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A Group Dynamics-Based Exercise Intervention to Improve Physical Activity Maintenance in Breast Cancer Survivors

Heather J. Leach, Katie B. Potter, and Mary C. Hidde

Background: To maintain increases in physical activity (PA), interventions that implement group dynamics principles and strategies with the intent of enhancing group cohesion may be advantageous. This study examined group cohesion and PA following a group dynamics-based PA intervention among breast cancer survivors. Methods: The study was designed as a pilot randomized controlled trial comparing an 8-week group dynamics-based intervention with an individually supervised intervention. Group cohesion was measured by the Physical Activity Group Environment Questionnaire, and PA was measured at baseline, post-intervention, and 3-month follow-up using a self-report questionnaire and pedometer. Results: Group cohesion levels were high following the intervention and positively associated with PA at 3-month follow-up (ranger = .182–.555). At 3-month follow-up, 91.7% of participants in the group-dynamics-based intervention (n = 12) were classified as moderately active or greater, compared with 54.5% in the individually supervised intervention (n = 11). Conclusions: These results suggest that, for breast cancer survivors, peer support and fostering group cohesion as part of an exercise program may help to support PA following the completion of a structured intervention. A larger trial with longer follow-up is needed to establish comparative efficacy for a group-dynamics-based exercise intervention to enhance long-term PA adherence in breast cancer survivors.

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The KID Study (Kids Interacting With Dogs): Piloting a Novel Approach for Measuring Dog-Facilitated Youth Physical Activity

Colleen J. Chase, Sarah Burkart, and Katie Potter

Background: Two-thirds of children in the United States do not meet the National Physical Activity Guidelines, leaving a majority at higher risk for negative health outcomes. Novel, effective children’s physical activity (PA) interventions are urgently needed. Dog-facilitated PA (e.g., dog walking and active play) is a promising intervention target, as dogs support many of the known correlates of children’s PA. There is a need for accurate methods of quantifying dog-facilitated PA. Purpose: The study purpose was to determine the feasibility and acceptability of a novel method for quantifying the volume and intensity of dog-facilitated PA among dog-owning children. Methods: Children and their dog(s) wore ActiGraph accelerometers with a Bluetooth proximity feature for 7 days. Additionally, parents logged child PA with the family dog(s). Total minutes of dog-facilitated PA and percentage of overall daily moderate to vigorous PA performed with the dog were calculated. Results: Twelve children (mean age = 7.8 ± 2.9 years) participated. There was high feasibility, with 100% retention, valid device data (at least 4 days ≥6-hr wear time), and completion of daily parent log and questionnaire packets. On average, dog-facilitated PA contributed 22.9% (9.2 min) and 15.1% (7.3 min) of the overall daily moderate to vigorous PA for children according to Bluetooth proximity data and parent report, respectively. Conclusions: This pilot study demonstrated the feasibility of utilizing an accelerometer with a proximity feature to quantify dog-facilitated PA. Future research should use this protocol with a larger, more diverse sample to determine whether dog-facilitated PA contributes a clinically significant amount toward overall PA in dog-owning youth.

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Examining the Contribution of Dog Walking to Total Daily Physical Activity Among Dogs and Their Owners

Katie Potter, Robert T. Marcotte, Greg J. Petrucci, Caitlin Rajala, Deborah E. Linder, and Laura B. Balzer

Given high rates of obesity and chronic disease in both people and dogs, it is important to understand how dogs and dog owners influence each other’s health, including physical activity (PA) levels. Research suggests that dog owners who walk their dogs are more likely to meet PA guidelines than those who do not, but few studies have investigated dog walking intensity or its contribution to dog owners’ total moderate-to-vigorous PA using accelerometry. Furthermore, no studies have examined the contribution of dog walking to dogs’ total PA or the relationship between dog and dog owner PA using accelerometers on dogs. The authors used accelerometers on 33 dog owner–dog pairs to investigate (a) the intensity of dog walking behavior, (b) the contribution of dog walking to dog owners’ overall moderate-to-vigorous PA and dogs’ overall PA, and (c) the correlation between dog and dog owner PA. Dog owners wore an ActiGraph accelerometer and logged all dog walking for 7 days; dogs wore a Fitbark activity monitor. On average, 64.1% (95% confidence interval [55.2, 73.1]) of daily dog walking was moderate to vigorous intensity, and dog walking accounted for 51.2% (95% confidence interval [44.1, 58.3]) of dog owners’ daily moderate-to-vigorous PA. Dog walking accounted for 41.2% (95% confidence interval [36.0, 46.4]) of dogs’ daily PA. Dog owners’ daily steps were moderately correlated (r = .54) with dogs’ daily activity points. These findings demonstrate the interdependence of dog and dog owner PA and can inform interventions that leverage the dog–owner bond to promote PA and health in both species.