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Larose D, Chih-Shing Chen M, Panahi S, Yessis J, Tremblay A, Drapeau V. Interventions to promote healthy lifestyle behaviors in children and adolescents in summer day camps: a scoping review. BMC Public Health 2023; 23:773. [PMID: 37101170 PMCID: PMC10134537 DOI: 10.1186/s12889-023-15521-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 03/24/2023] [Indexed: 04/28/2023] Open
Abstract
BACKGROUND Children and adolescents have suboptimal physical activity and eating habits during summer breaks. Unlike the school setting, there is little evidence on interventions to promote healthy lifestyle behaviors in Summer Day Camps (SDCs). METHODS The aim of this scoping review was to examine physical activity, healthy eating, and sedentary behavior interventions in the SDCs. A systematic search on four platforms (EBSCOhost, MEDLINE, EMBASE, and Web of Science) was performed in May 2021 and was updated in June 2022. Studies related to promoting healthy behaviors, physical activity, sedentary behaviors and/or healthy eating among campers aged 6 to 16 in Summer Day Camps were retained. The protocol and writing of the scoping review were done according to the guidelines of the "Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR)". RESULTS Most interventions had a positive effect on the behavioral determinants or the behaviors themselves (i.e., physical activity, sedentary behaviors, or healthy eating). Involving counsellors and parents, setting camp goals, gardening, and education are all relevant strategies in promoting healthy lifestyle behaviors in SDCs. CONCLUSIONS Since only one intervention directly targeted sedentary behaviors, it should strongly be considered for inclusion in future studies. In addition, more long-term and experimental studies are needed to establish cause-and-effect relationships between healthy behavior interventions in SDCs and behaviors of children and young adolescents.
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Affiliation(s)
- David Larose
- Department of Kinesiology, Université Laval, Québec, G1V 0A6, Canada
- Quebec Heart and Lung Institute Research Center, Université Laval, Québec, G1V 0A6, Canada
- Centre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, Québec, G1V 0A6, Canada
- Centre de recherche interuniversitaire sur la formation et la profession enseignante (CRIFPE), Université Laval, Québec, G1V 0A6, Canada
| | | | - Shirin Panahi
- Department of Kinesiology, Université Laval, Québec, G1V 0A6, Canada
- Quebec Heart and Lung Institute Research Center, Université Laval, Québec, G1V 0A6, Canada
- Centre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, Québec, G1V 0A6, Canada
- Centre de recherche interuniversitaire sur la formation et la profession enseignante (CRIFPE), Université Laval, Québec, G1V 0A6, Canada
- Department of Physical Education, Université Laval, Québec, G1V 0A6, Canada
| | - Jennifer Yessis
- School of Public Health Sciences, University of Waterloo, Waterloo, N2L 3G1, Canada
| | - Angelo Tremblay
- Department of Kinesiology, Université Laval, Québec, G1V 0A6, Canada
- Quebec Heart and Lung Institute Research Center, Université Laval, Québec, G1V 0A6, Canada
- Centre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, Québec, G1V 0A6, Canada
- Centre de recherche interuniversitaire sur la formation et la profession enseignante (CRIFPE), Université Laval, Québec, G1V 0A6, Canada
| | - Vicky Drapeau
- Quebec Heart and Lung Institute Research Center, Université Laval, Québec, G1V 0A6, Canada.
- Centre Nutrition, santé et société (NUTRISS), Institute of Nutrition and Functional Foods (INAF), Université Laval, Québec, G1V 0A6, Canada.
- Centre de recherche interuniversitaire sur la formation et la profession enseignante (CRIFPE), Université Laval, Québec, G1V 0A6, Canada.
- Department of Physical Education, Université Laval, Québec, G1V 0A6, Canada.
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Campbell F, Whear R, Rogers M, Sutton A, Robinson‐Carter E, Barlow J, Sharpe R, Cohen S, Wolstenholme L, Thompson‐Coon J. Non-familial intergenerational interventions and their impact on social and mental wellbeing of both younger and older people-A mapping review and evidence and gap map. CAMPBELL SYSTEMATIC REVIEWS 2023; 19:e1306. [PMID: 36913218 PMCID: PMC9934919 DOI: 10.1002/cl2.1306] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
BACKGROUND Opportunities for social connection between generations in the UK have diminished over the last few decades because of changes in the way that we live and work. The decline in communal spaces such as libraries, youth clubs and community centres mean that there are fewer opportunities to meet and mix socially with other generations outside our own families. Increased working hours, improved technology, changes in family patterns, relationship breakdowns within families and migration are also believed to be contributory factors to generation segregation. There are many potential economic, social and political impacts of generations living separate and parallel lives, for example, higher health and social care costs, an undermining of trust between generations reduced social capital, a reliance on the media to form understanding of others' viewpoints and higher levels of anxiety and loneliness. Intergenerational programmes and activities can take many forms and are delivered in many settings. Evidence suggests that intergenerational activity can have a positive impact on participants, for example, in reducing loneliness and exclusion for both older people and children and young people, improving mental health, increasing mutual understanding and addressing important issues such as ageism, housing and care. There are currently no other EGMs that exist that address this type of intervention; however, it would complement existing EGMs addressing child welfare. OBJECTIVES To identify, appraise and bring together the evidence on the use of intergenerational practice, to answer the following specific research questions: What is the volume, nature and diversity of research on, and evaluation of, intergenerational practice and learning?What approaches have been used to deliver intergenerational activities and programmes that may be relevant to providing such services during and in the subsequent recovery from the COVID-19 pandemic?What promising intergenerational activities and programmes have been developed and are being used but have not yet been subject to formal evaluation? SEARCH METHODS We searched MEDLINE (via OvidSp), EMBASE (via OvidSp), PsycINFO (via OvidSp), CINAHL (via EBSCOHost), Social Policy and Practice (via OvidSp), Health Management Information Consortium (via OvidSp), Ageline (via EBSCOhost), ASSIA (via ProQuest), Social Science Citations Index (via Web of Science), ERIC (via EBSCOhost), Community Care Inform Children, Research in Practice for Children, ChildData (via Social Policy and Practice), the Campbell Library, the Cochrane Database of Systematic Reviews and the CENTRAL database between 22 and 30 July 2021. We searched for additional grey literature via the Conference Proceedings Citation Index (via Web of Science) and ProQuest Dissertation & Theses Global and via relevant organisation websites, for example, Age UK, Age International, the Centre for Ageing Better, Barnado's, Children's Commission, UNICEF, Generations Working Together, the Intergenerational Foundation, Linking Generations and The Beth Johnson Foundation) and the Ottawa initiative called Older Adults and Students for Intergenerational support. SELECTION CRITERIA Any intervention that brings older and younger people together with the purpose of interacting to achieve positive health and/or social and/or educational outcomes from any study design including systematic reviews, randomised controlled studies, observational studies, surveys and qualitative studies are included. The titles and abstracts, and later full texts, of records identified by the search methods were screened against inclusion criteria by two independent reviewers. DATA COLLECTION AND ANALYSIS Data extraction was undertaken by one reviewer and checked by a second with any inconsistencies identified and resolved through discussion. The data extraction tool was developed on EPPI reviewer and was modified and tested through stakeholder and advisor consultation, and piloting of the process. The tool was informed by the research question and the structure of the map. We did not undertake quality appraisal of the included studies. MAIN RESULTS Our searches identified 12,056 references, after screening 500 research articles were included in the evidence gap map conducted across 27 countries. We identified 26 systematic reviews, 236 quantitative comparative studies (of which 38 were randomised controlled trials), 227 were qualitative studies (or had a qualitative element), 105 were observational studies (or had elements of observational methods) and 82 used a mixed methods approach. The outcomes reported in the research cover mental health (n = 73), physical health (n = 62), attainment and knowledge (n = 165), agency (n = 174), mental wellbeing (n = 224), loneliness and social isolation (n = 54), attitudes towards the other generation (n = 283), intergenerational interactions (n = 196), peer interactions (n = 30) and health promotion (n = 23) and including mutual outcomes such as the impact on community (n = 37) and perceptions on the sense of community (n = 43). Gaps in the evidence that were identified include: research that reports on mutual, societal and community outcomes of intergenerational interventions; more research on interventions classified as levels 1-4 and level 7 on the Intergenerational Engagement Scale, mental health, loneliness, social isolation, peer interactions, physical health and health promotion outcomes in children and young people; health promotion in older people; outcomes centred on care giver wellbeing, mental health and attitudes; economic outcomes; process outcomes and adverse or unexpected outcomes. AUTHORS’ CONCLUSIONS Whilst a substantional amount of research on intergenerational interventions has been identified in this EGM, as well as the gaps identified above, there is a need to explore promising interventions not yet formally evaluated. Research on this topic is gradually increasing, and systematic reviews will be important to determine how and why interventions are or are not beneficial. However, the primary research needs to build more cohesively so that the findings can be comparable and avoid research waste. The EGM presented here will nevertheless be a useful resource for decision-makers allowing them to explore the evidence with regard to the different interventions that may be relevant to their population needs and the settings or resources available to them.
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Affiliation(s)
- Fiona Campbell
- Evidence Synthesis Group Population Health Sciences Institute Newcastle UniversityNewcastleUK
| | - Rebecca Whear
- NIHR CLAHRC South West Peninsula (PenCLAHRC)University of Exeter Medical SchoolExeterUK
| | - Morwenna Rogers
- NIHR PenCLAHRC, Institute of Health ResearchUniversity of Exeter Medical SchoolExeterUK
| | - Anthea Sutton
- Health Economics and Decision Science, ScHARRUniversity of SheffieldSheffieldUK
| | | | - Jane Barlow
- Department of Social Policy and InterventionUniversity of OxfordCoventryUK
| | - Richard Sharpe
- Public Health, Cornwall CouncilUniversity of Exeter Medical SchoolSt. AustellUK
| | - Stuart Cohen
- NHS Kernow Clinical Commissioning GroupSt. AustellUK
| | | | - Joanna Thompson‐Coon
- NIHR ARC South West Peninsula (PenARC)University of Exeter Medical SchoolExeterUK
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Norouzi N, Swenson A, Harvey S. Designing for Success: Integrating Theories of Human Development into Architectural Design for Intergenerational Programming. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2022. [DOI: 10.1080/15350770.2022.2113951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Affiliation(s)
- Neda Norouzi
- School of Architecture and Planning, University of Texas at San Antonio, San Antonio, TX, USA
| | - Andrea Swenson
- Marshfield Clinic Research Institute • Marshfield Clinic, Marshfield, WI, USA
| | - Sarah Harvey
- School of Architecture and Planning, University of Texas at San Antonio, San Antonio, TX, USA
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Leong KS, Klainin-Yobas P, Fong SD, Wu XV. Older adults' perspective of intergenerational programme at senior day care centre in Singapore: A descriptive qualitative study. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e222-e233. [PMID: 34028921 DOI: 10.1111/hsc.13432] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Revised: 03/18/2021] [Accepted: 04/28/2021] [Indexed: 06/12/2023]
Abstract
Population ageing resulting from declining fertility and extended life expectancy has been occurring rapidly throughout the world. Older adults are faced with multiple physical, psychological and social changes that challenge their sense of self and capacity for healthy ageing. Intergenerational programmes (IGP) in communities have been developed to address a variety of social issues brought about by the population ageing. These programmes focus on promoting intergenerational social contact, supporting educational programmes and facilitating intellectual and/or physical activities in the older adults. This study intended to explore the perception of community-dwelling older adults towards an IGP in a senior day care centre in Singapore. Purposive sampling was adopted to recruit 15 participants for the study. Individual face-to-face interviews were conducted until data saturation was achieved. Interviews were audio-taped and transcribed verbatim. Thematic analysis was carried out. Four themes and 13 sub-themes emerged: (1) IGP enhances memory and strength; (2) social interaction between older adults and younger generation; (3) emotional responses to IGP; and (4) attitudes and perception towards the younger generation. The current study illustrated the dynamic social interaction between older adults and the younger generation, as well as the perceived benefits of the IGP. The relationship formed between the two generations entailed companionship, mutual care, trust and affection. Participation in the IGP provided the older adults an opportunity for active engagement in society and development. Continuous effort must be put in to ensure continuity of integration and empowerment of older adults, including the removal of obstacles and barriers that exclude or discriminate against them. The study findings will help facilitate the customisation of IGP to meet the needs of the older adults. With a well-planned and structured IGP, significant physical, emotional and psychosocial outcomes could benefit the older adults and the younger generation.
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Affiliation(s)
| | - Piyanee Klainin-Yobas
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | | | - Xi Vivien Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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Formative Development of a Technology-Based Physical Activity Intervention for Grandparents and Grandchildren. J Aging Phys Act 2021; 30:482-494. [PMID: 34611054 DOI: 10.1123/japa.2020-0481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 06/17/2021] [Accepted: 08/17/2021] [Indexed: 11/18/2022]
Abstract
Physical inactivity is a major public health issue among older adults and children. This study presents preliminary results that will inform the development of a technology-based physical activity intervention for grandparents and grandchildren (ages 6-12 years old). The authors used an iterative user-centered design framework to gather quantitative data from grandparents (n = 35) and subsequently invited a subset of 12 of them to engage in qualitative interviews. Participants were 63.1 ± 9.8 years old, 80% female, 64% U.S.-born, 43% Hispanic, 66% single, and 40% <$15K income. The majority of grandparents reported mobile device proficiency, very close relationships with their grandchildren, and interest in participating in an intergenerational intervention. Four key themes related to family closeness, dynamics, routines, and technology informed intervention development. Next steps involved a pilot trial using Fitbits and a fully functioning technology-based prototype. Grandparents are uniquely positioned within their families to serve as agents of change in health-promoting interventions.
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Shimizu R, Rodwin AH, Munson MR. A Systematic Review of Psychosocial Nutrition Interventions for Young Adults. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2021; 53:316-335. [PMID: 33640278 DOI: 10.1016/j.jneb.2021.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 12/23/2020] [Accepted: 01/03/2021] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Few have examined the effects of psychosocial nutrition interventions targeting young adults, a population with low fruit and vegetable (FV) consumption. This study investigated the impact of nutrition interventions with psychosocial content on improving young adult FV intake. METHOD This registered systematic review was guided by the Preferred Reported Items for Systematic Reviews and Meta-Analyses. RESULTS Searches on CINAHL, Embase, Medline PubMed, Ovid-Medline, PsychInfo, and Web of Science identified 4,113 records. Twenty-four randomized controlled trials were extracted. Eighteen studies found significant between-group differences in fruit and/or vegetable intake. Young adults with low income and racial-ethnic subgroups were underrepresented. A typology emerged as an organizing framework from the psychosocial intervention content. Interventions were anticipatory, socially engaged, a hybrid (anticipatory and socially engaged), or exposure-based. Studies also reported unintended consequences. DISCUSSION Significant between-group differences were mostly reported by anticipatory, socially engaged, or hybrid interventions, aligning with young adult developmental needs through detailed planning, goal-setting tasks, and/or addressing social norms. Interventions with insignificant differences lacked engagement and adequate exposure. IMPLICATIONS FOR RESEARCH AND PRACTICE Demographically inclusive studies are imperative in addressing dietary disparities by socioeconomic status. A typology of interventions emphasizing content rather than theories or treatment strategies widens opportunities for interdisciplinary collaboration. More research is needed to mitigate unintended consequences (boomerang effects) in which FV intake decreased postintervention or participants disengaged in activities intended to increase FV intake.
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Affiliation(s)
- Rei Shimizu
- Silver School of Social Work, New York University, New York, NY.
| | - Aaron H Rodwin
- Silver School of Social Work, New York University, New York, NY
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Cole JM, Weigel J, Albrecht S, Ren D, Reilly AK, Danford CA. Setting Kids Up for Success (SKUFS): Outcomes of an Innovation Project for Promoting Healthy Lifestyles in a Pediatric Patient-Centered Medical Home. J Pediatr Health Care 2019; 33:455-465. [PMID: 30850281 DOI: 10.1016/j.pedhc.2019.01.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Accepted: 01/04/2019] [Indexed: 01/15/2023]
Abstract
INTRODUCTION The greatest increase in childhood obesity prevalence occurs from preschool to school-age (SA). Evidence supports a family-centered approach to promote healthy lifestyle behaviors and weight management among SA children. The purpose of this study was to establish a healthy weight management support group in a pediatric patient-centered medical home. METHODS Overweight or obese SA children and their parent participated in four biweekly support meetings consisting of an educational presentation, group exercise, and a healthy snack. Sessions included education about nutrition, exercise, emotions, and health. Anthropometrics, the Healthy Habits screening tool, and Daily Logs, including step counts, were utilized to track outcomes. RESULTS There was a significant improvement in fruit and vegetable intake and dining out (p = <.05), and a clinical improvement in physical activity and sugar sweetened beverage intake. DISCUSSION Setting Kids Up For Success provides a framework for patient-centered medical home's to provide a healthy lifestyle support group for SA children and their families.
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Deatrick JA, Klusaritz H, Atkins R, Bolick A, Bowman C, Lado J, Schroeder K, Lipman TH. Engaging With the Community to Promote Physical Activity in Urban Neighborhoods. Am J Health Promot 2019; 33:718-726. [PMID: 30354184 PMCID: PMC6679918 DOI: 10.1177/0890117118807405] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
PURPOSE To describe perceptions of physical activity, opinions, on intergenerational approaches to physical activity and a vision for increasing physical activity in an underresourced urban community. APPROACH Focus groups embedded in a large Community-Based Participatory Research Project. SETTING West and Southwest Philadelphia. PARTICIPANTS 15 parents, 16 youth, and 14 athletic coaches; youth were 13 to 18 years old and attended West Philadelphia schools; parents' children attended West Philadelphia schools; and coaches worked in West Philadelphia schools. METHODS Six focus groups (2 youth, 2 parent, and 2 coach) were conducted guided by the Socio-Ecological Model; transcriptions were analyzed using a rigorous process of directed content analysis. RESULTS Factors on all levels of the Socio-Ecological Model influence the perception of and engagement in physical activity for youth and their families. Future strategies to increase engagement in physical activity need to be collaborative and multifaceted. CONCLUSION When physical activity is reframed as a broad goal that is normative and gender-neutral, a potential exists to engage youth and their families over their lifetimes; with attention to cross-sector collaboration and resource sharing, engaging and sustainable intergenerational physical activity interventions can be developed to promote health in underresourced urban communities.
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Affiliation(s)
- Janet A. Deatrick
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
| | - Heather Klusaritz
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
| | - Rahshida Atkins
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
- School of Nursing, Camden, Rutgers University, New Brunswick, NJ, USA
| | - Ansley Bolick
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
- National Center for Health Research, Washington, DC, USA
| | - Cory Bowman
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
| | - Juan Lado
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
- Ann and Robert H Lurie Children’s Hospital, Chicago, IL, USA
| | - Krista Schroeder
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
| | - Terri H. Lipman
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
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Luesse HB, Contento IR. Context Considerations for Developing the In Defense of Food Nutrition Education Curriculum. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:370-378. [PMID: 30527673 DOI: 10.1016/j.jneb.2018.10.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Revised: 10/09/2018] [Accepted: 10/13/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To examine perceptions of teachers and afterschool program staff related to the positive aspects and challenges of afterschool education for youth to guide the development of the "In Defense of Food" nutrition education curriculum. METHODS Semi-structured in-depth interviews with a convenience sample of teachers and afterschool program staff experienced serving at-risk youth were conducted in New York, NY. They were audio-recorded, transcribed verbatim, and analyzed using inductive summative content analysis to identify, count, and compare themes. RESULTS Interviews (n = 12) generated 2 meta-themes (Pedagogical Elements for Successful Learning and Pragmatic Considerations for hosting health promotion programs in the afterschool context). Learner-centered and tailored approaches and building social connection were considered important for fostering learning in the afterschool context. CONCLUSIONS AND IMPLICATIONS This study emphasizes the importance of considering pedagogical elements related to delivery that minimizes didactic instruction and focuses on learner-centered approaches. Further research is needed to compare outcomes and process measures common approaches used in designing nutrition education curricula with those that have been described in this study.
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Affiliation(s)
- Hiershenee B Luesse
- Teachers College, Columbia University, New York, NY; 8RES, LLC, New York, NY.
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Young TL, Janke MC, Sharpe C, Carthron D. Evaluating the feasibility of a community intergenerational physical activity intervention for kinship families: Professional stakeholders' perspectives. EVALUATION AND PROGRAM PLANNING 2019; 72:136-144. [PMID: 30343223 PMCID: PMC6814303 DOI: 10.1016/j.evalprogplan.2018.09.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Revised: 08/14/2018] [Accepted: 09/12/2018] [Indexed: 06/08/2023]
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Martins T, Midão L, Martínez Veiga S, Dequech L, Busse G, Bertram M, McDonald A, Gilliland G, Orte C, Vives M, Costa E. Intergenerational Programs Review: Study Design and Characteristics of Intervention, Outcomes, and Effectiveness. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2018. [DOI: 10.1080/15350770.2018.1500333] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Teresa Martins
- UCIBIO, REQUIMTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto (Porto4Ageing), University of Porto, Porto, Portugal
| | - Luís Midão
- UCIBIO, REQUIMTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto (Porto4Ageing), University of Porto, Porto, Portugal
| | - Silvia Martínez Veiga
- UCIBIO, REQUIMTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto (Porto4Ageing), University of Porto, Porto, Portugal
| | - Lisa Dequech
- UCIBIO, REQUIMTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto (Porto4Ageing), University of Porto, Porto, Portugal
| | - Grazyna Busse
- Educational Centre for Intergenerational Integration HIPOKAMP, Lodz, Poland
| | - Mariola Bertram
- Educational Centre for Intergenerational Integration HIPOKAMP, Lodz, Poland
| | - Alix McDonald
- The Centre for Lifelong Learning, University of Strathclyde, Glasgow, UK
| | - Gemma Gilliland
- The Centre for Lifelong Learning, University of Strathclyde, Glasgow, UK
| | - Carmen Orte
- Department of Pedagogy and Didactics, University of Balearic Islands, Balearic Islands, Spain
| | - Marga Vives
- Department of Pedagogy and Didactics, University of Balearic Islands, Balearic Islands, Spain
| | - Elísio Costa
- UCIBIO, REQUIMTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto (Porto4Ageing), University of Porto, Porto, Portugal
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Bell LK, Perry RA, Prichard I. Exploring Grandparents' Roles in Young Children's Lifestyle Behaviors and the Prevention of Childhood Obesity: An Australian Perspective. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2018; 50:516-521. [PMID: 29449153 DOI: 10.1016/j.jneb.2017.12.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Revised: 12/05/2017] [Accepted: 12/14/2017] [Indexed: 06/08/2023]
Abstract
Childhood obesity remains a significant public health issue. Because lifestyle behaviors and weight are established early and track through life stages, prevention strategies must commence in the first years of life. Traditionally, such strategies target parents or formal child care providers. Yet grandparents are increasingly providing care to grandchildren and therefore have an important role in their eating and activity behaviors, which creates a major research gap. This commentary piece, focusing on the Australian context, argues that it is imperative and timely for obesity prevention research to include investigations regarding the role of grandparents in the prevention of obesity-related behaviors in young children.
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Affiliation(s)
- Lucinda K Bell
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
| | - Rebecca A Perry
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Ivanka Prichard
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
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13
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Schroeder K, Ratcliffe SJ, Perez A, Earley D, Bowman C, Lipman TH. Dance for Health: An Intergenerational Program to Increase Access to Physical Activity. J Pediatr Nurs 2017; 37:29-34. [PMID: 28733128 PMCID: PMC5681394 DOI: 10.1016/j.pedn.2017.07.004] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Revised: 07/11/2017] [Accepted: 07/11/2017] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this study was to evaluate Dance for Health, an intergenerational program to increase access to physical activity in an underserved, high risk urban community. DESIGN AND METHODS Dance for Health was developed using community-based participatory research methods and evaluated using an observational study design. The program entailed two hour line dancing sessions delivered by trained dance instructors in the neighborhood recreation center. The weekly sessions were delivered for one month in the spring and one month in the fall from 2012-2016. Nurse practitioner students mentored local high school students to assess outcomes: achievement of target heart rate, Borg Rating of Perceived Exertion, number of pedometer steps during dance session, Physical Activity Enjoyment Scale, and adiposity. Analytic methods included descriptive statistics and mixed effects models. RESULTS From 2012-2016, 521 participants ranging from 2-79 years attended Dance for Health. Approximately 50% of children and 80% of adults achieved target heart rate. Achievement of target heart rate was not related to perceived exertion, though it was related to pedometer steps in adults. All participants rated the program highly for enjoyment. There was no change in adiposity. CONCLUSIONS Dance for Health demonstrated high levels of community engagement and enjoyment. It led to adequate levels of exertion, particularly for adults. Our evaluation can inform program refinement and future intergenerational physical activity programs. PRACTICE IMPLICATIONS Dance is an enjoyable, culturally appropriate, low cost method for increasing access to physical activity for children and families.
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Affiliation(s)
- Krista Schroeder
- University of Pennsylvania School of Nursing, Philadelphia, PA, United States.
| | - Sarah J Ratcliffe
- University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
| | - Adriana Perez
- University of Pennsylvania School of Nursing, Philadelphia, PA, United States
| | | | - Cory Bowman
- University of Pennsylvania, Netter Center for Community Partnerships, Philadelphia, PA, United States
| | - Terri H Lipman
- University of Pennsylvania School of Nursing, Philadelphia, PA, United States
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14
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Hopkins LC, Fristad M, Goodway JD, Eneli I, Holloman C, Kennel JA, Melnyk B, Gunther C. Camp NERF: methods of a theory-based nutrition education recreation and fitness program aimed at preventing unhealthy weight gain in underserved elementary children during summer months. BMC Public Health 2016; 16:1122. [PMID: 27784290 PMCID: PMC5080748 DOI: 10.1186/s12889-016-3765-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 10/12/2016] [Indexed: 01/12/2023] Open
Abstract
Background The number of obese children in the US remains high, which is problematic due to the mental, physical, and academic effects of obesity on child health. Data indicate that school-age children, particularly underserved children, experience unhealthy gains in BMI at a rate nearly twice as fast during the summer months. Few efforts have been directed at implementing evidence-based programming to prevent excess weight gain during the summer recess. Methods Camp NERF is an 8-week, multi-component (nutrition, physical activity, and mental health), theory-based program for underserved school-age children in grades Kindergarten - 5th coupled with the USDA Summer Food Service Program. Twelve eligible elementary school sites will be randomized to one of the three programming groups: 1) Active Control (non-nutrition, physical activity, or mental health); 2) Standard Care (nutrition and physical activity); or 3) Enhanced Care (nutrition, physical activity, and mental health) programming. Anthropometric, behavioral, and psychosocial data will be collected from child-caregiver dyads pre- and post-intervention. Site-specific characteristics and process evaluation measures will also be collected. Discussion This is the first, evidence-based intervention to address the issue of weight gain during the summer months among underserved, school-aged children. Results from this study will provide researchers, practitioners, and public health professionals with insight on evidence-based programming to aid in childhood obesity prevention during this particular window of risk. Trial Registration NCT02908230/09-19-2016
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Affiliation(s)
- Laura C Hopkins
- Department of Human Sciences, Human Nutrition Program, The Ohio State University, 262B Campbell Hall, 1787 Neil Avenue, Columbus, OH, 43210, USA
| | - Mary Fristad
- Department of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, 1670 Upham Drive Suite 460G, Columbus, OH, 43210-1250, USA
| | - Jacqueline D Goodway
- Department of Human Sciences, Kinesiology Program, College of Education & Human Ecology, The Ohio State University, A244 305 Annie & John Glenn Ave, Columbus, OH, 43210, USA
| | - Ihuoma Eneli
- Nationwide Children's Hospital; The Ohio State University, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Chris Holloman
- Department of Statistics, The Ohio State University, 404 Cockins Hall, 1958 Neil Ave, Columbus, OH, 43210, USA
| | - Julie A Kennel
- Department of Human Sciences, Human, The Ohio State University, 315 Campbell Hall, 1787 Neil Avenue, Columbus, OH, 43210, USA
| | - Bernadette Melnyk
- College of Nursing, The Ohio State University, 1585 Neil Avenue, Rm. 145, Columbus, OH, 43210, USA
| | - Carolyn Gunther
- Department of Human Sciences, Human Nutrition Program, The Ohio State University, 313 Campbell Hall, 1787 Neil Avenue, Columbus, OH, 43210, USA.
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15
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Rodriguez AX, Olvera N, Leung P, O'Connor DP, Smith DW. Association between the summer season and body fatness and aerobic fitness among Hispanic children. THE JOURNAL OF SCHOOL HEALTH 2014; 84:233-238. [PMID: 24617906 DOI: 10.1111/josh.12141] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2012] [Revised: 01/22/2013] [Accepted: 03/03/2013] [Indexed: 06/03/2023]
Abstract
BACKGROUND Few studies have investigated changes in adiposity and fitness during the academic year (AY) and summer season (SS) in minority children. This study aimed to assess if adiposity indicators and fitness change during the school AY and SS in Hispanic children. METHODS One hundred nineteen low-income Hispanic children (9.2 ± 0.8) participated in the study. Demographic, body weight and height, percent body fat (% BF), and aerobic endurance were assessed at 3 time points: measurement 1 (M1), beginning of AY; M2, end of AY; and M3, end of SS. Using weight and height, body mass index (BMI) was calculated and normalized (BMI z-scores). Mixed effects between-within-subjects analysis of variance (ANOVA) design was used to examine changes in selected variables. RESULTS A significant decrease of BMI z-scores in overweight children (p = .024) was observed during the AY only, but not during the SS. Percent BF increased significantly over the AY and SS (p < .001), particularly in girls. Aerobic endurance showed a significant increase over the AY (p < .001), but it did not change over the SS (p = .552). CONCLUSIONS Results indicated that the SS might place Hispanic children at increased risk for additional adiposity and lower fitness.
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Affiliation(s)
- Augusto X Rodriguez
- Kinesiology Department, Rice University, MS 545, PO Box 1892, Houston, TX 77251-1892
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16
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Herbert PC, Lohrmann DK, Seo DC, Stright AD, Kolbe LJ. Effectiveness of the energize elementary school program to improve diet and exercise. THE JOURNAL OF SCHOOL HEALTH 2013; 83:780-786. [PMID: 24138348 DOI: 10.1111/josh.12094] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2012] [Accepted: 10/14/2012] [Indexed: 06/02/2023]
Abstract
BACKGROUND The rate of childhood obesity has more than tripled during the past 30 years. Research shows that prevention at an early age is more effective than treatment later in life. Energize is a multicomponent intervention incorporated into the school day that combines nutrition education and physical activity aimed at maintaining healthy weight among elementary school youth. This study evaluated the effectiveness of the Energize program for changing dietary and physical activity habits compared to a control group of children not participating in the program. METHODS A total of 104, 3rd and 4th graders in 3 southern Indiana elementary schools took part in the study. A quasi-experimental design was used to assess dietary and exercise habits of students in Energize and control groups through 12-week diet/activity logs and post-test questionnaires after controlling for the pre-test results. RESULTS Energize reduced consumption of French fries and potato chips, but did not increase physical activity. CONCLUSIONS This study provides future researchers with a foundation for preparing longer studies of Energize or to compare multiple years of a standardized Energize curriculum.
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Affiliation(s)
- Patrick C Herbert
- Assistant Professor, , Department of Health Science, Towson University, Linthicum Hall, 101E Towson, MD 21252
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