽  
...  
Keyword(s):  
Physical Activity ◽  
Longitudinal Studies ◽  
Social Protection ◽  
Vegetable Consumption ◽  
Recovery Period ◽  
Health Behaviours ◽  
Fruit And Vegetable Consumption ◽  
Job Retention ◽  
Fruit And Vegetable ◽  
The Uk

Background: In March 2020 the UK implemented the Coronavirus Job Retention Scheme (furlough) to minimize job losses. Our aim was to investigate associations between furlough and diet, physical activity, and sleep during the early stages of the pandemic. Methods: We analysed data from 25,092 participants aged 16 to 66 years from eight UK longitudinal studies. Changes in employment (including being furloughed) were defined by comparing employment status pre- and during the first lockdown. Health behaviours included fruit and vegetable consumption, physical activity, and sleeping patterns. Study-specific estimates obtained using modified Poisson regression, adjusting for socio-demographic characteristics and pre-pandemic health and health behaviours, were statistically pooled. Associations were also stratified by sex, age, and education. Findings: Across studies, between 8 and 25% of participants were furloughed. Compared to those who remained working, furloughed workers were slightly less likely to be physically inactive (RRR:0.85, [0.75-0.97], I2=58.7%) and did not differ in diet and sleep behaviours. In stratified analyses, furlough was associated with low fruit and vegetable consumption among males (RRR=1.11; 95%CI: 1.01-1.22; I2: 0%) but not females (RRR=0.84; 95%CI: 0.68-1.04; I2: 65%). Considering change in behaviour, furloughed workers were more likely than those who remained working to report increased fruit and vegetable consumption, exercise, and hours of sleep. Interpretation: Those furloughed exhibited broadly similar levels of health behaviours with those who remained in employment during the initial stages of the pandemic. Social protection policies in the post-pandemic recovery period and during future economic crises may help protect population health. Funding: Medical Research Council.

Limited Improvements in Health Behaviors Suggest Need to Review Approaches to Health Promotion: A Repeated, Cross-Sectional Study

2020 ◽  
pp. 155982762090937
Author(s):  
Craig M. Becker ◽  
Kerry Sewell ◽  
Hui Bian ◽  
Joseph G. L. Lee
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Health Promotion ◽  
Health Behaviors ◽  
Vegetable Consumption ◽  
Cross Sectional Study ◽  
Fruit And Vegetable Consumption ◽  
Sectional Study ◽  
Cross Sectional ◽  
Time Periods

Purpose. To broadly assess changes in key health behaviors (physical activity, fruit and vegetable consumption, smoking, and alcohol consumption) and one outcome (body mass index) between 2001-2006 and 2011-2016. Design. Repeated cross-sectional study. Setting. The United States of America. Participants. Noninstitutionalized adults age 24 to 39 participating in the National Health and Nutrition Examination Survey. Analysis. We used 2-sample t tests and χ2 tests to compare differences in health behaviors between the 2 time periods. Results. Data revealed a downward trend in both moderate and vigorous physical activity (P = .00), and fruit and vegetable consumption decreased (P = .003). Cigarette smoking decreased (P = .04), and there was no substantive change in heavy drinking between the 2 time periods. Body mass index was higher in the later time period (P = .00). Conclusion. Despite sustained funding efforts, we found little evidence that health behaviors improved between the 2 time periods. Indeed, many health behaviors have remained the same or worsened over time. These findings suggest the need to reflect on the appropriateness of the health promotion approaches being used.

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