Access Equity: Driving Indiana Infrastructure and Communities to the Next Level

For over 25 years the American’s with Disabilities Act has required communities to plan for and transition their infrastructure and programs to become accessible. However, many communities still have a long way to go. This presentation takes compliance to the next level and engages community partners in the discussion of what access equity looks like and why it has to be the goal of a solid ADA transition plan

Poster Introductions II--The Children’s Health and Activity Modification Program (C.H.A.M.P.): Exploring the Impact of a 4-week Lifestyle Intervention on Obese Children and Their Families

C.H.A.M.P., a 4-week day camp for obese children aged 8-14, was held during August 2008. The program included daily physical activity, dietary, and behavioural modification for children, and similarly-themed educational sessions for family members on weekends. The purpose of the present study was to explore the experiences of children and family members who participated in C.H.A.M.P.. Methods: This qualitative study enlisted a trained facilitator to moderate five focus groups immediately following the intervention. Children (n = 12) were allocated to 1 of 2 groups; parents (n = 17) were allocated to 1 of 3 groups. Following a semi-structured interview guide, each session was digitally recorded, transcribed verbatim, and analyzed using inductive content analysis. Results: Preliminary analysis revealed that children enjoyed participating in physical activities progressively and felt that it got easier over time. Children reported that they felt more confident in themselves and their ability to try new activities; using positive self-talk and involving their families in healthy change were emphasized. Dietary themes for children included the importance of eating balanced meals, monitoring serving sizes, and moderation. Parents reported increased confidence in parenting skills, and greater awareness of their influence on family members. Goal setting, trust, and empowerment of children in decision making were also emphasized by parents. Conclusion: This pilot study offers unique insight into the perspectives of obese children and their families. Overall, the program was well-received and impacted participants positively. Results will be discussed in terms of their implications for continued program development and future implementation. Erin Pearson is a doctoral student in the Health and Rehabilitation Sciences Program at the University of Western Ontario. Erin\u27s research interests lie in the areas of health and exercise psychology, as well as the promotion of physical activity in sedentary populations. Currently, Erin\u27s doctoral research focuses on health and wellness pertaining specifically to obesity, behaviour modification, and the use of Motivational Interviewing and Co-Active Life Coaching as health promotion tools. Erin is the Program Coordinator for the Children\u27s Health and Activity Modification Program (C.H.A.M.P.), a group-based lifestyle intervention for obese children at risk for type II diabetes and their families

Caregivers’ Self-Compassion and Bereaved Children’s Adjustment: Testing Caregivers’ Mental Health and Parenting as Mediators

Objectives: Self-compassion, which involves mindfulness, self-kindness, and common humanity, has been found to be related to individuals’ mental health. Few studies have examined caregivers’ self-compassion in relation to parenting behaviors and child adjustment in addition to its relation to their own mental health. In the current study we examined caregivers’ self-compassion as a protective factor related to parentally bereaved children’s internalizing and externalizing problems and further tested whether these relations were mediated by caregivers’ mental health (complicated grief and psychological distress) and parenting. Methods: The sample consisted of 74 caregivers (female = 78.4%) who participated in a larger study designed for bereaved families. At T1 (baseline) and T2 (20 weeks later), caregivers completed measures on demographic information, self-compassion, complicated grief, parental warmth, and consistent discipline, as well as child internalizing and externalizing problems. Results: Findings supported that caregivers’ self-compassion was prospectively related to decreased internalizing and externalizing problems in bereaved children. Mediation analyses showed that the effect of self-compassion on externalizing problems was mediated by parental warmth and by consistent discipline. In addition, caregivers’ self-compassion was prospectively associated with decreased complicated grief and psychological distress of the caregiver. Conclusions: These findings add to the knowledge on the benefits of self-compassion for bereaved families and suggest that caregivers’ self-compassion intervention may be a leveraging point to protect both bereaved caregivers from complicated grief and distress but also to strengthen parenting which leads to bereaved children’s adjustment

The impact of a one-day applied training in motivational interviewing on health practitioners’ perceived competence, autonomy, efficacy, and attitudes to facilitate behavior change: A pilot study

Abstract Objective: Because the practical application of motivational interviewing (MI) for health practitioners has been highlighted as a limitation to the approach, the purpose of this pilot study was to assess the impact of a one-day training workshop in MI applied through Co-Active life coaching (CALC) skills on health care practitioners' perceived competence, autonomy and attitudes toward facilitating health-behavior changes. Methods: A pre-test/post-test multiple baseline design was used with 10 health care practitioners. Data was collected beginning 25 days prior and for 4 weeks post-training. Participants received a 7.5 hour interactive workshop in January 2011. The Perceived Competence Scale, the Perceived Autonomous Motivation Scale and the Nutrition in Patient care Survey were adapted and administered to assess attitudes toward facilitating health-behavior changes in clinical care. Results Conclusion: Participation in this applied workshop was effective and should be explored further with a larger group. Practice Implications: This training improved practitioners' comfort to counsel behavior changes and may be a useful training model for health professionals

Participants’ perceptions of “C.H.A.M.P. families”: A parent-focused intervention targeting paediatric overweight and obesity

Background: Recently, our team implemented a 13-week group-based intervention for parents of children with obesity (“C.H.A.M.P. Families”). The primary objective of this study was to explore, qualitatively, parents’ perspectives of their experiences in and influence of C.H.A.M.P. Families, as well as their recommendations for future paediatric obesity treatment interventions. Methods: Twelve parents (seven mothers, five fathers/step-fathers) representing seven children (four girls, three boys) with obesity participated in one of two focus groups following the intervention. Focus groups were audio recorded and transcribed verbatim and data were analyzed using inductive thematic analysis. Results: Findings showed that parents perceived their participation in C.H.A.M.P. Families to be a positive experience. Participants highlighted several positive health-related outcomes for children, families, and parents. Parents also underscored the importance and positive impact of the group environment, specific educational content, and additional program components such as free child-minding. Recommendations for future interventions were also provided, including greater child involvement and more practical strategies. Finally, parents identified several barriers including socioenvironmental issues, time constraints, and parenting challenges. Conclusions: Researchers developing family-based childhood obesity interventions should consider the balance of parent and child involvement, as well as emphasize group dynamics strategies and positive family communication

C.H.A.M.P. Families : Description and Theoretical Foundations of a Paediatric Overweight and Obesity Intervention Targeting Parents-A Single-Centre Non-Randomised Feasibility Study.

Childhood obesity represents a significant global health challenge, and treatment interventions are needed. The purpose of this paper is to describe the components and theoretical model that was used in the development and implementation of a unique parent-focussed paediatric overweight/obesity intervention. C.H.A.M.P. Families was a single-centre, prospective intervention offered to parents of children aged between 6⁻14 years with a body mass index (BMI) ≥85th percentile for age and sex. The intervention included: (1) eight group-based (parent-only) education sessions over 13-weeks; (2) eight home-based activities; and (3) two group-based (family) follow-up support sessions. The first section of the manuscript contains a detailed description of each intervention component, as well as an overview of ongoing feasibility analyses. The theoretical portion details the use of evidence-based group dynamics principles and motivational interviewing techniques within the context of a broader social cognitive theory foundation. This paper provides researchers with practical examples of how theoretical constructs and evidence-based strategies can be applied in the development and implementation of parent-focussed paediatric obesity interventions. Given the need for transparent reporting of intervention designs and theoretical foundations, this paper also adds to the areas of implementation science and knowledge translation research

Coaching and/or education intervention for parents with overweight/obesity and their children: Study protocol of a single-centre randomized controlled trial

Background: In Canada, a majority of children and adults are insufficiently active for health gains, and about one in seven children and over 20% of adults are overweight or obese. Overweight and obesity are risk factors for many chronic diseases in both adults and children and can result in lower quality and quantity of life. Children whose parents are overweight or obese are more likely to become overweight themselves. Thus, parent/child interventions are important for reducing obesity and promoting long-term healthy weights among members of the family unit. Programs using Co-Active coaching have resulted in positive behaviour changes among adults with overweight/obesity; however, little research has explored the effects of Co-Active coaching on parents, and the consequent impact on the family unit (i.e. all parents and children in the same household). This protocol paper provides a detailed methodological account of a coaching-based program targeting parent and child dyads, in hopes of enhancing health behaviours within the family unit. Methods: Using a randomized controlled trial design, the researchers aim to identify the impact of coaching plus education (intervention) compared to education only (control) on parents with overweight/obesity and their children (ages 2.5-10, of any weight). A total of 50 dyads are being recruited and randomly assigned using a 1:1 ratio into the control or intervention group. The control group receive 6 webinar-based education sessions focused on physical activity and nutrition. The intervention group receive the same education sessions and nine, 20-min telephone-based sessions with a certified coach. Coaching and health education sessions are conducted with the parent/guardian of the dyad. This paper provides a detailed methodological account of this program. Discussion: The expected findings from this research will advance coaching literature, research, and practice on this topic by determining whether coaching and education are more effective than education alone at producing behaviour changes among a family unit. If proven effective, this approach may be applied more broadly through public health interventionists to parent and child populations in hopes of affecting change with both individuals and their families. Trial registration: ISRCTN ISRCTN69091372. Retrospectively registered 24 September 2018

The American Preparedness Project: Where the US Public Stands in 2015

The American Preparedness Project was launched by the National Center for Disaster Preparedness (NCDP) in 2002, in the aftermath of the 9/11 attacks in order to survey public perceptions and opinions on disaster preparedness and to acknowledge that a comprehensive understanding of the concerns of individuals and families is critical to emergency planning efforts on all levels. Characterizing such trends is critical because in order to develop effective disaster plans, as well as a sustainable long term disaster preparedness strategy, people need to be confident in (a) the reliability of information from official sources, (b) the capacity of government to perform effectively in a crisis and (c) the capability of response systems, particularly health systems and first responders.The major findings of the 2015 American Preparedness Project are presented in the Key Findings section of this report. The American Preparedness Project survey has been administered eight times since the launch of the project in 2002. Although the content of the questionnaire has changed over time to reflect the changing disaster landscape, a select set of questions has been asked in every iteration of the survey in order to capture changes over time.These questions are presented in the National Trends Since 9/11 section of this report and capture national confidence in household and community preparedness, response systems, and leadership. Following the overview of national trends over time, the report highlights findings from the current survey (see Key Findings in 2015) across the domains of General Preparedness, Natural Disasters and Climate Change,Terrorism, and Children in Disasters. The report concludes with Recommendations for improving national, community and household-level preparedness