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Reliability and Validity of the International Physical Activity Questionnaire Adapted to Include Adults With Physical Disability

Julianne G. Clina, R. Drew Sayer, James E. Friedman, Tsz Kiu Chui, Tapan Mehta, James H. Rimmer, and James O. Hill

prior to enrollment into each study. The IPAQ survey was previously adapted using the SAVe-IT framework. Details of this adaptation process were published previously. 23 In short, the questionnaire was adapted using the Delphi method with panels consisting of experts in inclusion and adaptation science

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Reducing LGBTQ+ Physical Activity Disparities Through Improved Measurement and Inclusion of Sexual Orientation in US National Data Sets

Keegan T. Peterson and Melissa Bopp

uniquely impact PA participation. The slow adaptation of measurement methods and inclusion of sexual orientation in PA research has further exacerbated the physical inactivity health disparities faced by LGBTQ+ persons. This call to action is aimed at highlighting potential discrepancies of reporting

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Cultural, Linguistic, and Geographical Diversity of Participants in Australian Physical Activity Research Studies: A Systematic Review

Stephen Gilbert, Alastair Jordan, Ding Ding, Anne Tiedemann, Catherine Sherrington, and Marina De Barros Pinheiro

date. All identified papers were imported into Covidence where duplicates were removed prior to 2 independent reviewers (Gilbert and Jordan) screening study titles and abstracts for inclusion criteria. Full texts were located for all studies considered eligible in the first stage of screening, with a

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Racialized Women in Sport in Canada: A Scoping Review

Janelle Joseph, Bahar Tajrobehkar, Gabriela Estrada, and Zeana Hamdonah

boasting equity, diversity, and inclusion policies, sport organizations often disregard the realities associated with racial disparities, including the barriers that prevent many racialized Canadians from full participation in sports. 13 Much like other domains, such as education and health, efforts to

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Barriers and Facilitators for Physical Activity Among Children and Youth With Autism—A Scoping Review

Ingrid Okkenhaug, Magnus Rom Jensen, and Solvor Solhaug

review studies. The search strategies for each source are provided in Supplementary Material S2 (available online). Then, a manual search of reference lists was performed. Inclusion Criteria To be included in this review, the research had to be (1) an original empirical study; hence, literature reviews

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Measurement Considerations of Peak Stepping Cadence Measures Using National Health and Nutrition Examination Survey 2005–2006

Minsoo Kang, Youngdeok Kim, and David A. Rowe

Background:

This study examined the optimal measurement conditions to obtain reliable peak cadence measures using the accelerometer-determined step data from the National Health and Nutrition Examination Survey 2005–2006.

Methods:

A total of 1282 adults (> 17 years) who provided valid accelerometer data for 7 consecutive days were included. The peak 1- and 30-minute cadences were extracted. The sources of variance in peak stepping cadences were estimated using Generalizability theory analysis. A simulation analysis was conducted to examine the effect of the inclusion of weekend days. The optimal number of monitoring days to achieve 80% reliability for peak stepping cadences were estimated.

Results:

Intraindividual variability was the largest variance component of peak cadences for young and middle-aged adults aged < 60 years (50.55%–59.24%) compared with older adults aged ≥ 60 years (31.62%–41.72%). In general, the minimum of 7 and 5 days of monitoring were required for peak 1- and 30-minute cadences among young and middle-aged adults, respectively, whereas 3 days of monitoring was sufficient for older adults to achieve the desired reliability (0.80). The inclusion of weekend days in the monitoring frame may not be practically important.

Conclusions:

The findings could be applied in future research as the reference measurement conditions for peak cadences.

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The Canadian Assessment of Physical Literacy: Development of a Model of Children’s Capacity for a Healthy, Active Lifestyle Through a Delphi Process

Claire E. Francis, Patricia E. Longmuir, Charles Boyer, Lars Bo Andersen, Joel D. Barnes, Elena Boiarskaia, John Cairney, Avery D. Faigenbaum, Guy Faulkner, Beth P. Hands, John A. Hay, Ian Janssen, Peter T. Katzmarzyk, Han C. G. Kemper, Duane Knudson, Meghann Lloyd, Thomas L. McKenzie, Tim S. Olds, Jennifer M. Sacheck, Roy J. Shephard, Weimo Zhu, and Mark S. Tremblay

Background:

The Canadian Assessment of Physical Literacy (CAPL) was conceptualized as a tool to monitor children’s physical literacy. The original model (fitness, activity behavior, knowledge, motor skill) required revision and relative weights for calculating/interpreting scores were required.

Methods:

Nineteen childhood physical activity/fitness experts completed a 3-round Delphi process. Round 1 was open-ended questions. Subsequent rounds rated statements using a 5-point Likert scale. Recommendations were sought regarding protocol inclusion, relative importance within composite scores and score interpretation.

Results:

Delphi participant consensus was achieved for 64% (47/73) of statement topics, including a revised conceptual model, specific assessment protocols, the importance of longitudinal tracking, and the relative importance of individual protocols and composite scores. Divergent opinions remained regarding the inclusion of sleep time, assessment/scoring of the obstacle course assessment of motor skill, and the need for an overall physical literacy classification.

Conclusions:

The revised CAPL model (overlapping domains of physical competence, motivation, and knowledge, encompassed by daily behavior) is appropriate for monitoring the physical literacy of children aged 8 to 12 years. Objectively measured domains (daily behavior, physical competence) have higher relative importance. The interpretation of CAPL results should be reevaluated as more data become available.

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Physical Activity and Children in Care: A Scoping Review of Barriers, Facilitators, and Policy for Disadvantaged Youth

Thomas Quarmby and Katie Pickering

Background:

It is argued that regular engagement in physical activity (PA) has the potential to mitigate the negative health and educational outcomes that disadvantaged children living in care frequently face. However, little is currently known about children in care’s participation in PA. This scoping review primarily aimed to identify barriers and facilitators to PA participation for children in care.

Methods:

The main phases of the scoping review were 1) identifying relevant studies; 2) selecting studies based on predefined inclusion criteria; 3) charting the data; and 4) collating, summarizing, and reporting the results. All relevant studies were included in the review regardless of methodological quality and design.

Results:

The 7 articles that met the inclusion criteria were published between 1998 and 2013 and conducted in the USA (3), England (2), and Norway (2). A social ecological model was incorporated to map results against levels of influence.

Conclusions:

Various factors influence PA engagement for children in care. Barriers include low self-efficacy, instability of their social environment, which impacts on schooling and maintaining friendship groups, and, specific institutional practices and policies that may prevent access to PA. Before fully considering policy implications, further research with children in care is warranted in this area.

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Correlates of Physical Activity in Persons with Arthritis: Review and Recommendations

Sara Wilcox, Cheryl Der Ananian, Patricia A. Sharpe, Jennifer Robbins, and Theresa Brady

Background:

Physical activity (PA) is important for arthritis self-management. A better understanding of the PA correlates in persons with arthritis will help inform interventions.

Methods:

Computer searches were conducted on PubMed, PsychInfo, Current Contents, and Cinahl databases. Reference lists of extracted articles were also searched. Thirty-six studies published between 1976 and February 2004 met inclusion criteria.

Results:

PA correlates are presented for sociodemographic, psychological, health-related, social, and environmental categories. Self-efficacy, perceived benefits and barriers, mental well-being, prior PA, and pain received the most consistent support as PA correlates, whereas sociodemographic, social, and environmental variables were the least studied. Too few studies were conducted to allow comparisons across arthritis type or study design.

Conclusions:

We recommend that additional qualitative research be conducted to understand factors influencing PA in persons with arthritis. Prospective studies, particularly in the context of a PA program or intervention, would also be useful to better understand how barriers and enablers change over time.

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The Effectiveness of Self-Guided Web-Based Physical Activity Interventions Among Patients With a Chronic Disease: A Systematic Review

Daniël Bossen, Cindy Veenhof, Joost Dekker, and Dinny de Bakker

Background:

Despite well-documented health benefits, adults with a physical chronic condition do not meet the recommended physical activity (PA) guidelines. Therefore, secondary prevention programs focusing on PA are needed. Web-based interventions have shown promise in the promotion of PA behavior change. We conducted a systematic review to summarize the evidence about the effectiveness of web-based PA interventions in adults with chronic disease.

Methods:

Articles were included if they evaluated a web-based PA intervention and used a randomized design. Moreover, studies were eligible for inclusion if they used a non- or minimal-treatment control group and if PA outcomes measures were applied. Seven articles were included.

Results:

Three high-quality studies were statistically significant to the control group, whereas 2 high- and 2 low-quality studies reported nonsignificant findings.

Conclusion:

Our best evidence synthesis revealed that there is conflicting evidence on the effectiveness of web-based PA interventions in patients with a chronic disease.