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Baharuddin IH, Ismail N, Naing NN, Ibrahim K, Yasin SM, Patterson MS. Content and face validity of Workplace COVID-19 Knowledge & Stigma Scale (WoCKSS). BMC Public Health 2024; 24:874. [PMID: 38515056 PMCID: PMC10956301 DOI: 10.1186/s12889-023-17614-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 12/29/2023] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has led to fear, rumours, and stigma, particularly against those infected with the virus. In Malaysia, the manufacturing industry is particularly vulnerable to COVID-19 clusters, making it critical to assess stigma attitudes among workers. To address this issue, The Workplace COVID-19 Knowledge & Stigma Scale (WoCKSS) was developed specifically for use in the manufacturing industry which served as the sample population for testing this scale. It was developed in the Malay language to ensure alignment with the local context. This study examines the content and face validity of WoCKSS, which can help assess the level of knowledge and stigma associated with COVID-19 among workers. METHODS The WoCKSS was developed with 20 and 31 items for knowledge and stigma domains, respectively, based on an extensive review of COVID-19 literature. Content validation was conducted by four experts using a content validation form to assess the relevancy of each item to the intended construct. Content Validity Index (CVI) was calculated to measure the agreement between the experts on the relevance of each item to the intended construct. Face validation was then conducted by randomly selecting 10 respondents from the manufacturing industry, who rated the clarity and comprehension of each item using a face validation form. The Item Face Validity Index (I-FVI) was calculated to determine the clarity and comprehension of each question, and only items with an I-FVI ≥ 0.83 were retained. RESULTS The WoCKSS achieved excellent content validity in both knowledge and stigma domains. Only 19 items from the knowledge domain and 24 items from the stigma domain were retained after CVI analysis. All retained items received a CVI score of 1.00, indicating perfect agreement among the experts. FVI analysis resulted in 17 items for the knowledge domain and 22 items for the stigma domain. The knowledge domain achieved a high level of agreement among respondents, with a mean I-FVI of 0.91 and a S-FVI/UA of 0.89. The stigma domain also showed high agreement, with a mean I-FVI of 0.99 and a S-FVI/UA of 0.86. CONCLUSION In conclusion, the WoCKSS demonstrated high content and face validity. However, further testing on a larger sample size is required to establish its construct validity and reliability.
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Affiliation(s)
- Izyan Hazwani Baharuddin
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA Selangor Campus, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
- Faculty of Dentistry, Universiti Teknologi MARA Selangor Campus, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
| | - Nurhuda Ismail
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA Selangor Campus, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia.
| | - Nyi Nyi Naing
- Faculty of Medicine, Medical Campus, Universiti Sultan Zainal Abidin, Jalan Sultan Mahmud, 20400, Kuala Terengganu, Terengganu, Malaysia
| | - Khalid Ibrahim
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA Selangor Campus, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
| | - Siti Munira Yasin
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA Selangor Campus, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
| | - Megan S Patterson
- Department of Health Behavior, 1226 Texas A&M University, College Station, , Texas, 77843, USA
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Jackson D, Park JH, Patterson MS, Umstattd Meyer MR, Prochnow T. Identifying Social Network Characteristics Associated With Youth Physical Activity Skill Competency at a Summer Care Program. Health Promot Pract 2024:15248399241237961. [PMID: 38500007 DOI: 10.1177/15248399241237961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024]
Abstract
While literature suggests that youth physical activity (PA) behaviors are affected by network influences, less is known about network influences on perceived skill competency, a component of physical literacy and self-efficacy. This study aims to provide an understanding of potential network characteristics which are associated with youth PA skill competency. Youth (n = 158) between the ages of 8 and 12 years recruited from two summer care programs (i.e., Boys & Girls Clubs) participated in researcher-administered surveys. Youth self-reported their age, sex, involvement in team sports, weekly PA, and skill competency assessed using a version of the PLAYself measure. Youth were also asked to report up to five people in the summer program and five out of the program with whom they interacted the most. Linear regression was used to evaluate associations between skill competency and demographics, PA, and social network characteristics. Skill competency was significantly associated (R2 = .17) with age (β = -.06, p = .01), sex (β = -.06, p = .01), sports team involvement (β = .16, p < .001), and weekly PA (β = -.20, p < .001). Skill competency was also significantly associated with the number of connections with whom the youth played frequently (β = .09, p < .001), the number of connections that helped the youth to be active (β = .18, p < .001), and the heterogeneity of the type of relationships within the youth's network (β = .11, p < .001). Skill competency scores were significantly associated with both individual variables and social network composition. In addition, youth with networks comprising several types of relationships (heterogeneity) reported a significantly high skill competency. PA interventions can be most effective when considering the reinforcing aspects of networks and skill competency.
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Lanning BA, Patterson MS, Henry S, Graves-Boswell CT, Summerall B, Millan C. Assessment of university policies for service animals and emotional support animals. J Am Coll Health 2024; 72:383-389. [PMID: 35157565 DOI: 10.1080/07448481.2022.2035735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 10/22/2021] [Accepted: 01/16/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Assess administrative responsibilities and experiential effects of emotional support animal (ESA) and service animal (SA) policies on college campuses. PARTICIPANTS Students at two four-year universities participated in an emotional support animals and service animals survey. Selected students and professional personnel participated in interviews and focus groups. METHODS This mixed-methods study included quantitative survey data from 1,363 students, qualitative individual interviews (3) and a focus group (1) regarding emotional support animal (ESA) and service animal (SA). RESULTS Seventy-one students reported having ESAs, 18 had SAs. Barriers for ESAs on campus included no ESAs outside of dorms, while SA-owners reported fewer barriers. University administrators followed federal guidelines for SAs but lacked clear guidelines for ESAs. Qualitative themes included lack of awareness, education, support for SA, and ESA accommodations. CONCLUSIONS ESA and SA accommodations continue to rise, on university campuses. Clear guidelines and implementation processes are imperative for future improvements.
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Affiliation(s)
- Beth A Lanning
- Department of Public Health, Baylor University, Waco, Texas, USA
| | - M S Patterson
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| | - S Henry
- Department of Public Health, Baylor University, Waco, Texas, USA
| | - C T Graves-Boswell
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| | - B Summerall
- Department of Public Health, Baylor University, Waco, Texas, USA
| | - C Millan
- Department of Public Health, Baylor University, Waco, Texas, USA
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Amo C, Nabil AK, Patterson MS. An egocentric network analysis of U.S. college students' recollection of mental health symptoms and social connections during the COVID-19 pandemic. J Am Coll Health 2024:1-8. [PMID: 38227910 DOI: 10.1080/07448481.2023.2286469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 11/12/2023] [Indexed: 01/18/2024]
Abstract
Objective: This study analyzes pandemic-era diminished mental health and social connections among college students. Participants: Students of a large public university completed an online survey measuring self-reported mental health symptoms for themselves and that of their closest social connections. Methods: Three regression models were used to understand if pandemic-era diminished mental health was associated with mental health characteristics present among their social networks: (1) depressive symptoms, (2) loneliness, and (3) hopelessness. Results: Students experiencing depressive symptoms (R2 = 0.13, F = 3.685, p < 0.001) perceived depressive symptoms (β = 0.32, p = 0.01) among their social connections. Students experiencing loneliness (R2 = 0.13, F = 3.867, p < 0.001) perceived loneliness (β = 0.39, p = 0.02) among their social connections. Students experiencing hopelessness (R2 = 0.14, F = 4.223, p < 0.001) perceived depressive symptoms (β = 0.35, p = 0.01) among their social connections. Conclusion: Social connections may influence mental health symptoms and could be a social determinant of certain mental health outcomes.
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Affiliation(s)
- Christina Amo
- School of Public Health, Texas A&M University, College Station, Texas, USA
| | | | - Megan S Patterson
- School of Public Health, Texas A&M University, College Station, Texas, USA
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Sherman LD, Cisneros-Franco CL, Prochnow T, Patterson MS, Johannes BL, Alexander J, Merianos AL, Bergeron CD, Smith ML. Personal Agency and Social Supports to Manage Health Among Non-Hispanic Black and Hispanic Men With Diabetes. Am J Mens Health 2023; 17:15579883231211057. [PMID: 38032066 PMCID: PMC10691323 DOI: 10.1177/15579883231211057] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 10/05/2023] [Accepted: 10/09/2023] [Indexed: 12/01/2023] Open
Abstract
The prevalence of type 2 diabetes (T2D) is increasing among non-Hispanic Black and Hispanic communities, especially among men who develop this chronic condition at earlier ages. Personal agency and social support are vital aspects to diabetes management. However, less is known about the relationship between these variables among men living with diabetes. The purposes of this study were to identify (1) levels of personal agency to manage health, (2) sources of social supports to manage health based on personal agency levels, and (3) factors associated with lower personal agency to manage health. Cross-sectional data from non-Hispanic Black (n = 381) and Hispanic (n = 292) men aged 40 years or older with T2D were collected using an internet-delivered questionnaire. Three binary logistic regression models were fitted to assess sociodemographics, health indicators, and support sources associated with weaker personal agency to manage health. About 68% of participants reported having the strongest personal agency relative to 32.1% reporting weaker personal agency. Men who relied more on their spouse/partner (odds ratio [OR] = 1.22, p = .025), coworkers (OR = 1.59, p = .008), or faith-based organizations (OR = 1.29, p = .029) for ongoing help/support to improve their health and manage health problems were more likely to have weaker personal agency. Conversely, men who relied more on their health care providers for ongoing help/support to improve their health and manage health problems were less likely to have weaker personal agency to manage health (OR = 0.74, p < .001). Findings suggest personal agency may influence men's support needs to manage T2D, which may also be influenced by cultural, socioeconomics, and the composition of social networks.
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Affiliation(s)
- Ledric D. Sherman
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA
- Center for Health Equity and Evaluation Research, Texas A&M University, College Station, TX, USA
| | | | - Tyler Prochnow
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA
- Center for Health Equity and Evaluation Research, Texas A&M University, College Station, TX, USA
| | - Megan S. Patterson
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA
| | | | - Janae Alexander
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA
| | | | | | - Matthew Lee Smith
- Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA
- Center for Health Equity and Evaluation Research, Texas A&M University, College Station, TX, USA
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Prochnow T, Patterson MS, Amo C, Curran L, Francis AN, Green E. Cultivating an Active Living Plan Through a Social-Ecological Evaluation. Fam Community Health 2023; 46:229-241. [PMID: 37703511 DOI: 10.1097/fch.0000000000000368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/15/2023]
Abstract
Physical activity (PA) social-ecological model (SEM) posits the importance of several levels of influence critical for PA promotion within communities. The purpose of this study was to examine an SEM evaluation informing a county-wide active living plan in McLennan County, Texas in the United States. Mixed-methods evaluation occurred in 4 stages: (1) county policies (n = 15) were evaluated for PA promoting strategies; (2) PA resource assessments (PARAs) were conducted via Google Maps (n = 171); (3) surveys (n = 244) included the International Physical Activity Questionnaire and interpersonal and intrapersonal factors related to PA; and (4) focus groups (n = 5) were conducted with residents (n = 30), discussing barriers and facilitators to being active. Logistic regression determined significant associations between SEM factors and meeting PA recommendations. Policy scans and PARAs identified strengths and areas of improvement (eg, equitable project selection and disparities in resource quality). Residents reporting fewer barriers (OR = 0.89, P =.01), more perceived behavioral control (odds ratio [OR] = 1.38, P = .01), more social co-participation in PA (OR = 1.20, P = .03), and living in zip codes with higher mean PARA score (OR = 1.22, P = .04) were significantly more likely to meet PA recommendations (Nagelkerke R2 = 0.32). Focus groups also discussed safety and disparities in access and quality. This study suggests the utility of the SEM when evaluating and promoting community PA.
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Affiliation(s)
- Tyler Prochnow
- Department of Health Behavior, Texas A&M University School of Public Health, College Station (Drs Prochnow and Patterson, and Mss Amo, Curran, and Francis); and Waco-McLennan County Public Health District, Waco, Texas (Ms Green)
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Russell AM, Barry AE, Patterson MS. Strategies for measuring peer alcohol use within egocentric network analysis. J Am Coll Health 2023; 71:2176-2183. [PMID: 34469251 DOI: 10.1080/07448481.2021.1965144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 05/25/2021] [Accepted: 08/01/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE Compare different strategies for measuring perceived peer alcohol use within network research. PARTICIPANTS College students (N = 309). METHODS Collected demographic, personal alcohol use, and egocentric network data. Hierarchical linear regression analyses predicted egos' drinking behavior (AUDIT-C scores). RESULTS Egos' perceptions of nominated peers' binge-drinking frequency explained a significant portion of variance in egos' AUDIT-C scores, over and above perceptions of nominated peers' frequency/typical quantity of alcohol consumption and important demographic covariates. Using more than three items to assess perceived peer alcohol use did not offer statistically significant improvements and may add unnecessary response burden. CONCLUSIONS Utilizing the three-item approach (i.e., frequency, quantity, binge-drinking frequency) to assess perceived peer drinking explained more variance in egos' AUDIT-C scores, as opposed to one- and two-item assessments. Implementing this three-item assessment in egocentric network research can enhance programming efforts targeting reductions in binge drinking among college students within social contexts.
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Affiliation(s)
- Alex M Russell
- Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas, USA
| | - Adam E Barry
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| | - Megan S Patterson
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
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Prochnow T, Park JH, Patterson MS. Intramural sports social networks and implications for college student physical activity, sense of community, and retention. J Am Coll Health 2023:1-7. [PMID: 37531217 DOI: 10.1080/07448481.2023.2239367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 08/03/2023]
Abstract
Objective: This study examines associations between social networks developed through intramural sports and physical activity (PA), sense of community, and retention. Participants: College students participating in intramural sports at a large public university in the Southern United States (n = 250). Methods: Students self-reported PA, sense of community, retention, and social networks developed through intramural sports in Fall 2022. Logistic and linear regression determined significant individual and network factors associated with PA, sense of community, and retention. Results: Participants were significantly more likely to meet PA recommendations (Nagelkerke R2=.24) if they were younger, male, and reported more people in their networks were physically active often. Participants reported a greater sense of community (R2 =.28) and retention intention (R2 =.26) if they reported meeting PA recommendations, feeling closer to network members, and more relationships improving through intramurals. Conclusion: Results underline the importance of creating quality intramural experiences for college students.
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Affiliation(s)
- Tyler Prochnow
- Department of Health Behavior, Texas A&M University School of Public Health, College Station, Texas, USA
| | - Jeong-Hui Park
- Department of Health Behavior, Texas A&M University School of Public Health, College Station, Texas, USA
| | - Megan S Patterson
- Department of Health Behavior, Texas A&M University School of Public Health, College Station, Texas, USA
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Seguin-Fowler RA, Demment M, Folta SC, Graham M, Hanson K, Maddock JE, Patterson MS. Recruiting experiences of NIH-funded principal investigators for community-based health behavior interventions during the COVID-19 pandemic. Contemp Clin Trials 2023; 131:107271. [PMID: 37354992 PMCID: PMC10286519 DOI: 10.1016/j.cct.2023.107271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 06/08/2023] [Accepted: 06/20/2023] [Indexed: 06/26/2023]
Abstract
Successful recruitment into randomized trials and interventions is essential to advance scientific knowledge to improve health. This rapid assessment study explored how the COVID-19 pandemic affected participant recruitment overall, identified how it exacerbated existing challenges to recruit hard-to-reach populations, and described how NIH-funded Principal Investigators (PIs) responded to COVID-era recruitment challenges. A cross-sectional survey of NIH-funded PIs conducting interventions and trials related to health behaviors was conducted in 2022. The survey was completed by 52 PIs, most of whom were highly experienced in this type of research. Eighteen PIs reported it was very difficult to recruit participants now (39.1%) compared to before COVID-19 when only one did (2.2%). PIs reported changing recruitment and data collection methods (29.4%), increasing staff dedicated to recruitment (29.4%), and increasing participant compensation (23.5%). Recruitment methods shifted from in-person activities to social media and other electronic communications. Barriers to recruitment included reluctance to participate in research, COVID-19 protocols and precautions, overwhelmed community partners, staff burnout and turnover, and limited access to technology for some populations that were already hard to reach. Facilitators to recruitment consisted of increased access and ability to use remote technologies, use of social media, strong community ties, and wanting to be part of something positive. PIs perceived recruitment as much more difficult after the onset of COVID-19, though research teams were able to pivot to more online and remote options. These tools may have a lasting impact in modernizing recruitment, data collection, and intervention techniques in future trials.
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Affiliation(s)
- Rebecca A Seguin-Fowler
- Institute for Advancing Health through Agriculture (IHA), Department of Nutrition, College of Agriculture and Life Sciences, Texas A&M University System, 1500 Research Parkway, Centeq Building B, College Station, TX 77845, United States of America.
| | - Margaret Demment
- Texas A&M AgriLife Research and Extension Center, 17360 Coit Rd, Dallas, TX 75252, United States of America.
| | - Sara C Folta
- Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Ave, Boston, MA 02111, United States of America.
| | - Meredith Graham
- Texas A&M AgriLife Research and Extension Center, 17360 Coit Rd, Dallas, TX 75252, United States of America.
| | - Karla Hanson
- Department of Public & Ecosystem Health, Cornell University, Ithaca, NY 4853, United States of America.
| | - Jay E Maddock
- Department of Environmental and Occupational Health, Texas A&M University, College Station, TX 77843, United States of America.
| | - Megan S Patterson
- Department of Health Behavior, Texas A&M University, 1266 TAMU, College Station, TX 77843, United States of America.
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Patterson MS, Francis AN, Gagnon LR, Prochnow T. I'll be there for you: The effects of exercise engagement on social support provision within undergraduate students' personal networks. J Am Coll Health 2023:1-9. [PMID: 37437203 DOI: 10.1080/07448481.2023.2227730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 04/20/2023] [Accepted: 06/11/2023] [Indexed: 07/14/2023]
Abstract
Objective: To use social network analysis to examine exercise participation relative to health and wellness support provision within students' networks. Participants: 513 undergraduates from a large private university completed online surveys. Methods: Multilevel modeling assessed exercise engagement at the individual and dyadic level and support provision from network members. Results: More support was perceived by first and second-year students and individuals who reported more exercise engagement. Significant others, roommates, siblings, female network members, and those who exercised often provided greater support. Greater support was reported when both the participant and their social tie were involved in the campus group-exercise program. Conclusion: This study suggests individual and dyadic-level exercise was related to undergraduates feeling more supported. Findings support campus group exercise programs as opportunities to create reciprocal supportive ties for college students. Future research could further explore ways exercise and social support, particularly in group settings, affect health and well-being.
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Affiliation(s)
- M S Patterson
- Department, of Health Behavior, Texas A&M University, College Station, Texas, USA
| | - A N Francis
- Department, of Health Behavior, Texas A&M University, College Station, Texas, USA
| | - L R Gagnon
- Community Health Center of Southeast Kansas, Pittsburg, Kansas, USA
| | - T Prochnow
- Department, of Health Behavior, Texas A&M University, College Station, Texas, USA
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Valdez D, Patterson MS. Computational analyses identify addiction help-seeking behaviors on the social networking website Reddit: Insights into online social interactions and addiction support communities. PLOS Digit Health 2022; 1:e0000143. [PMID: 36812569 PMCID: PMC9931264 DOI: 10.1371/journal.pdig.0000143] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 10/11/2022] [Indexed: 11/11/2022]
Abstract
INTRODUCTION Although social connection to others with lived addiction experiences is a strong predictor of long-term recovery from substance use disorders (SUD), the COVID-19 pandemic greatly altered global abilities to physically connect with other people. Evidence suggests online forums for people with SUD may serve as a sufficient proxy for social connection, however efficacy of online spaces as addiction treatment adjuncts remains empirically understudied. PURPOSE The purpose of this study is to analyze a collection of Reddit posts germane to addiction and recovery collected between March-August 2022. METHODS We collected (n = 9,066) Reddit posts (1) r/addiction; (2) r/DecidingToBeBetter, (3) r/SelfImprovement, (4) r/OpitatesRecovery, (5) r/StopSpeeding, (6) r/RedditorsInRecovery, and (7) r/StopSmoking subreddits. We applied several classes of natural language processing (NLP) methods to analyze and visualize our data including term frequency inverse document frequency (TF-IDF) calculations, k-means clustering, and principal components analysis (PCA). We also applied a Valence Aware Dictional and sEntiment [sic] Reasoner (VADER) sentiment analysis to determine affect in our data. RESULTS Our analyses revealed three distinct clusters: (1) Personal addiction struggle, or sharing one's recovery journey (n = 2,520), (2) Giving advice, or offering counseling based on first-hand experiences (n = 3,885), and (3) Seeking advice, or asking for support or advice related to addiction (n = 2,661). DISCUSSION & CONCLUSION Addiction, SUD, and recovery dialogue on Reddit is exceedingly robust. Much of the content mirrors tenets for established addiction-recovery programs, which suggests Reddit, and other social networking websites, may serve as efficient tools to promote social connection among people with SUD.
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Affiliation(s)
- Danny Valdez
- Department of Applied Health Science, Indiana University School of Public Health, Bloomington Indiana, United States of America
- * E-mail:
| | - Megan S. Patterson
- Department of Health Behavior, Texas A&M University School of Public Health, College Station Texas, United States of America
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Patterson MS, Prochnow T, Nelon JL, Spadine MN, Brown SE, Lanning BA. Egocentric network composition and structure relative to violence victimization among a sample of college students. J Am Coll Health 2022; 70:2017-2025. [PMID: 33264085 DOI: 10.1080/07448481.2020.1841777] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 09/03/2020] [Accepted: 10/18/2020] [Indexed: 06/12/2023]
Abstract
ObjectiveTo use egocentric network analysis to understand how composition and structure of egonetworks relate to violence victimization among college students. Participants: 697 students from a large southeastern university completed online surveys. Methods: Hierarchical logistic regression analyses assessed the relationship between egocentric network variables and a history of violence victimization. Results: Being connected to others with a history of violence victimization increased a student's odds of indicating their own history of physical, emotional, and sexual violence victimization. Having less dense egonetworks was related to sexual violence victimization, while being connected to less people of the same gender was related to emotional violence victimization. Conclusion: The way college students' networks are composed and structured could help in understanding violence victimization in this population, and should be considered in prevention and reactionary efforts on campuses. These findings add to the current literature largely focused on individual-level risk factors related to violence.
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Affiliation(s)
- M S Patterson
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| | - T Prochnow
- Department of Public Health, Baylor University, Waco, Texas, USA
| | - J L Nelon
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| | - M N Spadine
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| | - S E Brown
- Texas School Safety Center, Texas State University, San Marcos, Texas, USA
| | - B A Lanning
- Department of Public Health, Baylor University, Waco, Texas, USA
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Seguin-Fowler RA, Hanson KL, Villarreal D, Rethorst CD, Ayine P, Folta SC, Maddock JE, Patterson MS, Marshall GA, Volpe LC, Eldridge GD, Kershaw M, Luong V, Wang H, Kenkel D. Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial. BMC Public Health 2022; 22:1674. [PMID: 36058913 PMCID: PMC9441047 DOI: 10.1186/s12889-022-13653-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 06/16/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Prior studies demonstrate associations between risk factors for obesity and related chronic diseases (e.g., cardiovascular disease) and features of the built environment. This is particularly true for rural populations, who have higher rates of obesity, cancer, and other chronic diseases than urban residents. There is also evidence linking health behaviors and outcomes to social factors such as social support, opposition, and norms. Thus, overlapping social networks that have a high degree of social capital and community cohesion, such as those found in rural communities, may be effective targets for introducing and maintaining healthy behaviors. METHODS This study will evaluate the effectiveness of the Change Club (CC) intervention, a civic engagement intervention for built environment change to improve health behaviors and outcomes for residents of rural communities. The CC intervention provides small groups of community residents (approximately 10-14 people) with nutrition and physical activity lessons and stepwise built environment change planning workshops delivered by trained extension educators via in-person, virtual, or hybrid methods. We will conduct process, multilevel outcome, and cost evaluations of implementation of the CC intervention in a cluster randomized controlled trial in 10 communities across two states using a two-arm parallel design. Change in the primary outcome, American Heart Association's Life's Simple 7 composite cardiovascular health score, will be evaluated among CC members, their friends and family members, and other community residents and compared to comparable samples in control communities. We will also evaluate changes at the social/collective level (e.g., social cohesion, social trust) and examine costs as well as barriers and facilitators to implementation. DISCUSSION Our central hypothesis is the CC intervention will improve health behaviors and outcomes among engaged citizens and their family and friends within 24 months. Furthermore, we hypothesize that positive changes will catalyze critical steps in the pathway to improving longer-term health among community residents through improved healthy eating and physical activity opportunities. This study also represents a unique opportunity to evaluate process and cost-related data, which will provide key insights into the viability of this approach for widespread dissemination. TRIAL REGISTRATION ClinicalTrials.gov: NCT05002660 , Registered 12 August 2021.
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Affiliation(s)
- Rebecca A. Seguin-Fowler
- Institute for Advancing Health Through Agriculture, Texas A&M AgriLife, College Station, TX 77843 USA
| | - Karla L. Hanson
- grid.5386.8000000041936877XDepartment of Public and Ecosystem Health, Cornell University, Ithaca, NY 14853 USA
| | - Deyaun Villarreal
- Institute for Advancing Health Through Agriculture, Texas A&M AgriLife Dallas Center, Dallas, TX 75252 USA
| | - Chad D. Rethorst
- Institute for Advancing Health Through Agriculture, Texas A&M AgriLife Dallas Center, Dallas, TX 75252 USA
| | - Priscilla Ayine
- Institute for Advancing Health Through Agriculture, Texas A&M AgriLife Dallas Center, Dallas, TX 75252 USA
| | - Sara C. Folta
- grid.429997.80000 0004 1936 7531Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02155 USA
| | - Jay E. Maddock
- grid.264756.40000 0004 4687 2082School of Public Health, Texas A&M University, College Station, TX 77843 USA
| | - Megan S. Patterson
- grid.264756.40000 0004 4687 2082School of Public Health, Texas A&M University, College Station, TX 77843 USA
| | - Grace A. Marshall
- grid.5386.8000000041936877XDepartment of Public and Ecosystem Health, Cornell University, Ithaca, NY 14853 USA
| | - Leah C. Volpe
- grid.5386.8000000041936877XDepartment of Public and Ecosystem Health, Cornell University, Ithaca, NY 14853 USA
| | - Galen D. Eldridge
- Institute for Advancing Health Through Agriculture, Texas A&M AgriLife Dallas Center, Dallas, TX 75252 USA
| | - Meghan Kershaw
- Institute for Advancing Health Through Agriculture, Texas A&M AgriLife Dallas Center, Dallas, TX 75252 USA
| | - Vi Luong
- Institute for Advancing Health Through Agriculture, Texas A&M AgriLife Dallas Center, Dallas, TX 75252 USA
| | - Hua Wang
- grid.5386.8000000041936877XJeb E. Brooks School of Public Policy, Cornell University, Ithaca, NY 14853 USA
| | - Don Kenkel
- grid.5386.8000000041936877XJeb E. Brooks School of Public Policy, Cornell University, Ithaca, NY 14853 USA
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14
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Abstract
Background: A fad diet is a broad term used to describe dieting methods that recommend altering the intake of macronutrients to specific proportions or instruct people to intake or avoid particular foods, often with the goal of rapid weight loss. Previous literature reviews report social influence impacts general diet behaviour, but have yet to examine fad diets, specifically. Therefore, the purpose of this systematic review was to synthesize literature related to social influence on an individual's fad diet use and understand the sociocultural factors related to diet use. Methods: Using PRISMA guidelines, Medline, PsycInfo, Embase, CINAHL, and CENTRAL databases were searched to identify articles investigating the impact of social on fad diet use. Covidence was used to manage the review process and Garrard's Matrix Method was used to extract data from reviewed articles (n = 13). Results: A majority of reviewed studies examined interpersonal influence (62%) and reported social influence impacting a variety of fad diet behaviours (92%). Interpersonal and media influence were highlighted as motivating factors for adopting unhealthy dieting methods (54%), and studies showed interpersonal support impacted adoption and maintenance of fad diet use (23%). Also, social norms were reported to influence unhealthy weight control behaviours (15%). Discussion: This review revealed social influence is associated with the adoption, adherence, and termination of fad diets. The prevalence of fad diets in society and the lack of research on this topic warrants further examination of factors related to fad diets use and the spread among interpersonal networks.
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Affiliation(s)
- Mandy Spadine
- Department of Health and Kinesiology, 2655Texas A&M University, College Station, TX, United States, phone: 607.206.9965
| | - Megan S Patterson
- Department of Health and Kinesiology, 2655Texas A&M University, College Station, TX, United States, phone: 607.206.9965
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Prochnow TM, Patterson MS, Meyer AR, Umstattd Meyer MR. Sport Participation Associations With Child Friend Selection and Physical Activity While at Summer Care Programs. Res Q Exerc Sport 2022; 93:479-487. [PMID: 34252350 DOI: 10.1080/02701367.2020.1864261] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 12/09/2020] [Indexed: 06/13/2023]
Abstract
Child physical activity (PA) declines during summer reducing PA-related health benefits. Summer care programs (e.g., Boys & Girls Clubs) can promote active play while providing opportunities for friendships. Sport participation is a positive influence on PA and social development. Purpose: This article investigates the role of sport participation in PA attainment, perceived skill competency, and social connection at a summer care program. Methods: Children self-reported PA, sport participation, and the names of up to five peers whom they played with most at the program at the start (T1; n = 100; M age = 9.94 years; SD = 1.34; 47% male) and end (T2; n = 77; M age = 9.83 years; SD = 1.46; 51% male) of summer. Network autocorrelation models were used to determine if child sport participation was significantly associated with those they played with at the program. Results:Children who reported sport participation reported significantly more PA than those who did not at T1, but not T2. Child sport participation was significantly related to that of the peers they said they spent time with while at the program for T1 (β = 0.07, p < .01), but not T2 (β = 0.06, p = .10). Additionally, PA (β = 0.08, p < .01; β = 0.07, p = .01) and skill competency (β = 0.11, p = .02; β = 0.15, p < .01) were significantly associated with sport participation at both time points. While sports participation was a key factor in child friendships at the start of summer, the program allowed children, regardless of sport participation, to become friends outside of sports. Conclusions: These results suggest summer care programs promote PA through play and provide opportunities for children to facilitate friendships regardless of sport participation.
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16
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Patterson MS, Prochnow T, Russell AM, Barry AE, Fehr SK. Associations Between Sexual Assault Victimization and Risky Drinking Within College Women's Personal Networks. Violence Against Women 2022; 28:2603-2623. [PMID: 35754385 DOI: 10.1177/10778012221077128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Within a sample of college women, this study assessed if an individual's (i.e., ego) history of sexual assault was related to her connecting with risky drinkers, and if her social contacts (i.e., alters) who had experienced sexual assault were also people who engaged in risky drinking. Results suggest ego's history of sexual assault was associated with her connecting to risky drinkers. Generally, egos reported alters who experienced sexual assault were more likely to drink in higher quantities, except when the ego and alter both had experienced sexual assault. Findings highlight the importance of social connections for survivors of sexual assault.
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Affiliation(s)
| | | | | | - Adam E Barry
- 2655Texas A&M University, College Station, TX, USA
| | - Sara K Fehr
- 2655Texas A&M University, College Station, TX, USA
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17
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Patterson MS, Spadine MN, Graves Boswell T, Prochnow T, Amo C, Francis AN, Russell AM, Heinrich KM. Exercise in the Treatment of Addiction: A Systematic Literature Review. Health Educ Behav 2022; 49:10901981221090155. [PMID: 35484950 DOI: 10.1177/10901981221090155] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
BACKGROUND Exercise has been recognized as a promising and emerging treatment for individuals recovering from addiction. The purpose of this article was to systematically review scientific studies using exercise as a means to improve, sustain, or treat addictions, and to provide suggestions for the future use of exercise as a treatment method for addiction. METHODS Using PRISMA guidelines, a database search was conducted for articles that tested the impact of exercise interventions on addiction-related outcomes. To be included, peer-reviewed experimental design studies had to use human subjects to investigate the relationship between exercise and the treatment of or recovery from addiction. Garrard's Matrix Method was used to extract data from reviewed articles (n = 53). RESULTS Nearly three quarters of the studies reviewed documented a significant change in addiction-related outcomes (e.g., more days abstinent, reduced cravings) in response to exercise exposure, particularly while someone was receiving treatment at an in or outpatient clinic. Many studies investigated the effect of acute bouts of exercise on nicotine dependence, and many studies had small sample sizes, leaving room for future research on how exercise might benefit people recovering from substance and process addictions. CONCLUSION Results affirm that exercise can be a helpful aspect of addiction treatment. Future researchers should investigate different exercise settings (e.g., group-based exercise vs individual) and explore exercise maintenance and the long-term outcomes following discharge from treatment facilities.
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18
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Prochnow T, Amo C, Patterson MS, Heinrich KM. I CrossFit; Do You? Cross-Sectional Peer Similarity of Physical Activity Behavior in a Group High Intensity Functional Training Setting. Int J Environ Res Public Health 2022; 19:ijerph19094932. [PMID: 35564327 PMCID: PMC9102180 DOI: 10.3390/ijerph19094932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 04/11/2022] [Accepted: 04/16/2022] [Indexed: 12/10/2022]
Abstract
Physical activity (PA) is essential for physical, mental, and emotional health; however, few adults engage in enough PA. Group exercise environments such as CrossFit can promote sustained exercise habits through social influence, support, and norms. This cross-sectional study aims to provide evidence for PA social influence at CrossFit. CrossFit members (n = 62) reported PA, workout logging frequency, and members at their gym they: (1) work out with and (2) go to with personal matters. Separate linear network autocorrelation models (LNAMs) determined if individuals reported similar PA scores as those of their social ties at CrossFit that they work out with and/or those they go to for personal matters. Participants reported a mean of 2740.55 MET minutes/week (SD = 1847.08), working out with a mean of 9.89 members (SD = 6.26), and speaking to a mean of 2.66 members about personal matters (SD = 3.68). A person's PA was significantly associated with that of their ties they go to with personal matters (PEp = 0.08, SEp = 0.02), but was not associated with the PA of their ties they work out with (PEw = 0.02, SEw = 0.01). Social influence on PA levels was present when a deeper connection is made between members. Fostering and promoting deeper connections between members may help promote PA and continued exercise habits.
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Affiliation(s)
- Tyler Prochnow
- Department of Health & Kinesiology, College of Education and Human Development, Texas A&M University; College Station, TX 77843, USA; (C.A.); (M.S.P.)
- Correspondence:
| | - Christina Amo
- Department of Health & Kinesiology, College of Education and Human Development, Texas A&M University; College Station, TX 77843, USA; (C.A.); (M.S.P.)
| | - Megan S. Patterson
- Department of Health & Kinesiology, College of Education and Human Development, Texas A&M University; College Station, TX 77843, USA; (C.A.); (M.S.P.)
| | - Katie M. Heinrich
- Department of Kinesiology, College of Health and Human Sciences, Kansas State University, Manhattan, KS 66506, USA;
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19
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Prochnow T, Umstattd Meyer MR, Patterson MS, Talbert T, Meyer A, Sharkey J. ¿Qué Está Haciendo Papá? Mexican-Heritage Fathers' Physical Activity Networks After a Father-Focused Health Program. Fam Community Health 2022; 45:115-124. [PMID: 35125491 DOI: 10.1097/fch.0000000000000319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Physical activity (PA) is a public health priority due to holistic health benefits; however, many adults do not meet PA guidelines. Few studies have examined Mexican-heritage fathers' social networks, specifically with whom they are physically active. This study examines changes in Mexican-heritage fathers' PA networks after participation in a father-focused, family-centered health program. Families consisting of child (aged 9-11 years), mother, and father were recruited from colonias on the Texas-Mexico border for participation in a 6-week father-focused, family-centered program concentrated on healthy eating and active living. Fathers reported up to 5 people with whom they were active most in the previous month before and after the program as well as how often they were active with the person and what activities they did most often. Multilevel regression models examined changes in networks. Fathers (n = 42; mean age = 39.07 years, SD = 7.45) were significantly more likely to report more frequent PA with others after the program as compared with before. General active play and conditional support were mentioned most frequently. This study provides context to the social networks and PA behaviors of Mexican-heritage fathers and suggests that a father-focused, family-centered health program can increase the PA frequency with social network connections.
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Affiliation(s)
- Tyler Prochnow
- Texas A&M University, College Station, Texas (Drs Prochnow, Patterson, and Sharkey) and Baylor University, Waco, Texas (Drs Umstattd Meyer, Talbert, and Meyer)
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20
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Prochnow T, Patterson MS, Bridges Hamilton CN, Umstattd Meyer MR. Summer Friends and Physical Activity: Social Network Effects on Child Self-Reported Physical Activity at Summer Care Programs. Health Educ Behav 2022; 49:10901981221076399. [PMID: 35227130 DOI: 10.1177/10901981221076399] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Summer is a time of reduced physical activity (PA) for children; however, summer care programs (SCPs) can provide opportunities for children to be active and foster friendships. This study investigated associations between PA and friendship formation at SCPs. Children (ages 8-12 years) from two SCPs reported demographics, PA, and up to five friends at the program. Exponential random graph modeling determined significant factors associated with connections at each time point and between time points. PA was a significant factor in sending and maintaining friendship connections. A further understanding of the social dynamics which assist in the maintenance of PA behaviors during summer may improve the odds children engage in the recommended amounts of PA during this crucial time.
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21
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Prochnow T, Umstattd Meyer MR, Patterson MS, Meyer A, Talbert T, Sharkey J. Active Play Social Network Change for Mexican-Heritage Children Participating in a Father-Focused Health Program. American Journal of Health Education 2022. [DOI: 10.1080/19325037.2021.2020184] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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22
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Panjwani S, Garney WR, Patterson MS, Ajayi KV, Fore S, Lang L. Network analysis of a community-wide teenage pregnancy prevention initiative. Health Educ Res 2022; 36:518-529. [PMID: 34417621 DOI: 10.1093/her/cyab031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 07/15/2021] [Accepted: 08/02/2021] [Indexed: 06/13/2023]
Abstract
Although US teenage birth rates substantially decreased over the past two decades, it still remains the highest in the developed world. More innovative, community-wide initiatives are needed to combat the issue. In Oklahoma County, Oklahoma, the Central Oklahoma Teen Pregnancy Prevention Collaboration is utilizing the collective impact model to convene multiple organizations with the goal of making systems-level changes related to teenage pregnancy within the community. This study used an interorganizational network analysis to evaluate the current strength of relationships between organizations in the Collaboration. An interorganizational network survey assessed collaborative relationships (e.g. information sharing and joint planning) within the network. Using R software, network diagrams were developed to depict partner relationships, and network measures, including node-, group- and network-level measures, were calculated. The network depiction (n = 23) revealed that the network core was composed of organizations from multiple sectors, and the backbone organization served as the most central organization for most centrality measures. This study provides insight into how organizational relationships can be assessed in order to increase community capacity to address teenage pregnancy. Continuous monitoring of the strength of relationships is important to ensure success in achieving goals as well as collective impact.
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23
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Spadine M, Patterson MS, Brown S, Nelon J, Lanning B, Johnson DM. Predicting emotional abuse among a sample of college students. J Am Coll Health 2022; 70:256-264. [PMID: 32208068 DOI: 10.1080/07448481.2020.1740709] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Revised: 02/22/2020] [Accepted: 02/29/2020] [Indexed: 06/10/2023]
Abstract
Objective This study aims to examine factors related to emotional abuse, an understudied type of intimate partner violence (IPV), among a sample of college students. Participants: 601 undergraduates from one large public university in the Midwestern United States (Spring 2017) and 756 undergraduates from one large public university in the Southern United States (Fall 2019) participated in the study. Methods: Participants completed an online survey measuring demographic information, behavioral variables (viewing porn, alcohol consumption, and hooking up), and history of violence (witnessing a father abuse his spouse, emotional abuse history). Descriptive statistics and binary logistic regression analyses predicting emotional abuse victimization were conducted. Results: Results indicate female, white, older students were more likely to report emotional abuse. Also, students witnessing their father abuse his spouse, frequent pornography use, increased alcohol use, and frequent hookups increased odds of emotional abuse. Conclusion: College campuses should consider emphasizing emotional abuse in IPV programing.
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Affiliation(s)
- Mandy Spadine
- Department of Health and Kinesiology, Texas A&M University, College Station, Texas, USA
| | - Megan S Patterson
- Department of Health and Kinesiology, Texas A&M University, College Station, Texas, USA
| | - Sydney Brown
- Department of Health and Kinesiology, Texas A&M University, College Station, Texas, USA
| | - Jordan Nelon
- Department of Health and Kinesiology, Texas A&M University, College Station, Texas, USA
| | - Beth Lanning
- Department of Public Health, Baylor University, Waco, Texas, USA
| | - Dawn M Johnson
- Department of Counseling Psychology, The University of Akron, Akron, Ohio, USA
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Prochnow T, Patterson MS. Assessing Social Network Influences on Adult Physical Activity Using Social Network Analysis: A Systematic Review. Am J Health Promot 2021; 36:537-558. [PMID: 34898289 DOI: 10.1177/08901171211060701] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
OBJECTIVE Social network analysis (SNA) can measure social connectedness and assess impact of interpersonal connections on health behaviors, including physical activity (PA). This paper aims to systematically review adult PA studies using SNA to understand important social network concepts relative to PA. DATA SOURCE A search was performed using PsycINFO, MEDLINE, PubMed, and Web of Science. STUDY INCLUSION AND EXCLUSION CRITERIA To be included in the search, articles needed to 1) include a measure of PA, 2) conduct an SNA in which specific relationships were measured, and 3) conduct an analysis between social network measures and PA. DATA EXTRACTION Key study elements including network design and results were extracted. DATA SYNTHESIS Data were synthesized to answer 2 questions: 1) how has adult PA been investigated using SNA approaches and 2) how is an adult's social network associated with PA behaviors? RESULTS A final sample of 28 articles remained from an initial 11 085 articles. Network size, homophily, network composition, and network exposure to PA were all associated with individual level PA across studies. Lastly, longitudinal and intervention studies showed a more complex picture of social influence and diffusion of PA behavior. CONCLUSIONS Adults' PA behaviors are influenced by their networks. Capitalizing on this influence, researchers should engage not just individual behavior change but also the social influences present within the person's life.
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Affiliation(s)
- Tyler Prochnow
- Department of Health and Kinesiology, 14736Texas A&M University, College Station, TX, USA
| | - Megan S Patterson
- Department of Health and Kinesiology, 14736Texas A&M University, College Station, TX, USA
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25
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Prochnow T, Umstattd Meyer MR, Patterson MS, Trost SG, Gómez L, Sharkey J. Active Play Network Influences on Physical Activity Among Children Living in Texas Colonias. Fam Community Health 2021; 44:154-161. [PMID: 33464765 DOI: 10.1097/fch.0000000000000296] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Physical activity (PA) is beneficial for child health; however, few children meet PA guidelines. Social relationships impact child PA behaviors; however, little is known about this effect in Mexican-heritage populations. This study aims to understand associations between self-reported play networks and PA among Mexican-heritage children. Mexican-heritage children from colonias along the Texas-Mexico border (n = 44; 54.5% girls; mean age = 9.89 years, SD = 0.97) reported information on up to 5 people they played with most often. Linear regression was used to analyze the relationship between composition of children's social network and minutes of moderate- to vigorous-intensity PA (MVPA) and sedentary minutes per day measured by accelerometers. Children who reported a higher percentage of friends as opposed to family members attained significantly more minutes of MVPA per day (β = .27, P = .04). Children who reported playing with individuals in their network more often (β = ‒.28, P = .03) were sedentary for fewer minutes per day. Increasing the connections between children in the neighborhood or community, as well as increasing a child's frequency of active play, may be promising approaches to increasing MVPA and decreasing sedentary behaviors among Mexican-heritage children.
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Affiliation(s)
- Tyler Prochnow
- Robbins College of Health and Human Sciences, Baylor University, Waco, Texas (Mr Prochnow and Dr Umstattd Meyer); Department of Health and Kinesiology (Dr Patterson) and Health Promotion and Community Health Sciences (Mr Gómez and Dr Sharkey), Texas A&M University, College Station; and Queensland University of Technology, Exercise and Nutrition Sciences, Brisbane, Queensland, Australia (Dr Trost)
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26
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Patterson MS, Gagnon LR, Vukelich A, Brown SE, Nelon JL, Prochnow T. Social networks, group exercise, and anxiety among college students. J Am Coll Health 2021; 69:361-369. [PMID: 31662049 DOI: 10.1080/07448481.2019.1679150] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2019] [Revised: 07/21/2019] [Accepted: 10/06/2019] [Indexed: 06/10/2023]
Abstract
This study aimed to evaluate the relationship between group exercise membership, social network characteristics, and general state anxiety in a sample of college students. Participants: 490 undergraduates from a private university in the southern US participated in the study. Methods: An egocentric network analysis was conducted to test whether demographic variables, leisure-time physical activity, group exercise membership, flourishing scores, and network variables were related to anxiety. Results: Regression analyses (R2 = .174, F = 7.650, p < .0001) suggest group exercise membership (β = -.105, p = .034) and flourishing scores (β = -.342, p < .0001) were related to lower anxiety scores, while being a racial/ethnic minority (β = .094, p = .036), and having personal networks composed of more people who exercise often (β = .100, p = .025), were related to higher anxiety scores in this sample. Conclusions: Findings suggest a connection between group exercise membership, activity habits of peers, and anxiety. Encouraging group exercise participation could be an effective way of combating anxiety for college students.
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Affiliation(s)
- M S Patterson
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
- Division of Student Life, Baylor University, Waco, Texas, USA
| | - L R Gagnon
- Division of Student Life, Baylor University, Waco, Texas, USA
- Missouri Council for Activity & Nutrition, University of Missouri Extension, Columbia, Missouri, USA
| | - A Vukelich
- Division of Student Life, Baylor University, Waco, Texas, USA
| | - S E Brown
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
- Division of Student Life, Baylor University, Waco, Texas, USA
| | - J L Nelon
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| | - T Prochnow
- Department of Health, Human Performance, and Recreation, Baylor University, Waco, Texas, USA
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Sherman LD, Patterson MS, Tomar A, Wigfall LT. Use of Digital Health Information for Health Information Seeking Among Men Living With Chronic Disease: Data From the Health Information National Trends Survey. Am J Mens Health 2021; 14:1557988320901377. [PMID: 31973642 PMCID: PMC6984431 DOI: 10.1177/1557988320901377] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Although diabetes education plays an important role in self-management for people living with diabetes, male health “help-seeking” lags far behind women. These gender-related “help-seeking” disparities often result in males being less engaged in their health care, which subsequently leads to poorer health outcomes among males. In this cross-sectional study, we used data from the 2017 Health Information National Trends Survey (HINTS) to identify factors that may contribute to communication inequalities between males and females. A hierarchical {linear/logistic} regression model was used to examine factors associated with online health information seeking among males living with diabetes. The results suggest that education, income, age, identifying as Hispanic, being a smoker, using a device to track progress toward a health-related goal, and using device to seek health information were all related to eHealth sum scores. Future research should consider testing applications among various at-risk groups to determine if the technology itself is becoming a barrier to eHealth.
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Affiliation(s)
- Ledric D Sherman
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA
| | - Megan S Patterson
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA
| | - Aditi Tomar
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA
| | - Lisa T Wigfall
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA
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Prochnow T, Patterson MS, Umstattd Meyer MR. A social network approach to analyzing body dissatisfaction among sorority members using two network generators. J Am Coll Health 2021; 69:159-167. [PMID: 31498736 DOI: 10.1080/07448481.2019.1657121] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 06/24/2019] [Accepted: 08/13/2019] [Indexed: 06/10/2023]
Abstract
Objective: This article uses social network analysis (SNA) to analyze how various measures of social connectedness relate to body dissatisfaction (BD) in sorority members.Participants: 208 sorority members participated in the study.Methods: Measures of social connectedness (network variables) were created based on two relational networks: persons members felt closest to and persons they spent the most time with. SNA tested whether demographic variables, body mass index (BMI), compulsive exercise, and network variables were related to BD in both networks.Results: Members reported BD was related to less social connectedness in the "close-to" and the "time-spent" networks, although specific network variables varied between the two. Compulsive exercise, BMI, and grade classification were related to BD in both networks.Conclusions: How a sorority member connects to others in her network could impact BD in this population. This study supports efforts facilitating increased social connection within a sorority as a means to decrease BD.
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Affiliation(s)
- Tyler Prochnow
- Department of Health Human Performance and Recreation, Baylor University, Waco, TX, USA
| | - Megan S Patterson
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA
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Patterson MS, Nelon JL, Lemke MK, Sönmez S, Hege A, Apostolopoulos Y. Exploring the Role of Social Network Structure in Disease Risk among U.S. Long-haul Truck Drivers in Urban Areas. Am J Health Behav 2021; 45:174-185. [PMID: 33402247 DOI: 10.5993/ajhb.45.1.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Objective: Using mixed methods, we explored properties of long-haul truckers' social networks potentially influencing STI/BBI acquisition and transmission. Methods: We recruited inner-city drug and sex network members (N = 88) for interviews. Blood and urine samples and vaginal swabs were collected to test for STIs/BBIs. Data were collected on participants' role in the network (trucker, sex worker, or intermediary), sexual and substance-use behaviors, and dyadic relationships with drug and/or sex contacts. We analyzed network data using UCINET. Results: Data revealed 2 major network clusters (58 male truckers, 6 male intermediaries, and 24 female sex workers; 27.3% STI/BBI positive). Overall, 18.8% of network members had more than one type of risky relationship with the same person (multiplexity), 11.4% of dyads were between 2 STI/ BBI positive people (assortative mixing), 36.4% were between one STI/BBI positive person and one negative person (disassortative mixing), 44.3% of people were connected to more than one person who was STI/BBI positive (concurrency), and 62.5% of nodes were just one path removed from an STI/BBI positive individual (bridging). Conclusion: Despite only 27.3% of the network being STI/BBI positive, our results revealed network characteristics (and potential intervention points) that amplify risk of disease spread within trucker-centered networks.
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Affiliation(s)
- Megan S. Patterson
- Megan S. Patterson, Assistant Professor, Texas A&M University, College Station, TX, United States;,
| | - Jordan L. Nelon
- Jordan L. Nelon, Program Evaluator, Centerstone Research Institute, Nashville, TN, United States
| | - Michael K. Lemke
- Michael K. Lemke, Assistant Professor, University of Houston Downtown, Houston, TX, United States
| | - Sevil Sönmez
- Sevil Sönmez Associate Dean for Faculty, Research and Graduate Programs and Professor, University of Central Florida, Orlando, FL, United States
| | - Adam Hege
- Adam Hege, Associate Professor, Appalachian State University, Boone, NC, United States
| | - Yorghos Apostolopoulos
- Yorghos Apostolopoulos, Associate Professor, Texas A&M University, College Station, TX, United States
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Abstract
Traditional measures attempting to capture students' perceptions of peer drinking fail to capture the unique social influence of their most proximal peers. Purpose: This study presents egocentric social network data assessing the relationship between students' personal drinking behaviors and those of their closest social ties. Methods: 697 college students participated in the study by reporting on demographic information, alcohol use (AUDIT scores), and egocentric networks. Hierarchical linear regression assessed whether egocentric network variables uniquely predicted personal alcohol use, controlling for age, gender, race/ethnicity, and Greek-life affiliation. Results: Students with higher AUDIT scores were more likely to nominate persons close to them that engaged in more frequent, higher quantity drinking, and were also likely to mirror drinking behaviors to that of their close ties. Conclusion: Future studies should utilize SNA to capture the nuance associated with individuals' perceptions of close others' alcohol use and their own drinking behaviors. Interventions aimed at reducing collegiate drinking should consider the interpersonal nature of drinking behaviors among college student networks.
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Affiliation(s)
- Alex M Russell
- Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA
| | - Megan S Patterson
- Department of Health & Kinesiology, Texas A&M University, College Station, TX, USA
| | - Adam E Barry
- Department of Health & Kinesiology, Texas A&M University, College Station, TX, USA
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Prochnow T, Patterson MS, Umstattd Meyer MR. A social network analysis approach to group and individual perceptions of child physical activity. Health Educ Res 2020; 35:564-573. [PMID: 32918452 DOI: 10.1093/her/cyaa035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 08/25/2020] [Indexed: 06/11/2023]
Abstract
Child physical activity (PA) is influenced by social environment. Self-perception and perception of others' behaviors may impact health behaviors such as PA. This study examines associations between child networks, perception of their own PA and the network's perception of their PA. Children (n = 89, M age = 10.00, SD = 1.34) at a summer care program reported demographics (54% female; 46% Black), PA, and physical skill competency. Children indicated up to five people they interacted with the most while at the program and how active they perceived each person to be. Multilevel modeling was used to determine significant associations between skill competency, network measures, and child's perception of their own PA, the network's perception of their PA, and the absolute difference between the two. Children perceived themselves to be more physically active if they perceived their friends were more physically active. Children who were central in the network and more physically competent were perceived as more active by their peers. Absolute differences between self-reported and network perceived PA were significantly larger for females. This work builds on understanding of how network position may impact child PA perceptions at summer care programs. Implications of these perceptions for PA promotion programs are discussed.
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Affiliation(s)
- Tyler Prochnow
- Baylor University, Robbins College of Health and Human Sciences, One Bear Place No. 97313, Waco, TX 76798, USA
| | - Megan S Patterson
- Texas A&M University, Department of Health and Kinesiology, MS 4243 TAMU, College Station, TX 77843, USA
| | - M Renee Umstattd Meyer
- Baylor University, Robbins College of Health and Human Sciences, One Bear Place No. 97313, Waco, TX 76798, USA
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Patterson MS, Heinrich KM, Prochnow T, Graves-Boswell T, Spadine MN. Network Analysis of the Social Environment Relative to Preference for and Tolerance of Exercise Intensity in CrossFit Gyms. Int J Environ Res Public Health 2020; 17:E8370. [PMID: 33198213 PMCID: PMC7698103 DOI: 10.3390/ijerph17228370] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 11/05/2020] [Accepted: 11/06/2020] [Indexed: 11/16/2022]
Abstract
Known for its ability to improve fitness and health, high-intensity functional training (HIFT) focuses on functional movements completed at high intensities, often yielding outcomes superior to repetitive aerobic workouts. Preference for and tolerance of high-intensity exercise are associated with enjoyment of and adherence to HIFT. Similarly, the social environment present within CrossFit, a popular group-based HIFT modality, is important to the enjoyment of and adherence to HIFT. This study aimed to test whether preference and tolerance were related to social connections within CrossFit networks. Linear network autocorrelation models (LNAMs) and exponential random graph models (ERGMs) were computed on sociometric and attribute data from members of three CrossFit networks (n = 197). LNAMs showed the preference and tolerance scores of someone's social connections were associated with their own in all three gyms, and ERGMs demonstrated preference and tolerance scores were associated with the presence of social ties within all networks. This study is the first to provide evidence for a relationship between social connections and preference and tolerance. Future longitudinal research is needed to determine if the social environment may influence and optimize a person's preference of and tolerance for HIFT.
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Affiliation(s)
- Megan S. Patterson
- College of Education and Human Development, Texas A&M University, College Station, TX 77845, USA; (T.G.-B.); (M.N.S.)
| | - Katie M. Heinrich
- College of Health and Human Sciences, Kansas State University, Manhattan, KS 66506, USA;
| | - Tyler Prochnow
- Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76706, USA;
| | - Taylor Graves-Boswell
- College of Education and Human Development, Texas A&M University, College Station, TX 77845, USA; (T.G.-B.); (M.N.S.)
| | - Mandy N. Spadine
- College of Education and Human Development, Texas A&M University, College Station, TX 77845, USA; (T.G.-B.); (M.N.S.)
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Abstract
PURPOSE The health equity and prosperity of communities is closely linked to the effectiveness and success of local health coalitions. Social network analysis (SNA) is one mechanism to quantify and understand the factors leading to collaboration and effectiveness within these coalitions. This study aims to investigate network characteristics associated with perceived success and satisfaction in a health coalition and determine significant factors related to organizational collaborations. DESIGN/METHODOLOGY/APPROACH This study examined the Olympic Peninsula Healthy Community Coalition (OPHCC) which aims to prevent chronic disease in rural Clallam County, Washington. Representatives (n = 21) from member organizations (n = 18) were asked to report on organization characteristics, perceived satisfaction in coalition activities, perceived success toward coalition's mission, and collaborations with other organizations in the coalition. Multilevel modeling used to analyze whether an organization's position within the coalition network was associated with their perceived satisfaction and perceived success. Exponential random graph modeling was used to examine what factors may impact collaboration ties between coalition members. FINDINGS Organization representatives reported a total of 252 collaboration ties. In multilevel models, organization characteristics and network centrality scores accounted for between 61 and 68% of variance displayed in satisfaction scores and 45-61% of variance in perceived success scores. Exponential random graph modeling revealed activity level, for-profit status, and transitivity as significant factors in collaborative tie presence. ORIGINALITY/VALUE Encouraging consistent active participation, a balance of organizational type, and projects which require more than two collaborators may provide an environment for collaborative ties between organizations.
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Prochnow T, Oglesby L, Patterson MS, Umstattd Meyer MR. Perceived burnout and coping strategies among fitness instructors: a mixed methods approach. Managing Sport and Leisure 2020. [DOI: 10.1080/23750472.2020.1825986] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Tyler Prochnow
- Baylor University Robbins College of Health and Human Sciences, Waco, Texas
| | - Leslie Oglesby
- School of Health Professions, University of Southern Mississippi, Hattiesburg, Mississippi
| | - Megan S. Patterson
- Department of Health and Kinesiology, Texas A&M University, College Station, Texas
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Prochnow T, Patterson MS, Bridges Hamilton CN, Delgado H, Craig S, Umstattd Meyer MR. Network Autocorrelation of Perceived Physical Activity Skill Competence Among Adolescents at a Summer Care Program: A Pilot Study. Am J Health Promot 2020; 35:430-433. [PMID: 32929978 DOI: 10.1177/0890117120958544] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE This study investigates the possible association between adolescent friendship networks and perceived physical activity skill competence in a summer care program. DESIGN Adolescents participated in researcher-administered surveys at the start (T1) and end (T2) of summer. SETTING Adolescents at a Boys & Girls Club were sampled. SAMPLE Adolescents (age 8-12) completed researcher-administered surveys at T1 (n = 100; µ age = 9.9 years; 47% male; 55% Black) and T2 (n = 77; µ age = 9.8 years; 51% male; 49% Black). MEASURES Perceived skill competence was measured by asking adolescents to rate how good they felt they were at physical activity at the club. Adolescents were also asked to provide names of up to 5 peers whom they hung around with, talked to, and did things with the most while at the club. ANALYSIS Linear network autocorrelation models were used to determine network effects or clustering of perceived physical activity skill competence within the club. RESULTS There were significant network effects for adolescent perceived skill competency scores at T1 (β = 0.05, p < 0.01) and T2 (β = 0.05, p = 0.02), indicating adolescent perceived skill competence scores were associated with those of their friends. CONCLUSIONS Practitioners may wish to encourage the use of group or collaborative skill competency improvement activities as well as possibly pairing adolescents with differing skill competencies to foster improvement and possible diffusion of perceived skill competency.
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Affiliation(s)
| | | | | | | | - Sam Craig
- 4224Carthage College, Kenosha, WI, USA
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Russell AM, Barry AE, Patterson MS. A comparison of global and egocentric network approaches for assessing peer alcohol use among college students in the United States. Drug Alcohol Rev 2020; 39:984-993. [DOI: 10.1111/dar.13140] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 07/06/2020] [Accepted: 07/06/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Alex M. Russell
- Department of Health, Human Performance and Recreation University of Arkansas Fayetteville USA
| | - Adam E. Barry
- Department of Health and Kinesiology Texas A&M University College Station USA
| | - Megan S. Patterson
- Department of Health and Kinesiology Texas A&M University College Station USA
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Abstract
College students are a vulnerable population for dating violence (DV) because of the social environment in which they live and interact with other students. Campus climate surveys are considered best practice for gathering information about the severity and cause of college DV; however, there are still unanswered questions as to why DV remains an alarming public health concern among college students. The aim of this systematic literature review was to examine DV risk factors specific to college students with a special focus on methodological factors and gaps in the literature. Databases EBSCO, Scopus, PsycINFO, MEDLINE, ERIC, and PubMed were searched for articles published between 2006 and 2016, resulting in 23 articles that met inclusion criteria for this review. Very few studies were conducted at private universities (n = 4). Most researchers used descriptive cross-sectional surveys (n = 22), while only one utilized a mixed-methods approach. Measurement scales used to collect DV rates were similar across studies, yet the definition of DV was inconsistent. Types and severity of DV varied across studies, but overall, females were more likely to perpetrate and/or experience DV than males. Individual risk factors (e.g., substance use, risky sexual behaviors) were identified more often than family risk factors (e.g., intergenerational violence) and peer and social risk factors (e.g., Greek-life or athletic team membership, relationship type). A better understanding of new college relationships is critical to identify modifiable risk factors for DV. Recommendations for future practice and research are also discussed.
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Affiliation(s)
- Alicia Duval
- Department of Health, Human Performance, and Recreation, Baylor University, Waco, TX, USA
| | - Beth A Lanning
- Department of Health, Human Performance, and Recreation, Baylor University, Waco, TX, USA
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Patterson MS, Russell A, Spadine MN, Prochnow T, Heinrich KM. Impact of social networks, mental health, and sobriety on exercise within a collegiate recovery community. Health Behavior Research 2020. [DOI: 10.4148/2572-1836.1074] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Patterson MS, Gagnon LR, Nelon JL, Spadine MN. A pilot study using egocentric network analysis to assess holistic health benefits among a sample of university employees involved in a worksite fitness program. Work 2020; 66:63-72. [PMID: 32417814 DOI: 10.3233/wor-203151] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Working adults in the United States often do not engage in enough exercise to experience health benefits. With workplaces becoming increasingly sedentary, more emphasis is placed on providing exercise opportunities at work. Evidence suggests participating in exercise during the workday and socially connecting with others while exercising, can lead to positive health outcomes. OBJECTIVE The purpose of this study is to examine whether mental and social health factors were related to increased exercise among employees participating in a worksite group exercise program. METHODS An egocentric network analysis was conducted on a sample of university employees (n = 57). RESULTS Regression analyses (Adjusted R2 = 0.501, F = 4.686, p = 0.001) suggest that depression (β= -0.548, p = 0.041), stress (β= 0.530, p = 0.016), nominating alters who exercise similarly (β= 0.326, t = 2.111, p = 0.045), average exercise scores across egonetworks (β= -0.330, t = -2.135, p = 0.043), and nominating other group exercise members (β= 0.579, t = 3.721, p = 0.001) were related to physical activity scores. CONCLUSION These findings provide empirical support for using group exercise environments as a mechanism for increasing exercise among employees. Specifically, fostering social connections between employees involved in the program can lead to greater physical activity scores. Future research should confirm these results in larger samples, along with determining more causal relationships with longitudinal and experimental designs.
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Affiliation(s)
- Megan S Patterson
- Health and Kinesiology, Texas A&M University, College Station, TX, USA
| | - Leah R Gagnon
- Community Health Center of Southeast Kansas, Pittsburg, KS, USA
| | - Jordan L Nelon
- Health and Kinesiology, Texas A&M University, College Station, TX, USA
| | - Mandy N Spadine
- Health and Kinesiology, Texas A&M University, College Station, TX, USA
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Garney WR, Patterson MS, Garcia K, Muraleetharan D, McLeroy K. Interorganizational network findings from a nationwide cardiovascular disease prevention initiative. Eval Program Plann 2020; 79:101771. [PMID: 31869623 DOI: 10.1016/j.evalprogplan.2019.101771] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2019] [Revised: 09/21/2019] [Accepted: 12/14/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVES To use network analysis in order to evaluate the effectiveness of interorganizational networks in implementing policy, systems, and environmental interventions for cardiovascular disease prevention throughout the United States. METHODS Evaluators conducted an interorganizational network (ION) survey to examine information sharing and joint planning within organizational relationships in 15 community-based cardiovascular disease prevention partnership networks. Density and betweenness centrality scores at the node- and network-level were calculated for each partnership network using UCINET© network analysis software. Common data patterns were then extracted using a multiple case study format. RESULTS Network density scores ranged from 0.50 to 1.00 (M = 0.84, SD = 0.14) for information sharing and 0.43-1.00 (M = 0.77, SD = 0.15) for joint planning. Centralization indices ranged from 0.00 to 0.11 (M = 0.04, SD = 0.03), and 0.00-0.17 (M = 0.06, SD = 0.05), respectively. Overall, 73.33 % of communities were successful in meeting their partnership goals. CONCLUSIONS When planning and implementing interorganizational networks, high betweenness centrality and more hierarchically structured networks were identified as the most salient partnership characteristics to programmatic success. The network findings were triangulated with previously published qualitative data to provide context. These findings provide valuable insight on how national networks can be designed and leveraged to implement systematic community health projects.
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Affiliation(s)
- Whitney R Garney
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA.
| | - Megan S Patterson
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA.
| | - Kristen Garcia
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA.
| | - Daenuka Muraleetharan
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA.
| | - Kenneth McLeroy
- Texas A&M University, Health Science Center, School of Public Health, MS 1266, College Station, TX 77843-1266, USA.
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Patterson MS, Prochnow T, Richardson RG, Jackson KP. Using network analysis to conduct a system-wide program evaluation within a university. Eval Program Plann 2020; 79:101783. [PMID: 32032895 DOI: 10.1016/j.evalprogplan.2020.101783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 01/17/2020] [Accepted: 01/20/2020] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To conduct a system-wide assessment using social network analysis (SNA) to examine how 14 important issues (e.g., consent; racism) are addressed through education, training, and programming at a university. METHODS Evaluators conducted interviews with campus departments responsible for educating/training on the 14 issues. Interviews revealed which programs (n = 52) were offered that addressed the 14 issues, and data on audience characteristics, date of delivery, and which issues were covered in each program were collected. SNA was used to calculate degree and create visualization graphs illustrating patterns of content-coverage across all 52 programs. RESULTS The average degree was 19.38 (SD = 9.70), meaning programs overlapped in topic area with nearly 20 other programs, on average. Most programs (n = 36; 69.2 %) were attended by audiences of 500 people or less. "Diversity and inclusion" represented the topic area with the most programs (n = 23), whereas "suicide" and "bullying/hazing" had the least number of programs (n = 3). Degree was negatively correlated with attendance numbers (r=-.310, p < .001), indicating the more a program overlapped in content with other programs, the smaller the audience. CONCLUSIONS This study supports the use of network analysis in conducting systemic evaluations of programs offered at a university, complementing the work of ongoing, local-level program evaluations.
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Affiliation(s)
- Megan S Patterson
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, United States.
| | - Tyler Prochnow
- Baylor University, College of Health and Human Sciences, Department of Health, Human Performance, and Recreation, One Bear Place #97343, Waco, TX 76798, United States
| | - Ryan G Richardson
- Baylor University, Division of Student Life, One Bear Place #97016, Waco, TX 76798, United States
| | - Kevin P Jackson
- Baylor University, Division of Student Life, One Bear Place #97016, Waco, TX 76798, United States
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Nelon JL, Moscarelli M, Stupka P, Sumners C, Uselton T, Patterson MS. Does Scientific Publication Inform Public Discourse? A Case Study Observing Social Media Engagement Around Vaccinations. Health Promot Pract 2020; 22:377-384. [PMID: 32009444 DOI: 10.1177/1524839919899925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In the early 2000s, there was a shift in the use of the internet. Individuals on the internet began seeking information from other creators and creating their own content. These online communities allowed individuals to communicate across the globe, gravitating toward people like them or those who shared similar beliefs. Conversations around vaccinations have been particularly polarizing across social media even though scientific literature continually validates their safety and effectiveness. This study will explore whether online public discourse about vaccinations changes before and after major scientific publications, and will measure what is related to social engagement around vaccinations on Twitter. In September 2018, two weeks' worth of Twitter posts (n = 2,919) discussing vaccinations were collected, coded, and analyzed before and after two major 2014 scientific publications. Linear regression analyses examined variables related to engagement with vaccination-related Tweets pre- and postpublication. Antivaccine-related Tweets decreased by over 25% after scientific publications, while provaccine Tweets increased by 16.6%. Regression models suggest verification status and number of followers were the strongest predictors of Twitter engagement. Findings indicate that scientific publications might affect what people public health information people share online, and how people engage with online content. In a time when false information is easily spread online, this study suggests the need for continual scientific publication on "hot topics," and urges researchers to partner with influential individuals on social media to disseminate effective, evidence-based, and user-friendly public health information to the public.
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Wigfall LT, Sherman LD, Garney WR, Patterson MS, Montiel Ishino FA, Vadaparampil ST. Are health care providers making the most of patient encounters to promote HPV vaccination among cigarette smokers? Patient Educ Couns 2020; 103:180-188. [PMID: 31383561 PMCID: PMC7695463 DOI: 10.1016/j.pec.2019.07.026] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 06/28/2019] [Accepted: 07/23/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To examine providers' HPV vaccine communication among adult cigarette smokers with household members aged ≤26 years. METHODS In this cross-sectional study, we used 2017 Health Information National Trends Survey (HINTS 5, Cycle 1; N = 3191) data to derive a subsample (n = 725/3191; 22.7%) of adults with household members aged ≤26 years. Forward stepwise multivariable logistic regression analyses were performed to examine providers' HPV vaccine communication, adjusting for patients' smoking status (main independent variable); HPV awareness and knowledge; HPV vaccine awareness and beliefs; and sociodemographic characteristics that contribute to disparities in HPV vaccine coverage. RESULTS Current/former smokers (35.0%) had lower HPV-related awareness/knowledge than nonsmokers (65%). Few reported providers discussed (27.4%) or recommended (24.0%) HPV vaccine. Non-Hispanic Whites who knew HPV was a sexually transmitted disease and heard of HPV vaccine were 2-6 times more likely to report provider HPV vaccine communication. Provider HPV vaccine communication differences by smoking status were not statistically significant. CONCLUSION Providers' HPV vaccine communication was higher among adults who had higher HPV-related awareness/knowledge. Although active/passive exposure to cigarette smoke increases cervical cancer risk, providers' HPV vaccine communication was not increased for current/former smokers. PRACTICE IMPLICATIONS Current/former smokers' HPV-related awareness/knowledge and providers' HPV vaccine communication need to be increased.
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Affiliation(s)
- Lisa T Wigfall
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA.
| | - Ledric D Sherman
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA
| | - Whitney R Garney
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA
| | - Megan S Patterson
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, USA
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Patterson MS, Prochnow T, Goodson P. The Spread and Utility of Social Network Analysis across a Group of Health Behavior Researchers. Health Behavior Research 2019. [DOI: 10.4148/2572-1836.1063] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Dyson K, Ziter C, Fuentes TL, Patterson MS. Conducting urban ecology research on private property: advice for new urban ecologists. Journal of Urban Ecology 2019. [DOI: 10.1093/jue/juz001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Karen Dyson
- Urban Design and Planning, University of Washington, 3949 15th Ave NE, Gould Hall, Seattle, WA, USA
| | - Carly Ziter
- Department of Integrative Biology, University of Wisconsin-Madison, Madison, WI, USA
- Department of Biology, Concordia University, Montreal, Quebec, Canada
| | - Tracy L Fuentes
- Urban Design and Planning, University of Washington, 3949 15th Ave NE, Gould Hall, Seattle, WA, USA
| | - M S Patterson
- Urban Design and Planning, University of Washington, 3949 15th Ave NE, Gould Hall, Seattle, WA, USA
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Patterson MS, Goodson P. Social network analysis for assessing college-aged adults' health: A systematic review. J Am Coll Health 2019; 67:59-67. [PMID: 29652600 DOI: 10.1080/07448481.2018.1462820] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Revised: 03/17/2018] [Accepted: 04/05/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE Social network analysis (SNA) is a useful, emerging method for studying health. College students are especially prone to social influence when it comes to health. This review aimed to identify network variables related to college student health and determine how SNA was used in the literature. PARTICIPANTS A systematic review of relevant literature was conducted in October 2015. METHODS Studies employing egocentric or whole network analysis to study college student health were included. We used Garrard's Matrix Method to extract data from reviewed articles (n = 15). RESULTS Drinking, smoking, aggression, homesickness, and stress were predicted by network variables in the reviewed literature. Methodological inconsistencies concerning boundary specification, data collection, nomination limits, and statistical analyses were revealed across studies. CONCLUSIONS Results show the consistent relationship between network variables and college health outcomes, justifying further use of SNA to research college health. Suggestions and considerations for future use of SNA are provided.
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Affiliation(s)
- Megan S Patterson
- a Texas A & M University, Baylor University , College Station , Texas , USA
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Nelon JL, De Pedro KT, Gilreath TD, Patterson MS, Holden CB, Esquivel CH. A latent class analysis of the co-occurrence of sexual violence, substance use, and mental health in youth. Subst Use Misuse 2019; 54:1938-1944. [PMID: 31131676 DOI: 10.1080/10826084.2019.1618337] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Purpose: The purpose of this study was to understand co-occurrence of sexual violence, substance use, and mental health in youth and see if there are differences in experiences among sexual identities, races, and genders. Methods: The 2017 Youth Risk Behavior Survey sampled 14,638 high school students. Latent class analysis was used to understand the relationship between incidence of sexual violence, substance use, and depression and suicidality in a nationally representative sample. The model controlled for demographic and bullying covariates. Results: A four-class solution provided optimal fit. Classes were low risk (51.8%); low violence, frequent substance use, and high depression and suicidal ideation (29.7%); experienced violence and moderate mental health issues(5.1%); and some violence, high substance use, and high depression and suicidal ideation (13.4%). Youth who identified as sexual minority youth were almost 2.5-5 times more likely to be in the three higher risk classes than their heterosexual peers. Those who identified as "I don't know" were almost 3 times more likely to be in the three higher risk classes than heterosexual youth. Multiracial youth had higher likelihood of being in the three riskier classes compared to Caucasian youth. Females were 2.5 and 3 times more likely to be in the low violence and some violence classes compared to males. Conclusion: The study's finding distinct classes of co-occurring behavioral and mental health outcomes fill gaps in the current literature and informs practitioners that LGB youth and bi/multiracial youth were at an elevated risk of co-occurring victimization, substance use, and mental health problems.
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Affiliation(s)
- Jordan L Nelon
- Department of Health and Kinesiology, Texas A&M University , College Station , Texas , USA
| | - Kris T De Pedro
- Attallah College of Educational Studies, Chapman University , Orange , California , USA
| | - Tamika D Gilreath
- Department of Health and Kinesiology, Texas A&M University , College Station , Texas , USA
| | - Megan S Patterson
- Department of Health and Kinesiology, Texas A&M University , College Station , Texas , USA
| | - Caitlin B Holden
- Department of Health and Kinesiology, Texas A&M University , College Station , Texas , USA
| | - Christi H Esquivel
- Department of Health and Kinesiology, Texas A&M University , College Station , Texas , USA
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Oosterwerff EFJ, Fagel ND, Slagboom T, Tijssen JGP, Herrman JP, Smits PC, Suttorp MJ, Ronner E, Laarman GJ, Patterson MS, Amoroso G, Vink MA, van der Schaaf RJ, Verheugt FWA, Riezebos RK. Impact of percutaneous coronary intervention timing on 5-year outcome in patients with non-ST-segment elevation acute coronary syndromes. The 'wait a day' approach might be safer. Neth Heart J 2016; 24:173-80. [PMID: 26860709 PMCID: PMC4771630 DOI: 10.1007/s12471-016-0803-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
Background The OPTIMA trial was a randomised multicentre trial exploring the influence of the timing of percutaneous coronary intervention (PCI) on patient outcomes in an intermediate to high risk non-ST-elevation acute coronary syndrome (NSTE-ACS) population. In order to decide the best treatment strategy for patients presenting with NSTE-ACS, long-term outcomes are essential. Methods Five-year follow-up data from 133 of the 142 patients could be retrieved (94 %). The primary endpoint was a composite of death and spontaneous myocardial infarction (MI). Spontaneous MI was defined as MI occurring more than 30 days after randomisation. Secondary endpoints were the individual outcomes of death, spontaneous MI or re-PCI. Results No significant difference with respect to the primary endpoint was observed (17.8 vs. 10.1 %; HR 1.55, 95 % CI: 0.73–4.22, p = 0.21). There was no significant difference in mortality rate. However, spontaneous MI was significantly more common in the group receiving immediate PCI (11.0 vs. 1.4 %; HR 4.46, 95 % CI: 1.21–16.50, p = 0.02). We did not find a significant difference between the groups with respect to re-PCI rate. Conclusion There was no difference in the composite of death and spontaneous MI. The trial suggests an increased long-term risk of spontaneous MI for patients treated with immediate PCI.
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Affiliation(s)
- Erik F J Oosterwerff
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands.
| | - N D Fagel
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
| | - T Slagboom
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
| | - J G P Tijssen
- Heart Centre, Department of Cardiology, Academic Medical Centre, Amsterdam, The Netherlands
| | - J P Herrman
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
| | - P C Smits
- Heart Centre, Department of Cardiology, Maasstad Hospital, Rotterdam, The Netherlands
| | - M J Suttorp
- Heart Centre, Department of Cardiology, St Antonius Hospital, Nieuwegein, The Netherlands
| | - E Ronner
- Heart Centre, Department of Cardiology, Reinier de Graaf Hospital, Delft, The Netherlands
| | - G J Laarman
- Heart Centre, Department of Cardiology, TweeSteden Hospital, Tilburg, The Netherlands
| | - M S Patterson
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
| | - G Amoroso
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
| | - M A Vink
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
| | - R J van der Schaaf
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
| | - F W A Verheugt
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
| | - R K Riezebos
- Heart Centre, Department of Cardiology, Onze Lieve Vrouwe Gasthuis, 1090 HM, PO Box 95500, Amsterdam, The Netherlands
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Umstattd Meyer MR, Perry CK, Sumrall JC, Patterson MS, Walsh SM, Clendennen SC, Hooker SP, Evenson KR, Goins KV, Heinrich KM, O'Hara Tompkins N, Eyler AA, Jones S, Tabak R, Valko C. Physical Activity-Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002-2013. Prev Chronic Dis 2016; 13:E03. [PMID: 26741997 PMCID: PMC4707945 DOI: 10.5888/pcd13.150406] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION Health disparities exist between rural and urban residents; in particular, rural residents have higher rates of chronic diseases and obesity. Evidence supports the effectiveness of policy and environmental strategies to prevent obesity and promote health equity. In 2009, the Centers for Disease Control and Prevention recommended 24 policy and environmental strategies for use by local communities: the Common Community Measures for Obesity Prevention (COCOMO); 12 strategies focus on physical activity. This review was conducted to synthesize evidence on the implementation, relevance, and effectiveness of physical activity-related policy and environmental strategies for obesity prevention in rural communities. METHODS A literature search was conducted in PubMed, PsycINFO, Web of Science, CINHAL, and PAIS databases for articles published from 2002 through May 2013 that reported findings from physical activity-related policy or environmental interventions conducted in the United States or Canada. Each article was extracted independently by 2 researchers. RESULTS Of 2,002 articles, 30 articles representing 26 distinct studies met inclusion criteria. Schools were the most common setting (n = 18 studies). COCOMO strategies were applied in rural communities in 22 studies; the 2 most common COCOMO strategies were "enhance infrastructure supporting walking" (n = 11) and "increase opportunities for extracurricular physical activity" (n = 9). Most studies (n = 21) applied at least one of 8 non-COCOMO strategies; the most common was increasing physical activity opportunities at school outside of physical education (n = 8). Only 14 studies measured or reported physical activity outcomes (10 studies solely used self-report); 10 reported positive changes. CONCLUSION Seven of the 12 COCOMO physical activity-related strategies were successfully implemented in 2 or more studies, suggesting that these 7 strategies are relevant in rural communities and the other 5 might be less applicable in rural communities. Further research using robust study designs and measurement is needed to better ascertain implementation success and effectiveness of COCOMO and non-COCOMO strategies in rural communities.
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Affiliation(s)
- M Renée Umstattd Meyer
- Baylor University, Robbins College of Health and Human Sciences, Department of Health, Human Performance and Recreation, One Bear Place No. 97313, Waco, TX 76798.
| | - Cynthia K Perry
- School of Nursing Oregon Health & Science University, Portland, Oregon
| | - Jasmin C Sumrall
- Robbins College of Health and Human Sciences, Baylor University, Waco, Texas
| | | | - Shana M Walsh
- Robbins College of Health and Human Sciences, Baylor University, Waco, Texas
| | | | | | - Kelly R Evenson
- University of North Carolina, Chapel Hill, Chapel Hill, North Carolina
| | - Karin V Goins
- University of Massachusetts Medical School, Worcester, Massachusetts
| | | | - Nancy O'Hara Tompkins
- West Virginia Prevention Research Center, West Virginia University, Charleston, West Virginia
| | - Amy A Eyler
- Prevention Research Center, Brown School at Washington University in St. Louis, St. Louis, Missouri
| | - Sydney Jones
- University of North Carolina, Chapel Hill, Chapel Hill, North Carolina
| | - Rachel Tabak
- Prevention Research Center, Brown School at Washington University in St. Louis, St. Louis, Missouri
| | - Cheryl Valko
- Prevention Research Center, Brown School at Washington University in St. Louis, St. Louis, Missouri
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Patterson MS, Umstattd Meyer MR, Beaujean AA, Bowden RG. Using the social cognitive theory to understand physical activity among dialysis patients. Rehabil Psychol 2014; 59:278-88. [DOI: 10.1037/a0037002] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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