Lucas B Gimenez, Vanessa Teixeira do Amaral, Gabriel Locato, Isabela R Marçal, Artur J T Ferron, Emmanuel G Ciolac
{"title":"Gamification as a Tool for Promoting Physical Exercise and Healthy Eating Habits in Healthcare Worker Women: Effects on Cardiometabolic Health and Physical Fitness at Workplace.","authors":"Lucas B Gimenez, Vanessa Teixeira do Amaral, Gabriel Locato, Isabela R Marçal, Artur J T Ferron, Emmanuel G Ciolac","doi":"10.1177/08901171241234664","DOIUrl":"10.1177/08901171241234664","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of gamified versus nongamified health promotion interventions on cardiometabolic health and fitness parameters in healthcare worker women.</p><p><strong>Design: </strong>Randomized parallel group trial.</p><p><strong>Setting: </strong>A public outpatient health center in Brazil.</p><p><strong>Subjects: </strong>Women employees (included: n = 29; lost to follow-up: n = 1; analyzed: n = 28).</p><p><strong>Interventions: </strong>8 weeks of gamified (n = 15) or nongamified (n = 13) interventions, consisting of health lectures, nutritional counseling, and supervised exercise training. The gamified group was divided into teams that received points based on completion of health goals/tasks.</p><p><strong>Measures: </strong>Anthropometric, cardiometabolic and physical fitness parameters.</p><p><strong>Analysis: </strong>Two-way ANOVA with repeated measures (group vs. time), and Bonferroni <i>post hoc</i> tests.</p><p><strong>Results: </strong>Body mass (-1.5 ± 1.5 kg), waist circumference (-1.6 ± 3.0 cm), HbA1C (-.2 ± .3%), triglycerides (-21.5 ± 48.2 mg/dl), systolic (-11.1 ± 7.9 mmHg) and diastolic (-7.1 ± 5.8 mmHg) blood pressure, as well as sit and reach (3.9 ± 3.0 cm) and six-minute walking (56 ± 37 m) performance improved (<i>P</i> < .05) only after the gamified intervention. Sit-to-stand performance improved after both the gamified (-1.18 ± 1.24 s) and nongamified (-1.49 ± 1.87 s) interventions.</p><p><strong>Conclusion: </strong>The gamified intervention was more effective than the nongamified intervention for improving cardiometabolic and physical fitness parameters, suggesting that gamification may be an effective tool for promoting health in healthcare worker women.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139929547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of the Omaha System- and HeartScore®-Based Impaired-Risk Perception Reduction Program on the Risk Perception of Individuals Aged 50-65 Years: A One-Group Pre-Test-Post-Test Study.","authors":"Ayşe Dağıstan Akgöz, Sebahat Gözüm","doi":"10.1177/08901171241235733","DOIUrl":"10.1177/08901171241235733","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates the impact of interventions in the Omaha System and HeartScore®-based program to reduce impaired-risk perception.</p><p><strong>Design: </strong>and setting: This study utilized a one-group pre-test-post-test design.</p><p><strong>Subjects: </strong>The program was conducted among participants aged over 50 years from different social settings.</p><p><strong>Intervention: </strong>The program had three parts: a briefing on HeartScore® recommendations, Omaha System interventions, and referral to a doctor.</p><p><strong>Measures: </strong>HeartScore® determined cardiovascular disease (CVD) risk, body mass index (BMI) was calculated from height and weight, and the International PA Questionnaire evaluated physical activity (PA) levels. Self-assessment was used to perceived CVD risk, BMI, and PA.</p><p><strong>Analysis: </strong>We used the Wilcoxon signed-rank test to compare the pre-test and post-test scores of the Omaha System, the problem rating scale (PRS) subscales and McNemar test to measure changes in CVD risk perception, BMI, and PA level.</p><p><strong>Results: </strong>310 high-risk individuals out of 522 had impaired perception of their CVD risk. Only 201 responded to follow-up phone calls. Interventions based on HeartScore® and Omaha System improved CVD risk and PA perceptions (<i>P</i> < .001) but not BMI. The program significantly increased knowledge, status, and behavior scores (<i>P</i> < .001). After participating, 39% saw a cardiologist, and 57.2% saw a family physician within six months to reduce impaired risk perception. CVD risk perception increased to the actual level after the intervention, mostly in the group with low education level.</p><p><strong>Conclusions: </strong>The program using the Omaha System and HeartScore® can help middle-aged individuals better understand their risk of cardiovascular disease.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139929502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding Belonging at Work: A Case Study of the University of Iowa's Commitment to Employee Well-Being.","authors":"Joan M Troester, Kerry Evers","doi":"10.1177/08901171241255204d","DOIUrl":"https://doi.org/10.1177/08901171241255204d","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Belonging: An Essential Human and Organizational Need.","authors":"Mary T Imboden","doi":"10.1177/08901171241255204","DOIUrl":"10.1177/08901171241255204","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship Between Patient Activation and Type 2 Diabetes Mellitus Self-management and Clinical Outcomes in Saudi Arabian Primary Care Setting.","authors":"Nasser Almutairi, Vinod Gopaldasani, Hassan Hosseinzadeh","doi":"10.1177/08901171231224889","DOIUrl":"10.1177/08901171231224889","url":null,"abstract":"<p><strong>Purpose: </strong>Type 2 diabetes mellitus (T2DM) self-management is a comprehensive approach that individuals with T2DM employ to manage and control their condition. Patients' activation, \"an individual's knowledge, skill, and confidence for managing their health and health care\", has been used as a major driver of self-management. This study aimed to assess the relationship of patient activation with T2DM self-management and clinical outcomes.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Subjects: </strong>Patients with type T2DM who age 18-years and older.</p><p><strong>Setting: </strong>The primary care centers in Saudi Arabia.</p><p><strong>Measures: </strong>Patient activation measure (PAM) and the Summary of Diabetes Self-Care Activities (SDSCA).</p><p><strong>Analysis: </strong>Descriptive statistic, T-test, One-way ANOVA test, Chi-square test, and linear and logistic regressions were performed.</p><p><strong>Results: </strong>A total of 398 patients, mostly male (54.9%) with a mean age of 53.2 (±10.7) years old participated in the study. The participants' mean of Hemoglobin A1c (HbA1c) was 8.4% (±1.7%) and most of them (74.5%) had an uncontrolled HbA1c level (>7% %). The mean patient activation score was 55.9 (±13.5). 24.4% were at [PA1], 26.7% at [PA2], 37.4% at [PA3], and 11.5% at [PA4]. Patient activation level was positively associated with better glycemic control and self-management behaviors including diet, physical activity, blood glucose self-testing, foot care, and smoking (<i>P</i> < .05) but not with adherence to medication.</p><p><strong>Conclusions: </strong>Our findings reveal a positive association between patient activation level and enhanced glycemic control and self-management behaviors and suggest that patient activation-informed self-management interventions are more likely to yield promising health outcomes.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139037285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relation Between Adverse Childhood Experiences and Health Behaviors in Adult Women.","authors":"Karina L Tavares, Cindy E Tsotsoros","doi":"10.1177/08901171241229829","DOIUrl":"10.1177/08901171241229829","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to identify whether adverse childhood experiences (ACEs) influence health lifestyles throughout adulthood and examine how ACEs influence dimensions of health lifestyles.</p><p><strong>Design: </strong>The data was collected cross-sectionally through an online questionnaire.</p><p><strong>Setting: </strong>Individuals were invited to participate in an online survey for a larger brain health study as a pre-screening measure.</p><p><strong>Subjects: </strong>Women in the Midwest between 18-25 and 65-85 who reported either no ACEs or 3 or more ACEs completed the survey, with 233 women answering all questionnaires.</p><p><strong>Measures: </strong>Demographic indicators, the 10-item ACEs questionnaire, and the Health Promoting Lifestyle Profile (HPLP-II).</p><p><strong>Analysis: </strong>Independent sample <i>t</i>-tests revealed significantly lower scores for ACEs group on the HPLP-II and the 6 subcategories (heath responsibility, interpersonal relationships, nutrition, physical activity, spiritual growth, and stress management). A structural equation model using the 3 ACE categories (abuse, neglect, and household dysfunction) and 6 health domains showed substantial differences in the variance captured for each health behavior.</p><p><strong>Results: </strong>Findings indicate that abuse predicts physical activity, stress management, and spiritual growth (β = -.21, -.23, -.20); neglect predicts interpersonal relationships and spiritual growth (β = -.17, -.18); and household dysfunction predicts health responsibility, nutrition, stress management, and interpersonal relations (β = -.20, -.22, -.10, -.17).</p><p><strong>Conclusion: </strong>The present investigation extends research in displaying that ACEs play a significant role in future health behaviors, with household dysfunction being the greatest predictor.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139545371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anjola Toyon, Zoran Bursac, Nicole Werner, Rebecca A Krukowski
{"title":"Impact of Weight Concern on Post-Cessation Weight Management, Smoking Cessation, and Program Engagement.","authors":"Anjola Toyon, Zoran Bursac, Nicole Werner, Rebecca A Krukowski","doi":"10.1177/08901171241234136","DOIUrl":"10.1177/08901171241234136","url":null,"abstract":"<p><strong>Purpose: </strong>Weight concern is a barrier to smoking cessation. We examined the impact of weight concern on post-cessation weight gain, abstinence and program engagement.</p><p><strong>Design: </strong>Randomized-controlled trial.</p><p><strong>Setting: </strong>Telephone-based and group-based intervention sessions.</p><p><strong>Subjects: </strong>305 participants were randomized and analyzed.</p><p><strong>Intervention: </strong>Participants were randomized to receive a self-guided intervention, a weight loss intervention, or a weight stability intervention prior to all receiving the same smoking cessation intervention.</p><p><strong>Measures: </strong>Level of weight concern on three measures, point-prevalence abstinence, weight change, and session attendance at 12 months.</p><p><strong>Analysis: </strong>Continuous and discrete outcomes were compared between weight-concerned and non-weight-concerned participants using two-sample t-tests and chi-square tests respectively.</p><p><strong>Results: </strong>There were no significant differences in weight change (range: +1.77, -1.91 kg) when comparing weight-concerned and non-weight-concerned participants. Point-prevalence abstinence ranged from 36% to 64%, with no differences by condition based on level of weight concern. There were no significant differences in session attendance by weight concern (Weight sessions: 50-70%, Smoking cessation sessions: 41-56%, Booster sessions: 28-45%). Weight concern, on all measures, significantly decreased between screening and 2 months (after the weight management intervention), for most of the comparisons made overall and by condition.</p><p><strong>Conclusion: </strong>It may not be necessary to screen for weight concerns in smoking cessation and/or post-cessation weight management programs, as the trial interventions were beneficial regardless of weight concern.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139734230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wendy C Birmingham, Julianne Holt-Lunstad, Raphael M Herr, Abigail Barth
{"title":"Social Connections in the Workplace.","authors":"Wendy C Birmingham, Julianne Holt-Lunstad, Raphael M Herr, Abigail Barth","doi":"10.1177/08901171241255204b","DOIUrl":"https://doi.org/10.1177/08901171241255204b","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes in Obesity Prevalence Among U.S. Adults After the COVID-19 Pandemic by State and Territorial Stay-at-Home Order Level and Sociodemographic Characteristics.","authors":"Beomyoung Cho, Yining Pan, McKinley Chapman, Aaron Spaulding, Sericea Stallings-Smith","doi":"10.1177/08901171241233399","DOIUrl":"10.1177/08901171241233399","url":null,"abstract":"<p><strong>Purpose: </strong>To examine changes in obesity prevalence among US adults after the COVID-19 pandemic by level of stay-at-home order and sociodemographic characteristics.</p><p><strong>Design: </strong>Quasi-experimental study using repeated cross-sectional data.</p><p><strong>Setting: </strong>Behavioral Risk Factor Surveillance System (BRFSS).</p><p><strong>Sample: </strong>Pooled data for US adults ages ≥26 years (n = 1,107,673) from BRFSS (2018-2021).</p><p><strong>Measures: </strong>States/territories were classified into three levels of stay-at-home order: none, advisory/only for persons at risk, or mandatory for all. Individual-level sociodemographic characteristics were self-reported.</p><p><strong>Analysis: </strong>The difference-in-differences method was conducted with weighted multiple logistic regression analysis to examine obesity (body mass index ≥30 kg/m<sup>2</sup>) prevalence by stay-at-home order level and sociodemographic characteristics before/after the COVID-19 pandemic (January 2018-February 2020 vs March 2020-February 2022).</p><p><strong>Results: </strong>After adjusting for a secular trend and multiple covariates, adults in states/territories with mandatory stay-at-home orders experienced a larger increase in obesity prevalence (adjusted odds ratio: 1.05; 95% confidence interval: 1.01, 1.11) than adults in states/territories with no stay-at-home order. Younger adults (vs ≥65 years) and individuals with <high school education (vs ≥4-year college) experienced larger increases in obesity prevalence.</p><p><strong>Conclusion: </strong>Increases in obesity prevalence were perpetuated 2 years after implementation of stay-at-home orders, indicating that longer-term health implications are co-occurring during the pandemic recovery period. Future research should focus on successful methods for staying active and healthy during social distancing and beyond.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas E Kottke, Jennifer M Dinh, Maren S G Henderson, Laura Zibley, Rachael L Rivard, Jeanette Y Ziegenfuss, Katherine J Ellefson, Hikaru Peterson, Marna Canterbury
{"title":"Don't Say \"Beans\" When Promoting Plant Protein to Family Meal Planners.","authors":"Thomas E Kottke, Jennifer M Dinh, Maren S G Henderson, Laura Zibley, Rachael L Rivard, Jeanette Y Ziegenfuss, Katherine J Ellefson, Hikaru Peterson, Marna Canterbury","doi":"10.1177/08901171241237017","DOIUrl":"10.1177/08901171241237017","url":null,"abstract":"<p><strong>Purpose: </strong>To identify \"headlines\" that would engage recipients to consider plant protein over red meat.</p><p><strong>Design: </strong>Mail and web survey.</p><p><strong>Setting: </strong>Urban Minnesota community.</p><p><strong>Subjects: </strong>144 survey respondents from our health plan and community program distribution lists who live with at least 1 other person and eat meat.</p><p><strong>Intervention: </strong>We asked respondents how likely they would be to click on each of 24 headlines with a motivator (eating plant protein for health vs for environmental reasons) and a barrier (family preferences, knowledge about plant proteins, or cooking skills). 16 headlines contained the word \"beans\".</p><p><strong>Measures: </strong>We created categorical variables for each headline construct: (1) motivator, (2) barrier, and (3) reference to beans. Using a mixed model with random effects, we compared, for each construct, respondents' self-reported likelihood to click on a headline.</p><p><strong>Results: </strong>Health-related headlines performed significantly better than environmental headlines (<i>P</i> = .0019, 95% CI .01, .11). Family-oriented headlines performed slightly better than skills-oriented (<i>P</i> = .0927, 95% CI -.01, .11) and knowledge-oriented (<i>P</i> = .0960, 95% CI -.01, .11) headlines. Headlines containing the word \"beans\" performed significantly worse than those not containing \"beans\" (<i>P</i> < .0001, 95% CI -.22, -.12).</p><p><strong>Conclusions: </strong>The population represented by our survey respondents report being most likely to click on headlines that emphasize health and family. They report they are significantly less likely to click on headlines that promote beans.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139970626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}