Coaching, Capacity, and Change: Youth Sport Providers\u27 Perceptions on Creating a Health-Promoting Environment

Background: Rising youth public health disparities can be attributed to the social determinants of health that influence health and wellness. Youth sport providers can be influential in creating healthier environments that facilitate positive youth development, positively impacting life-long healthy behaviors. Purpose: The purpose of this Capstone Project was to explore youth sport provider’s perceptions, after completing an educational module, of their capacity to implement positive youth development and to create a health-promoting environment. Theoretical Framework. The Model of Human Occupation and the Transtheoretical Model of Behavioral Change guided this project’s assumption that the multicontextual environment’s influence on the process of occupation is a critical core component of societal health and well-being. Methods. A qualitative descriptive approach allowed for purposive sampling, inductive thematic analysis, and flexible, multiple source data collection. Participants were given two weeks to review an educational module before completing a semi-structured interview. Interviews were transcribed and analyzed until themes emerged. Results. Thematic analysis produced the following themes: (1) health-promotion education facilitates occupational balance, (2) occupational identity enhances the social and cultural environment, and (3) supporting occupational behaviors promotes positive youth development. Themes represented an interdependent relationship to participants’ capacity to change their environment. Conclusions: Research exploring sport providers occupational identity, behaviors, and capacity for change can better inform the occupational therapy profession on how to best motivate, advocate, and empower change in public health. Occupation-based interventions, education, and policymaking utilizing valued leisure occupations can create healthier physical, social, and cultural environments for youth athletes

Mobile monitoring application to support sustainable behavioural change towards healthy lifestyle

We describe the development of body area networks (BANs) incorporating sensors and other devices to provide intelligent mobile services in healthcare and well-being. The first BAN applications were designed to simply transmit biosignals and display them remotely. Further developments include analysis and interpretation of biosignals in the light of context data. By including feedback loops, BAN telemonitoring was also augmented with teletreatment services. Recent developments include incorporation of clinical decision support by applying techniques from artificial intelligence. These developments represent a movement towards smart healthcare, making health BAN applications more intelligent by incorporating feedback, context awareness, personalization, and decision support.\ud The element of decision support was first introduced into the BAN health and well-being applications in the Food Valley Eating Advisor (FOVEA) project. Obesity and overweight represent a growing threat to health and well-being in modern society. Physical inactivity has been shown to contribute significantly to morbidity and mortality rates, and this is now a global trend bringing huge costs in terms of human suffering and reduction in life expectancy as well as uncontrolled growth in demand on healthcare services. Part of the solution is to foster healthier lifestyle. A major challenge however is that exercise and dietary programs may work for the individual in the short term, but adherence in the medium and long term is difficult to sustain, making weight management a continuing struggle for individuals and a growing problem for society, governments, and health services. Using ICT to support sustainable behavioral change in relation to healthy exercise and diet is the goal of the FOVEA monitoring and feedback application. We strive to design and develop intelligent BAN-based applications that support motivation and adherence in the long term. We present this healthy lifestyle application and report results of an evaluation conducted by surveying professionals in related disciplines

CONSUMERS\u27 PERCEPTIONS OF A VIRTUAL HEALTH CHECK: AN EMPIRICAL INVESTIGATION

After years of the development of information systems (IS) designed primarily for healthcare managers and professionals, there is an increasing interest in reaching consumers and patients directly through consumer health information technology (IT). Consumer-centric health information systems enable individuals to manage their health better and maintain a healthier lifestyle. However, the foremost challenge in developing systems for health behavior change is that there is modest knowledge of how individuals interact with these systems and how they process and act on information. In addition, technologies cannot have the capacity to help facilitate self-monitoring and self-management or improve consumers\u27 health outcomes if the consumers do not adopt them. The objective of this study is to investigate consumers? perceptions of a virtual health check. Specifically, we propose and test factors affecting perceived persuasiveness of the system and whether perceived persuasiveness predicts intention to adopt virtual health coaching. A theoretically driven research model is constructed, and a structural equation modeling (SEM) approach, namely partial least squares (PLS), is used to test the model against the data gathered from 130 subjects. The results of the study lend support to the proposed model. Studying the adoption, use, and impact of innovative consumer health IT is worthwhile, as it will guide future implementations

Creating triple-wins for health, equity and environmental sustainability: elements of good practice based on learning from the INHERIT case studies

This report draws out dimensions of good practice for building this triple-win, based on learning from the INHERIT project’s 15 case studies. In the context of the project, good practice refers to ways that support changing contexts and create conditions to enable behaviour change to reach the triple-win. This report summarises key information for consideration by governmental and non-governmental policy-makers and practitioners planning to work across sectors to achieve the triple-win through behaviour change at every level. INHERIT researchers have focused their evaluations of the 15 INHERIT case studies on implementation, intersectoral cooperation, impacts and cost benefits. The researchers have taken dimensions of good practice from INHERIT research to be those elements that appear to be promising or necessary in the contexts in which the INHERIT cases studies are implemented. The extent to which these elements of good practice can be generalised to other contexts merits consideration in developing future initiatives towards creating synergies across sectors. INHERIT researchers have drawn out lessons learned from information gathered in evaluations about triggers for the initiatives, key elements for implementation, success factors in intersectoral cooperation, what could have been done better, what should be done in the future, and the most important learnings from the evaluation of outcomes, costs and benefits

Evaluation of a Coaching Experiential Learning Project on OT Student Abilities and Perceptions

Innovative teaching methods to address emerging practice needs are critical components of effective occupational therapy education. Experiential learning strategies can enhance skill development and translation of knowledge into OT clinical practice. In addition, skills such as coaching may provide important links to health promotion practices. Thirty-two occupational therapy students took part in an experiential project to connect occupational engagement and health for a community of older adults. A pretest/posttest design was used to evaluate program outcomes in student perceived abilities, and narrative reflection papers provided postexperience qualitative information. The students improved in all 10 areas of abilities self-assessment with mean total scores from pretest (M = 42) improving significantly at posttest (M = 58). Themes from reflection papers indicated a positive response to experiential learning and a desire for more opportunities to prepare for clinical practice, including the use of interprofessional training. The students improved in their abilities to use coaching and health promotion strategies through the use of experiential learning methods. Outcomes suggest that experiential learning opportunities are an effective way to enhance student competencies in coaching, improve readiness for wellness programming, and increase student confidence in application of skills in future clinical practice

Identification of Important Factors Affecting Use of Digital Individualised Coaching and Treatment of Type 2 Diabetes in General Practice: A Qualitative Feasibility Study

Most type 2 diabetes patients are treated in general practice and there is a need of developing and implementing efficient lifestyle interventions. eHealth interventions have shown to be effective in promoting a healthy lifestyle. The purpose of this study was to test the feasibility, including the identification of factors of importance, when offering digital lifestyle coaching to type 2 diabetes patients in general practice. We conducted a qualitative feasibility study with focus group interviews in four general practices. We identified two overall themes and four subthemes: (1) the distribution of roles and lifestyle interventions in general practice (subthemes: external and internal distribution of roles) and (2) the pros and cons for digital lifestyle interventions in general practice (subthemes: access to real life data and change in daily routines). We conclude that for digital lifestyle coaching to be feasible in a general practice setting, it was of great importance that the general practitioners and practice nurses knew the role and content of the intervention. In general, there was a positive attitude in the general practice setting towards referring type 2 diabetes patients to digital lifestyle intervention if it was easy to refer the patients and if easily understandable and accessible feedback was implemented into the electronic health record. It was important that the digital lifestyle intervention was flexible and offered healthcare providers in general practice an opportunity to follow the type 2 diabetes patient closely