9 research outputs found

    Development of a ParticipACTION App–Based Intervention for Improving Postsecondary Students’ 24-Hour Movement Guideline Behaviors: Protocol for the Application of Intervention Mapping

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    Background:The Canadian 24-Hour Movement Guidelines for adults provide specific recommendations for levels of physical activity, sedentary behavior, and sleep (ie, the movement behaviors) required for optimal health. Performance of the movement behaviors is associated with improved mental well-being. However, most postsecondary students do not meet the movement behavior recommendations within the Canadian 24-Hour Movement Guidelines and experience increased stress and declining well-being, suggesting the need for an intervention targeting students’ movement behaviors.Objective:We aimed to develop and implement a theory-informed intervention intended to improve the movement behaviors and mental well-being of first-year postsecondary students.Methods:The Intervention Mapping protocol was applied in the development and implementation of the intervention. Intervention Mapping entailed performing a needs assessment, determining the intervention outcomes, selecting theory- and evidence-based change methods and applications, preparing and producing intervention plans and materials, developing the implementation plan, and finally developing an evaluation plan. The Theoretical Domains Framework and the Behavior Change Wheel were also used in conjunction with the Intervention Mapping protocol to ensure a solid theoretical basis for the intervention. This protocol led to the development and implementation of a 6-week, theory-informed ParticipACTION app–based intervention aimed at helping first-year postsecondary students improve their movement behaviors and mental well-being. The developed app content provided students with information on each of the movement behaviors and behavioral strategies (ie, goal setting, action planning, monitoring, and coping planning). The use of Intervention Mapping allowed for the continuous involvement of various multidisciplinary partners and end users, ensuring that the intervention design and implementation was appropriate for the target audience. The feasibility, acceptability, and potential impact of the intervention will be examined in a subsequent proof-of-concept study at 2 Canadian university campuses.Results:Participant recruitment occurred during September 2021, and the intervention was conducted from October to December 2021. The deadline for completion of the postintervention questionnaire by participants was mid-December 2021. The analysis of data examining the feasibility, acceptability, and potential impact of the intervention began in January 2022, with the publication of the proof-of-concept evaluation expected in 2023.Conclusions:Intervention Mapping with the Theoretical Domains Framework and Behavior Change Wheel was a useful approach to combine evidence and theoretical concepts to guide the design and implementation of a ParticipACTION app–based intervention targeting postsecondary students’ movement behaviors and mental well-being. This process may serve as an example for other researchers developing multiple behavior change app–based interventions. Should the forthcoming evaluation demonstrate the intervention’s acceptability, feasibility, and potential impact, the intervention may provide a scalable method of improving postsecondary students’ movement behaviors and mental well-being

    Life Cycle Assessment of the UBC Thunderbirds teams, events, and venues

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    This study was commissioned by UBC Athletics & Recreation (UBC A&R). The goal was to carry out a Life Cycle Assessment (LCA) and provide UBC A&R with a tool to assess and manage the environmental impacts of their varsity “Thunderbird” teams, venues, and events. A principal aim of this study was to apply rigorous evaluation methods in a resource-efficient manner to identify major impacts from UBC A&Rs operations, stakeholders, and supply chain. The study uses the IMPACT 2002+ LCA method to determine cradle–to–grave impacts across the environmental damage categories of climate change (Carbon Footprint), human health, water withdrawal, ecosystem quality, and resource depletion. The unit of analysis was the provision of an entertainment / athletic experience to participants of the UBC A&R Thunderbird sports events for the 2011/2012 season. The results showed a total annual footprint of 8,300 tonnes of carbon dioxide equivalents. The largest contributors were venues (72%) and travel (24%) — with food, office, waste, communication, and accommodation combining for the remaining 4%. The results, data, and methodology presented in this report have been incorporated into the Quantis SUITE 2.0 LCA software tool. General recommendations for impact mitigation opportunities and ongoing data collection strategies are also included. UBC A&R will use this to track and report on environmental performance. This approach represents a new level of sophistication for sustainability management and assessment of the events industry.Kinesiology, School ofEducation, Faculty ofUnreviewedGraduat

    A life cycle assessment of the environmental impacts of small to medium sports events

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    In the face of climate change and environmental concerns, sport event organizers have incorporated measures to improve environmental sustainability into their event planning. In 1994, the International Olympic Committee (IOC) added the environment as the third pillar of the Olympic Movement, alongside sport and culture, to signal its importance. However, event organizers don’t have a clear picture of the impacts of their events and are only beginning to use quantitative data as part of their planning process. The scientific literature and the event industry have recognized the need for theoretical and methodological work to better assess and understand the pattern of environmental impacts of events. The need is greatest for small to medium sized events. The goal of this research was to analyze the explanatory power and use-value of Life Cycle Assessment (LCA) to examine the environmental impacts and inform planning of small to medium events. Two case studies were conducted: the UBC Athletics & Recreation varsity 2011–2012 athletic season (UBC Athletics) held at the University of British Columbia over a one-year period, and the Special Olympics Canada 2014 Summer Games (SOC 2014) held over five days in Vancouver, British Columbia. LCA methodology was used to quantify and compare the environmental impacts in key organizational areas. The findings show that LCA has the potential to identify environmental impacts within small to medium sport events. They also show that impacts related to venues dominated across all environmental impact categories for UBC Athletics due to energy consumption and construction materials. Travel was the dominant contributor for SOC 2014 and was a major contributor for UBC Athletics – largely due to people travelling from out of town. The activities related to accommodation, materials, waste, communication and food were significantly smaller contributors to the overall environmental footprint. Sport organizers would benefit from applying LCA as a quantitative tool to rigorously identify areas of significant impact and target planning efforts accordingly, particularly for long distance travel and activities with significant energy use. Finally, I conclude that organizers need to be more aspirational in how they design events and leverage societal change to become environmentally sustainable.Education, Faculty ofKinesiology, School ofGraduat

    Special Olympics Canada 2014 Summer Games: Sustainability Report

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    The 2014 Games in Vancouver were the first Special Olympics Canada Games to officially dedicate an entire team towards sustainability. Targeting areas from waste reduction, to health promotion and social cohesion, to sustainably sourced food, the Games Organizing Committee (GOC) consciously made an effort to improve their environmental and social footprints. This report provides details about selected initiatives and provides an overview of sustainability efforts, outcomes, and recommendations with the aim of supporting the sustainability efforts of future event organizers. These Games were organized in conformance with the Canadian Standards Association (CSA) Z2010-10 Requirements and Guidance for Organizers of Sustainable Events.UnreviewedOthe

    UBC Athletics & Recreation Sustainability Project: Measuring the Climate Change Potential Impacts of a UBC Thunderbirds Men's Basketball Game

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    As part of its commitment towards engaging in sustainability best practices, UBC Athletics & Recreation commissioned the UBC Centre for Sport and Sustainability to carry out a pilot study of the climate change impacts of a varsity ‘Thunderbirds’ basketball event. The UBC Life Cycle Assessment Alliance, a cross-faculty collaboration of UBC grad students applying LCA in a variety of fields, measured impacts for the most significant event organizational sectors: travel, accommodation, food, materials and waste, venue operation and infrastructure. A key aim of this study was to apply rigorous evaluation methods in a resource-efficient manner that estimated major impacts by using easily obtainable activity data. A hybrid LCA method combining both input-output and unit process data was applied to measure climate change potential. The unit of analysis was all services that went into providing an entertainment experience for participants over the four-hour period of the event (food, warmth, transport, safety, etc.). The results showed a total of approximately 5 tonnes of carbon dioxide equivalents from the five event sectors under study. The major impact came from travel (73%), followed by food & beverage (12%), accommodation (11%), venue operation and infrastructure (3%), and materials & waste (1%). A sensitivity analysis showed that the travel impacts of this event were actually significantly lower than an average UBC basketball event since the visiting team came by bus whereas most events require travel by air. This report includes recommendations for GHG mitigation opportunities for future editions of this event. It also recommends that a robust baseline for all UBC A&R events be developed to set specific targets and measure performance. A more comprehensive sustainability management system that addresses other environmental, social and economic issues is also recommended.Kinesiology, School ofEducation, Faculty ofUnreviewedGraduat

    Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

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    Background Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates

    Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

    No full text
    Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society
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