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Wingood M, Bamonti PM, Moore JB, Picha KJ. Exploring physical therapists' approach to addressing home exercise program-related low self-efficacy: knowledge, strategies, and barriers. Disabil Rehabil 2024:1-10. [PMID: 39158132 DOI: 10.1080/09638288.2024.2390050] [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: 04/23/2024] [Revised: 08/02/2024] [Accepted: 08/03/2024] [Indexed: 08/20/2024]
Abstract
PURPOSE Self-efficacy is the strongest predictor of completing home exercise programs (HEPs). How physical therapists address low levels of self-efficacy is unknown. Our objectives were to determine (1) knowledge and confidence in addressing patients' self-efficacy; (2) strategies used to address low self-efficacy; and (3) barriers. MATERIAL AND METHODS Licensed physical therapists who are actively treating patients in the United States participated in our mixed-methods study consisting of: (1) a survey on knowledge, barriers, and confidence; and (2) interviews on strategies used to address low self-efficacy. Descriptive statistics were calculated on all quantitative data. Braun and Clarke's 6-phase thematic analysis was used for the qualitative data. RESULTS All 37 participants believed that self-efficacy impacts HEP completion. The majority (72.9%) reported addressing low self-efficacy. Barriers that impacted the ability to address low self-efficacy (Theme 1) included lack of knowledge, confidence, tools, guidance, and community resources, patients' past experiences and complexities, inability to follow-up with patients, and reimbursement. Due to these barriers, participants primarily addressed patients' low self-efficacy via communication (Theme 2) and ensuring successful exercise completion (Theme 3). CONCLUSION Instead of using Bandura's fours sources of self-efficacy (i.e., mastery experiences, verbal persuasion, vicarious experiences, physiological state), participants verbalized addressing low self-efficacy via communication and successful exercise completion. Thus, implementation studies evaluating strategies to overcome the identified barriers are needed.
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Affiliation(s)
- Mariana Wingood
- Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
- Section of Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - Patricia M Bamonti
- Research & Development Service, VA Boston Healthcare System, Boston, Massachusetts, USA
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
| | - Justin B Moore
- Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
- Department of Epidemiology & Prevention, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - Kelsey J Picha
- Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, Arizona, USA
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Kim JE, Jiang YH, Dee V. Implications on self-care behaviors among older Korean immigrants diagnosed with diabetes residing in the United States: a path analytical approach. J Diabetes Metab Disord 2024; 23:871-880. [PMID: 38932790 PMCID: PMC11196469 DOI: 10.1007/s40200-023-01363-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 11/25/2023] [Indexed: 06/28/2024]
Abstract
Background Diabetes is a prevalent chronic disease. Although self-care is the crucial element in managing diabetes, older Korean immigrants with diabetes face challenges in performing effective self-care related to vulnerability as minority immigrants. Purpose This study measures sociodemographics, self-efficacy, social support, diabetes knowledge, and diabetes self-care activities among older Korean immigrants in the United States. This study also aims to demonstrate the direct and indirect effects of the related factors on diabetes self-care activities using a path analysis. Methods This study uses a cross-sectional design. Convenience sampling targeted Korean immigrants aged 55 or older using paper and online surveys. Four instruments were used to measure variables: self-efficacy was measured by the General Self-Efficacy scale, diabetes knowledge by the Simplified Diabetes Knowledge Test, social support by the Lubben Social Network Scale-6, and diabetes self-care by the Summary of Diabetes Self-Care Activities questionnaire. Using path analysis, the effects of related factors on self-care activities were analyzed. Results 190 older Korean immigrants participated, 53.2% female, and 46.8% male. The mean age was 67.2 (SD = 9.9; range, 58-93). A path model shows that sociodemographics (sex, age, education, and years in the United States), diabetes knowledge, self-efficacy, and family support predict diabetes self-care. Conclusions The path model demonstrates the effects of sociodemographics, self-efficacy, diabetes knowledge, and social support on diabetes self-care among older Korean immigrants. The findings can help to understand diabetes self-care among the minority ethnic older group and can be used to develop culturally tailored education, counseling, and healthcare services. Supplementary Information The online version contains supplementary material available at 10.1007/s40200-023-01363-6.
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Affiliation(s)
- Jung Eun Kim
- Mennonite College of Nursing, Illinois State University, Normal, IL United States
| | - Ying Hong Jiang
- School of Education, Azusa Pacific University, Azusa, CA United States
| | - Vivien Dee
- School of Nursing, Azusa Pacific University, Azusa, CA United States
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Wingood M, Bean JF, Linsky AM. Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics. Arch Rehabil Res Clin Transl 2023; 5:100293. [PMID: 38163022 PMCID: PMC10757171 DOI: 10.1016/j.arrct.2023.100293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024] Open
Abstract
Ninety-one percent of adults 65 years and older do not perform the recommended levels of physical activity (PA), resulting in increased risk of disability, morbidity, and mortality. Despite knowing the benefits of PA and acknowledging the importance of assessing and addressing inadequate PA levels, 50%-75% of health care providers do not incorporate behavior change techniques into clinical practice. This clinical gap can be explained by a lack of knowledge or confidence in (1) assessing PA levels; (2) addressing inadequate PA levels; and (3) justifying the time needed to use these techniques in clinical practice. In this special communication, we address this gap by providing a 3-step theoretical-based clinical decision pathway that guides health care providers on how to identify older adults with inadequate PA levels, determine readiness to increase PA, and empower patents to develop an action plan that will increase their PA levels. We also provide a conceptual model that supports the use of techniques that assess and address inadequate PA by tying PA to the Age-Friendly Health System's 4Ms (ie, What Matters to the older adult, Mentation, Mobility, and Medications).
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Affiliation(s)
- Mariana Wingood
- Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC
- Sticht Center on Aging, Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC
| | - Jonathan F. Bean
- New England Geriatric Education and Clinical Center, Veterans Affairs Boston Healthcare System, Boston, MA
- Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA
- Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA
| | - Amy M. Linsky
- Section of General Internal Medicine, Veterans Affairs Boston Healthcare System, Boston, MA
- Center for Healthcare Organization and Implementation Research, Veterans Affairs Boston Healthcare System, Boston, MA
- Section of General Internal Medicine, Boston University School of Medicine, Boston, MA
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4
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Wingood M, Criss MG, Irwin KE, Bamonti PM, Harris R, Phillips EL, Vincenzo JL, Chui KK. Examining physical activity participation barriers among adults 50 years and older: a scoping review. PHYSICAL THERAPY REVIEWS 2023; 28:195-210. [PMID: 38348467 PMCID: PMC10859686 DOI: 10.1080/10833196.2023.2265767] [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: 01/10/2023] [Accepted: 09/12/2023] [Indexed: 02/15/2024]
Abstract
Background Addressing physical activity (PA) barriers is essential for increasing PA levels in middle-aged and older adults. However, there are no recommendations on selecting PA barrier assessment tools. Objectives Thus, we aimed to identify and provide clinimetric properties on PA barrier assessment tools that healthcare providers, exercise experts, and public health officials can use to examine potential barriers faced by community-dwelling adults 50 years and older. Methods We performed a systematic search of the following databases: PubMed, PsycINFO, CINAHL, and Web of Science. Articles were included if they presented clinimetric data on a PA participation barrier assessment tool for community-dwelling participants with a mean age of 50 years and older. The 561 identified articles underwent multiple rounds of blinded reviews. Included articles underwent data extraction for participant characteristics, scoring, constructs, reference tests, and clinimetric properties. Results The 35 included articles reported on 33 different PA participation barrier assessment tools. Eighteen articles reported on participants with cardiovascular, musculoskeletal, or neurological diagnoses, diabetes, hemodialysis, history of cancer, or mobility limitations. Tools with two or more supporting publications included the Exercise Benefits/Barrier Scale (EBBS), Episode-Specific Interpretations of Exercise Inventory (ESIE), and Inventory of Physical Activity and Barriers (IPAB). Due to differences in methodologies, across-tool comparison was not possible. Conclusion The EBBS, ESIE, and IPAB are promising tools for community-dwelling adults 50 years and older. However, additional research is warranted to identify the best PA barrier assessment tool among adults 50 years and older.
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Affiliation(s)
- Mariana Wingood
- Department of Implementation Science, Wake Forest
University School of Medicine, Winston-Salem, NC, USA
- Sticht Center for Healthy Aging and Alzheimer’s
Prevention, Internal Medicine, Gerontology and Geriatric Medicine, Wake Forest
University School of Medicine, Winston-Salem, NC, USA
| | - Michelle G. Criss
- Doctor of Physical Therapy Program, Chatham University,
Pittsburgh, PA, USA
| | - Kent E. Irwin
- Department of Physical Therapy, Midwestern University,
Downers Grove, IL, USA
| | - Patricia M. Bamonti
- Research & Development, Veterans Affairs Boston
Healthcare System, Boston, MA, USA
- Department of Psychiatry, Harvard Medical School, Boston,
MA, USA
| | - Rebekah Harris
- New England Geriatric Education and Clinical Center,
Veterans Affairs Boston Healthcare System, Boston, MA, USA
- Physical Medicine and Rehabilitation, Harvard Medical
School, Boston, MA, USA
| | | | - Jennifer L. Vincenzo
- Department of Implementation Science, University of
Arkansas for Medical Sciences, Fayetteville, AR, USA
| | - Kevin K. Chui
- Department of Physical Therapy, Radford University,
Roanoke, VA, USA
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5
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Sugiharto F, Nuraeni A, Trisyani Y, Putri AM, Armansyah NA, Zamroni AH. A Scoping Review of Predictors Associated with Self-Efficacy Among Patients with Coronary Heart Disease. Vasc Health Risk Manag 2023; 19:719-731. [PMID: 37965056 PMCID: PMC10642341 DOI: 10.2147/vhrm.s435288] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2023] [Accepted: 11/04/2023] [Indexed: 11/16/2023] Open
Abstract
Self-efficacy (SE) is the main predictor of self-care behaviour in patients with coronary heart disease (CHD). Several studies identified factors that influence SE in CHD patients. However, review studies have yet to synthesize these results systematically. This review aims to identify SE and the factors influencing SE in CHD patients. This scoping review is reported based on the PRISMA Extension for Scoping Reviews (PRISMA-ScR). We searched using relevant keywords using five databases: CINAHL Plus with Full Text and Academic Search Complete, PubMed, ScienceDirect, Scopus, Taylor and Francis, and one search engine: Google Scholar, which was accessed on June 23, 2023. Articles with an observational design were included without date restrictions. The quality of evidence was assessed using the Joanna Briggs Institute critical appraisal checklist, and data synthesis used thematic analysis. We found 11 articles discussing SE and the factors influencing SE in CHD patients. In this review, most studies reported that the SE level of CHD patients tends to be low to moderate. Factors associated with SE in this population are classified into three categories (low, moderate, and high). Cardiac knowledge and patient activation are the most influential predictors of SE in CHD patients. Public health interventions such as raising awareness about heart disease, modifying health behaviours, early screening, diagnosis, and appropriate treatment are critical to improving SE and cardiac care outcomes.
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Affiliation(s)
- Firman Sugiharto
- Master Study Program Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia
| | - Aan Nuraeni
- Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia
| | - Yanny Trisyani
- Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia
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Latino F, Tafuri F, Saraiello E, Tafuri D. Classroom-Based Physical Activity as a Means to Improve Self-Efficacy and Academic Achievement among Normal-Weight and Overweight Youth. Nutrients 2023; 15:2061. [PMID: 37432221 DOI: 10.3390/nu15092061] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 04/18/2023] [Accepted: 04/21/2023] [Indexed: 07/12/2023] Open
Abstract
Although physical activity has positive physical and mental health outcomes, particularly among adolescents, a significant percentage of young people maintain a largely sedentary lifestyle. Considering that the youths spend the greater part of the day at school, this is considered an ideal setting to foster active and healthy living. Consequently, this study is intended to investigate the connection between physical activity, self-efficacy and academic achievement in normal-weight and overweight adolescents. In total, 100 students (aged 14-15) from a public high school placed in the south of Italy were enrolled. They participated either in a 12-week classroom-based physical activity break program performed during science classes (60'/2 days per week) in which a nutritional educational program was carried out or in regular science lessons (60'/2 days per week). At the beginning and end of the intervention programs, a set of standardized motor evaluation tests (standing long jump test, Harvard step test, push up, sit and reach test), the scholastic self-efficacy test and the Amos 8-15 were administered. As a result, a meaningful Time × Group interaction for the self-efficacy variable and Amos 8-15 was observed in the intervention group. Specifically, they reported significant improvement in study skills, motivational factors, concentration and self-efficacy, as well as a decrease in anxiety and BMI (p < 0.001). No significant change was observed in the control group. The conclusions of this research underpin the notion that classroom-based physical activity break is a successful approach for enhancing students' psycho-physical well-being, as well as academic achievement.
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Affiliation(s)
- Francesca Latino
- Faculty of Human Sciences, Pegaso University, 80100 Napoli, Italy
| | - Francesco Tafuri
- Heracle Lab Research in Educational Neuroscience, Niccolò Cusano University, 00166 Roma, Italy
| | - Emma Saraiello
- Department of Movement Sciences and Wellness, University of Napoli "Parthenope", 80100 Napoli, Italy
| | - Domenico Tafuri
- Department of Movement Sciences and Wellness, University of Napoli "Parthenope", 80100 Napoli, Italy
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Zainuddin, Abdullah AZ, Jafar N, Suriah, Nursalam, Darmawansyah, Syahrul S, Wahiduddin, Widiantoro FX, Irfandi R. The application of social cognitive theory (SCT) to the mHealth diabetes physical activity (PA) app to control blood sugar levels of type 2 diabetes mellitus (T2DM) patients in Takalar regency. J Public Health Res 2023; 12:22799036231172759. [PMID: 37152113 PMCID: PMC10155009 DOI: 10.1177/22799036231172759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 01/09/2023] [Indexed: 09/20/2023] Open
Abstract
Background: People with Diabetes Mellitus (DM) experience an increased health risk due to reduced physical activities. Cellular health technology (mHealth) offers a way that people with DM can engage in more complex physical activities. Social Cognitive Theory (SCT) is the most commonly used theory in increasing physical activities. This study aims to find out the application of SCT in mHealth app to control blood sugar (GDP, HbA1C) of T2DM patients. Design and Method: This present study used a mixed method sequential explanatory design related to the application of mHealth Diabetes Physical Activity in Takalar Regency. The first step was to use qualitative methods with rapid assessment procedures in developing the application of SCT in mHealth. The second step was to validate and test the app through usability testing. The last step was intervening the development of mHealth app using quasi-experimental designs related to the influence of mHealth Diabetes Physical activity interventions in controlling blood sugar (GDP, HbA1c) in T2DM patients. The first group was the mHealth diabetes Physical activity (PA) intervention group; the second intervention group was a group monitored through Whatsapp group; and the third group was the group with physical activity module but without monitoring. Expected outcome: The findings of this study are expected to be the basis of evidence for nurses holding DM programs to make relevant policies and design an app-based physical activity promotion programs for T2DM patients. Conclusion: This protocol qualifies to be the basis of evidence for nurses holding Diabetes Mellitus programs in improving health services through IT-based health promotion programs.
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Affiliation(s)
- Zainuddin
- Student of Doctoral Public Health, Hasanuddin
University, Makassar, South Sulawesi, Indonesia
- Department of Nursing, School of Health
Sciences Tanawali Takalar, Takalar city, Indonesia
| | - Andi Zulkifli Abdullah
- Department of Epidemiology Science, Faculty
of Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia
| | - Nurhaedar Jafar
- Department of Nutrition Science, Faculty of
Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia
| | - Suriah
- Department of Health Promotion, Faculty of
Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia
| | - Nursalam
- Department of Nursing, Faculty of Nursing,
Airlangga University, Surabaya, Indonesia
| | - Darmawansyah
- Department of Health Administration and
policy study program, Faculty of Public Health, Hasanuddin University, Makassar, South
Sulawesi, Indonesia
| | - Syahrul Syahrul
- Department of Nursing, Faculty of Nursing,
Hasanuddin University, Makassar, South Sulawesi, Indonesia
| | - Wahiduddin
- Department of Health Promotion, Faculty of
Public Health, Hasanuddin University, Makassar, South Sulawesi, Indonesia
| | | | - Rizal Irfandi
- Department of Biology Education, Faculty of
Teacher Training and Education, Puangrimaggalatung University, South Sulawesi,
Indonesia
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8
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The Effect of Educational Intervention Based on Theory of Planned Behavior Approach on Complementary Feeding: A Randomized Controlled Trial. Int J Pediatr 2023; 2023:1086919. [PMID: 36712578 PMCID: PMC9876695 DOI: 10.1155/2023/1086919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 10/19/2022] [Accepted: 12/16/2022] [Indexed: 01/19/2023] Open
Abstract
Complementary feeding should be given to infants at 6 months in addition to breastmilk. Mothers' knowledge and behavior in giving adequate complementary feeding are crucial to prevent malnutrition risk. During the pandemic, conventional nutrition education cannot be maintained and could lead to decreased mothers' knowledge. This study is aimed at analyzing the effectiveness of nutrition education using online digital platforms (WhatsApp) to improve a mother's behavior in providing nutritious complementary food based on the theory of planned behavior approach. This was a quasiexperiment with one pretest and posttest design group in the form of education and counselling. Ten educational sessions were developed to improve one or more TPB constructs. Media used for education are PowerPoint, text description, posters, and video tutorials; it is implemented by sending materials through the WhatsApp application. Using 80% power, the sample size was calculated for 155 subjects. Subjects were recruited through the accidental sampling method. Data was collected by the online method using a validated open-ended self-developed questionnaire for knowledge, while attitude, subjective norms, intention, and self-efficacy were measured using a Likert-scale questionnaire, where participants rated the strength of their belief that they could engage in a specific task. The paired t-test was used to analyze the difference in outcomes measured. The response rate of this study was accounted for at 77.5%. The mean age of mothers was 28.2 years old; most of them were university graduates (80.2%) and working as private sector workers (40.0%). The average child's age was 6.6 months old. 78.2% of children were exclusively breastfed. Our study revealed that 10 sessions of nutrition education and counselling covered over 8 days increased the mother's knowledge (60.0 ± 15.5 vs. 80.3 ± 15.0, respectively, before and after education; p < 0.005) and resulted in psychological changes including mother's attitude (64.3 ± 4.9 vs. 65.8 ± 3.9), subjective norm (3.76 ± 0.9 vs. 3.87 ± 1.0), perceived behavioral control (3.78 ± 0.9 vs. 4.12 ± 0.12), self-efficacy (63.3 ± 22.5 vs. 77.5 ± 19.2), and intention toward giving nutritious complementary feeding (4.11 ± 1.0 vs. 4.30 ± 0.9; p < 0.005). WhatsApp nutrition education proved to be effective in improving the mother's knowledge and behavior in providing nutritious complementary food; thus, it has potential for use. In the future, the Ministry of Health from the district to the national level could implement this type of education as an alternative of conventional nutrition education through scheduled classes.
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Latino F, Cataldi S, Bonavolontà V, Carvutto R, De Candia M, Fischetti F. The Influence of Physical Education on Self-Efficacy in Overweight Schoolgirls: A 12-Week Training Program. Front Psychol 2021; 12:693244. [PMID: 34803792 PMCID: PMC8595474 DOI: 10.3389/fpsyg.2021.693244] [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: 04/10/2021] [Accepted: 10/04/2021] [Indexed: 11/13/2022] Open
Abstract
The purpose of this randomized controlled study was to investigate the impact of a 12-week physical education (PE) program on the self-efficacy of overweight schoolgirls. We randomly assigned 60 overweight schoolgirls (15–17 years) to either an experimental moderate to vigorous aerobic exercise (∼90 min, three times a week) group (n = 30) or a control group (CG) (n = 30) that received non-specific regular PE lessons with activities chosen by the curricular teacher mainly focused on team games and sports skills that aimed to achieve general psycho-physical wellness (∼90 min, three times a week). To assess the starting level of students and significant changes reached, at baseline and after training, a battery of standardized assessment motor tests and a psychometric scale (generalized self-efficacy scale, GES) were administered. At the end of the intervention, the experimental group reported a considerable decrease in body mass index (BMI) and a large improvement in self-efficacy (p < 0.001). No significant changes were found in the CG. The results suggested that the 12-week moderate to a vigorous aerobic exercise program is an effective weight loss intervention and a vehicle to promote a range of outcomes important to the qualitative growth of adolescents. In fact, it could provide a positive and significant impact on the self-efficacy of overweight schoolgirls.
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Affiliation(s)
- Francesca Latino
- Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - Stefania Cataldi
- Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - Valerio Bonavolontà
- Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - Roberto Carvutto
- Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - Michele De Candia
- Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - Francesco Fischetti
- Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy
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10
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Rachmah Q, Martiana T, Mulyono M, Paskarini I, Dwiyanti E, Widajati N, Ernawati M, Ardyanto YD, Tualeka AR, Haqi DN, Arini SY, Alayyannur PA. The effectiveness of nutrition and health intervention in workplace setting: a systematic review. J Public Health Res 2021; 11. [PMID: 34781627 PMCID: PMC8859724 DOI: 10.4081/jphr.2021.2312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 08/13/2021] [Indexed: 11/23/2022] Open
Abstract
Health status of workers are crucial to maintain their productivity and it will impact on output per capita. This systematic review aims to evaluate the effectiveness of nutrition and health intervention in workplace setting and implication for further research. Articles were searched from PubMed, PMC, Cochrane Library (Trial), Science-direct, and Google scholar published from 2005-2020. Inclusion criteria were the intervention subject aged 19-64 years old with experimental randomized control trial (RCT) or non-RCT study design. Several keywords used for literature searching including “nutrition education in workplace”, “nutrition intervention in workplace”, and “workplace intervention”. Data were narratively described. Eleven studies were meet inclusion and exclusion criteria and further be reviewed. Five studies focused on intervene food environment in the workplace, four studies focused on nutrition education using different channels i.e., workplace visiting and emails, the other two interventions were objected to decrease health risk regarding occupational health. Positive outcomes were recorded for all workplace intervention, including increase in nutrition knowledge, self-efficacy, reduce risky behavior, and also improved body mass index and blood biomarkers. Workplace nutrition and health intervention proved to be an effective way to enhanced balanced nutrition behavior and improve health status. This study implies an urgency of nutrition and health intervention in a workplace. Significance for public health This systematic review proved several nutrition and health intervention in workplace setting that resulting in improvement of healthy behavior, anthropometric and biochemical indicators. Further, nutrition and health intervention can be implemented in workplace as a way to increase work productivity, reduce the disease burden costs of employee, and improve general health status.
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Affiliation(s)
- Qonita Rachmah
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Tri Martiana
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Mulyono Mulyono
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Indriati Paskarini
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Endang Dwiyanti
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Noeroel Widajati
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga.
| | - Meirina Ernawati
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Yustinus D Ardyanto
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Abdul R Tualeka
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Dani N Haqi
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Shintia Y Arini
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
| | - Putri A Alayyannur
- Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya.
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11
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Mahmudiono T, Setyaningtyas SW, Rachmah Q, Nindya TS, Megatsari H, Indriani D, Rifqi MA, Kriengsinyos W. Self-efficacy in physical activity and glycemic control among older adults with diabetes in Jagir Subdistrict, Surabaya, Indonesia. Heliyon 2021; 7:e07578. [PMID: 34355086 PMCID: PMC8321923 DOI: 10.1016/j.heliyon.2021.e07578] [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: 03/12/2020] [Revised: 08/22/2020] [Accepted: 07/12/2021] [Indexed: 11/12/2022] Open
Abstract
Diabetes in older adults has shown an increase in prevalence, especially in urban areas of Indonesia. This study aimed to assess the relationship between self-efficacy in physical activity and glycemic control in older adults' population with diabetes mellitus in Indonesia. This research used cross sectional design that involved 52 adults with diabetes, aged between 55-90 years old who regularly attended the older adult's health post (Posyandu Lansia) at Jagir Sub-district, Surabaya. Those who had physical disabilities were excluded from the study. Questionnaires were used to measure the physical activity and two types of self-efficacy whilst the glycemic control was measured using HbA1c in basal condition. The relationship between the variables was tested using Pearson and partial correlation test. Results show that the level of physical activity was insufficient (216.4 ± 343.5 MET) with only 32.7% (N = 17) of the participants was categorized as being physically active. The mean of the HbA1c indicated poor glycaemic control (8.63 ± 2.34%) with majority of them (76.9%, N = 40) was in the poor glycaemic control group (HbA1c ≥ 6.5%). Their self-efficacy was at the average level (Against the barriers:52.65 ± 13.23; Engage in physical activity: 59.06 ± 26.2). The self-efficacy in performing the physical activity was found significantly related to the duration of physical activity (r = 0.278, p = 0.046). Other relationships, however, were not significant (p > 0.05). In conclusion, self-efficacy to engage in physical activity is paramount to increase the physical activity among the older adults. Nevertheless, further longitudinal research on self-efficacy in physical activity management is needed.
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Affiliation(s)
- Trias Mahmudiono
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
| | - Stefania W Setyaningtyas
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
| | - Qonita Rachmah
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
| | - Triska S Nindya
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
| | - Hario Megatsari
- Department of Health Promotion and Behavioral Science, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
| | - Diah Indriani
- Department of Biostatistic and Population, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
| | - Mahmud A Rifqi
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
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Kim YM, Cho SI. Regular Exercise and Depressive Symptoms in Korean Older Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18010303. [PMID: 33401610 PMCID: PMC7796424 DOI: 10.3390/ijerph18010303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 12/29/2020] [Accepted: 12/29/2020] [Indexed: 11/23/2022]
Abstract
Prior studies have found that exercise has a positive effect on depressive symptoms in the general population. For older individuals, however, the association between exercise and depressive symptoms is conclusive. We examined whether regular exercise is related to depressive symptoms in 5379 Korean adults aged ≥55 years using data from a 2016 survey administered in the Korean Longitudinal Study of Aging. We used the 10-item Center for Epidemiological Studies–Depression scale to assess depressive symptoms. We performed a multivariate logistic regression analysis to investigate the relationship between regular exercise and depressive symptoms, adjusting for sociodemographic characteristics, self-rated health, number of chronic diseases, body mass index, hand-grip strength, physical disability, cognitive impairment, and health behavior. Interaction terms, including regular exercise and health-related factors, were also added. We found that a lack of regular exercise was significantly related to an increased frequency of depressive symptoms (OR = 1.18, 95% CI = 1.03–1.35). Moreover, hand-grip strength may increase the effect of regular exercise on depressive symptoms in individuals 65 years and older (OR = 1.01 vs. 1.70, 95% CI = 1.05–1.96). Our results suggest that it is important to encourage older individuals to exercise regularly as a means of relieving depressive symptoms.
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Ren Z, Hu L, Yu JJ, Yu Q, Chen S, Ma Y, Lin J, Yang L, Li X, Zou L. The Influence of Social Support on Physical Activity in Chinese Adolescents: The Mediating Role of Exercise Self-Efficacy. CHILDREN (BASEL, SWITZERLAND) 2020; 7:E23. [PMID: 32245103 PMCID: PMC7140834 DOI: 10.3390/children7030023] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Revised: 03/02/2020] [Accepted: 03/09/2020] [Indexed: 02/06/2023]
Abstract
The purpose of this study was to examine the associations of social support and self-efficacy with physical Activity (PA) and the mediating effect of self-efficacy on the relationship between social support and PA in Chinese adolescents. Participants included a total of 2341 Chinese adolescents (aged 12.75 ± 1.46 years). Self-reported instruments, including the physical activity questionnaire for adolescents, the social support revalued scale and the exercise self-efficacy scale, were used to measure physical activity, social support and exercise self-efficacy. Results showed that social support (r = 0.29, p < 0.05) and exercise self-efficacy (r = 0.43, p < 0.05) were significant and positive predictors of PA among Chinese adolescents, and exercise self-efficacy was a significant mediator in the relationship between social support and PA (standardized effect size = 0.15, p < 0.001). Such findings were evident with similar patterns in both male and female adolescents. The findings of this study have indicated the importance of social support and exercise self-efficacy on PA promotion in adolescents, which will aid the development of effective interventions in this population.
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Affiliation(s)
- Zhanbing Ren
- Department of physical education, Shenzhen University, Shenzhen 518061, China; (Z.R.); (L.H.); (S.C.)
| | - Linlin Hu
- Department of physical education, Shenzhen University, Shenzhen 518061, China; (Z.R.); (L.H.); (S.C.)
| | - Jane Jie Yu
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, 999077, China;
| | - Qian Yu
- Exercise and Mental Health Laboratory, School of Psychology, Shenzhen University, Shenzhen 518061, China; (Q.Y.); (J.L.)
| | - Sitong Chen
- Department of physical education, Shenzhen University, Shenzhen 518061, China; (Z.R.); (L.H.); (S.C.)
| | - Yudan Ma
- Jilin Institute of Sport Science, Changchun 130022, China;
| | - Jingyuan Lin
- Exercise and Mental Health Laboratory, School of Psychology, Shenzhen University, Shenzhen 518061, China; (Q.Y.); (J.L.)
| | - Lin Yang
- Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, AB T2S 3C3, Canada;
- Departments of Oncology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada
| | - Xiaoyun Li
- Zhongshan No.2 High School, Shenzhen 518061, China;
| | - Liye Zou
- Exercise and Mental Health Laboratory, School of Psychology, Shenzhen University, Shenzhen 518061, China; (Q.Y.); (J.L.)
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