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Szeszulski J, Faro JM, Joseph RP, Lanza K, Lévesque L, Monroe CM, Pérez-Paredes EA, Soltero EG, Lee RE. How Societal Forces of Change Are Transforming Youth Physical Activity Promotion in North America. J Phys Act Health 2023; 20:1069-1077. [PMID: 37917976 DOI: 10.1123/jpah.2023-0167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 08/25/2023] [Accepted: 08/28/2023] [Indexed: 11/04/2023]
Abstract
BACKGROUND Climate change, increasing recognition of institutionalized discrimination, and the COVID-19 pandemic are large-scale, societal events (ie, forces of change) that affect the timing, settings, and modes of youth physical activity. Despite the impact that forces of change have on youth physical activity and physical activity environments, few studies consider how they affect physical activity promotion. METHODS The authors use 2 established frameworks, the ecological model of physical activity and the youth physical activity timing, how, and setting framework, to highlight changes in physical activity patterns of youth in North America that have resulted from contemporary forces of change. RESULTS North American countries-Canada, Mexico, and the United States-have faced similar but contextually different challenges for promoting physical activity in response to climate change, increasing recognition of institutionalized discrimination, and the COVID-19 pandemic. Innovative applications of implementation science, digital health technologies, and community-based participatory research methodologies may be practical for increasing and sustaining youth physical activity in response to these forces of change. CONCLUSIONS Thoughtful synthesis of existing physical activity frameworks can help to guide the design and evaluation of new and existing physical activity initiatives. Researchers, practitioners, and policymakers are encouraged to carefully consider the intended and unintended consequences of actions designed to respond to forces of change.
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Affiliation(s)
- Jacob Szeszulski
- Texas A&M Institute for Advancing Health Through Agriculture, Dallas, TX, USA
| | - Jamie M Faro
- Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA
| | - Rodney P Joseph
- Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
| | - Kevin Lanza
- Department of Epidemiology, Human Genetics, and Environmental Sciences, The University of Texas Health Science Center at Houston School of Public Health, Austin, TX, USA
| | - Lucie Lévesque
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada
| | - Courtney M Monroe
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Elsa A Pérez-Paredes
- Forest Research Institute (Instituto de Investigaciones Forestales), Universidad Veracruzana, Xalapa, México
| | - Erica G Soltero
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA
| | - Rebecca E Lee
- Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
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Kalinowski J, Idiong C, Blackman-Carr L, Cooksey Stowers K, Davis S, Pan C, Chhabra A, Eaton L, Gans KM, Alexander JE, Pagoto S. Leveraging the Black Girls Run Web-Based Community as a Supportive Community for Physical Activity Engagement: Mixed Methods Study. JMIR Form Res 2023; 7:e43825. [PMID: 37676722 PMCID: PMC10514768 DOI: 10.2196/43825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 05/18/2023] [Accepted: 05/23/2023] [Indexed: 09/08/2023] Open
Abstract
BACKGROUND About 59%-73% of Black women do not meet the recommended targets for physical activity (PA). PA is a key modifiable lifestyle factor that can help mitigate risk for chronic diseases such as obesity, diabetes, and hypertension that disproportionately affect Black women. Web-based communities focused on PA have been emerging in recent years as web-based gathering spaces to provide support for PA in specific populations. One example is Black Girls Run (BGR), which is devoted to promoting PA in Black women. OBJECTIVE The purpose of this study was to describe the content shared on the BGR public Facebook page to provide insight into how web-based communities engage Black women in PA and inform the development of web-based PA interventions for Black women. METHODS Using Facebook Crowdtangle, we collected posts (n=397) and associated engagement data from the BGR public Facebook page for the 6-month period between June 1, 2021, and December 31, 2021. We pooled data in Dedoose to analyze the qualitative data and conducted a content analysis of qualitative data. We quantified types of posts, post engagement, and compared post types on engagement: "like," "love," "haha," "wow," "care," "sad," "angry," "comments," and "shares." RESULTS The content analysis revealed 8 categories of posts: shout-outs to members for achievements (n=122, 31%), goals or motivational (n=65, 16%), announcements (n=63, 16%), sponsored or ads (n=54, 14%), health related (n=47, 11%), the lived Black experience (n=23, 6%), self-care (n=15, 4%), and holidays or greetings (n=8, 2%). The 397 posts attracted a total of 55,354 engagements (reactions, comments, and shares). Associations between the number of engagement and post categories were analyzed using generalized linear models. Shout-out posts (n=22,268) elicited the highest average of total user engagement of 181.7 (SD 116.7), followed by goals or motivational posts (n=11,490) with an average total engagement of 160.1 (SD 125.2) and announcements (n=7962) having an average total engagement of 129.9 (SD 170.7). Significant statistical differences were found among the total engagement of posts (χ72=80.99, P<.001), "like" (χ72=119.37, P<.001), "love" (χ72=63.995, P<.001), "wow" (χ72=23.73, P<.001), "care" (χ72=35.06, P<.001), "comments" (χ72=80.55, P<.001), and "shares" (χ72=71.28, P<.001). CONCLUSIONS The majority of content on the BGR Facebook page (n=250, 63%) was focused on celebrating member achievements, motivating members to get active, and announcing and promoting active events. These types of posts attracted 75% of total post engagement. BGR appears to be a rich web-based community that offers social support for PA as well as culturally relevant health and social justice content. Web-based communities may be uniquely positioned to engage minoritized populations in health behavior. Further research should explore how and if web-based communities such as BGR can be interwoven into health interventions and health promotion.
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Affiliation(s)
- Jolaade Kalinowski
- Department of Human Development and Family Sciences, The University of Connecticut, Storrs, CT, United States
| | - Christie Idiong
- Department of Allied Health Sciences, The University of Connecticut, Storrs, CT, United States
| | - Loneke Blackman-Carr
- Department of Nutritional Sciences, The University of Connecticut, Storrs, CT, United States
| | | | - Shardé Davis
- Department of Communication, The University of Connecticut, Storrs, CT, United States
| | - Cindy Pan
- Department of Allied Health Sciences, The University of Connecticut, Storrs, CT, United States
| | - Alisha Chhabra
- Department of Allied Health Sciences, The University of Connecticut, Storrs, CT, United States
| | - Lisa Eaton
- Department of Human Development and Family Sciences, The University of Connecticut, Storrs, CT, United States
| | - Kim M Gans
- Department of Human Development and Family Sciences, The University of Connecticut, Storrs, CT, United States
| | | | - Sherry Pagoto
- Department of Allied Health Sciences, The University of Connecticut, Storrs, CT, United States
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Nieto-Martinez R, Neira C, de Oliveira D, Velasquez-Rodriguez A, Neira A, Velasquez-Rodriguez P, Garcia G, González-Rivas JP, Mechanick JI, Velasquez-Mieyer P. Lifestyle Medicine in Diabetes Care: The Lifedoc Health Model. Am J Lifestyle Med 2023; 17:336-354. [PMID: 37304744 PMCID: PMC10248374 DOI: 10.1177/15598276221103470] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/06/2023] Open
Abstract
Introduction The relevance of lifestyle medicine in diabetes treatment is now incorporated in clinical practice guidelines but finding an exemplar for the creation of a Lifestyle Medicine Program (LMP) is a difficult task. Aim To use Lifedoc Health (LDH) as a LMP exemplar by describing their multidisciplinary team (MDT) approach to diabetes care along with tactics to address sustainability challenges. Results The LDH model facilitates early activation of patients with diabetes and other cardiometabolic risk factors, MDT approaches, and protocols/policies that are able to overcome barriers to equitable healthcare in the community. Specific programmatic targets are clinical outcomes, effective dissemination, economic viability, and sustainability. Infrastructure centers on patient-driven problem-based visits, shared medical appointments, telemedicine, and patient tracking. Further discussions on program conceptualization and operationalization are provided. Conclusion Even though strategic plans for LMPs that specialize in diabetes care are well represented in the literature, implementation protocols, and performance metrics are lacking. The LDH experience provides a starting point for those healthcare professionals interested in translating ideas into action.
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Affiliation(s)
- Ramfis Nieto-Martinez
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Claudia Neira
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Diana de Oliveira
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Andrés Velasquez-Rodriguez
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Andres Neira
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Pedro Velasquez-Rodriguez
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Gabriela Garcia
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Juan P. González-Rivas
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Jeffrey I. Mechanick
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Pedro Velasquez-Mieyer
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
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