scholarly journals A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2247
Author(s):  
Mary Quattlebaum ◽  
Colby Kipp ◽  
Dawn K. Wilson ◽  
Allison Sweeney ◽  
Haylee Loncar ◽  
...  
Keyword(s):  
Health Promotion ◽  
Weight Loss ◽  
African American ◽  
High Stress ◽  
African American Adolescents ◽  
Health Behavior Change ◽  
Stress And Coping ◽  
Overweight And Obesity ◽  
Health Promotion Program ◽  
And Coping

The purpose of this study was to conduct in-depth individual interviews with 30 African American adolescents with overweight and obesity and their families (caregiver/adolescent dyads) to gain a better understanding of how to integrate stress and coping essential elements into an existing family-based health promotion program for weight loss. Interview data from 30 African American adolescents with overweight and obesity (Mage = 15.30 ± 2.18; MBMI%-ile = 96.7 ± 3.90) were transcribed and coded for themes using inductive and deductive approaches by two independent coders. Inter-rater reliability was acceptable (r = 0.70–0.80) and discrepancies were resolved to 100% agreement. The themes were guided by the Relapse Prevention Model, which focuses on assessing barriers of overall coping capacity in high stress situations that may undermine health behavior change (physical activity, diet, weight loss). Prominent themes included feeling stressed primarily in response to relationship conflicts within the family and among peers, school responsibilities, and negative emotions (anxiety, depression, anger). A mix of themes emerged related to coping strategies ranging from cognitive reframing and distraction to avoidant coping. Recommendations for future programs include addressing sources of stress and providing supportive resources, as well as embracing broader systems such as neighborhoods and communities. Implications for future intervention studies are discussed.

scholarly journals A Scoping Review of Positive Lifestyle and Wellness Interventions to Inform the Development of a Comprehensive Health Promotion Program: “HealthPro”

2017 ◽  
Vol 13 (4) ◽  
pp. 336-346 ◽  
Author(s):  
Stephanie A. P. Schuette ◽  
Evelyn Cordero ◽  
Katherine Slosburg ◽  
Elizabeth L. Addington ◽  
David Victorson
Keyword(s):  
Health Promotion ◽  
Chronic Disease ◽  
Scoping Review ◽  
Health Behavior Change ◽  
Health Promotion Program ◽  
Future Research ◽  
The Past ◽  
Comprehensive Health ◽  
And Coping ◽  
Health Promotion Interventions

Background. Lifestyle medicine has emerged as a transformational force in mainstream health care. Numerous health promotion and wellness programs have been created to facilitate the adoption of increased positive, modifiable health behaviors to prevent and lessen the effects of chronic disease. This article provides a scoping review of available health promotion interventions that focus on healthy adult populations in the past 10 years. Methods. We conducted a scoping review of the literature searching for health promotion interventions in the past 10 years. Interventions were limited to those conducted among healthy adults that offered a face-to-face, group-based format, with positive results on one or more health outcomes. We then developed a new health promotion intervention that draws on multiple components of included interventions. Results. Fifty-eight articles met our inclusion criteria. Physical activity was the primary focus of a majority (N = 47) of articles, followed by diet/nutrition (N = 40) and coping/social support (N = 40). Conclusions. Efficacious health promotion interventions are critical to address the prevention of chronic disease by addressing modifiable risk factors such as exercise, nutrition, stress, and coping. A new intervention, discussed is this article, provides a comprehensive approaches to health behavior change and may be adapted for future research.

scholarly journals The Moderating Effects of the Families Improving Together (FIT) for Weight Loss Intervention and Parenting Factors on Family Mealtime in Overweight and Obese African American Adolescents

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1745
Author(s):  
Dawn K. Wilson ◽  
Allison M. Sweeney ◽  
Mary Quattlebaum ◽  
Haylee Loncar ◽  
Colby Kipp ◽  
...  
Keyword(s):  
Weight Loss ◽  
African American ◽  
Parenting Styles ◽  
Positive Association ◽  
African American Adolescents ◽  
Motivational Strategies ◽  
Moderating Effects ◽  
Parental Feeding Practices ◽  
Parental Concerns ◽  
Parental Feeding

Few studies have integrated positive parenting and motivational strategies to address dietary outcomes such as frequency of family mealtime. The Families Improving Together (FIT) for Weight Loss trial was a randomized group cohort trial (n = 241 dyads) testing the efficacy of integrating a motivational plus family weight loss (M + FWL) intervention for healthy eating and weight loss in overweight and obese African American adolescents. The current study tested the interaction of parenting styles (responsiveness, demandingness) and parental feeding practices (restriction, concern about child’s weight, pressure to eat) and the FIT intervention on frequency of family mealtime over 16 weeks. Multilevel modeling demonstrated significant interactions between the group-based treatment and responsiveness (p = 0.018) and demandingness (p = 0.010) on family mealtime. For the group-based M + FWL intervention, increased responsiveness and reduced demandingness were associated with increased frequency of family mealtime from baseline to 16 weeks. There was also a negative association between parental restriction and frequency of family mealtime, but a positive association between parental concerns about their adolescent’s weight and frequency of mealtime. These findings are the first to demonstrate that an authoritative or nurturing parenting style moderated intervention effects for improving the frequency of family mealtime in overweight and obese African American adolescents.

scholarly journals Men’s Perspectives of a Gender-Sensitized Health Promotion Program Targeting Healthy Eating, Active Living, and Social Connectedness

2018 ◽  
Vol 12 (6) ◽  
pp. 2157-2166 ◽  
Author(s):  
Paul Sharp ◽  
Joan L. Bottorff ◽  
Kate Hunt ◽  
John L. Oliffe ◽  
Steven T. Johnson ◽  
...  
Keyword(s):  
Health Promotion ◽  
Healthy Eating ◽  
Social Connectedness ◽  
Dietary Habits ◽  
Overweight And Obesity ◽  
Lifestyle Changes ◽  
Ice Hockey ◽  
Health Promotion Program ◽  
Active Living ◽  
Engaging Men

Men in high income countries have poorer dietary habits and higher rates of overweight and obesity than women. A major challenge with engaging men in health promotion is the perception that attention to one’s health runs counter to masculine identities. Contemporary health promotion programs are believed to hold little “manly” appeal and often fail to engage and retain men. The HAT TRICK program was designed to engage men with their health by delivering an intervention in collaboration with a semi-professional ice hockey team. The program included 12 weekly sessions promoting healthy eating, active living, and social connectedness among men. Gender-sensitized elements were reflected in the program design, setting, content, and delivery. Semistructured telephone interviews were conducted with 23 men to explore perspectives of their participation in the gender-sensitized intervention. Participants were white (100%) with a mean age of 53 years ( SD ± 9.9), Body Mass Index (BMI) of 37 kg/m2 ( SD ± 6.8), and waist circumference of 127 centimeters ( SD ± 14.5). Inductive thematic analysis revealed three overarching themes, including: (a) Harnessing nostalgia for past masculinities: “Closet athletes from 30 years ago,” (2) Offsetting resistance to change with sensible health advice: “Don’t give up drinking beer, just have less,” and (3) Gendered social spaces for doing health: “A night out with the guys,” The findings support the value of gender-sensitized approaches to men’s health promotion. Further research is needed to identify which gender-sensitized elements are critical to engaging men in healthy lifestyle changes.

scholarly journals Stress and Coping Mechanism of Infertile Women Attending Infertility Clinic in Kathmandu

2015 ◽  
Vol 2 (4) ◽  
pp. 24-28 ◽  
Author(s):  
Chandrakala Sharma ◽  
D Subedi ◽  
L Rai ◽  
K Upreti
Keyword(s):  
Coping Strategies ◽  
Religious Coping ◽  
High Stress ◽  
Structured Interview ◽  
Stress And Coping ◽  
Coping Mechanism ◽  
Infertile Women ◽  
High Level ◽  
And Coping ◽  
Very High

INTRODUCTION: Many women face problems related to infertility in various aspects of their life. Also, it is not comfortable to discuss on this issue. Because of this, the feelings and distress faced by women may not come out and the pent up emotions may lead to different stress related problems.   MATERIAL AND METHODS : A descriptive research design was adopted to assess the stress and coping mechanism of infertile women attending infertility clinic in Kathmandu Nepal. The study was conducted from October 2011 to January 2013. Purposive sampling technique was used and sample size was 100. Data was collected through semi- structured interview using; 'Perceived Stress Scale'(PSS) and 'Coping Check List' (CCL).   RESULTS: Regarding stress level of respondents, 40% were at very high level of stress and 35% with high level of stress. High level stress was found among the age group of 21-30 years. In relation to level of stress and coping strategies, 54.17% respondents with high stress used religious coping strategies, 50% of the respondents with very high stress also used religious coping, followed by 40% emotional coping and 37.5% problem focused coping and seeking social support strategies to overcome the stress.   CONCLUSION: It can be concluded that the  almost more than half of the respondents were under high level of stress and mostly were those who are under  treatment for more than 1-3 yrs of duration. The study also concluded that the higher the age the respondents were more stressed due to the infertility. It was also found that most of the respondents used religious coping as well as emotional focused coping during the stressful period.DOI: http://dx.doi.org/10.3126/jucms.v2i4.12039Journal of Universal College of Medical Sciences (2014) Vol.02 No.04 Issue 08Page: 24-28

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