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Ferrusola-Pastrana A, Fullerton CL, Meadows SN. Group-based exercise for Parkinson's: a qualitative study of participants and partners' perceptions of an exercise class delivered through a community-university collaboration. BMC Geriatr 2024; 24:488. [PMID: 38834963 DOI: 10.1186/s12877-024-05061-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 05/09/2024] [Indexed: 06/06/2024] Open
Abstract
BACKGROUND Community-based exercise programmes (CBEPs) offer a practical and viable approach to providing people with Parkinson's disease (PwP) the opportunity to exercise as an ancillary therapeutic benefit to pharmacological management. This study explores the perceptions of exercising participants (PwP) and non-participating partners involved in an exercise class delivered through a community-university partnership. METHODS Two separate focus group discussions were conducted: one with class participants (PwP: n = 7, H&Y scale I to III), and the other with non-participating partners of PwP (n = 4). RESULTS Thematic analysis of the data identified that a range of physical, psychological and social factors were perceived to influence engagement: (1) actively taking control, (2) exercise is medicine for the mind and body, and (3) a community working together to promote exercise for parkinson's. Participants and partners felt that the support from the group, including the instructors and student volunteers, empowered and supported PwP to proactively self-manage their health, enjoy exercise in an inclusive group setting, and develop strong social connections with others in the local Parkinson's community. Support to exercise from healthcare professionals was identified as both an enabler and barrier to participation. CONCLUSIONS This study underscores the significance of a community-university partnership as a complementary therapeutic approach for PwP. It also provides critical reflections on its sustainability, including implications for how exercise is considered as medicine for PwP. Additionally, it offers practical recommendations to galvanise community participation and provide inclusive and viable exercise opportunities for PwP.
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Affiliation(s)
- Anna Ferrusola-Pastrana
- School of Sport and Exercise Sciences, University of Kent, Canterbury, UK
- University School of Health and Sport (EUSES), University of Girona, Salt, Spain
| | - Christopher L Fullerton
- School of Sport and Exercise Sciences, University of Kent, Canterbury, UK.
- Faculty of Health Sciences and Sport, University of Stirling, Stirling, FK9 7LA, UK.
| | - Stephen N Meadows
- School of Sport and Exercise Sciences, University of Kent, Canterbury, UK
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Rubio MA, Guevara-Aladino P, Urbano M, Cabas S, Mejia-Arbelaez C, Rodriguez Espinosa P, Rosas LG, King AC, Chazdon S, Sarmiento OL. Innovative participatory evaluation methodologies to assess and sustain multilevel impacts of two community-based physical activity programs for women in Colombia. BMC Public Health 2022; 22:771. [PMID: 35428285 PMCID: PMC9012256 DOI: 10.1186/s12889-022-13180-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 03/24/2022] [Indexed: 01/18/2023] Open
Abstract
Background Community-based physical activity (PA) programs are appealing to women in Latin America and show potential for improving women’s health. This study aimed to engage healthy middle-aged women, breast cancer survivors and local stakeholders participating in two publicly funded community-based PA programs in Bogotá, Colombia (Recreovía and My Body) to assess and visually map the perceived barriers, facilitators, and outcomes to promote programs’ improvement, scaling and sustainability. Methods We used two participatory action research methods, the 1) Our Voice citizen science method to capture data and drive local change in built and social environmental facilitators and barriers that influence women’s engagement in community-based PA; and 2) Ripple Effects Mapping to visually map the intended and unintended outcomes of PA programs. We used thematic analysis to classify the results at the individual, social, and community levels. Results The stakeholders engaged in the participatory evaluation included cross-sector actors from the programs (N = 6) and program users (total N = 34) from the two programs (Recreovía N = 16; My Body N = 18). Program users were women with a mean age of 55.7 years (SD = 8.03), 65% lived in low-income neighborhoods. They identified infrastructure as the main feature affecting PA, having both positive (e.g., appropriate facilities) and negative (e.g., poorly built areas for PA) effects. Regarding program improvements, stakeholders advocated for parks’ cleaning, safety, and appropriate use. The most highlighted outcomes were the expansion and strengthening of social bonds and the engagement in collective wellbeing, which leveraged some participants’ leadership skills for PA promotion strategies in their community. The facilitated dialogue among program users and stakeholders fostered the sustainability and expansion of the community-based PA programs, even during the COVID-19 pandemic. Conclusions The implementation of both participatory methodologies provided a multidimensional understanding of the programs’ impacts and multisectoral dialogues that fostered efforts to sustain the community-based PA programs. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13180-2.
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Pesata V, Colverson A, Sonke J, Morgan-Daniel J, Schaefer N, Sams K, Carrion FME, Hanson S. Engaging the Arts for Wellbeing in the United States of America: A Scoping Review. Front Psychol 2022; 12:791773. [PMID: 35222154 PMCID: PMC8863598 DOI: 10.3389/fpsyg.2021.791773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Accepted: 12/21/2021] [Indexed: 11/15/2022] Open
Abstract
There is increasing interest today in how the arts contribute to individual and community wellbeing. This scoping review identified and examined ways in which the arts have been used to address wellbeing in communities in the United States. The review examined 44 publications, with combined study populations representing a total of 5,080 research participants, including marginalized populations. It identified the types of artistic practices and interventions being conducted, research methods, and outcomes measured. It highlights positive associations found across a broad spectrum of psychological, physical, and social outcomes, including improvements in self-esteem and identity formation, cognition, physical balance, and physical conditioning. It also reports negative outcomes of arts interventions that may be underreported. The study identifies the need for core outcomes sets and reporting guidelines for advancing evidence synthesis in this area.
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Affiliation(s)
- Virginia Pesata
- University of Florida Center for Arts in Medicine Interdisciplinary Research Lab, University of Florida, Center of Arts in Medicine, Gainesville, FL, United States
| | - Aaron Colverson
- University of Florida Center for Arts in Medicine Interdisciplinary Research Lab, University of Florida, Center of Arts in Medicine, Gainesville, FL, United States
| | - Jill Sonke
- University of Florida Center for Arts in Medicine Interdisciplinary Research Lab, University of Florida, Center of Arts in Medicine, Gainesville, FL, United States
| | - Jane Morgan-Daniel
- Health Science Center Libraries, University of Florida, Gainesville, FL, United States
| | - Nancy Schaefer
- Health Science Center Libraries, University of Florida, Gainesville, FL, United States
| | - Kelley Sams
- University of Florida Center for Arts in Medicine Interdisciplinary Research Lab, University of Florida, Center of Arts in Medicine, Gainesville, FL, United States
| | - Flor Maria-Enid Carrion
- School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, United States
| | - Sarah Hanson
- UF Department of Surgery, University of Florida, Gainesville, FL, United States
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Effendy C, Margaretha SEPM, Probandari A. The Utility of Participatory Action Research in the Nursing Field: A Scoping Review. Creat Nurs 2022; 28:54-60. [PMID: 35173063 DOI: 10.1891/cn-2021-0021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Participatory action research (PAR) is a method of inquiry that promotes a collaborative approach to knowledge creation. This article examined areas of research interest that included PAR methods, highlighting the areas of improvement that such approaches might offer to researchers and scientists in the nursing field. Among the 20 included studies, participatory concepts are more likely used to direct research design than to select participants. About two-thirds of the studies reviewed used PAR principles in designing projects. Although only a few research collaborative efforts involved partners in selecting participants, 70% involved participants in data gathering. Participatory approaches to data processing and interpretation were found in over 60% of articles assessed across all content categories. Approximately half of the studies included suggestions for participatory implementation approaches; a quarter discussed participatory ways to disseminate results. The findings demonstrate how researchers are incorporating PAR principles into a variety of areas of nursing research. Promises to fully include participants and promises of reciprocal benefit are essential in order to pursue meaningful PAR.
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Evaluation of two different 1-year training programs among prepuberal female children. GERMAN JOURNAL OF EXERCISE AND SPORT RESEARCH 2021. [DOI: 10.1007/s12662-021-00740-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
AbstractThe aim of this study was to analyse and compare the effects of two different dance training concepts in terms of anthropometric indices and supervised motor test performance between two groups of 56 prepuberal girls. The first group, composed of 29 girls, performed a typical classical dance training program (D group), while the second one, composed of 27 girls, followed a mixed training (D&R group) workout, with classical dance exercises alternated to rhythmic gymnastics. Anthropometric and exercise performance data were collected and assessed initially (T1) and after a 1-year (T2) training program. Data collected were firstly tested for collinearity using Belsley’s test and, after their normality was tested through the Shapiro–Wilk test, analysis of variance (ANOVA) tests were performed on a subset of noncollinear variables. The two groups showed improvements in both anthropometric parameters and exercise performance; however, no differences arose between the variation of anthropometric parameters between the two groups. On the other hand, exercise performance was improved in some fields of the D&R group, particularly in exercises regarding the upper body, such as pull-ups, chin-ups and sit-ups. In conclusion, our data provide evidence that a specific training program consisting of classic dance plus rhythmic gymnastics exercises (D&R) has a greater impact compared to a program of simple classic dance, in terms of skill performance without impairment of anthropometric parameters.
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Rubio MA, Triana C, King AC, Rosas LG, Banchoff AW, Rubiano O, Chrisinger BW, Sarmiento OL. Engaging citizen scientists to build healthy park environments in Colombia. Health Promot Int 2021; 36:223-234. [PMID: 32361761 DOI: 10.1093/heapro/daaa031] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Colombia's Recreovía program offers community-based free physical activity (PA) classes in parks. We evaluated built and social environmental factors influencing Recreovía local park environments, and facilitated a consensus-building and advocacy process among community members, policymakers and academic researchers aimed at improving uptake and impact of the Recreovía program. We used a mixed-methods approach, with individual and contextual PA measurements and a resident-enabled participatory approach (the Our Voice citizen science engagement model). Recreovía participants were likely to be women meeting PA recommendations, and highly satisfied with the Recreovía classes. Reported facilitators of the Recreovía included its role in enhancing social and individual well-being through PA classes. Reported barriers to usage were related to park maintenance, cleanliness and safety. The Our Voice process elicited community reflection, empowerment, advocacy and action. Our Voice facilitated the interplay among stakeholders and community members to optimize the Recreovía program as a facilitator of active living, and to make park environments more welcoming.
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Affiliation(s)
| | - Camilo Triana
- School of Medicine, Universidad de los Andes, Carrera 1 n°18ª-12 Bogotá, Colombia
| | - Abby C King
- Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA 94305, USA.,Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Lisa G Rosas
- Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA 94305, USA.,Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Ann W Banchoff
- Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Oscar Rubiano
- Recreovía Program Coordination, Institute of Recreation and Sports, Calle 63 n°59A-0, Bogotá, Colombia
| | - Benjamin W Chrisinger
- Department of Social Policy and Intervention, University of Oxford, Oxford, OX1 2ER, UK
| | - Olga L Sarmiento
- School of Medicine, Universidad de los Andes, Carrera 1 n°18ª-12 Bogotá, Colombia
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Atkins R, Deatrick JA, Gage GS, Earley S, Earley D, Lipman TH. Partnerships to Evaluate the Social Impact of Dance for Health: A Qualitative Inquiry. J Community Health Nurs 2020; 36:124-138. [PMID: 31291771 DOI: 10.1080/07370016.2019.1630963] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Objectives: The purpose of this study is to determine the social impact and meaning of "Dance for Health" for participants who attended this community driven, intergenerational, physical activity dance program. Methods:This study employed a descriptive, qualitative design and utilized a participatory action research approach to obtain pilot data on fourteen participants between the ages 18 to 75. One focus group discussion with 13 participants and an individual interview with a female participant was conducted. Data collection took place in the community where intervention sessions were held. Audiotapes from one focus group discussion and one in depth individual interview were transcribed by a professional transcription service. The NVIVO computer program was used to organize the data. Directed content analysis of the data took place utilizing primary and secondary coding, category and theme development. Results: Three broad themes emerged representing the social impact of Dance for Health and included: (1) Enhancing the Well-being of the Individual, (2) Fostering Interpersonal Relationships and Connections, (3) Fostering Connections with the Community. Conclusion: A participatory action research approach facilitates successful collaborations between community organizations and academic institutions and can be used to evaluate the impact of physical activity programs on urban community residents. Participants experienced interpersonal and social benefits from regular attendance at the "Dance for Health" program, subsequently contributing to program sustainability. Focused attention to social determinants of physical activity participation can improve physical activity maintenance in residents who reside in under-resourced communities.
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Affiliation(s)
- Rahshida Atkins
- a Rutgers The State University School of Nursing-Camden , Camden , NJ , USA
| | - Janet A Deatrick
- b Professor Emerita of Nursing , University of Pennsylvania School of Nursing , Philadelphia , PA , USA
| | - Gale S Gage
- c Department of Nursing , Essex County College , Newark , NJ , USA
| | | | | | - Terri H Lipman
- e Assistant Dean for Community Engagement, Miriam Stirl Endowed Term Professor of Nutrition, Professor of Nursing of Children , University of Pennsylvania School of Nursing , Philadelphia , PA , USA
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